Background:Drop-out is an important barrier in treating post-traumatic stress disorder (PTSD) with consequences that negatively impact clients, clinicians and mental health services as a whole. Anger is a common experience in people with PTSD and is more prevalent in military veterans. To date, no research has examined if anger may predict drop-out in military veterans or first responders.Aims:The present study aimed to determine the variables that predict drop-out among individuals receiving residential treatment for PTSD.Method:Ninety-five military veterans and first responders completed pre-treatment measures of PTSD symptom severity, depression, anxiety, anger, and demographic variables. Logistic regression analyses were used to determine if these variables predicted drop-out from treatment or patterns of attendance.Results:Female gender was predictive of drop-out. However, when analysed by occupation female gender was predictive of drop-out among first responders and younger age was predictive of drop-out in military participants. Anger, depression, anxiety and PTSD symptom severity were not predictive of drop-out in any of the analyses. No variables were found to predict attendance patterns (consistent or inconsistent) or early versus late drop-out from the programme.Conclusion:These results suggest that although anger is a relevant issue for treating PTSD, other factors may be more pertinent to drop-out, particularly in this sample. In contrast with other findings, female gender was predictive of drop-out in this study. This may indicate that in this sample, there are unique characteristics and possible interacting variables that warrant exploration in future research.

中文翻译：

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退伍军人和急救人员从 PTSD 治疗中退出的愤怒和预测因素

背景：辍学是治疗创伤后应激障碍 (PTSD) 的一个重要障碍，其后果会对客户、临床医生和整个心理健康服务产生负面影响。愤怒是创伤后应激障碍患者的常见经历，在退伍军人中更为普遍。迄今为止，还没有研究检查愤怒是否可以预测退伍军人或急救人员的辍学。目的：本研究旨在确定预测接受 PTSD 住院治疗的个人辍学的变量。方法：九十五名军人退伍军人和急救人员完成了对 PTSD 症状严重程度、抑郁、焦虑、愤怒和人口统计变量的治疗前测量。逻辑回归分析用于确定这些变量是否预测治疗退出或出勤模式。结果：女性是辍学的预测因素。然而，当按职业分析时，女性性别预示着第一反应者的辍学，而年龄越小则预示着军人的辍学。在任何分析中，愤怒、抑郁、焦虑和 PTSD 症状严重程度都不能预测辍学。没有发现变量可以预测出勤模式（一致或不一致）或早退与晚退。结论：这些结果表明，虽然愤怒是治疗 PTSD 的相关问题，但其他因素可能与退学更相关，尤其是在这个样本中。与其他研究结果相反，在这项研究中，女性是辍学的预测因素。这可能表明在这个样本中，