Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
권호 표지

Anger Expression and Health Behavior in Patients with Coronary Arteries Disease

관상동맥질환자의 분노표현유형과 건강행위

  • Received : 2014.10.17
  • Accepted : 2014.11.28
  • Published : 2014.12.31
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Abstract

Purpose: The purpose of this study was to identify the difference in health behavior according to the anger expression styles in patients with coronary arteries disease. Methods: Participants included 99 patients with coronary artery disease who were treated with a percutaneous coronary intervention in K University Hospital in Seoul, from January to March 2012. The survey data were collected using the Anger Expression Inventory Korea Version and the Health Promoting Lifestyle Profile Version 2. The data were analyzed using descriptive statistics, acluster analysis, chi-square test,and ANOVA with the PASW 19.0program. Results: The anger expression styles identified from the cluster analysis were anger-control type(43.3%), anger-in/out type(42.4%), and high anger expression type(14.4%). The total score of the Health Promoting Life style Profile for the anger-control type was significantly higher than the other two types. Additionally, anger-control type showed significantly higher scores than the other two types in all domains of the Health Promoting Life style Profile. Conclusion: These results indicated that higher levels of anger-in and anger-out increased the risk of adverse health behavior and that anger control strategies could have some benefit in reinforcing healthy behavior in patients with coronary artery disease.

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References

  1. Angerer, P. 1., Siebert, U., Kothny, W., Muhlbauer, D., Mudra, H., & von Schacky, C. (2000). Impact of social support, cynical hostility and anger expression on progression of coronary atherosclerosis. Journal of the American College of Cardiology, 36(6), 1781-1788. https://doi.org/10.1016/S0735-1097(00)00944-X
  2. Boutayeb, A., & Boutayeb, S. (2005). The burden of non communicable diseases in developing countries. International Journal for Equity in Health, 14;4(1), 2. https://doi.org/10.1186/1475-9276-4-2
  3. Chida, Y, & Steptoe, A. (2009). The association of anger and hostility with future coronary heart disease: A meta-analytic review of prospective evidence. Journal of the American College of Cardiology, 17;53(11), 936-946. doi: 10.1016/j.jacc.2008.11.044.
  4. 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.
  5. Davidson, K. W., & Mostofsky, E. (2010). Anger expression and risk of coronary heart disease: Evidence from the Nova Scotia Health Survey. American Heart Journal, 199, 199-206.
  6. Denollet, J., Gidron, Y., Vrints, C. J., & Conraads, V. M. (2010). Anger, suppressed anger and the risk of adverse events in patients with coronary artery disease. American Journal of Cardiology, 105, 555-1560
  7. Han, J. Y. (2007). The effects of anger expression mode of high school student on depression and self efficacy. Unpublished master's thesis, Hankuk University of Foreign Studies, Yongin.
  8. Igna, C. V., Julkunen, J., & Vanhanen, H. (2009). Anger expression styles and blood pressure: Evidence for different pathways. Journal of Hypertension, 27(10), 1972-1979. doi: 10.1097/HJH.0b013e32832f4f8f
  9. Jackson, L., Leclerc, J., Erskine, Y., & Linden, W. (2005). Getting the most out of cardiac rehabilitation: A review of referral and adherence predictors. Heart, 91(1), 10-14. https://doi.org/10.1136/hrt.2004.045559
  10. Kang, K. J., & Yu, S. J. (2010). Health behavior and influencing factors in patients with coronary artery disease admitted to hospital. Korean Academy of Fundamental Nursing, 17(1), 16-25.
  11. Kim, C. J. (2007). Metabolic syndrome risk factors, anger, depression and self-care activities according to mode of anger expression in diabetic elders. Journal of the Korean Gerontological Society, 27(3), 549-561.
  12. Korean National Statistical Office. (2013). 2012 death and cause of death in Korea. Daejeon, Korea: Author.
  13. Labarthe, D. R. (2001). Anger expression, body fat, and blood pressure in adolescents: Project heart beat. American Journal of Human Biology, 13, 531-538. https://doi.org/10.1002/ajhb.1085
  14. Lemesle, G., Sudre, A., Modine, T., Delhaye, C., Rosey, G., Gourlay, T., et al. (2008). High incidence of recurrent in stent thrombosis after successful treatment of a first in stent thrombosis. Catheterization and Cardiovascular Interventions, 1;72(4), 470-478. doi: 10.1002/ccd.21709.
  15. Levine, G. N., Bates, E. R., Blankenship, J. C., Bailey, S. R., Bittl, J. A., Cercek, B., et al., (2012). 2011 ACCF/ AHA/SCAI Guideline for percutaneous coronary intervention: executive summary: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines and the Society for Cardiovascular Angiography and Interventions. Catheterization and Cardiovascular Interventions, 15;79(3), 453-495. doi: 10.1002/ccd.23438.
  16. Na, R. H., & Son, C. N. (2000). The differences of anger experience, mode of anger expression, and depression in the patients with coronary heart disease and the normal controls. Korean Journal of Art Therapy, 7(1), 87-102.
  17. Nam, K. A. (2011). Anger expression style and risk factors for stroke. Journal of East-West Nursing Research, 17(1), 16-23.
  18. Park, J. H., & Bae, S. H. (2011). A systematic review of psychological distress as a risk factor for recurrent cardiac events in patients with coronary artery disease. Journal of Korean Academy of Nursing, 41(5), 704-714. doi: 10.4040/jkan.2011.41.5.704. Korean.
  19. Park, Y. J., Baik, S., Shin, H. J., Yoon, J. W., Chun, S. H., & Moon, S. (2006). Anger, cardiovascular health and depression in middle-aged Korean men: The mediating effect of social support. Journal of Korean Academy of Nursing, 36(5), 863-871. https://doi.org/10.4040/jkan.2006.36.5.863
  20. Park, Y. J., Han, K. S., Shin, N. M., Kang, H. C., Chun, S. H., Yoon, J. W., et al. (2010). Anger, anger expression, and biopsychosocial health in Korean adolescents. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19(1), 106-116 https://doi.org/10.12934/jkpmhn.2010.19.1.106
  21. Saritas, S. C., & Erci, B. (2014). Predictors of adolescent health risk behaviors. Holistic Nursing Practice, 28(3), 208-216. doi: 10.1097/HNP.0000000000000022.
  22. Seo, H. M. (2001). Construction of health promoting behaviors model in elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  23. Son, Y. J. (2004). Study on the expression of hostility, trait anger, and anger in patients with CAD. Korean Academy of Fundamental Nursing, 11(1), 49-58.
  24. Spielberger, C. D., Krasner, S. S., & Solomon, E. P. (1988). The experience, expression, and control of anger. In M. P. Janisse (Ed.), Health psychology: Individual differences and stress (pp. 89-08). New York: Springer.
  25. Staicu, M. L., & Cutov, M. (2010). Anger and health risk behaviors. Journal of Medicine and Life, 3(4), 372-375.
  26. Stewart, J. C., Fitzgerald, G. J., & Kamarck, T. W. (2010). Hostility now, depression later? Longitudinal associations among emotional risk factors for coronary artery disease. Annals of Behavioral Medicine, 39(3), 258-266. doi: 10.1007/s12160-010-9185-5.
  27. Suls, J. (2013). Anger and the Heart: Perspectives on Cardiac Risk, Mechanisms and Interventions. Progress in Cardiovascular Diseases, 55(6), 538-547. https://doi.org/10.1016/j.pcad.2013.03.002
  28. Thune, J. J., Signorovitch, J. E., Kober, L., McMurray, J. J., Swedberg, K., Rouleau, J., et al. (2011). Predictors and prognostic impact of recurrent myocardial infarction in patients with left ventricular dysfunction, heart failure, or both following a first myocardial infarction. European Journal of Heart Failure, 13(2), 148-153. doi: 10.1093/eurjhf/hfq194.
  29. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). The Health Promoting Lifestyle Profile II. Omaha: College of Nursing, University of Nebraska Center.
  30. Yang, M. K. (2008). Influences of Perfectionism and Stress Coping Strategies on Anger Expression of Elementary School Students. Unpublished master's thesis, Yonsei University. Seoul.