%0 Journal Article
%T Anger and substance abuse: a systematic review and meta-analysis
%J Revista brasileira de psiquiatria
%D 2021
%A Laitano, Helen V.
%A Ely, Amanda
%A Sordi, Anne O.
%A Schuch, Felipe B.
%A Pechansky, Flavio
%A Hartmann, Thiago
%A Hilgert, Juliana B.
%A Wendland, Eliana M.
%A Von Diemen, Lisia
%A Scherer, Juliana N.
%A Calixto, Alessandra Mendes
%A Narvaez, Joana C. M.
%A Ornell, Felipe
%A Kessler, Félix H. P.
%V ePub
%N ePub
%P ePub-ePub
%X 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). <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>
%G en
%I Associacao Brasileira de Psiquiatria
%@ 1516-4446
%U http://dx.doi.org/10.1590/1516-4446-2020-1133