Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

The Relation of Trait anger and Anger Expression to Cardiovascular Responses and Depression in Middle-aged Korean Women

중년여성의 특성분노, 분노표현, 심혈관 반응과 우울

  • Park Young-Joo (College of Nursing Korea University) ;
  • Baik Soonim (Department of Nursing, Ansan Hospital, Korea University Medical Center) ;
  • Choi Younghee (Department of Nursing, Ansan Hospital. Korea University Medical Center) ;
  • Shin Hyunjeong (College of Nursing Korea University) ;
  • Moon Sohyun (College of Nursing Korea university) ;
  • Khim Soonyong (College of Nursing Korea University)
  • Published : 2005.12.01
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Abstract

Purpose: This study was designed to examine the relation of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean women. Methods: This descriptive correlational design was conducted using a convenient sample taken from the health center of K University Hospital located in Kyungki province, Korea. The subjects were 252 women aged 40 to 64 years. Spielberger's state trait anger expression inventory - Korean version and Beck's depression inventory were used for measuring trait anger, state anger, anger expression and depression. Data was analyzed by descriptive statistics, t-test, Pearson correlation, two-way ANOVA, and cluster analysis using a pc-SAS program. Results: The anger expression types by cluster analysis were Anger out/in type, Low anger expression type, and Anger control type. The level of cholesterol and depression were significantly higher in women with high anger in and high trait anger. In addition, the level of depression was significantly higher in women with a high anger temperament. Conclusions: Trait anger and anger in might be related to cholesterol and depression in women. However, this study does not reveal the relation between blood pressure and trait anger and anger expression.

Keywords

References

  1. Chon, K. K., Hahn, D. W, Lee, C. H., & Spielberger, C. D. (1997). Korean adaptation of the state-trait inventory: Anger and blood pressure. Korean Journal of Health Psychology, 2(1), 60-78
  2. Choi, S. I., Kim, Z. S., Shin, M. S., & Cho, M. J. (2001). Modes of anger expression in relation to depression and somatization. J Korean Neuropsychiatr Assoc, 40(3), 425-433
  3. Hahn, H. M., Yum, T. H, Shin, Y. W., Kim, K. H., Yoon, D. J., & Chung, K. J. (1986). A standardization study of Beck Depression Inventory in Korea. J of Korean Neuropsychiatric Association, 25(3), 487-502
  4. Kerby, D. S., Brand, M. W., & John, R. (2003). Anger types and the use of cigarettes and smokeless tobacco among native American adolescents. Prev Med, 37, 485-491 https://doi.org/10.1016/S0091-7435(03)00174-9
  5. Korea Institute for Health and Social Affairs (2003). Health Statistics of Korean Women. Seoul: Korea Institute for Health and Social Affairs
  6. Lee, C. W. (1993). Relationship between anger-coping types and serum total cholesterol. The Keimyung Univ Med J, 12(3), 337-344
  7. Lee, P. S. (2003). Correlational Study among Anger, Perceived Stress and Mental Health Status in Middle Aged Women. J Korean Acad Nurs, 33(6), 856-864
  8. Linden W., Hogan, B. E., Rutledge, T., Chawla, A., Lenz, J. W., & Leung, D. (2003). There is more to anger coping than 'in' or 'out'. Emotion, 3(1), 12-29 https://doi.org/10.1037/1528-3542.3.1.12
  9. Markovitz, J. H., Matthews, K. A., Kannel W. B., Cobb, J. L., & D'Agostino, R. B. (1993). Psychological predictors of hypertension in the framingham study. Is there tension in hypertension? JAMA, 270(20), 2439-2443 https://doi.org/10.1001/jama.270.20.2439
  10. Muller, M. M., Rau, H., Brody, S., Elbert, T., & Heinle, H. (1995). The relationship between habitual anger coping style and serum lipid and lipoprotein concentrations. Biol Psychol, 41(1), 69-81 https://doi.org/10.1016/0301-0511(95)05124-S
  11. Ohira, T., Iso, H., Tanigawa, T., Sankai, T., Imano, H., Kiyama, M., Sato, S., Naito, Y., Ida, M., & Shimamoto (2002). The relation anger expression with blood pressure levels and hypertension in rural and urban Japanese communities. J. of Hypertension, 20(1), 21-27 https://doi.org/10.1097/00004872-200201000-00005
  12. Park, Y. J., Han, K. S., Shin, H. J., Kang, H. C, & Moon, S. H. (2004). Anger, problem behaviors, and health status in adolescent women. J Korean Acad Nurs, 34(7), 1234-1242
  13. Raikkonen, K., Matthews, K. A., & Kuller, L. H. (2002). The relationship between psychological risk attributes and the metabolic syndrome in healthy women: Antecedent or consequence?. Metabolism, 51(12), 1573-1577 https://doi.org/10.1053/meta.2002.36301
  14. Raikkonen, K., Matthews, K. A., Sutton-Tyrrell, K., & Kuller, L. H. (2004). Trait anger and the metabolic syndrome predict progression of carotid atherosclerosis in healthymiddle-aged women. Psychosom Med, 66(6), 903-908 https://doi.org/10.1097/01.psy.0000143638.31297.11
  15. Rutledge, T., Reis, S. E., Olson, M., Owens, J., Kelsey, S. F., Pepine, C. J., Reichek, N., Rogers, W. J., Merz, C. N.B.., Sopko, G., Cornell, C. E., & Matthews, K. A. (2001). Psychosocial variables are associated with atherosclerosis risk factors among women with chest pain: The Wise study. Psychosom Med, 63(2), 282-288
  16. Schum, J. L., Jorgensen, R. S., Verhaghen, P., Sauro M., & Thibodeau. (2003). Trait anger, anger expression, and ambulatory blood pressure: A meta-analytic review. J Behav Med, 26(5), 395-415 https://doi.org/10.1023/A:1025767900757
  17. Sigman, A. W., Malkin, A. R., Boyle, S., Varikus, M., Barko, W., & Franco, E. (2002). Anger and plasma lipid, lipoproteins and glucose levels in healthy women: The mediating role of physical fitness. J Behav Med, 25(1), 1-16 https://doi.org/10.1023/A:1013558000465
  18. Stoney, C. M., & Engebretson, T. O. (2000). Plasma homocysteine concentrations are positively associated with hostility and anger. Life Sci, 66(23). 2267-2275 https://doi.org/10.1016/S0024-3205(00)00556-7
  19. Thomas, S. P. (2001). Teaching healthy anger management. Perspect Psychiatr Care, 37(2), 41-48 https://doi.org/10.1111/j.1744-6163.2001.tb00617.x
  20. Thomas, S. P., & Atakan, S. (1993). Trait anger, anger expression, stress, and health status of American and Turkish midlife women. Health Care Women Int, 14(2), 129-143 https://doi.org/10.1080/07399339309516035
  21. Williams, J. E., Paton, C. C, Siegler, L. C, Eigenbrodt, M. L., Nieto, F. J., & Tyroler, H. A. (2000). Anger proneness predicts coronary heart disease risk. Circulation, 101(11), 2034-2039 https://doi.org/10.1161/01.CIR.101.17.2034
  22. Wilson, R. S., Bienias, J .L., Mendes de leon, C. F., Evans D. A., & Bennett, D. A. (2003). Negative affect and mortality on older persons. Am J Epidemiol, 158(9), 827-835 https://doi.org/10.1093/aje/kwg224