
@article{ref1,
title="Beyond PTSD and fear-based conditioning: anger-related responses following experiences of forced migration-a systematic review",
journal="Frontiers in psychology",
year="2018",
author="Tuomisto, Martti T. and Roche, Jane E.",
volume="9",
number="",
pages="e2592-e2592",
abstract="<b>Introduction:</b> Experiences of forced migration include traumas that are interpersonal in nature, as well as ongoing emotional responses, stress, and frustration in post-migration setti ngs. Open questions exist, regarding anger/anger-like responses following experiences of persecution and ongoing stress. The aim of this study was to explore the adaptive and maladaptive underlying mechanisms of anger/anger-like responses, cultural, linguistic, and social contingencies, and possible interventions for problematic anger behavior. <b>Method:</b> We searched two databases (PsycINFO and PILOTS) with the following search terms: (refugee OR &quot;asylum seek<sup>*</sup>&quot; OR IDP OR &quot;internal<sup>*</sup> displac<sup>*</sup>&quot; OR &quot;forced migra<sup>*</sup>&quot; OR &quot;involuntary migra<sup>*</sup>&quot;) AND anger. <b>Findings:</b> This search yielded 34 studies that were included in the final review. Although, anger is a moral, adaptive, and prosocial response, dysfunctional anger/anger-like responses arise from PTSD, &quot;moral injury,&quot; complicated grief, and independent forms of anger behavior. Cultural, linguistic, and social issues also emerged from the search. Finally, considerations for treatment and intervention are discussed. <b>Discussion:</b> Anger responses following experiences of forced migration may require assessment beyond PTSD models currently framed by DSM and ICD. A very promising framework is the Adaptation and Development after Persecution and Trauma (ADAPT) model. <b>Implications:</b> Further longitudinal and epidemiological research will be necessary to continue testing the ADAPT model and to begin the process of assessing its cross-cultural coherence in other refugee populations (e.g., see Hinton et al., 2003). As anger behavior is also a societal issue, avenues for reconciliation, expression of grievances, employment, civic participation, and integration are needed.<p /> <p>Language: en</p>",
language="en",
issn="1664-1078",
doi="10.3389/fpsyg.2018.02592",
url="http://dx.doi.org/10.3389/fpsyg.2018.02592"
}