• 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.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.11 no.1
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• pp.49-58
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• 2004

Purpose: This study was done to identify the relationship of expressions of hostility, trait anger, and anger in patients with Coronary Artery Disease (CAD). Method: Ninety patients between 30 and 80 who were admitted to A hospital participated in the study. Data were collected through a questionnaire survey using convenience sampling. The research tool consisted of 24 questions by Costa et al (1986) and 10 questions specifically on anger from the Korean version (Chon, Hahn, & Lee, 1998) of the State-Trait Anger Inventory by Spielberger (1988). All of the questions were answered using a 4-point Likert scale. The data were analyzed with SPSS Win version 10.0. Result: Mean scores for hostility, trait anger, anger-out, anger-in, and anger-control were 2.51, 2.19, 1.93, 1.85, and 2.56, respectively. Hostility and trait anger showed a significantly positive correlation to anger-out and anger-in. Conclusion: This study presented baseline data that indicate that psychosocial factors are associated with the occurrence and progression of CAD. Accordingly, various programs that include psychological interventions are required to diminish the level of hostility and anger. Also, further studies should be conducted with larger patient populations.

• Korean journal of health promotion
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• v.18 no.4
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• pp.147-158
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• 2018

Background: This study was designed to investigate the effects of usual negative emotional experiences on biological aging progression of human. Methods: A total of 237 subjects who visited the Health Promotion Center at Chungnam National University Hospital from May 2013 through September 2013 was enrolled. Each subject had been drawn up a structured questionnaire about usual experiences of depression, anxiety, anger, and anger expression. The degree of biological aging progression of each subject was computed by a specific formula which consisted of chronological age and biological age reflecting obesity and aging of main organs. Results: Trait anger and low education level showed the significant correlations with biological aging (r=0.160, P=0.014, and r=-0.189, P=0.024, respectively). Trait anger and low education level solely displayed the significant $R^2s$ for biological aging in consequence of multivariate analyses; $R^2=0.044$, P=0.020, and $R^2=0.022$, P=0.038, respectively. Conclusions: This study suggests that the significant relationship between usual anger experience (i.e., trait anger) and biological aging would be present. In addition, lower education level may be related with biological aging.

• 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.

• Science of Emotion and Sensibility
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• v.20 no.1
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• pp.95-104
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• 2017

This study aims to develop a reliable and valid Geriatric Reaction Inventory-Simplified Form (GRI-SF). Reaction inventory for measuring anger (Evans & Stangelang, 1971) is an assessment tool in a view of stimuli for measuring the level of anger invoked from the anger-triggered experiences. Yet, the inventory, comprised of 76 items, is sometimes incapable of finishing up the lengthy questionnaire. In the sense, a simplified form of RI is necessary for those lacks cognitive ability such as stroke patients or the elderly. In study 1, a full version of Reaction Inventory was given for the elder who are above 60, and ten items out of 76 was selected to form GRI-SF based on the psychometric theory. In study 2, the reliability and validity of GRI-SF was tested by another sample group of elderly with some additional examinations. The reliability was good with Cronbach's alpha of 0.79. Based on the fact that GRI-SF measures the personal trait anger, GRI-SF should not be only strong correlation with the scores of trait anger strongly, but be less correlated with scores representing other aspects of anger. As a result, GRI-SF score showed strong correlations with trait anger among other sub-categories of State-Trait Expression Inventory (STAXI), and was less correlated with anger-out score which reflects behavioral aspect of anger. Moreover, it is less correlated (r=.41) with hostility representing attitudinal or cognitive aspects of anger. Consequently, GRI-SF, constructed by this research, is verified to be a reliable and valid tool for anger measurement.

• 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).

• Korean Journal of School Psychology
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• v.17 no.1
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• pp.87-107
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• 2020

The purpose of this study was to examine the mediating effect of functional and dysfunctional expressions of anger on the relationship between covert narcissism and dating violence among college students. The study also investigated gender differences with regard to covert narcissism, dating violence, and functional and dysfunctional expressions of anger. To this end, 339 college students (133 males, 206 females) with heterosexual dating experiences in the Busan Metropolitan area were recruited. They responded to the Covert Narcissism Scale, the Revised Conflict Tactics Scale 2, and the Korean adaptation of the State-Trait Anger Expression Inventory. The results were as follows. First, covert narcissism, dating violence, and functional and dysfunctional expressions of anger differed significantly by gender. Second, there were statistically significant correlations between covert narcissism, dating violence, and functional and dysfunctional expressions of anger. Third, multiple regression analysis showed that dysfunctional expressions of anger for males were positively correlated with dating violence while functional expressions of anger were negatively correlated. For females, dysfunctional expressions of anger were positively correlated with dating violence while functional expressions of anger were not significantly correlated. Fourth, dysfunctional expressions of anger completely mediated the relationship between covert narcissism and dating violence for both males and females, but functional expressions of anger had no mediating effect. These results suggest that dysfunctional anger expression control program should be developed for students which may help those with covert narcissistic tendencies to functionally express their anger. Future research should analyze dating violence prevention and counseling programs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.2
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• pp.304-311
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• 2006

Purpose: This study was done to examine the relation of self-reported adult attachment style, perceived parental rearing styles and anger in undergraduate students. Method: The six hundred and fifty undergraduate students participating in this descriptive correlational design study were conveniently sampled from K University and S College located in Seoul, Korea. The instruments were Spielberger's state-trait anger expression inventory - Korean version(Chon, Han, Lee & Spielberger, 1997), the instrument for measuring attachment styles by Hazen and Shaver (1987), and Hong's instrument for measuring parental rearing style(2001). Data were analyzed by descriptive statistics, t-test, $X^2-test$, ANOVA, and cluster analysis using pc-SAS(version 8.0e) program. Results: The mean scores for trait anger and anger-in were higher in undergraduate students with insecure and ambivalent attachment style compared to students with a secure attachment style. The mean score for anger-control was highest in undergraduate students with a secure attachment style. The parental rearing styles by cluster analysis were grouped as Neglect, Permissive, Democratic, and Protective-control. The mean scores for trait anger, anger-in, and anger-out were higher in undergraduate students with 'Neglect' parental rearing style than in those with 'Democratic' and 'Protective-control' rearing styles. Conclusion: Trait anger and anger expression might be related to an attachment style and/or a parental rearing style.

• Journal of Oriental Neuropsychiatry
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• v.33 no.3
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• pp.317-327
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• 2022

Objectives: To examine clinical effects of Korean medical treatment on depressive disorder. Methods: Medical records of 102 patients diagnosed with depressive disorder who were treated with Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 12 weeks and measured psychological scales (Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI)) every 4 weeks were analyzed. Results: After 12 weeks of treatment, BDI-II, STAI-X-1/2, BAI, and STAXI-S/T all decreased statistically significantly. STAI-X-1 and BAI were significantly decreased throughout the treatment interval (comparisons every 4 weeks). The other four scales decreased significantly from 0 to 4 weeks and from 8 to 12 weeks. Conclusions: Treatment for depressive disorder with Korean Medicine was effective not only in improving overall symptoms of depressed patients, but also in improving accompanying anxiety, anger, and physical symptoms. In addition, since all scores were gradually decreased, continuous treatment would be important.

• Anxiety and mood
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• v.14 no.1
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• pp.36-43
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• 2018

Objective : There is an increasing number of people are not satisfied with their appearance and shape. Therefore, assessment tools are needed to evaluate the appearance or body shape. This study investigated the reliability and validity of a Korean version of the Body Shape Questionnaire (BSQ). Methods : Participants completed the BSQ, Body Dysmorphic Disorder Examination-Self Report, Eating Disorder Inventory-2, Beck Depression Inventory, Self-Esteem Scale, State-Trait Anger Expression Inventory, and State-Trait Anxiety Inventory. Results : The Korean version of BSQ presented satisfactory test-retest reliability, internal consistency and validity. Exploratory factor analysis yielded four factors as follow: feeling fat, shame and inferiority about one's body shape, attitudes concerning body image perception, and purging behavior. Conclusion : These results show the Korean BSQ exhibits good psychometric properties and can accurately evaluate the body shape concerns among Korean adults.