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Facial emotion recognition in trait anxiety.

The study investigated the relationship between recognition of emotional facial expressions and trait anxiety. A nonclinical sample of 19 participants with high-trait anxiety was selected, using the trait version of the State-Trait Anxiety Inventory, and compared with a sample of 20 participants with low-trait anxiety on a facial expression recognition task. Visual stimuli were 42 faces, representing seven emotional expressions: anger, sadness, happiness, fear, surprise, disgust and neutral. Participants had to identify the emotion portrayed by each face. Results showed that participants with high-trait anxiety recognized fear faces significantly better while the two groups did not differ in recognition of other facial expressions.

Adolescent↗

Serum lipids and their relationships with hostility and angry affect and behaviors in men.

Research into the relationship between the Type A behavior pattern and coronary heart disease suggests that the anger-hostility-aggression (AHA!) syndrome is directly related to total serum cholesterol and low-density lipoproteins. The present study involved an investigation of the specific components of the AHA! syndrome related to blood lipid levels in 98 healthy men. The disposition to experience and express anger when frustrated, criticized, or treated unfairly (angry reaction, a component of trait anger) was related to total serum cholesterol and to low-density lipoprotein levels. Age and diet also predicted levels of these lipids, but each was unrelated to angry reaction. These results suggest that in healthy men, the experience of strong angry affect in reaction to perceived rejection, criticism, or unfair treatment may be health-toxic because of its relationship to elevated unfavorable serum lipids.

Adult↗

Ambulatory stress psychophysiology: the study of "compensatory and defensive counterforces" and conflict in a natural setting.

Thirty years ago, Donald Oken raised basic questions about psychophysiological research strategies for the study of the "psychological stress response" in the laboratory. Is it possible to simulate in the laboratory the situations one normally encounters? Do laboratory stimuli provoke affective arousal? Are different classes of stress stimuli associated with specific physiological response patterns? How do one's characteristic "defenses" and coping styles modulate one's responses? This paper describes a novel ambulatory research strategy in which the laboratory is moved into the natural setting. The advantages of this strategy are exemplified in studies of paramedics in whom 24-hour recordings were made of ambulatory blood pressure and heart rate. The ambulatory physiological data were then related to information about specific work location and subjective ratings of stress made in a diary at the time of each reading, objective assessments of the different stressful situations encountered, and the role of individual differences in anger expression and defensiveness in modulating these relationships. The findings illustrate the ability of real-life stressors to bring out relationships not typically obtained in the laboratory. Moreover, the natural setting permits individuals to respond to behavioral challenges using their preferred mode of coping with stress, as opposed to the constraints imposed on them in the laboratory. This research strategy has also helped uncover the significance of conflict about the expression of hostility, rather than hostility per se, as a key factor in the "stress response."

Adaptation, Psychological↗

Psychological factors in prurigo nodularis in comparison with psoriasis vulgaris: results of a case-control study.

BACKGROUND: It has been suggested that psychological factors such as repressing anger and altruistic interpersonal behaviour may play a role in the aetiology of chronic itching in prurigo nodularis (PN). Whether these issues are specific for PN or are also common in other chronic skin diseases, e.g. psoriasis, has not been investigated until now. OBJECTIVES: To investigate psychosomatic problem areas and psychiatric comorbidity in patients with PN in comparison with patients with psoriasis. METHODS: Ninety-four patients with PN and 91 patients with psoriasis were administered the Hospital Anxiety and Depression Scale, Toronto Alexithymia Scale, State-Trait Anger Expression Inventory, Inventory of Interpersonal Problems, Screening for Somatoform Disorders and the Whiteley Index for hypochondriasis. RESULTS: After Bonferroni post hoc adjustment, the metrical scales demonstrated no significant differences between patients with PN and those with psoriasis. There was only a tendency to less 'anger-out' and to less autocratic/dominant and more insecure/submissive behaviour in the patients with PN. Patients with PN were, in general, comparable with those with psoriasis with regard to alexithymia, somatization symptoms, hypochondriasis, anxiety and depression, with 18% cases of anxiety and 22% cases of depression. CONCLUSIONS: The hypotheses formulated in the literature on the specific aetiology of PN could not be proven for the majority of patients with PN in our study. Concerning their psychopathology, patients with PN were comparable with those with psoriasis. Therefore the clinical management of PN should include psychosomatic assessment.

Adult↗

Relationships of stressors, strain, and anger to caregiver assaults.

Nursing assistants (NAs) working in nursing homes are at risk for nonfatal workplace violence. The aims of this study were to describe the context in which assaults occur and to identify characteristics of the NAs related to the incidence of assaults. One hundred and thirty eight subjects participated. NAs completed a demographic and employment survey, the Occupational Stress Inventory and the State Trait Anger Expression Inventory-2, and recorded information on an Assault Log for 80 hours of work. The mean number of assaults per NA was 4.69 (range 0-67). Significant relationships were found among incidence of assaults and staffing ratios, age, occupational strain, occupational role stressors, and anger. Results provide new and useful information when planning violence prevention programs for caregivers in nursing homes.

Adolescent↗

Dissociative experiences and anger proneness in late adolescent females with different attachment styles.

The study examined the relationships among dissociative experiences, anger proneness, and attachment styles in late adolescent females. One hundred sixty-two college students (mean age = 17.5 years) were assessed using the Dissociative Experience Scale (DES), the State-Trait Anger Expression Inventory (STAXI), and the Adult Attachment Questionnaire (AAQ), a self-report tool for assessing attachment styles (avoidant, secure, and ambivalent-resistant) in close relationships of youths and adults. Significant correlations were obtained between DES scores (total and factorial) and STAXI scores (State Anger, Trait Anger, Anger/In, and Anger/Expression), confirming in a nonclinical sample the connection between anger proneness and dissociation described in patients with dissociative disorders. Insecure females, particularly ambivalent ones, scored higher on the DES, supporting van der Kolk's hypothesis of an inverse relationship between secure attachment and dissociative tendency. Moreover, insecurely attached females showed more anger proneness, with some differences between ambivalent and avoidant types. Further research should be conducted to examine these relationships in males, as well as to clarify the role of insecure attachment in anger management and the recourse to dissociation in late adolescence as a protective response to trauma and emotional distress.

Adolescent↗

Substance use and anger in mid-life women.

The purpose of this research was to examine individual and social network variables that relate to drinking alcohol and utilizing over-the-counter (OTC) medications. The present study sought to expand on the literature by adding modes of anger expression and social network variables as potential explanations of alcohol and OTC use in mid-life women. Secondary analyses were conducted on data from 87 mid-life women who were participating in a longitudinal study of health. Both alcohol and OTC users reported higher anger symptomatology than nonusers and had different profiles in terms of education and age. Social network variables were unrelated to substance use. Implications for intervention strategies and future research were discussed.

Adult↗

Toward a new conceptualization of women's anger.

Most theorizing about women's anger has been based on cases of troubled women who sought psychotherapy. However, theories derived from clinical practice have subsequently been phrased in terms of women in general, with no disclaimer regarding their origin. Empirical evidence refutes many widely accepted assumptions and theories about women's anger. In this article, the hydraulic model of emotion is rejected, and existential and cognitive-behavioral theories are used as the basis for a new middle-range theory of women's anger. Both trait anger (general propensity to become angry) and modes of anger expression are included in the model. Appraisal concepts, modifying factors, and outcome variables are described. The model awaits use by clinicians and validation by researchers in the 1990s.

Anger↗

Physical activity, physical fitness, and psychological characteristics of medical students.

Exercise habits, cardiovascular fitness, and selected psychological characteristics were assessed in a sample of over 200 men and women at entrance to medical school. Fitness was measured with a step test, and other variables were measured with standardized questionnaires. Anger ('anger-in') showed the strongest negative correlation with both exercise and fitness. Anger suppression, Type A behavior, and daily stress showed significant negative correlations with both exercise and fitness variables, although the strengths of these associations were uniformly weak. Associations of exercise/fitness with depression and total anger inventory were nonsignificant. Few gender differences were found. Both exercise and fitness showed similar patterns of association with psychological variables. Both exercise and fitness were associated with a style of anger expression that has been found to be related to cardiovascular risk in other studies.

Adaptation, Psychological↗

Experiential influences on multimodal perception of emotion.

The impact of 2 types of learning experiences on children's perception of multimodal emotion cues was examined. Children (aged 7-12 years) were presented with conflicting facial and vocal emotions. The effects of familiarity were tested by varying whether emotions were presented by familiar or unfamiliar adults. The salience of particular emotional expressions was tested by contrasting the performance of physically abused and nonabused children. Children exhibited a preference for auditory expressions produced by their mothers but not by strangers. Additionally, abused children were biased to rely on auditory cues when their own abusive mother was expressing anger. These results are discussed in terms of the impact of both typical and atypical early experiences on the development of emotion perception.

Affect↗

A repressive coping style protecting from emotional distress in low-renin essential hypertensives.

OBJECTIVE: To investigate the relationship between the behavioural characteristics and specified subgroups of patients with essential hypertension. DESIGN AND METHODS: Fifty-four patients were classified into groups with a high (n = 9), normal (n = 35) or low plasma renin activity (n = 10), and were compared with 20 normotensive subjects by psychological tests. Standardized tests were used to measure anger expression, defensiveness and the subjects' psychological status (e.g. anxiety, depression). RESULTS: A repressive coping style, defined by a high defensiveness and low anxiety levels, was found significantly more often in patients with low than in patients with high plasma renin activity and normotensive subjects. The patients with high plasma renin activity scored significantly higher on suppressed anger, anxiety and interpersonal sensitivity than did those with low plasma renin activity. The scores of the normal plasma renin activity group were similar to those of the normotensive group. CONCLUSIONS: The results underline that there is not one hypertensive 'personality'. Whereas the patients with a high plasma renin activity appear to be more susceptible to emotional conflicts, the patients with low plasma renin activity report low emotional distress and maintain an apparently well-adjusted facade.

Adaptation, Psychological↗

Affective differences among empirically derived subgroups of headache patients.

We (Kinder, Curtiss, & Kalichman, 1991) reported four distinct subgroups of male and female headache patients based on the results of a cluster analysis of the Minnesota Multiphasic Personality Inventory (MMPI). We extended these results by providing further descriptive information of the subgroups. The MMPIs of 229 (52 males and 177 females), composing the second cohort in our (Kinder et al., 1991) study of headache patients, were reclassified into subgroups. Differences between subgroups on independent measures of anxiety, anger, anger expression, and depression were investigated. Significant differences were found among the empirically derived subgroups. Results are discussed in the context of previous research on headache and back pain patients.

Affective Symptoms↗

Analysis of convergent and discriminant validity of the Spanish experimental version of the State-Trait Depression Questionnaire (ST-DEP).

INTRODUCTION: This article reports data on the convergent and divergent validity of the Spanish adaptation of Spielberger's State-Trait Depression Questionnaire (ST-DEP). This questionnaire is a new tool because it offers an alternative to the obstacles found in most of the depression assessment scales that are differentiated in the content they evaluate and their estimation of depression levels. METHODOLOGY: The present study was carried out with a sample of 300 participants (103 males and 197 females), with mean age of 21.82 (2.74 s.d.) for males and 22.26 (3.66 s.d.) for females. All participants received information about the investigation and participated voluntarily. RESULTS AND CONCLUSIONS: The results indicate high and significant correlations of the Spanish ST-DEP scales with other depression measures (BDI, BDQ-R), thus showing the convergent validity of this questionnaire. Highly significant correlations between the Spanish ST-DEP and the State-Trait Anxiety Inventory (STAI) also appear, confirming that reported about the comorbidity between both disorders and the high scores in anxiety that subjects with depression have. In contrast, correlations with the State-Trait Anger Expression Inventory (STAXI-2) were low and non-significant in most cases, which demonstrated the divergent validity of the ST-DEP.

Adult↗

A further examination of the relation between trait anger and alcohol-related aggression: the role of anger control.

BACKGROUND: Trait anger has been identified as a risk factor for alcohol-related aggression. However, to develop a more accurate risk profile, it is necessary to examine the interactive relations between trait anger and other key personality variables. The present study examined the influence of anger control on alcohol-related aggression. METHODS: Participants were 164 social drinking men age 21-35 years old. Trait anger and anger control were assessed with the State-Trait Anger Expression Inventory (Spielberger, 1996). Following consumption of an alcoholic or placebo beverage, participants competed in an aggression paradigm in which electric shocks were received from and administered to a fictitious opponent during a competitive reaction time task. Aggression was operationalized as shock intensities administered to the opponent under conditions of low and high provocation. RESULTS: Analyses indicated that trait anger significantly predicted aggression, but only among men who were intoxicated and reported low levels of anger control. CONCLUSIONS: The present findings suggest that anger control may be a crucial risk factor in determining whether one's anger proneness will lead to intoxicated aggression following provocation.

Adult↗

Psychosocial predictors of hypertension in black and white Africans.

OBJECTIVE: To test the hypothesis that psychosocial factors that are closely related to the behavioural stress process in developing countries have predictive value for the incidence of hypertension. DESIGN: A cohort of 528 African students (220 White, 308 Black), mean +/- SD age 22 +/- 3.2 years, were followed up for 4 years at the University of Zimbabwe. Baseline measures of selected psychosocial variables such as anxiety, anger, expression, active coping and family instability were made, together with biological and behavioural predictors of hypertension (initial blood pressure, heart rate, body mass, family history of hypertension or diabetes, alcohol intake, smoking and number of years of urbanization). Analyses were stratified by sex and ethnicity. RESULTS: In multivariate analysis Black students had significantly greater baseline anxiety levels and suppressed anger than White students, and Black students who went on to develop hypertension had significantly higher baseline parameters than those who remained normotensive. In multivariate regression analysis, including biological predictors, anxiety, suppressed anger and family instability remained significant independent predictors of hypertension in urbanized Black students. No psychosocial variable alone predicted hypertension in White students in multivariate analyses. CONCLUSIONS: Among young, urbanized Black students, besides the well-known genetic (family history of hypertension) and biological (initial blood pressure, heart rate, body mass index, smoking and alcohol intake) predictors of hypertension, psychosocial factors are predictive of the later incidence of hypertension. Behavioural non-pharmacological treatment for hypertension might be considered in African developing countries.

Adult↗

The Framingham type A scale, vigilant coping, and heart-rate reactivity.

Forty-eight subjects, approximately half of whom were male and half female, took part in an experiment designed to measure coping-strategy choice and heart-rate reactivity in the face of an electric shock threat. All subjects completed, in addition, the Framingham Type A scale and other Framingham psychosocial scales measuring anger expression and emotional lability. Among female subjects, Type A was ex hypothesi associated with choice of a vigilant, predictability-seeking coping style. Type A was also ex hypothesi associated with greater heart-rate reactivity. Among males, the Type A scale did not predict either coping-strategy choice or heart-rate reactivity. Vigilant coping was associated with suppressed anger in both sexes. Results are discussed with reference to a wider body of research on Type A behavior pattern and coronary heart disease.

Adaptation, Psychological↗

Influence of family therapy on bullying behaviour, cortisol secretion, anger, and quality of life in bullying male adolescents: A randomized, prospective, controlled study.

OBJECTIVE: To determine the influence of brief strategic family therapy (BSFT) on salivary cortisol, anger, and health-related quality of life (QoL) in adolescent boys with bullying behaviour. METHOD: We selected a sample of 72 boys demonstrating bullying behaviour from the general population and treated 36 with BSFT for 12 weeks. The other 36 boys formed the control group. Primary outcome measures were salivary cortisol concentration 15 to 30 minutes after awakening and changes on the subscales of the State-Trait Anger Expression Inventory (STAXI) and the Health Survey (SF-36). RESULTS: After 12 weeks' treatment, we observed a significant reduction in bullying behaviour in the BSFT group (P = 0.017) and in the mean values (according to the intent-to-treat principle) for salivary cortisol concentration (P < 0.001). The BSFT group also showed significantly greater change on the STAXI subscales State-Anger (P < 0.001), Trait-Anger (P < 0.001), Anger-Out (P < 0.001), and Anger-Control (P < 0.001). Treatment with BSFT also resulted in significant improvement on the SF-36 subscales for Vitality (P < 0.001), Social Functioning (P < 0.001), Role-Emotional (P < 0.001), and Mental Health (P < 0.001). CONCLUSIONS: BSFT effectively influenced bullying behaviour, salivary cortisol concentration, anger, and health-related QoL in adolescent bullying boys.

Adolescent↗

Perceived stress in medical school: resistors, persistors, adaptors and maladaptors.

A longitudinal study of perceived medical student stress (PMSS) was conducted on 305 first year medical students. Data were collected at orientation in September and again in May, 2 weeks before exams. Four types of students were identified using a standardized and reliable measure of PMSS. These included students whose PMSS scores began and ended low (resistors), whose PMSS scores began and remained high (persistors), whose PMSS scores decreased from high to low (adaptors) and whose PMSS scores increased from low to high (maladaptors). The four groups differed predictably on indices of distress and were also distinguishable by a variety of psychosocial variables including type A personality, anger expression and coping. In contrast, life events played a minor role in distinguishing the groups. The results are discussed in relation to previous research on medical student stress.

Adaptation, Psychological↗