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

Lee Won-Hee (College of Nursing, Yonsei University)
Kang Duck-Hee (University of Alabama)
Park Jin-Hee (College of Nursing Science, Ajou University)
Kim Soo-Hyun (College of Nursing, Yonsei University)
Min Sung-Gil (College of Medicine, Yonsei University)
Nho Jae-Hun (College of Medicine, Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.36, no.5, 2006 , pp. 821-828 More about this Journal
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.
Keywords
Anger expression; Anger; Health status;
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1 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
2 Sharkin, B. S. (1988). The measurement and treatment of client anger counselling. J Counsel Develop, 66, 361-365   DOI
3 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
4 Cautin, R. L., Overholser, J. C., & Goetz, P. (2001) Assessment of mode of anger expression in adolescent psychiatric inpatients. Adolescence, 36, 163-1701
5 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   DOI
6 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
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 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
9 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
10 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   DOI
11 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
12 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
13 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   DOI   ScienceOn
14 Yarcheski, A., Mahon, N. E., & Yarcheski, T. J. (2002). Anger in early adolescent boys and girls with health manifesfication. Nurs Res, 51, 229-236   DOI
15 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   DOI
16 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
17 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   DOI   ScienceOn
18 Siegel, J. M. (1984). Anger and cardiovascular risk in adolescents. Health Psychol, 3, 293-313   DOI
19 Gottlieb, M. M. (1999). The angry self : A comprehensive approach to anger management. Phoenix, Arizona : Zeig, Tucker & Co. Press
20 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   DOI   ScienceOn
21 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   DOI   ScienceOn
22 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   DOI
23 McNair, D. M, Lorr, M., & Droppleman, L. F. (1992). Profile of mood states. San Diego, CA: Education and Industrial Testing Service
24 Spielberger, C. D. (1996). Manual for the State-Trait Anger Expression Scale. Port Huron, MI: Sigma assessments system
25 Chon, K. K. (1996). Development of the Korean state-trait anger expression inventory. Korean J Rehabil Psychol, 3(1), 53-691
26 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   DOI   ScienceOn
27 Chon, K. K. (1999). A study on anger. Korean J of Rehab Psychol, 6(1), 163-190
28 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   DOI
29 Min, S. K. (2003). Biobehavioral research on anger. J Nurs Query, 12(2), 72-104
30 Spielberger, C. D. (1988). Professional Manual for the State-Trait Anger Expression Inventory, Tampa, FL. Psycho Assessment Resou, INC