Hostility and Anger in Patients Dependent on Different Psychoactive Drugs

Ruslan D. Ilyuk, Dmitry I. Gromyco, Alexei S. Kiselev, Mikhail N. Torban, Evgeny M. Krupitsky
2012 Activitas Nervosa Superior  
We assessed 311 participants with dependence on opioids, stimulants, alcohol, polysubstance dependence, and a control group with no dependence using clinical structured interview, Buss-Durkee Hostility Inventory, and State-Trait Anger Expression Inventory (STAXI). Our study results demonstrated that in all groups of dependent participants anger, verbal, physical and indirect aggression are significantly higher than in control group. We found that severity and forms of aggressive behaviour in
more » ... endent patients are correlated with the type of substance abused; aggressive behaviour appeared to be correlated with the characteristics of anger. Higher level of aggressiveness, anger and irritation were in groups of polysubstance and stimulant abusers. We also found specific predictors of anger and aggression for groups of subjects dependent on different drugs. Act Nerv Super (Praha) 54(2-3), 125-134. ACTIVITAS NERVOSA SUPERIOR Activitas Nervosa Superior 2012, 54, No. 3-4 126 expressed out and can be controlled by internal mechanisms. Anger expression out is aggressive and usually followed by verbal and/or motor activity (Kassinov, 2006) . Properties of aggression, its severity and relations with the anger in subjects with various forms of dependence have not yet been sufficiently studied. Aims of the study-To study indicators of aggression and anger and their relations to various forms of addiction. METHODS We assessed 311 participants divided into 5 groups: 91 subjects diagnosed with opioid dependence, 42 with stimulant dependence, 50 with polysubstance dependence (46 of them combined stimulants, opioids, and alcohol; four used cannabis, opioids, and alcohol), 38 with alcohol dependence; the control group comprised of 90 subjects with no diagnosed dependence. Inclusion criteria: Clinically based diagnoses of opioid dependence, stimulant dependence, polysubstance dependence, or alcohol dependence; the substance is last used from 7 to 21 days before inclusion in the study; older then 18 years of age. Exclusion criteria: did not sign the informed consent; subjects with schizophrenia, bipolar disorders, and epilepsy, severe neurological disorder or severe somatic disorder. Research tools: we used clinical questionnaire to assess basic social and demographic characteristics, addictive and psychopathological status of subjects; Buss-Durkee Hostility Inventory (Buss & Durkee, 1957) , and State-Trait Anger Expression Inventory (STAXI) (Spielberger, 1988) . Data analysis. Contingency tables and Fisher's exact test were used; correlations between indicators were analyzed using Spearman rank correlation coefficient. Differences between groups were analyzed using non-parametric methods including Kruskal-Wallis one-way analysis of variance and Wilcoxon rank-sum tests. Predictors of aggression and anger within groups were identified using regression analysis (results of STAXI and Buss-Durkee scales were used as dependent variables and social and clinical data was used as independent variables; for all results p < 0,05). RESULTS
doi:10.1007/bf03379590 fatcat:gpdbavnwcfg5blkwej5vrchlau