Emerging research has highlighted the strong and unique relationship between anger and posttraumatic stress disorder (PTSD) in veteran and military populations, yet traditional treatments for PTSD do not address adequately problem anger. The aim of this systematic review was to map, synthesise and appraise the evidence for promising treatments targeting anger symptoms in veteran and military populations with PTSD. Searches involving PsycInfo, EMBASE, and Medline were undertaken to identify studies of anger treatment for military personnel or veterans with PTSD published until August 2021. There were 25 studies which met the a priori inclusion criteria and which were narratively synthesised. The studies were diverse in nature and were grouped into four categories: standard PTSD treatments (n = 5); anger-focused treatments (n = 5); multi-component treatments, which combined several different treatment approaches for a wide range of issues (n = 10); and mind-body approaches (n = 5). The findings indicate that standard PTSD treatments, as well as mind-body approaches incorporating yoga, meditation, and mindfulness, were largely ineffective in reducing anger. Anger-focused treatments that were trauma-informed, and multi-component intensive treatments held promise. The measurement of anger symptoms was also diverse and often unstandardized. Future research should focus on larger treatment trials that address anger in this population, as well as standard outcome measurement.

新兴研究强调了退伍军人和军人中愤怒与创伤后应激障碍 (PTSD) 之间强大而独特的关系，但 PTSD 的传统治疗方法并未充分解决愤怒问题。本系统评价的目的是绘制、综合和评估针对患有 PTSD 的退伍军人和军人人群的愤怒症状的有前景的治疗方法的证据。进行了涉及 PsycInfo、EMBASE 和 Medline 的搜索，以确定 2021 年 8 月之前发表的对患有 PTSD 的军人或退伍军人进行愤怒治疗的研究。共有 25 项研究符合先验纳入标准，并进行了叙述性综合。这些研究性质多样，分为四类：标准 PTSD 治疗（n = 5）；以愤怒为中心的治疗（n = 5）；多组分治疗，结合多种不同的治疗方法来解决广泛的问题 (n = 10)；和身心方法 (n = 5)。研究结果表明，标准的 PTSD 治疗以及结合瑜伽、冥想和正念的身心方法在减少愤怒方面基本上无效。以创伤为中心的愤怒治疗和多成分强化治疗很有希望。愤怒症状的测量也是多种多样的，而且往往是不标准化的。未来的研究应该侧重于解决这一人群愤怒的更大规模的治疗试验，以及标准结果测量。以及结合瑜伽、冥想和正念的身心方法，在减少愤怒方面基本上无效。以创伤为中心的愤怒治疗和多成分强化治疗很有希望。愤怒症状的测量也是多种多样的，而且往往是不标准化的。未来的研究应该侧重于解决这一人群愤怒的更大规模的治疗试验，以及标准结果测量。以及结合瑜伽、冥想和正念的身心方法，在减少愤怒方面基本上无效。以创伤为中心的愤怒治疗和多成分强化治疗很有希望。愤怒症状的测量也是多种多样的，而且往往是不标准化的。未来的研究应该侧重于解决这一人群愤怒的更大规模的治疗试验，以及标准结果测量。