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Gender, anger expression style, and opportunity for anger release determine cardiovascular reaction to and recovery from anger provocation.

This study represents an extension of Hokanson's research, which showed that for men anger release after provocation tends to accelerate cardiovascular recovery. The objective of this study was to investigate how gender and habitual style for anger-in or anger-out behavior modulate the effect of anger provocation and release. Male and female subjects (N = 105) were classified as anger-in/anger-out only when a double criterion (i.e., self-report and peer evaluation) was satisfied. Following a state anger rating at pre-test, subjects were harassed during the performance of a 12-minute math task. After task completion, subjects were randomly assigned to one of two 10-minute recovery protocols a) having an opportunity to release negative affect, and b) not not having such an opportunity. All groups (including the anger-ins) that had an opportunity to express negative affect did in fact express similar levels of anger. Men reacted more strongly to the math task performed under anger provocation on all cardiovascular indices. Anger expression style as a trait-type disposition was important for the recovery process in women whereas the situational manipulation (i.e., the opportunity to release anger) had specific effects on the recovery process of men. Opportunity to release anger facilitated heart rate recovery (and to a lesser degree diastolic pressure recovery) in men but not in women. Women with anger-in tendencies on the other hand displayed better systolic pressure recovery than female anger-outs whereas no such effects were observed in men.

Adjustment Disorders

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

Perceived stress, trait anger, modes of anger expression, and health status of college men and women.

Relationships among perceived stress, trait anger (general propensity to become angry), modes of anger expression, and health status were examined in a sample of 720 college students. Although stress was significantly correlated with trait anger and all four modes of anger expression, most correlations were of low magnitude. College men and women did not differ in trait anger, anger-in, or anger-out. Significant gender differences were found in only two modes of anger expression--discussing anger and expressing it somatically (women scoring higher on both). The contribution of anger variables to the variance in health status was negligible.

Adult

[The effects of subconscious processing of anger-related words and physiological arousal on the emotion of anger and aggressive behavior].

An experiment was conducted to examine the effects of the prior subconscious processing of anger-related words and physiological arousal upon anger and aggressive behavior in a frustrated person. Sixteen male and 24 female college students participated in the experiment. First, the subjects performed a cognitive task in which they processed anger-related words or neutral words subconsciously in the high arousal or normal arousal state. In the second ostensibly unrelated task, the subjects were presented with a frustration story and they were asked to rate the intensity of anger which the victim in the story would feel, the victim's responses, and impressions of the frustrator, on several SD-trait scales. It was found that the subjects who processed anger-related words in high arousal state rated the victim as being in the most intense anger and aggressive in behavior and reported the impression of the frustrator as most negative. These findings were interpreted in terms of the network model of emotion.

Adolescent

Shamed into anger? The relation of shame and guilt to anger and self-reported aggression.

The relation of shame and guilt to anger and aggression has been the focus of considerable theoretical discussion, but empirical findings have been inconsistent. Two recently developed measures of affective style were used to examine whether shame-proneness and guilt-proneness are differentially related to anger, hostility, and aggression. In 2 studies, 243 and 252 undergraduates completed the Self-Conscious Affect and Attribution Inventory, the Symptom Checklist 90, and the Spielberger Trait Anger Scale. Study 2 also included the Test of Self-Conscious Affect and the Buss-Durkee Hostility Inventory. Shame-proneness was consistently correlated with anger arousal, suspiciousness, resentment, irritability, a tendency to blame others for negative events, and indirect (but not direct) expressions of hostility. Proneness to "shame-free" guilt was inversely related to externalization of blame and some indices of anger, hostility, and resentment.

Adolescent

Verbalized anger and accusatory "you" messages as cues for anger and antagonism among adolescents.

This study investigated the impact of communications of negative feelings between adolescents in close relationships. High school boys and girls were asked to imagine discussing a relationship problem with a personally close partner and to rate likely reactions to four kinds of statements: assertively expressed distress, assertively expressed anger, aggressively expressed distress, and aggressively expressed anger. Accusatory "you" statements were rated as more aversive and evoked stronger antagonistic response inclinations than assertive "I" statements. Statements depicting anger were rated as more aversive and evoked stronger antagonistic response inclinations than statements depicting distress. Results were similar for boys and girls. Implications of the findings and directions for further research are discussed.

Adolescent

Effectiveness of negative-thought-reduction, meditation and placebo training treatment in reducing anger.

Twenty-nine highly angry subjects who obtained high scores on Spielberger's Trait component of State-Trait Anger Scale went through a thought-listing procedure to determine their negative self-statements in response to high, medium, and low anger-arousing situations. It was found that subjects made more negative self-statements in response to a high anger-arousing situation compared to the medium and low anger-arousing situations. The subjects were divided into four groups. Subjects in one group were trained to reduce their negative thoughts, subjects in a second group were trained to meditate, subjects in the third group were asked to imagine the high anger-arousing situations (placebo procedure), and subjects in the fourth group were given no treatment. It was found that the subjects in the Negative-thought-reduction, Meditation and Placebo groups showed improvement in trait anger, anger aroused through high-anger situations, anger scores across a wide variety of situations, unconstructive coping, and anger measured through physiological symptoms. The gains made through intervention were maintained at a 6-week follow-up. The No-treatment Group showed no significant change in anger scores across a wide variety of situations, unconstructive coping, and physiological symptom scores but showed a small but significant improvement in trait anger and in anger aroused by high-anger situations.

Adult

[Responsibility for damage and anger].

Anger about frustration or damage was assumed to depend on how much responsibility can be attributed to the perpetrator. This hypothesis was tested experimentally (N = 120). Drawing upon constituents of the action concept (e.g. free will), three everyday situations (e.g. being obstructed while driving) were varied with regard to responsibility. Twenty subjects each were asked to imagine the three situations from one of the six levels of responsibility and to indicate how angry they would feel. In addition to state anger, anger in, anger out, and anger control were assessed. When trait anger was controlled for, state anger as well as anger out increased as a function of the perpetrator's responsibility, whereas anger control decreased. These results were in line with theoretical expectations. They demonstrate that the expression of anger is subject to social norms and depends largely on the situation. This finding complements original assumptions on the trait-like nature of anger in, anger out, and anger control.

Anger

Self-reported anger in black high school adolescents.

The purpose of this study was to explore the recognition and expression of anger in black high school adolescents. A total of 56 teens, aged 14-19 years, responded to questions about their recognition of anger, how and to whom they express anger, and to whom they refrain from expressing anger. They also stated their opinions about acceptable and unacceptable expressions of anger and its relationship to depression or suicide. Data were analyzed using frequency tabulations for all questions on the survey instrument. Specific variables of age, grade in school, gender, and family composition were analyzed by one-sample chi 2 tests (alpha set at 0.05). The study demonstrated 1) all the teens surveyed could recognize when they were angry; 2) most teens expressed anger to their friends, to their siblings, and to their mothers; 3) younger teens (ages 14-15 years) when compared to older teens (ages 18-19 years), identified mother as the one who made them angry; 4) females were more likely to feel like crying when angry; 5) females were more likely to feel like being silent when angry; 6) students from one- and two-parent homes did not differ in their expression of anger. Implications of this study include the recognition that anger is a natural, human emotion. Adolescents need to observe adults who can effectively manage behavior associated with anger. Problem solving skills, stress management techniques, and role play situations can be utilized as effective tools in the recognition and expression of anger in acceptable ways and in attempts at the prevention of dysfunctional anger.

Adolescent

Anger management training for brain injured patients and their family members.

Anger dyscontrol is a common occurrence after brain injury. The anger problems of brain injured persons create a burden for their caretakers who most frequently are their family members. Two single-case design studies are presented that demonstrate the efficacy of behavioral interventions for the control of anger problems in brain injured adults. Anger control was accomplished by training the patients in skills to control their own anger, and teaching family members behavior modification principles. In each case, the patient was taught to implement a self-talk method to decrease tension during the escalation period of an anger episode and to execute a time-out when aware of increased anger. Family members were trained in ways to monitor such problems and to identify antecedents to an outburst. They were given feedback and suggestions to modify their communication style with the patient so as to reduce patient irritability, and were taught ways to use a verbal cue to remind the patient to use pretrained self-control methods. Patients and family members were also asked to increase the number of pleasant events in which they engaged as a general means to decrease the patients' anger outbursts. These cases showed evidence that the treatment program reduced the frequency of anger outbursts and, in one case, increased the social participation by the patient immediately after treatment and at one-month and three-month follow-up assessments. The importance of having key family members involved in anger management training for brain injured patients is underscored, particularly when cognitive impairment limits patients' ability to benefit from and to retain the content of psychotherapy.

Adult

The relationship of anger, depression, and perceived disability among headache patients.

Depression is a common concomitant of headache. Conflict with regard to anger or the expression of anger has also been discussed in terms of its relationships to headache. The direction of the relationship between headaches and depression and/or anger is not clear from available research literature. Thus, the present study proposed to examine the interrelationships among measures of anger expression, depression and self-reported disability in a sample of chronic headache patients. It was predicted that there would be significant correlations between depression and perceived disability, and anger held in and perceived disability. Finally, it was predicted that anger held in would be shown to impact perceived disability by way of its relationship to depression. Path analysis was employed to investigate the relationships among the variables. Results showed a significant and positive relationship between depression and perceived disability, which supported the first hypothesis. Anger expression was not significantly related to perceived disability. Therefore, the second hypothesis was not supported. Anger-in, however, was strongly and positively related to depression. Although the causal direction of the relationships cannot be stated with certainty, the suppression of anger appears to be a moderating variable that amplifies the experience of depression among chronic headache patients.

Adult

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

Patterns of social desirability and anger in young men with a parental history of hypertension: association with cardiovascular activity.

We identified, via cluster analysis, subgroups of young men with a parental history of hypertension (PH+) who differed in their profiles of need for approval, covert experience of anger, and extent to which they express anger when provoked. The PH+ subgroup with high need for approval and low anger acknowledgment scored higher on denial but lower on measures of angry temperament and overt display of anger than did the PH+ subgroup with low need for approval and high anger acknowledgment or men without a parental history of hypertension (PH-). Moreover, the PH+ subgroup with high need for approval and low anger acknowledgment manifested significantly higher stressor-induced blood pressure (BP) responsivity than did the other two groups. Possible relations between parental history status, need for approval, anger, BP reactivity, and essential hypertension are discussed.

Adult

Anger expression, hostility, anxiety, and patterns of cardiac reactivity to stress.

The majority of studies investigating the relationships between psychological characteristics and cardiovascular reactivity to stress use a research strategy in which discrete traits are evaluated in isolation. The present study examined the effects of additive and/or interactive relationships among traits on cardiac reactivity to a mental arithmetic task. In addition, impedance cardiographic techniques were employed to examine potential relationships between such psychological traits and a specific measure--pre-ejection period (PEP)--of sympathic influence on the heart. Forty-nine undergraduate men performed a mental arithmetic task while continuous measures of PEP and interbeat interval (IBI) were collected. The subjects then completed questionnaires measuring anger expression, hostility, and trait anxiety. Analyses of variance (ANOVAs) showed a significant main effect for anger-out on PEP change from baseline, but not for IBI. Results also showed that anger-in interacted with anger-out and hostility to affect both PEP and IBI changes significantly. Other results indicated that subjects in the high anger-in/low anger-out and high anger-in/low hostility groups did not show significant PEP change, although they nevertheless showed significant IBI change. These results highlight the importance of the consideration of interactions among traits in predicting cardiac reactivity and of the importance of measuring specific indexes of sympathetic arousal.

Adolescent

The effect of descriptive anger expression, insult, and no feedback on interpersonal aggression, hostility, and empathy motivation.

In a test of the hypothesis that descriptive anger expression elicits less subsequent aggression and greater empathy than does aggressive insult, 60 male undergraduates were instructed to set varying levels of shock for an opponent during a series of competitive trials before and after hearing one of four types of taped comment. Results indicated that descriptive anger expression led to a significant decrease in aggression, while no feedback (opponent said nothing) led to an increase in aggression. Insult and no anger feedback resulted in little change in aggressive behavior. In contrast, descriptive anger expression, insult, and no anger feedback produced more residual hostility than did no feedback. Descriptive anger expression Ss appeared to be more motivated by empathy in setting shocks, as compared to the other three groups. Empathy was found to be generally associated with lower shock settings initially and with reductions in shock settings following the opponent's comments. Empathy, however, was not related to Ss' hostility ratings. The results tend to support the clinical utility of descriptive anger expression in improving interpersonal relations.

Aggression

Anger and impatience/irritability in patients of low socioeconomic status with acute coronary heart disease.

This case-control study examines the relationship between anger and impatience/irritability and acute coronary heart disease (CHD) in middle-aged men of low socioeconomic status (SES). Subjects included patients with myocardial infarction (MI) (N = 31) or unstable angina (AP) (N = 26), who were compared with hospital controls (N = 26). In separate multivariate analyses for each anger scale, MI was associated with Anger-Out and Impatience/Irritability, particularly in the subgroup of patients who did not have a previous MI. The same factors were associated with AP, but only when this acute ischemic event was not preceded by a MI. No relationship was found between Trait-Anger and Anger-In and either acute ischemic outcome. The results indicate that particularly overt behavioral expression of anger is related to CHD in lower SES patients and that there is similarity in the behavioral factors associated with acute CHD between low- and high-SES men.

Adult

Effects of anger on left ventricular ejection fraction in coronary artery disease.

This study examined the comparative potency of several psychological stressors and exercise in eliciting myocardial ischemia as measured by left ventricular (LV) ejection fraction (EF) changes using radionuclide ventriculography. Twenty-seven subjects underwent both exercise (bicycle) and psychological stressors (mental arithmetic, recall of an incident that elicited anger, giving a short speech defending oneself against a charge of shoplifting) during which EF, blood pressure, heart rate and ST segment were measured. Eighteen subjects had 1-vessel coronary artery disease (CAD), defined by greater than 50% diameter stenosis in 1 artery as assessed by arteriography. Nine subjects served as healthy control subjects. Anger recall reduced EF more than exercise and the other psychological stressors (overall F [3.51] = 2.87, p = .05). Respective changes in EF for the CAD patients were -5% during anger recall, +2% during exercise, 0% during mental arithmetic and 0% during the speech stressor. More patients with CAD had significant reduction in EF (greater than or equal to 7%) during anger (7 of 18) than during exercise (4 of 18). The difference in EF change between patients with CAD and healthy control subjects was significant for both anger (t25 = 2.23, p = 0.04) and exercise (t25 = 2.63, p = 0.01) stressors. In this group of patients with CAD, anger appeared to be a particularly potent psychological stressor.

Anger

Anger and its control in Graeco-Roman and modern psychology.

Modern psychologists have studied the phenomena of anger and hostility with diverse methodologies and from a variety of theoretical orientations. The close relationships between anger and aggression, psychosomatic disorder and personal unhappiness, make the understanding and control of anger an important individual and social goal. For all of its sophistication and accomplishment, however, most of the modern research demonstrates, to its disadvantage, a lack of historical perspective with respect to the analysis and treatment of anger, whether normal or pathological. This attitude has deprived psychology of a rich source of empirical observations, intriguing, testable hypotheses, and ingenious techniques of treatment. Of the literature that has been neglected, the analyses of the emotion of anger in the writings of Greek and Roman moral philosophers, particularly Aristotle (4th century B.C.), Seneca (1st century A.D.) and Plutarch (early 2nd century A.D.) are of particular interest. Although modern analyses and methods of treatment are in some ways more refined and more quantitatively precise, and are often subjected to validation and modification by empirical-experimental tests, scientific psychology has, to date, contributed relatively little to the understanding and control of anger that is novel except for research on its physiological dimensions. We can still benefit from the insight, prescriptions and procedures of the classicists, who in some respects offer more powerful methods of control than the most recently published works. Naturally, the modern psychotherapist or behavior therapist can and must go beyond the ancients, as is inherent in all scientific and intellectual progress, but there are no scientific or rational grounds for ignoring them as has been done for 75 years.

Anger