Anger and substance abuse: a systematic review and meta-analysis
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
44(1): 103-110, Jan.-Feb. 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1360178
ABSTRACT
Objective:
Conduct a systematic review and meta-analysis to evaluate levels of anger among substance users compared to non-user controls and to analyze the possible association between anger and psychoactive substance use (PSU).Methods:
The procedures of this review followed the Meta-Analyzes of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases (MEDLINE, EMBASE, BIREME, PsycINFO) were searched.Results:
Twelve studies were included in the meta-analysis; 10 used the State-Trait Anger Expression Inventory (STAXI) anger trait subscale and two used the Buss-Perry-Aggression Questionnaire (BPAQ) anger subscale. The sample included 2,294 users of psychoactive substances and 2,143 non-users, all male. The mean difference in anger scale scores between users and non-users was 2.151 (95%CI 1.166-3.134, p ≤ 0.00, inconsistency index [I2] = 98.83) standard deviations. Age and abstinence duration did not moderate the difference in anger between substance users and non-users.Conclusion:
Users of psychoactive substances had elevated anger scores compared to non-users, which represents a high risk of relapse. It is suggested that PSU treatment programs include intensive anger management modules, focusing on factors such as dealing with daily stressors, family conflicts, frustrations, and problems.
Full text:
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Index:
LILACS (Americas)
Type of study:
Practice guideline
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Observational study
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Qualitative research
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Systematic reviews
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2022
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Centro de Pesquisa em Álcool e Drogas, Universidade Federal do Rio Grande do Sul (UFRGS)/BR
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Departamento de Métodos e Técnicas Desportivas, Universidade Federal de Santa Maria (UFSM)/BR
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Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)/BR
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