• Journal of Korean Academy of Nursing
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• v.42 no.7
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• pp.1001-1008
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• 2012

Purpose: The purpose of this study was to identify the characteristics of anger expression in middle-aged Korean women by categorizing their patterns of expression while considering the complexity and multidimensionality of anger, and by investigating the characteristics relative to the patterns. Methods: The research design was a descriptive design using Q methodology, which is a method of measuring subjectivity. A convenience sample of 42 participants aged 40-60 years and living in the community in Korea was recruited. The PC-QUANL software program (a factor analysis program for the Q technique) was used to analyze the Q-sort data. Results: Four factors were extracted that described different expressions of anger among middle-aged Korean women; these factors explained 50.1% of the total variance. The frames of reference of the four factors were a) direct diversion, b) silent masking with remaining anger, c) self digestion, and d) controlling anger with objectification. Conclusion: In this study has identified patterns and characteristics of anger expression among middle-aged Korean women were identified, which will aid the development of effective anger-management programs for controlling anger in this population. In future studies, it would be helpful to investigate how the patterns of anger expression established herein are associated with specific health problems such as cardiovascular disorder and cancer.

• The Korean Journal of Community Living Science
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• v.20 no.4
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• pp.539-547
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• 2009

The purpose of this study is to investigate the relationship between the Enneagram personality types and the anger expression styles, and to see how the relationship depends on the gender. The subjects, selected by the convenience sampling method, are 315 college students. The instrument is the Korean Enneagram Personality Types(Yoon 1999), which categorizes the personal types into the gut-center, the heart-center and the head-center. On the other hand, the anger expression styles, which is the anger-control as a functional role, and the anger-out and the anger-in as a dysfunctional role, is measured by the Korean version of STAXI(Chon et al 1998). The major findings of the study are as follows. First, comparing the personality types of students, the ratio of the students of the gut-center, that of the head-center and that of the heart-center types are in descending order. Second, It is found that students rely on the anger-out more than the other two expression styles. There also exist the gender differences in terms of the level of the anger expression: female students tend to express the anger-out and the anger-control significantly more than male students. Third, the relationship between the Enneagram personality types and the anger expression styles of students are statistically significant such that students of the gut-center style express the anger-out more severely than the head-center and the heart-center. Therefore, the findings from the study may become the basis on which the education program is designed for the sake of the psychological adjustment of college students, especially taking into account the gender differences.

• The Journal of Korean Academic Society of Nursing Education
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• v.7 no.1
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• pp.7-21
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• 2001

The purpose of this study was identify the level of stress, anger and anger expression in the clinical setting and identify the relation ships between anger and stress of nursing students in the clinical setting. A convenient sample of 213 junior college of nursing students was used for the study. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients. The results of this study were summarized as follows : 1. The average stress score in the clinical setting of subjects was 3.87. The higher level of stress in the clinical setting was 4.10 in domain of nurses, 4.10 in domain of human relationships, 4.07 in domain of report and 3.89 in domain of relationship between nursing theory and practice. 2. The average state-anger score of subjects was 1.54. 3. The average anger-out score of anger expression mode was 1.66 and 2.36 in anger-in. 4. The state-anger was found significantly related to stress of nursing students in the clinical setting (r=0.256 p<0.001). In the relationship between state- anger and stress in the clinical setting, environment, patient relationship, between nursing theory and practice, nurses, report, orientation were significantly positive correlation . 5. The anger-out of anger expression mode was not found significantly related to stress of nursing students in the clinical setting. 6. The anger-in of anger expression mode was found significantly related to stress of nursing students in the clinical setting (r=0.205 p<0.01). In the relationship between anger-in of anger expression mode and stress in the clinical setting, environment, patient, nurses, human relationships, conference were significantly positive correlation.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.270-279
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• 2008

Purpose: The purpose of this study is to investigate the relationship among anger expression mode, depression and aggression in vocational high school students and to preview a method to help adolescents who have the tendency of anger, depression or aggression tendency in community mental health situation. Method: In order to get the data by self-reporting questionnaire, 372 subjects were selected from Oct. 1, 2006 to Dec. 18, 2006. The instruments for this study were Spielberger's Anger Expression Scale, Beck's Depression Scale, and Buss & Durkee's Aggression Scale. The dada was analyzed by percentage, mean, standard deviation, t-test, one-way ANOVA, and Pearson's correlation coefficient using the SPSS 12.0 program. Result: There were significantly positive correlations between anger-in and depression, and between anger-in and aggression. Also there were significantly positive correlations between anger-out and depression, and between anger-out and aggression. There was a significantly positive correlation between depression and aggression. Conclusion: It is necessary to develop a strategy to decrease depression and aggression, and to increase positive anger expression mode for vocational high school students.

• Journal of Family Relations
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• v.21 no.3
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• pp.95-122
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• 2016

Objectives: The purpose of this study was to find out the moderating effect of gender between parenting attitude and anger expression of adolescent. Particularly, to ensure that the anger of emotion is common nature, this study was conducted on the middle class adolescent of stable economic status. Method: The subjects of this study were 357 students, first grade from 3 high schools in Seoul. Data was analyzed by descriptive statistics, t-test, correlation, and hierarchial regression, using the SPSS 18.0 program. Results: The main results were as follows: First, in parenting attitude the perception of monitoring and affection was less important for boys than girls, but more important in over expectation and neglect. Second, in anger expression the level of anger-control appeared higher than anger-in and anger-out, no significant gender difference in subfactors. Third, the effect of gender moderated the relationships between parenting attitude and anger expression of adolescent. Conclusions: The results indicated the need to recognize gender difference in controlling anger of adolescent and to improve dysfunctional parenting attitude in middle class. Furthermore, the implications were discussed in enhancing parent-adolescent communication, developing emotional education programs, and preventing juvenile delinquency.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.4
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• pp.539-549
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• 2009

Purpose: The purpose of this study was to identify the relationships among trait anger, anger expression, job satisfaction, job commitment, and organizational performance, and especially to verify the effect of anger experience on organizational performance. Method: A descriptive study was conducted using a convenient sample. Data were collected by a self-report questionnaire from 671 clinical nurses in three university hospitals and analyzed by using SPSS 14.0 Win program with descriptive statistics, t-test, ANOVA, pearson correlation coefficient, and stepwise multiple regression. Result: Organizational performance was significantly correlated with trait anger, anger expression-in, anger expression-out, anger control, job satisfaction, and job commitment. Multiple regression analysis showed that organizational performance was significantly predicted by job commitment, job satisfaction, educational level (university graduation), anger control, and working place (operative room), and 34.7% was explained by these variables. Conclusions: Out of anger expression, anger control significantly affected on organizational performance together with job commitment and job satisfaction. From this result, it could be concluded that nursing intervention for anger control have a positive effect on improving organizational performance. Further studies are needed to develop and test the effect of nursing intervention programs for anger control.

• Sleep Medicine and Psychophysiology
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• v.5 no.1
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• pp.80-87
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• 1998

Objectives : The purpose of this study was to investigate the relationship among anger expression mode, depression, and blood pressure. Method : Eight hundred sixty-eight male military draftees were asked during the examination procedure to answer Spielberger's Anger Expression Inventory, MMPI Repression Scale, and Beck Depression Inventory(BDI). Blood pressures, weight, and height were also measured. Results : 1) No significant difference was found in the anger-in and anger-out subscales of Spielberger Anger Expression Inventory, MMPI Repression Scale, and BDI between the hypertensives and the normotensives. 2) No significant difference of blood pressure was found between the groups determined by upper and lower 25% of each of the above scales and inventory. 3) The interaction effect of anger-in and anger-out on depression was found to be significant. Conclusion : These findings suggest that there is no relationship among anger-in, anger-out, depression, and blood pressure in young male military draftees. Interestingly, ambivalence of anger expression, i.e. the interaction of anger-in and anger-out, was found to be an important factor related to depression.

• Research in Community and Public Health Nursing
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• v.22 no.1
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• pp.22-32
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• 2011

Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instrument. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. $R^2=.065$, and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. $R^2=.113$. Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

• Korean Journal of Occupational Health Nursing
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• v.27 no.4
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• pp.247-256
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• 2018

Purpose: This study aimed to identify the influence of nurses' resilience and anger expression styles on their nursing work performance in emergency departments. Methods: The study included 107 nurses from 5 hospitals in Seoul and Gyeonggi-do who consented to participate. Data ware collected from March to April 2016. Multiple regression analysis was used to identify factors influencing nurses' performance. Results: Nurses' performance was higher when resilience was high and anger expression was low. The result of the multiple regression indicated that present working years in the emergency room, work satisfaction, anger expression, anger control, and resilience predicted 39.4% (F=7.27, p<.001) of the nursing performance of hospital nurses in emergency departments. The most powerful predictor was resilience (${\beta}=.45$, p<.001), followed by anger-out (${\beta}=-.25$, p=.006). Conclusion: This study showed that the most influential variables of work performance in emergency nurses ware resilience and anger expression. To enhance the nursing performance of hospital nurses in emergency departments, it is necessary to develop and implement mentorship programs that enhance resilience and educational programs that help them manage their anger.

• Journal of Korean Academy of Nursing
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• v.36 no.6
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• pp.925-932
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• 2006

Purpose: The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses. Method: A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Result: The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trail anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%. Conclusion: These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.