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Results for “anger expression”

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PubMed2001

Experimentally induced anger, cardiovascular reactivity, and pain sensitivity.

It was investigated whether an angry state, induced by a computer task with harassing comments, would lead to a decrease in cold pressor pain threshold and tolerance in comparison to a neutral situation. It was hypothesized that an increase in cardiovascular activity might partially mediate effects of anger. Furthermore, it was examined whether subjects given the opportunity to express anger would show reduced cardiovascular activity and pain report compared to subjects not given this opportunity. Finally, trait measures for anger expression style and hostility were included. The results show an increase instead of the expected decrease in pain tolerance for subjects in the harassment condition compared to those in the neutral condition. While cardiovascular reactivity was positively related to pain threshold and tolerance, increased anger was associated with increased pain report. It is suggested that anger and cardiovascular reactivity may have important but sometimes opposing influences on pain.

Adult↗

PubMed1989

The experience of anger in chronic illness: a preliminary investigation.

The experience of anger was investigated in relation to essential hypertension, in particular, and chronic disease states, in general. A hypertensive patient group was compared to a chronic disease control group (diabetics) and a nonpatient normotensive control group on measures of anger expression, assertiveness, and perceptions of health status. The chronic patient groups differed significantly from the nonpatient controls in reporting more anger in general, greater frequency of anger experiences, and a tendency to express anger more outwardly. The chronic patient groups also reported greater severity of health problems. Comparisons between the hypertensives and diabetics revealed a greater level of current anger among diabetics. The findings are discussed in terms of their implications for anger and chronic illness. Suggestions for future research regarding anger and hypertension also are made.

Aged↗

PubMed2001

Genes and olympic performance: a co-twin study.

An Olympic gold medalist in a 20 km competitive walking race and his identical twin brother, also an Olympic athlete in the same event but with inferior performance, were tested in order to obtain some further insight into the relative importance of genetic factors in modulating athletic excellence. Both twins had undergone the same strenuous, long-term training for 19 years since the age of 15 under the guidance of the same coach. An assessment of their bio-behavioural profiles at 40 years of age, i. e. 7 years after they ceased training, revealed that intrapair differences were negligible in physiological attributes but divergent in personality traits measured. Respective values for the Olympic winner and his identical counterpart were as follows: Body mass index 23.2 and 22.7, cardiac mass index 85.4 and 84.4 g x m2, squatjumping 25.3 and 27.3 cm, VO2 at running speed 9 km x h(-1) 33.1 and 33.6 ml x kg(-1) x min(-1), VO2 max 57.1 and 58.6 ml x kg(-1) x min(-1) (72.5ml x kg(-1) x min(-1) for the Olympic winner at age 22 yrs), reaction to anger 97 and 9 and anger expression 2 and 76 in percentile of the State-Trait Anger Expression Inventory. Findings suggest that although genetic constitution and years of physical training are prerequisites for making an Olympic athlete, success may be largely influenced by personality traits.

Adult↗

PubMed1998

Reasons for adolescent suicide attempts: associations with psychological functioning.

OBJECTIVE: To determine reasons for suicide attempts in adolescents and to examine the relationship between these reasons and psychological functioning. METHOD: Self-reported reasons for suicide attempts and psychological functioning were examined in 120 adolescent suicide attempters who presented to a pediatric general hospital. RESULTS: Consistent with prior research, the most frequently endorsed motives for self-harm were to die, to escape, and to obtain relief. More manipulative reasons for overdose (such as making people sorry) were endorsed less frequently. Adolescents who cited death as a reason for their suicide attempt reported more hopelessness, socially prescribed perfectionism, depression, and anger expression. Discriminant function analyses indicated that high levels of depression and anger expression predicted a self-reported wish to die, and high levels of depression and socially prescribed perfectionism predicted death as the primary reason reported for the suicide attempt. CONCLUSIONS: Systematic assessment of the reasons for a suicide attempt is a useful tool for clinicians in determining recommendations for follow-up treatment.

Adolescent↗

PubMed1998

Anger inhibition, cardiovascular recovery, and vagal function: a model of the link between hostility and cardiovascular disease.

A model of the association between hostility and cardiovascular disease (CVD) is proposed based upon anger inhibition, slow cardiovascular recovery, and low parasympathetic activity (vagal tone). This model is opposed to the more conventional model that emphasizes anger expression, cardiovascular reactivity, and high sympathetic tone. We argue that in social reality, incidences of anger inhibition outnumber incidences of anger expression to a great extent, irrespective of preferred expression style. Moreover, slow cardiovascular recovery, rather than high reactivity, may be the mechanism underlying the CVD risk associated with anger inhibition. Both anger inhibition and slow cardiovascular recovery are associated with a persistently low vagal tone. Thus, the anger inhibition/vagal inhibition model seems more consistent with the actual nature of anger in daily life and with the known cardiovascular control mechanisms. The model may better account for the chronic pathophysiological state that is believed to lead to CVD. Importantly, an experimental inhibition/recovery paradigm might also allow to test potential behavioral and cognitive accelerators of cardiovascular recovery. As an example of an important socially-mediated health risk that may be elucidated using the anger inhibition/vagal inhibition model, we discuss Black-White differences that have been found in CVD.

Adaptation, Psychological↗

PubMed1999

Subjective experience and behavior in acute stroke: the Lausanne Emotion in Acute Stroke Study.

OBJECTIVE: To assess subjective experience in acute stroke and to correlate it with stroke features, acute emotional behavior, and impact on seeking of medical care. METHODS: The authors studied patients with acute first-ever stroke prospectively. During the first 4 days they rated subjective experience (happiness, sadness, irascibility, and fear); behavioral reactions, using a specifically designed scale; and mood (Hamilton anxiety and depression). Fifty-three patients (30 men, 23 women; age, 60 +/- 19 years) completed the 3-month follow-up. RESULTS: Seventeen patients failed to seek medical care spontaneously. Sixteen patients presented behavioral reactions of overt sadness, 20 presented indifference, 12 presented aggressiveness, 20 presented disinhibition, and 16 presented denial. Eight patients were anosognosic and 12 were anosodiaphoric. Twenty-four patients expressed happiness, 20 expressed sadness, 7 expressed anger, and 11 expressed fear. Ten patients with aphasia could be interviewed, but four required delayed questioning. Denial reactions and anosognosia were independent. Acute denial reactions were not dependent on the side of stroke, but were more frequent after deep lesions (p < 0.010). Patients with a denial reaction had a tendency to present less subjective experience of fear (p < 0.078) and a higher occurrence of delayed depression (p < 0.02). Intergroup comparison of all measures showed that lack of seeking care was related to reactions of indifference (p < 0.007), a tendency toward a less subjective experience of fear (p < 0.078), poor recall of the acute event (p < 0.001), decreased nosognosia (p < 0.001), and right-side lesions (p < 0.035). CONCLUSIONS: Patients with acute behavioral denial had a decreased occurrence of subjective experience of fear and a more frequent occurrence of delayed depression. These denial reactions were independent of anosognosia. A subjective experience of fear was related to appropriate care seeking. An impaired subjective experience of fear may contribute, as with anosognosia, to an increased delay in consultation. All other emotional reactions were dissociated from the patients' subjective experience.

Acute Disease↗

PubMedDate not supplied

Cardiovascular reactivity in anger-defensive individuals: the influence of task demands.

This study examined whether the elevated cardiovascular response to stressful stimuli previously suggested for individuals who are defensive in their reporting of anger might be moderated by the demands of the stressor task. Forty male undergraduates were exposed to four tasks: shock avoidance video game, handgrip, film, and cold pressor. Employing cluster analysis, defensive/low anger subjects were identified by high scores on the Marlowe-Crowne Social Desirability scale and low scores on the Spielberger Anger Expression and Trait Anger questionnaires. These individuals exhibited elevated heart rate and systolic blood pressure responses as compared with other subjects, but only to the shock avoidance task. Defensive/low anger subjects also reported less state anger to all tasks. It is proposed that an anger defensive style results in elevated cardiovascular activity only in interaction with stressors that elicit a sympathetic nervous system response and/or involve evaluation threat.

Adult↗

PubMed2006

Diagnosing major depressive disorder VIII: are some symptoms better than others?

The present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services project examined whether symptoms that are not part of the DSM-IV definition of major depressive disorder (MDD) are better at discriminating depressed from nondepressed patients than the current criteria. Symptoms assessed included diminished drive, helplessness, hopelessness, nonreactive mood, psychic anxiety, somatic anxiety, subjective anger, and overtly expressed anger. A total of 1538 psychiatric outpatients were administered a semistructured diagnostic interview. We inquired about all of the symptoms of depression for all patients. Diminished drive exhibited stronger performance in differentiating MDD from non-MDD relative to all DSM-IV criteria except depressed mood, reduced interest/pleasure, and impaired concentration/indecisiveness. A compound criterion combining diminished drive with loss of energy was endorsed by nearly all MDD patients. Helplessness and hopelessness, when combined into a single criterion, performed more strongly than some of the DSM-IV criteria. Lack of reactivity, anxiety, and anger symptoms failed to differentiate more strongly than current DSM-IV criteria. The implications of these results for revising the diagnostic criteria for major depression are discussed.

Affective Symptoms↗

PubMed2003

The relationship of anger and social skills to psychological symptoms.

The link between anger, social skills, and psychological symptoms was investigated in a college population. Seven hundred and nine individuals were administered the State Trait Anger Expression Inventory, the Anger Inventory, the Social Problem Solving Inventory, the Social Skills Inventory, and a series of questions about the degree to which anger affected their lives. Symptomatology was measured by the Brief Symptom Inventory and served as the criterion measure for a series of multiple regression analyses. Results indicated that both anger and social factors related to measures of psychological distress. Implications of the relationship between anger, social skills, and psychological symptoms are discussed in terms of research and assessment of individuals who may suffer from anger problems.

Adult↗

PubMed1985

Suicidal adolescents: factors in evaluation.

Suicide attempts among adolescents are occurring more frequently and their evaluation is a difficult task. The factors related to suicide attempts in eighty-two adolescents, ages 12 to 18 were examined. They had been admitted to the adolescent unit of a large, urban general hospital for evaluation of self-destructive behavior. A systematic review of the patients' charts was performed to gather information about family structure, functioning in school, suicidal risk, degree of depression, and stressful life events. Although most were moderately depressed, a significant proportion denied having tried to harm themselves. While some repressed their anger, the majority expressed anger openly, tended to feel sad and to carry out premeditated as well as more serious suicide attempts. Most had experienced family disruption, and nearly half were functioning poorly in school. Suicide risk correlated only with current stress, while depression correlated with life-long as well as current stress. Results suggest that identification of the suicide attempt and the contributory factors, especially the degree of overt anger and depression, are crucial in deciding appropriate interventions, providing adequate treatment, and avoiding recurrence.

Adolescent↗

PubMed1984

A retrospective study of personality variables associated with fibrocystic disease and breast cancer.

Women with breast cancer were compared to women with fibrocystic disease and healthy women to determine differences in self-perceptions of personality characteristics. Four standardized personality instruments were analyzed using analysis of covariance. An Adjective Check List was analyzed using logistic regression. Women with breast cancer were found to be more depressed, less aggressive and less demonstrative than women in the other two groups. Women with fibrocystic disease and with breast cancer were found to have higher needs for neatness and order and were found to be less curious and analytical than women in the healthy group. Women in the healthy group described themselves as calm, relaxed, outgoing and able to express anger. Women in the fibrocystic group described themselves as tense, restless, outgoing and expressing anger. Women in the breast cancer group described themselves as timid, non-assertive, non-competitive, calm, easy going and as keeping anger inside.

Adult↗

PubMed2006

Association between burnout and anger in oncology versus ophthalmology health care professionals.

The prevalence of burnout in oncology staff was compared with that of the ophthalmology staff, who normally present a low prevalence of burnout as described in this literature. The correlation of burnout with the emotion of anger was also investigated. Thirty-six subjects working in an oncology department and 32 working in an ophthalmology department were examined using the Maslach Burnout Inventory and the State-Trait Anger Expression Inventory. The oncology group showed higher mean scores on the MBI Emotive Exhaustion and Depersonalization scales with respect to ophthalmology staff. Correlation analysis showed that increasing burnout was associated with higher anger expressed towards the environment and loss of anger control. Anger, as a response to frustration, appears to be a feature constantly associated with the clinical expression of burnout and it should not be underestimated in theoretical and preventive contexts.

Adult↗

PubMed2005

Women who use violence in intimate relationships: the role of anger, victimization, and symptoms of posttraumatic stress and depression.

The present study examines the role of anger and victimization in women's use of aggression in heterosexual intimate relationships. The sample was composed of 108 women, primarily African American, urban, and poor, who had used violence against a partner in the previous 6 months. Path modeling was used to examine the interrelationships among anger, women's aggressive behavior, victimization, childhood abuse experiences, and symptoms of posttraumatic stress and depression. Results revealed that almost all of the women experienced violence from their partners. Greater frequency of victimization from partners and experiences of childhood abuse increased the likelihood that women would use aggression against their partners. Victimization from partners and childhood abuse also increased the likelihood that women would experience symptoms of posttraumatic stress and depression. Women with more symptoms of posttraumatic stress were also more likely to express anger outwardly towards others. Expressing anger outwardly toward others, in turn, predicted an increased likelihood of using aggression against partners.

Adult↗

PubMed1989

Narcissistic personality features and self-reported anger.

The relationship between anger and narcissistic personality characteristics was examined for 91 students in introductory psychology courses. 35 individuals high in narcissism reported greater verbally expressed anger. Males high in narcissism were more likely to express anger physically. Results are discussed in terms of DSM-III--R criteria for narcissistic personality disorder.

Adult↗

PubMed1999

Increasing constructive anger verbal behavior decreases resting blood pressure: a secondary analysis of a randomized controlled hostility intervention.

We hypothesized that increasing anger verbal behavior in an assertive, constructively motivated style should decrease resting blood pressure (BP) and that this behavior may be one mechanism through which hostility relates to BP. We tested this hypothesis by conducting secondary analyses on a single-blind, matched, randomized controlled study of hostility modification and BP. A total of 22 high-hostile male patients with coronary heart disease were matched on age and hostility level and were randomly assigned to either an 8-week cognitive-behavioral hostility treatment (n = 10) or an information-control group (n = 12). Patients were reassessed after treatment and at 2-month follow-up on hostility, observed anger expression, and resting BP. We found that decreases in hostility predicted increases in constructive anger behavior-verbal component, which in turn predicted decreases in resting BP at follow-up. Thus, one of the mechanisms underlying the hostility-BP association may be the lack of constructive anger expression.

Journal Article↗

PubMedDate not supplied

Psychometric testing of the adolescent version of the Cook-Medley hostility scale.

Hostility, a phenomenon that has been linked to cardiovascular disease and all-cause mortality, is often measured by the Cook-Medley hostility (Ho) scale. Although there is an adolescent version of the Ho scale, it has had little testing with only Anglo-American samples. This pilot study tested the reliability and validity of the adolescent version of the Ho scale with a multiethnic sample of adolescents. Sixty adolescents participated. Reliability was measured using Chronbach's alpha. The Ho scale was correlated with the Speilberger State-Trait Anger Expression Inventory (1988) scales to determine concurrent validity. A factor analysis assessed construct validity; content validity was assessed by analyzing tape-recorded descriptions of a circumstance that provoked anger, as remembered by each adolescent. Internal consistency reliability was .75. The hostility measure was most highly correlated with anger expression (r = .62, p = .000) and trait anger (r = .50, p = .000). The factor analysis generated three factors (suspicious alienation, cynical aggression and justified mistrust), that accounted for 34.5% of the variance. The content analysis resulted in five anger-provoking themes: aggression, unfulfilled personal expectations, mistrust/lying, criticism of effort, and rejection. The majority of items in the scale (74%) were related to one of the themes.

Adolescent↗

PubMed1997

Ethnic differences in circumstances of abuse and symptoms of depression and anger among sexually abused black and Latino boys.

OBJECTIVE: The present study was designed to examine the extent to which ethnic differences in the circumstances of abuse would be related to psychological outcomes and whether the relationship of ethnicity to psychological outcomes would be independent of ethnic differences in the circumstances of abuse. METHOD: Ethnic difference in the circumstances of the abuse, depression, and anger, as measured by the Children's Depression Inventory and the State-Trait Anger Expression Inventory, were assessed in 60 Black and Latino sexually abused males aged 13 to 18 years. Factors related to levels of depression and anger in these two groups were also identified. RESULTS: Latino males were more likely to have been sexually abused by an extended family member, experienced more genital fondling and were exposed to more sexually abusive behaviors. Blacks were more likely to be abused by an immediate family member. Black males had higher anger scores than Latino males, but, there were no ethnic differences in depression scores. Both ethnicity and the relationship to the perpetrator were significantly related to scores on the State-Trait Anger Expression Inventory, however, ethnicity was also significantly related to anger scores irrespective of the relationship to the perpetrator. CONCLUSIONS: Ethnic differences in the circumstances of abuse were related to psychological outcome and the relationship of ethnicity to anger scores was independent of ethnic differences in the circumstances of abuse.

Adolescent↗

PubMed2004

Reactions to facial expressions: effects of social context and speech anxiety on responses to neutral, anger, and joy expressions.

Male and female participants (n=19) high or low in speech fear viewed pictures of faces posed in anger, neutral, and joyful expressions for 8s each. Zygomaticus major and corrugator supercilii EMG, skin conductance, and heart rate were measured during picture viewing, and subjective ratings were made after each picture. Compared to anger expressions, joy expressions were responded to with greater zygomatic EMG, less corrugator EMG, and greater heart rate and skin conductance. Physiological response to neutral expressions was similar to response to anger expressions. Expressions posed by women were responded to physiologically more negatively than expressions posed by men. More fearful participants exhibited more negative and less positive facial expressions, and skin conductance responses suggesting greater attention when viewing negative expressions. Results suggest that reactions to facial expressions are influenced by social context, and are not simple mimicry.

Adult↗