• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1371-1378
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• 2005

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.

• Journal of Oriental Neuropsychiatry
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• v.9 no.2
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• pp.97-109
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• 1998

This study was designed and undertaken to identify objectively the degree and relationship of anxiety, depression, & anger which are chief essential elements of emotional status in Hwabyung patients.The subjects in this study were 35 Hwabyung patients and 40 Non-Hwabyung persons, and for the assessment of anxiety, depression, & anger. We used Zung's Self-Rating Anxiety Scale(SAS), Zung's Self-Rating Depression Scale(SDS) & State-Trait Anger Expression Inventory(STAXI).The results of this study are as follows:1. There were significant differences in the 18 items of SAS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).2. There were significant differences in the 13 items of SDS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).3. There were significant differences in the mean scores of SAS and SDS between Hwabyung patients and the control group(p＜0.001 respectively).4. There were significant differences in the mean scores of State Anger, Trait Anger, Trait Anger/Temperament, Anger-in & Anger-out counted by STAXI between Hwabyung patients and the control group (p＜0.001, p＜0.01, p＜0.001, p＜0.001, p＜0.05 respectively).5. There were significant relationships between State Anger & Anxiety, Anger-out & Trait Anger/Temperament, Depression & Anxiety(r=.43, r=.37, r=.64).

• Journal of Korean Academy of Nursing
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• v.39 no.4
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• pp.602-612
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• 2009

Purpose: The purpose of this study was to identify type of anger expression and mental health in middle aged women. Methods: From August to October 2005, survey data were collected by using the State Trait Anger Expression Inventory and Symptom Check List-90-Revision (SCL). Participants (1,442) were classified into four types of anger expression by K-mean cluster analysis. For collecting interview data for content analysis, 18 participants (4-5 participants from each type of anger expression) were recruited. The interview data were collected between March and September 2006. Results: The average score of the state anger of middle-aged women was 11.95, and that of the trait anger was 18.75. The average anger expression scores were 12.72 for Anger-In, 13.45 for Anger-Out, and 18.51 for Anger-Control. The average SCL scores were 45.03 for somatization, 42.23 for obsessive-compulsiveness, 42.44 for interpersonal sensitivity, 42.45 for depression, 42.40 for anxiety, 42.62 for hostility, 44.44 for phobic anxiety, 43.65 for paranoid ideation, and 43.08 for psychoticism. The anger expression types identified in this study were 1) anger-out in secret, 2) anger-control with a patience, 3) anger-out with suppression, and 4) low anger expression type. The psychosomatic symptom scores were the highest in type III (anger-out with suppression), and the lowest in type IV (low anger expression type). Conclusion: This study can be helpful in assisting middle aged women to control their anger effectively and may contribute to the improvement of their mental health.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.211-220
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• 2010

Purpose: This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas. Methods: The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4%of variance in physical symptoms was significantly explained by emotional function health state (${\beta}$=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (${\beta}$=3.841, p<.001). Conclusion: Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.

• Women's Health Nursing
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• v.13 no.4
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• pp.327-335
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• 2007

Purpose: The descriptive study was designed to examine the relationship of eating attitudes to the internalization of sociocultural attitudes, body shape satisfaction, anger and anger expression in college women. Method: 247 women were recruited from one college located in Seoul, Korea. The instruments used were the Internalization subscale of SATAQ-3R, BSQ for body shape satisfaction, Spielberger's state trait anger expression inventory-Korean version for anger and anger expression, and the Eating Attitude Test(EAT-26) for eating attitudes. Results: The score of EAT significantly correlated with internalization, state anger, body shape satisfaction, and anger expression except trait anger. The significant predictors of eating attitudes in college women were body shape satisfaction and anger expression, explaining 55% of the variance in eating attitudes. Conclusion: This study showed that body shape satisfaction is an important predictor for an eating disorder. Therefore, various programs for cognitive changes correcting the understanding about body and weight need to be developed in the future.

• Journal of Korean Academy of Nursing
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• v.44 no.4
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• pp.361-370
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• 2014

Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.821-828
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• 2006

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.

• Korean Journal of Adult Nursing
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• v.18 no.4
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• pp.564-572
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• 2006

Purpose: The purpose of this study is to examine predictors of anxiety and PTSD in battered women. Method: The data were collected from 555 women who were stratified samples according to 15,000:1 from a target population in Korea from November 18, 2004 to February 18, 2005. The data was analysed using the SPSS program. Results: Predictors of anxiety were self esteem, stress, state anger, social support, trait anger, negotiation, and psychological violence. These variables explained 55.8% of anxiety. Predictors of PTSD were self esteem, state anger, trait anger, psychological violence, stress, and anger-in. These variables explained 43.2% of PTSD. Conclusion: It is considered that the importance of separating the effects of the different types of violence when taking into account its effects on women's mental health. To promote women's mental health, it is needed to develop self esteem improvement programs, and anger and stress management programs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.1
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• pp.38-45
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• 2005

Purpose: The purpose of this study was to identify health promoting behaviors and the relationship between health promoting behaviors and state and trait anger in middle-aged men. Method: In this descriptive correlational study, the participants were 143 middle-aged men who lived in D city. Data were collected from November, 2004 to January. 2005. Personal interviews with a structured questionnaire were used. The data were analyzed using descriptive statistics, and Pearson correlation coefficients with SPSS Win 11.0 program. Results: The score for health promoting behavior in the middle-aged men was above the mean score. The highest dimension was self-actualization and the lowest dimension of health promoting behaviors was exercise. A significant negative correlation was found between health promoting behaviors and state anger in middle-aged men. But there was no significant correlation between health promoting behaviors and trait anger. Conclusion: These results suggest that state anger should be considered as an important factor when nurses develop educational programs to enhance health promoting behavior in middle-aged men.

• Women's Health Nursing
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• v.14 no.2
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• pp.143-149
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• 2008

Purpose: This study was done to examine the relationship between self-reported attachment style, trait anger and anger expression in adolescent women. Method: Five hundred and eighty adolescent women were recruited from March to May, 2006. The instruments were Spielberger's state-trait anger expression inventory-Korean version (Chon, Han, Lee, & Spilelberger, 1997), and Batholomew & Holowitz's attachment style Questionnaire (1991). Data was analyzed by descriptive statistics, and ANOVA using the pc-SPSS (version 10.0) program. Result: The mean score of trait anger and anger-in were higher in adolescent women with an insecure attachment style compared to women with a secure attachment style. Conclusion: This finding suggests that family environment factors such as attachment styles are related to trait anger and anger expression in adolescent women. There is a need to further clarify the relationship of attachment style, trait anger and anger expression in adolescent men.