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Journal Article

Citation

Silove D, Rees S, Tam N, Mohsin M, Tay AK, Tol W. BJPsych Open 2015; 1(1): 34-41.

Affiliation

Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Copyright

(Copyright © 2015, Royal College of Psychiatrists)

DOI

10.1192/bjpo.bp.115.000190

PMID

27703721

Abstract

BACKGROUND: Little is known about explosive anger as a response pattern among pregnant and post-partum women in conflict-affected societies. AIMS: To investigate the prevalence and correlates of explosive anger among this population in Timor-Leste.

METHOD: We assessed traumatic events, intimate partner violence, an index of adversity, explosive anger, psychological distress and post-traumatic stress disorder among 427 women (257 in the second trimester of pregnancy, 170 who were 3-6 months post-partum) residing in two districts of Timor-Leste (response >99%).

RESULTS: Two-fifths (43.6%) had explosive anger. Levels of functional impairment were related to frequency of explosive anger episodes. Explosive anger was associated with age (>35 years), being married, low levels of education, being employed, traumatic event count, ongoing adversity and intimate partner violence.

CONCLUSIONS: A combination of social programmes and novel psychological therapies may assist in reducing severe anger among pregnant and post-partum women in conflict-affected countries such as Timor-Leste. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.


Language: en

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