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PubMed2006

Suppressed anger is associated with increased carotid arterial stiffness in older adults.

BACKGROUND: Anger and hostility have been implicated in the pathogenesis of heart disease, but the extent to which the large conduit arteries play an intermediate role in this relationship remains to be clarified. The present study investigated associations of anger frequency and expression style with carotid artery intima-media thickness (IMT) and stiffness in healthy adults older than 50 years. METHODS: Two hundred participants (95 men) in the Baltimore Longitudinal Study of Aging completed the Spielberger Anger Expression Inventory, which assesses anger frequency (trait anger), anger expression (anger-out), and anger suppression (anger-in). The carotid artery IMT was assessed by ultrasonography. Carotid stiffness was determined from the log of systolic over diastolic blood pressure (BP) as a function of carotid distensibility. RESULTS: In univariate correlational analysis, a significant positive association of anger-in with stiffness was observed (P < .01), together with a less significant association of anger-in with carotid artery IMT (P < .05). Neither anger-out nor trait anger was significantly associated with carotid artery IMT or stiffness. Moreover, none of the anger measures was significantly associated with resting BP in this normotensive sample. As expected, carotid artery IMT, stiffness, and systolic BP were all positively associated. In multivariate analysis, anger-in remained a determinant of stiffness independent of BP, and a marginally significant determinant of carotid artery IMT. CONCLUSIONS: This is the first known finding that high anger-in is a significant independent determinant of carotid artery stiffness. These results suggest that high anger-in can potentiate the effects of age on stiffening of the central arteries.

Aged↗
PubMed1992

Dimensions of anger-hostility and cardiovascular reactivity in provoked and angered men.

This study investigated the relationship between two dimensions of anger-hostility--the expression of anger-hostility and the experience of anger-hostility--and cardiovascular reactivity in provoked and angered men. A serial subtraction task was administered to 41 male undergraduates who were provoked and angered. A measure of the expression of anger-hostility correlated positively and significantly with systolic and diastolic blood pressure (BP) reactivity. There were no significant correlations between a measure of the experience of anger-hostility and cardiovascular reactivity. The two types of anger-hostility were also found to relate differentially to life-style variables that have been identified as risk factors for coronary heart disease (CHD), with only the expression of anger-hostility showing positive relationships with these life-style CHD risk factors. These findings are discussed within the context of a similar differential relationship between the two dimensions of anger-hostility and CAD and CHD. Finally, significant negative relationships were obtained between the experience of anger-hostility and resting BP and heart rate levels. These findings are discussed within the context of other data suggesting that trait anxiety-neuroticism may have protective properties.

Adult↗
PubMed2005

Aggression, and some related psychological constructs (anger, hostility, and impulsivity); some comments from a research project.

The purpose of the present study was: first, to offer a few theoretical considerations on the concept of human aggression and its main types; and second, to analyse the relationship between those types of aggression and other related psychological constructs, such as anger, hostility, and impulsivity, summarizing the main empirical results of our research in progress. In order to assess their eventual correlations, several self-report techniques were compared: (a) AQ, used to measure several kinds of aggression, anger, and hostility; (b) CAMA, a questionnaire already used in a variety of cultures, for measuring attitudes toward interpersonal aggression in different instrumental and hostile situations; (c) ASQ, an instrument for measuring experienced anger and its expression in assertive or aggressive ways; and (d) BIS, used to prove three impulsiveness sub-traits: motor, attentional, and non-planning impulsiveness. The different definitions of aggression may be grouped according to whether the primary goal is distress or harm, focusing primarily on the objective infliction of harm, or on the subjective intention of harming. Most classifications in the literature show two kinds of aggression, even if different names are used: Hostile Aggression (among other names it is also known as 'reactive, impulsive, or affective') is an act primarily oriented to hurt another individual; and Instrumental Aggression (also known as 'proactive, premeditated, or predative') is a means or tool for solving problems or for obtaining a variety of objectives. As predicted, there was a positive correlation between experience and expression of anger. Anger involved physiological arousal and prepared for aggression. Anger and impulsiveness were also positively correlated with hostile aggression, but not with instrumental aggression. In the case of impulsiveness, non-planning impulsiveness was positively correlated with some situations related to hostile aggression, such as emotional agitation or lack of communication, but not with instrumental one. Finally, hostility positively correlated with anger and different kinds of aggression, but not its degree of justification. In sum, aggression can be reflected in the different personality constructs, measured by self-reports.

Aggression↗
PubMed1981

Survey of threats and assaults directed toward psychotherapists.

Of the psychotherapists sampled, 14.22 percent indicated that they had been assaulted and 35.55 percent indicated that they had been threatened by patients. Female therapists were assaulted proportionately less than males. Prediction of such incidents is extremely poor. Of patients who have attacked or threatened therapists, 75 percent have a history of violent behavior; 35 percent of those who have threatened therapists have a history of suicide threats or attempts. The majority of therapists (93%) allow expression of anger by their patients, while only 50 percent of therapists allow themselves to express anger. Inexperienced therapists were assaulted more often than those with experience of more than 11 years. After assaults, 23 percent of therapists transferred their patients to another therapist. External objects were seldom used in assaults. Therapists felt that their best defense was to handle the situation intuitively.

Aggression↗
PubMed1997

Romantic jealousy and adult romantic attachment.

Research on romantic jealousy is consistent with the idea that jealousy is, at least in part, the product of threats to attachment relationships. Attachment theory was used as a framework for examining individual differences in the ways in which people experience and express jealousy. Emotional, behavioral, and cognitive concomitants of romantic jealousy were related to differences in attachment style in ways consistent with attachment theory. For example, anxious participants were relatively more likely than others to resist expressing their anger, avoidant participants were especially likely to turn their anger and blame against the interloper, and securely attached participants were especially likely to express anger toward the partner and to maintain their relationship. Differences in attachment style, not just differences in level of security, are predictive of qualitative individual differences in jealousy experiences.

Affect↗
PubMed2005

Anger in black and white: race, alienation, and anger.

Using data from the 1996 General Social Survey and the 1973 Chicago Crowding Study, we test the hypotheses that African Americans feel and express more anger than whites, that sense of control (versus powerlessness) lessens anger and mistrust increases anger, and that these indicators of alienation affect anger differently for African Americans and whites. We find that when age and gender are controlled, African Americans neither feel nor express more anger than whites, despite having a lower average sense of control and higher mistrust. This is partly because the effects of sense of control and mistrust on anger differ by race. Sense of control reduces feelings of anger and anger expression more for African Americans than whites. Mistrust increases feelings of anger for whites, but not African Americans. The results provide further evidence that, in the stress process, social structural location may moderate the effects of "detriments" and "resources" on emotional upset.

Black or African American↗
PubMed2005

Why do fear and anger look the way they do? Form and social function in facial expressions.

The origins of the appearances of anger and fear facial expressions are not well understood. The authors tested the hypothesis that such origins might lie in the expressions' resemblance to, respectively, mature and babyish faces in three studies. In Study 1, faces expressing anger and fear were judged to physically resemble mature and babyish faces. Study 2 indicated that characteristics associated specifically with babyishness are attributed to persons showing fear, whereas characteristics associated with maturity are attributed to persons showing anger. In Study 3, composite faces were used to minimize the possibility that the attributions were based on associations to the anger and fear emotions alone rather than to the physical resemblance of the expressions to static facial appearance cues. These results suggest that fear and anger expressions may serve socially adaptive purposes for those who show them, similar to the social adaptations associated with a babyish or mature facial appearance.

Adaptation, Psychological↗
PubMed2002

Cognitive-behavioral treatment of high anger drivers.

Relaxation and cognitive-relaxation interventions were compared to a no treatment control in the treatment of high anger drivers. The cognitive portion of the cognitive-relaxation condition adapted the style of Beck's cognitive therapy, particularly use of Socratic questions and behavioral experiments and tryouts, to driving anger reduction. Both interventions lowered indices of driving anger and hostile and aggressive forms of expressing driving anger and increased adaptive/constructive ways of expressing driving anger. The cognitive-relaxation intervention also lowered the frequency of risky behavior. Both interventions lowered trait anger as well. Limitations and implications for treatment and research were discussed.

Adaptation, Psychological↗
PubMed1992

Display rules for anger and aggression in school-age children.

2 related studies addressed the development of display rules for anger and the relation between use of display rules for anger and aggressiveness as rated by school peers. Third, fifth, and seventh graders (ages 8.4, 10.9, and 12.8, respectively) gave hypothetical responses to videotaped, anger provoking vignettes. Overall, regardless of how display rules were defined, subjects reported display rules more often with teachers than with peers for both facial expressions and actions. Reported masking of facial expressions of anger increased with age, but only with teachers. Girls reported masking of facial expressions of anger more than boys. There was a trend for aggressive subjects to invoke display rules for anger less than nonaggressive subjects. The phenomenon of display rules for anger is complex and dependent on the way display rules are defined and the age and gender of the subjects. Most of all, whether children say they would behave angrily seems to be determined by the social context for revealing angry feelings; children say they would express anger genuinely much more often with peers than with teachers.

Aggression↗
PubMed1998

Facial electromyographic responses to vocal affect expressions.

In this study we investigated facial electromyographic (EMG) responses to vocal affect expressions. We also measured emotion-related action tendencies by requesting the subjects to indicate their tendency to approach or withdraw from the person uttering the stimulus word. In addition, emotional contagion (EC) was measured with a questionnaire-based scale. The results showed that hearing the expression of anger increased EMG activity in the subjects' brow region more than hearing contentment. In contrast, the expression of contentment activated the periocular muscle region more than anger. The expressions of anger elicited behavioral withdrawal responses, whereas the neutral expressions and contentment evoked approach responses. Subjects scoring low and high on EC exhibited different patterns of EMG responses. The results support the view that negative and positive affects are contagious from hearing human vocal affect expressions.

Acoustic Stimulation↗
PubMed1999

Dissociable neural responses to facial expressions of sadness and anger.

Previous neuroimaging and neuropsychological studies have investigated the neural substrates which mediate responses to fearful, disgusted and happy expressions. No previous studies have investigated the neural substrates which mediate responses to sad and angry expressions. Using functional neuroimaging, we tested two hypotheses. First, we tested whether the amygdala has a neural response to sad and/or angry facial expressions. Secondly, we tested whether the orbitofrontal cortex has a specific neural response to angry facial expressions. Volunteer subjects were scanned, using PET, while they performed a sex discrimination task involving static grey-scale images of faces expressing varying degrees of sadness and anger. We found that increasing intensity of sad facial expression was associated with enhanced activity in the left amygdala and right temporal pole. In addition, we found that increasing intensity of angry facial expression was associated with enhanced activity in the orbitofrontal and anterior cingulate cortex. We found no support for the suggestion that angry expressions generate a signal in the amygdala. The results provide evidence for dissociable, but interlocking, systems for the processing of distinct categories of negative facial expression.

Adult↗
PubMed1977

Ward treatment milieu and posthospital functioning.

Two units of seven and 14 state hospital wards were used in a study to explore possible relationships between some socio-cultural aspects of ward environments and outcome of treatment as assessed by time out of the hospital after discharge. Confounding variables such as pretreatment characteristics, length of hospitalization, and community of discharge make conclusions from many such studies tenuous. Methods were derived and are here described in detail that reduce the influence of some of these variables. Within unit 2 (14 wards), a vector of social structure that differentiated the wards and consisted of two highly correlated factors on the Ward Atmosphere Scale was found to be significantly associated with outcome. Those wards seen by both patients and staff as lower in the allowance of expression of anger and aggression and higher in order and organization (only staff's perception) had better outcomes. The wards of unit 1 were homogeneous both in outcome and in staff and patients' assessments of order and organization and freedom to express anger and aggression.

Adult↗
PubMed2006

Quantifying deficits in the perception of fear and anger in morphed facial expressions after bilateral amygdala damage.

Amygdala damage has been associated with impairments in perceiving facial expressions of fear. However, deficits in perceiving other emotions, such as anger, and deficits in perceiving emotion blends have not been definitively established. One possibility is that methods used to index expression perception are susceptible to heuristic use, which may obscure impairments. To examine this, we adapted a task used to examine categorical perception of morphed facial expressions [Etcoff, N. L., & Magee, J. J. (1992). Categorical perception of facial expressions. Cognition, 44(3), 227-240]. In one version of the task, expressions were categorized with unlimited time constraints. In the other, expressions were presented with limited exposure durations to tap more automatic aspects of processing. Three morph progressions were employed: neutral to anger, neutral to fear, and fear to anger. Both tasks were administered to a participant with bilateral amygdala damage (S.P.), age- and education-matched controls, and young controls. The second task was also administered to unilateral temporal lobectomy patients. In the first version, S.P. showed impairments relative to normal controls on the neutral-to-anger and fear-to-anger morphs, but not on the neutral-to-fear morph. However, reaction times suggested that speed-accuracy tradeoffs could account for results. In the second version, S.P. showed impairments on all morph types relative to all other subject groups. A third experiment showed that this deficit did not extend to the perception of morphed identities. These results imply that when heuristics use is discouraged on tasks utilizing subtle emotion transitions, deficits in the perception of anger and anger/fear blends, as well as fear, are evident with bilateral amygdala damage.

Adult↗
PubMed1988

Covariation of mood and blood pressure during daily activities.

The relationship between blood pressure (BP) and self-reported mood states was examined for 49 subjects in their natural environment. Subjects performed their usual activities during a 2-day period and recorded their BP using a semiautomated BP monitor at predetermined intervals. Adjective checklists describing mood states and perceptions of the environment as stressful were completed concurrent with each BP measurement. A correlational analysis of average BP and average mood state ratings was performed along with a paired t-test analysis of mood states associated with high versus low BP. The results show that holding anger in correlated positively with average SBP and negatively with average HR. Neither anger arousal nor the expression of anger arousal was able to distinguish between high and low BP readings. The Type A adjective cluster discriminated between high and low SBP as well as between high and low HR readings. The cluster of negative moods also discriminated between high and low SBP. Perceptions of the environment as hostile and demanding discriminated high versus low SBP and high versus low DBP. The discussion focuses upon the value of repeated-measures designs in examining mood/BP relationships as individuals ambulate in their natural environment.

Activities of Daily Living↗
PubMed2004

Who me, angry? Patterns of anger diversion in women.

Researchers suggest that women's experience of anger is very complex and may not be accounted for by existing anger models. The current study was an attempt to clarify a model of women's anger proposed by Cox, Stabb, and Bruckner in Women's Anger: Clinical and Developmental Perspectives, 1999. Anger diversion focuses on women's attempts to bypass anger awareness, to use indirect means to cope with anger, or both. A sample of predominantly college and graduate student women (N = 514) completed a vignette questionnaire assessing diversionary anger styles as well as instruments evaluating symptoms, anger behaviors, emotional expression, and tendencies to respond in socially desirable ways. The results of the study partially support Cox and colleagues' model, particularly in distinguishing between diverting anger and expressing anger assertively. We found that women who divert anger are more vulnerable to symptoms such as depression, anxiety, and somatization than are women who use an assertive approach to coping with anger.

Adaptation, Psychological↗
PubMed2003

Dissociable neural pathways are involved in the recognition of emotion in static and dynamic facial expressions.

Facial expressions of emotion powerfully influence social behavior. The distributed network of brain regions thought to decode these social signals has been empirically defined using static, usually photographic, displays of such expressions. Facial emotional expressions are however highly dynamic signals that encode the emotion message in facial action patterns. This study sought to determine whether the encoding of facial expressions of emotion by static or dynamic displays is associated with different neural correlates for their decoding. We used positron emission tomography to compare patterns of brain activity in healthy men and women during the explicit judgment of emotion intensity in static and dynamic facial expressions of anger and happiness. Compared to judgments of spatial orientation for moving neutral facial expressions, the judgment of anger in dynamic expressions was associated with increased right-lateralized activity in the medial, superior, middle, and inferior frontal cortex and cerebellum, while judgments of happiness were associated with relative activation of the cuneus, temporal cortex, and the middle, medial, and superior frontal cortex. In contrast, the perception of anger or happiness in static facial expressions activated a motor, prefrontal, and parietal cortical network previously shown to be involved in motor imagery. The direct contrast of dynamic and static expressions indicated differential activation of visual area V5, superior temporal sulcus, periamygdaloid cortex, and cerebellum for dynamic angry expressions and differential activation of area V5, extrastriate cortex, brain stem, and middle temporal cortical activations for dynamic happy expressions. Thus, a distribution of neural activations is related to the analysis of emotion messages in the nearly constant biological motion of the face and differ for angry and happy expressions. Static displays of facial emotional expression may represent noncanonical stimuli that are processed for emotion content by mental strategies and neural events distinct from their more ecologically relevant dynamic counterparts.

Adult↗
PubMed2001

Roman Catholic couples: wrath and religion.

Qualitative methods were used to research the effects of the religious beliefs and practices of ten Roman Catholic couples on the ways in which they managed anger and conflict in their marital relationship. The couples were interviewed separately, twice each, using Grounded Theory techniques in the first, semi-structured interview, and Repertory Grids in the second. Religious beliefs supported a broad range of positions on anger management from self-control through to the thoughtful expression of anger. It is suggested that religious beliefs and practices can be thought of as expanding or restricting "space" by reducing the intensity of anger experienced and by providing an opportunity for reflection which enabled participants to take greater responsibility for their part in conflicts. The relationship with God affected the "space" in the couple relationship by meeting some of the unmet needs of individuals and by detouring anger away from the spouse to God where it was felt to be safely contained. This procedure was used more by wives; their husbands seemed more often to fear and avoid conflicts and the expression of anger. Links were made between the marital relationship and the relationship with God. It was proposed that these systems are both evolving interactively with changes in one resulting in changes in the other. However, there can be a delay before changes in one system can be integrated with conflicting beliefs or practices in the reciprocal system, which may result in ambivalent attitudes toward anger and conflict. Clinical implications and directions for future research were suggested.

Adaptation, Psychological↗