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2014 ; 28
(5
): 488-94
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Intermittent explosive disorder: associations with PTSD and other Axis I
disorders in a US military veteran sample
#MMPMID24907536
Reardon AF
; Hein CL
; Wolf EJ
; Prince LB
; Ryabchenko K
; Miller MW
J Anxiety Disord
2014[Jun]; 28
(5
): 488-94
PMID24907536
show ga
This study examined the prevalence of intermittent explosive disorder (IED) and
its associations with trauma exposure, posttraumatic stress disorder (PTSD), and
other psychiatric diagnoses in a sample of trauma-exposed veterans (n=232) with a
high prevalence of PTSD. Structural associations between IED and latent
dimensions of internalizing and externalizing psychopathology were also modeled
to examine the location of IED within this influential structure. Twenty-four
percent of the sample met criteria for a lifetime IED diagnosis and those with
the diagnosis were more likely to meet criteria for lifetime PTSD than those
without (30.3% vs. 14.3% respectively). Furthermore, regression analyses revealed
lifetime PTSD severity to be a significant predictor of IED severity after
controlling for combat, trauma exposure, and age. Finally, confirmatory factor
analysis revealed significant cross-loadings of IED on both the externalizing and
distress dimensions of psychopathology, suggesting that the association between
IED and other psychiatric disorders may reflect underlying tendencies toward
impulsivity and aggression and generalized distress and negative emotionality,
respectively.
|Adult
[MESH]
|Aged
[MESH]
|Comorbidity
[MESH]
|Disruptive, Impulse Control, and Conduct
Disorders/diagnosis/*epidemiology/psychology
[MESH]