Veterans with posttraumatic stress disorder (PTSD) often experience high levels of hostility. Although studies have found that PTSD is associated with poorer quality of life (QoL), increased functional impairment, lower levels of social support, and increased suicidal ideation, it is unclear if hostility impacts these domains in veterans with PTSD above and beyond the impact from PTSD and depressive symptoms. The present study aimed to examine whether hostility is related to several indices of poorer QoL and functioning after controlling for demographic characteristics, PTSD symptoms, and depressive symptoms. Participants (N = 641) were male U.S. veterans seeking PTSD treatment through a specialty clinic in the Veterans Affairs Healthcare System. Veterans completed the Davidson Trauma Scale for DSM-IV (DTS), Personality Assessment Inventory (PAI), Quality of Life Inventory, and the Sheehan Disability Scale. Hierarchical regressions were conducted to examine the impact of PAI measures of hostility on QoL, functioning, social support, and suicidal ideation beyond DTS, depression, race, and age. After covarying for DTS total score, depression symptoms, age, and race, higher levels of hostility were significantly associated with higher degrees of functional impairment and lower degrees of social support, ΔR² = .01 and ΔR² = .02, respectively. Higher levels of hostility were significantly related to diminished functioning and lower social support beyond PTSD and depressive symptoms in veterans seeking treatment for PTSD. These findings highlight the importance of assessing and treating hostility in veterans with PTSD.

中文翻译：

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敌意对患有创伤后应激障碍的男性退伍军人的生活质量、功能和自杀意念的影响

患有创伤后应激障碍 (PTSD) 的退伍军人通常会受到高度的敌意。尽管研究发现 PTSD 与较差的生活质量 (QoL)、功能障碍增加、社会支持水平较低和自杀意念增加有关，但尚不清楚敌意对 PTSD 退伍军人的这些领域的影响是否超过创伤后应激障碍和抑郁症状。本研究旨在在控制人口特征、PTSD 症状和抑郁症状后，检查敌意是否与较差的 QoL 和功能的几个指标有关。参与者 ( N = 641) 是通过退伍军人事务医疗保健系统的专科诊所寻求 PTSD 治疗的美国男性退伍军人。退伍军人完成了戴维森创伤量表DSM-IV (DTS)、人格评估量表 (PAI)、生活质量量表和 Sheehan 残疾量表。进行了分层回归以检查 PAI 敌意措施对 QoL、功能、社会支持和超越 DTS、抑郁、种族和年龄的自杀意念的影响。在对 DTS 总分、抑郁症状、年龄和种族进行协变后，较高水平的敌意与较高程度的功能障碍和较低程度的社会支持显着相关，ΔR ² = .01 和ΔR ²= .02，分别。在寻求 PTSD 治疗的退伍军人中，更高水平的敌意与 PTSD 和抑郁症状之外的功能减弱和社会支持降低显着相关。这些发现强调了评估和治疗患有 PTSD 的退伍军人的敌意的重要性。