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  • Title: Anger, aggression, and self-harm in PTSD and complex PTSD.
    Author: Dyer KF, Dorahy MJ, Hamilton G, Corry M, Shannon M, MacSherry A, McRobert G, Elder R, McElhill B.
    Journal: J Clin Psychol; 2009 Oct; 65(10):1099-114. PubMed ID: 19676110.
    Abstract:
    This study examined the contribution of complex posttraumatic stress disorder (PTSD) diagnosis and symptomatology to the difficulties of anger, aggression, and self-harm in a Northern Ireland clinical community sample. A "current complex PTSD" (CCPTSD) group (n=11) was compared with a "current PTSD" group (n=31) on self-report measures of these variables. The CCPTSD group demonstrated significantly higher levels of physical aggression and self-harm than the PTSD group. The complex PTSD symptom of 'alterations in self-perception' was a significant predictor of aggression and history of self-harm, suggesting the potential role of posttraumatic shame and self-loathing in PTSD theoretical models of these destructive behaviors. Social desirability was a notable confounding influence in the assessment of anger, aggression, and self-harm in traumatised individuals.
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