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Anger and substance abuse: a systematic review and meta-analysis
Helen V Laitano1,2, Amanda Ely1,2, Anne O Sordi1
1Centro de Pesquisa em Álcool e Drogas, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Revista Brasileira De Psiquiatria (Sao Paulo, Brazil : 1999)
|February 19, 2021
Summary
Individuals with psychoactive substance use (PSU) exhibit significantly higher anger levels than non-users, indicating an increased risk for relapse. Integrating anger management into PSU treatment is crucial for addressing daily stressors and conflicts.
Area of Science:
- Psychology
- Psychiatry
- Public Health
Background:
- Substance use disorders are often comorbid with emotional dysregulation.
- Anger is a common emotion that can be a precursor or consequence of substance use.
- Understanding the relationship between anger and substance use is vital for effective treatment.
Purpose of the Study:
- To systematically review and meta-analyze anger levels in psychoactive substance users versus non-users.
- To investigate the association between anger and psychoactive substance use (PSU).
Main Methods:
- Systematic review and meta-analysis adhering to MOOSE and PRISMA guidelines.
- Searched four electronic databases: MEDLINE, EMBASE, BIREME, and PsycINFO.
- Included 12 studies utilizing the State-Trait Anger Expression Inventory (STAXI) or Buss-Perry-Aggression Questionnaire (BPAQ) anger subscales.
Main Results:
- Substance users (n=2,294) showed significantly higher anger trait scores than non-users (n=2,143), with a mean difference of 2.151 standard deviations (p ≤ 0.00).
- The observed difference in anger scores was not moderated by age or duration of abstinence.
- High heterogeneity was noted (I2 = 98.83%).
Conclusions:
- Psychoactive substance users demonstrate elevated anger, suggesting a heightened risk for relapse.
- Psychoactive substance use (PSU) treatment programs should incorporate intensive anger management modules.
- Interventions should focus on coping strategies for daily stressors, family conflicts, and frustrations.
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