Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Association of Anger Expression Patterns and Health Status in Health Care Workers

일 의료기관 종사자의 분노표현유형과 건강상태

  • Published : 2006.08.01
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Abstract

Purpose: The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers. Method: Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA. Results: Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns. Conclusion: Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.

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References

  1. Cautin, R. L., Overholser, J. C., & Goetz, P. (2001) Assessment of mode of anger expression in adolescent psychiatric inpatients. Adolescence, 36, 163-1701
  2. Chon, K. K. (1996). Development of the Korean state-trait anger expression inventory. Korean J Rehabil Psychol, 3(1), 53-691
  3. Chon, K. K. (1999). A study on anger. Korean J of Rehab Psychol, 6(1), 163-190
  4. Deffenbacher, J. L., Lynch, R. S., Oetting, E. R., & Kemper, C. C, (1996). Anger reduction in early adolescent. J Counsel Psychol, 43(2), 149-157 https://doi.org/10.1037/0022-0167.43.2.149
  5. Executive summary of the third report of the National Cholesterol Education Program(NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adults Treatment Panel III) (2001). JAMA, 285, 2486-2497 https://doi.org/10.1001/jama.285.19.2486
  6. Gottlieb, M. M. (1999). The angry self : A comprehensive approach to anger management. Phoenix, Arizona : Zeig, Tucker & Co. Press
  7. Helmers, K. F., Baker, B., O'Kelly, B., & Tobe, S. (2000). Anger expression, gender and ambulatory blood pressure in mild, unmediated adults with hypertension. Ann Behav Med, 22, 60-64 https://doi.org/10.1007/BF02895168
  8. Kim, K. H. (1995). Effects of Self-disclosure in Anger and Stress on physical, emotional and perceptual health. J Korean Psychol Assoc: Health, 14(1), 237-252
  9. Kim, K. H., & Chon, K. K. (1997). Effects of anger, Hostility, and stress on physical health. J Korean Psychol Assoc: Health, 2(1), 1-18
  10. 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
  11. McNair, D. M, Lorr, M., & Droppleman, L. F. (1992). Profile of mood states. San Diego, CA: Education and Industrial Testing Service
  12. Min, S. K. (2003). Biobehavioral research on anger. J Nurs Query, 12(2), 72-104
  13. Mueller, W. H., Grunbaum, A., & Labarthe, D. R. (2001). Anger expression, body fat, and blood pressure in adolescents : Project HeartBeat. Am J Human Biol, 13, 531-538 https://doi.org/10.1002/ajhb.1085
  14. Niaura, R., Banks, S. M., Ward, K. D., Stoney, C. M., Spiro, A., Aldwin, C. M., Landsberg, L., & Weiss, S. T. (2000). Hostility and the metabolic syndrome in older males: the normative aging study. Psychosom Med, 62, 7-16 https://doi.org/10.1097/00006842-200001000-00002
  15. Park, H. S., & Koo, H. Y. (2004). A study of anger and health status in middle aged women. J Korean Acad Psych Mental Health Nurs, 13(3), 245-256
  16. Park, H. S., Bae, Y. J., & Joung, S. Y. (2003). A study on anger expression and burnout of psychiatric mental health nurses. J Korean Acad Psych Mental Health Nurs, 12(3), 235-244
  17. Park, Y. J., Han, G. S., Shin, H. J., Kang, H. C., & Mun, S. H. (2004). Anger, problem behaviors, and health status in adolescent women. J Korean Acad Nurs, 34(7), 1234-1242 https://doi.org/10.4040/jkan.2004.34.7.1234
  18. Raikkonen, K., Keltikangas, J. L., & Hautanen, A. (1994) The role of psychological coronary risk factors in insulin and glucose metabolism. J Psychosom Res, 38, 705-713 https://doi.org/10.1016/0022-3999(94)90023-X
  19. Scherwiz, L., Perkins, L., Chesney, M., & Huches, G. (1991). Cook-Medley hostility and subsets: Relationships to demographic and psychosocial characteristics in young adults in the CARDIA study. Psychosom Med, 53, 36-49 https://doi.org/10.1097/00006842-199101000-00004
  20. Seo, S. G., Lee, H. J., & Kwon, S. M. (2004). Development and validation study of the anger-out/anger-in attitude scale. Korean J Clinical Psycho, 23(2), 521-540
  21. Sharkin, B. S. (1988). The measurement and treatment of client anger counselling. J Counsel Develop, 66, 361-365 https://doi.org/10.1002/j.1556-6676.1988.tb00887.x
  22. Siegel, J. M. (1984). Anger and cardiovascular risk in adolescents. Health Psychol, 3, 293-313 https://doi.org/10.1037/0278-6133.3.4.293
  23. Spielberger, C. D. (1988). Professional Manual for the State-Trait Anger Expression Inventory, Tampa, FL. Psycho Assessment Resou, INC
  24. Spielberger, C. D. (1996). Manual for the State-Trait Anger Expression Scale. Port Huron, MI: Sigma assessments system
  25. Spielberger, C. D., Johnsonn, E. G., Russel., S. S., Crane, R. J., Jacobs, G. A., & Wordon, T. J. (1985). The experience and expression of anger : Construction and validation of anger expression scale. In M. A. Chesney & R. H. Roseman, R. H. et al. (Eds.). Anger and hostility in cardiovascular and behavioral disorders(pp. 5-30). NY. : Hemisphere
  26. Spielberger, C. D., Krasner, S. S., & Solomon, E. P. (1988). The experience, expression, and control of M.P. Janisse M. P. (Ed.), Health Psychology : Individual difference and stress(pp. 89-108). NY.: Springer-Velag
  27. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC 7). (2003). JAMA, 21, 35-45
  28. Vitaliano, P. P., Scanlan, J. M., Zhang, J., Savage, M. V., Hirsch, I. B., & Siegler, I. C. (2002). A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosom Med, 64(3), 418-35 https://doi.org/10.1097/00006842-200205000-00006
  29. Yarcheski, A., Mahon, N. E., & Yarcheski, T. J. (2002). Anger in early adolescent boys and girls with health manifesfication. Nurs Res, 51, 229-236 https://doi.org/10.1097/00006199-200207000-00003
  30. Zaitsoff, S. L. Geller, J., & Srikameswarran, S. (2002). Silencing the self and Suppressed anger : relationship to eating disorder symptoms in adolescent females. European Eating Disor Review, 10(1), 51-60 https://doi.org/10.1002/erv.418