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PubMed2002

Partners' ratings of combat veterans' anger.

Spouse reports may serve as an important source of collateral information in the assessment of posttraumatic stress disorder (PTSD) and associated behavioral problems. This study examined the concordance of anger reports among 94 combat veterans and their partners. Veterans' scores on subscales of the Multidimensional Anger Inventory were compared with scores on a parallel version completed by partners to assess veterans' anger symptomatology. The study examined whether the concordance between veteran and partner-reported anger is moderated by whether the veteran suffers from PTSD. There was moderate agreement between veterans and their partners on reports of anger and little evidence to suggest that PTSD diagnosis affected the convergence between partner and veteran scores.

Anger↗
PubMed2003

Anger in young black and white workers: effects of job control, dissatisfaction, and support.

This cross-sectional study tested the hypothesis that characteristics of work that contribute to job strain also increase anger in young service-sector workers. A new measure of anger directed at coworkers, supervisors, and customers was regressed on job strain indices (job control, coworker and supervisor support, dissatisfaction) in models that controlled for dispositional negative affect and work status. Results in a sample of 230 young Black and White men and women revealed that low levels of job control and social support, and high levels of job dissatisfaction, were independently associated with increased work-related anger. Moreover, social support moderated the impact of low job control on anger directed at coworkers. Findings indicate that anger experienced at work may be an early marker of job stress, which has been prospectively related to cardiovascular disease.

Adult↗
PubMed1997

A comparison of tension headache sufferers and nonpain controls on the State-Trait Anger Expression Inventory: an exploratory study with implications for applied psychophysiologists.

Studies that have examined the relationship between personality characteristics and tension headache have arrived at conflicting and, for the most part, negative results. In recent years, a number of investigators have begun examining the relationship between anger and psychophysiological disorders, focusing mostly on anger which is suppressed or held in rather than expressed behaviorally. The present study explored the relationship between anger in 59 tension headache subjects and compared their results to 33 nonpain controls. Materials consisted of the revised research edition of the Spielberger State-Trait Anger Expression Inventory. As predicted, tension headache sufferers were found to have significantly more anger held inward than nonpain controls. Implications for applied psychophysiology treatment and future research directions are discussed.

Adult↗
PubMed2004

A concise measure of anger in combat-related posttraumatic stress disorder.

There is a need for a brief specific measure of anger for use in assessment of posttraumatic mental health problems. One unpublished short scale is the Dimensions of Anger Reactions (DAR; R. Novaco, 1975). This study examined the psychometric properties of the DAR using intake and 12-month data for 192 Australian Vietnam veterans with combat-related PTSD. Results showed the DAR to be unidimensional, reliable, and sensitive to change over time, and removal of two items improved the scale's properties. The DAR measures anger disposition directed towards others. Assessment of convergent validity indicated that the DAR primarily measures Trait Anger. Results suggest that the DAR is a psychometrically strong measure, potentially useful for the evaluation of anger in PTSD.

Anger↗
PubMed1992

How loss affects anger and alienates potential supporters.

The effects of loss of resources and illness symptoms on experienced anger, anger expression, and supporter's anger was studied among patients with severe chronic breathing disorder. Both illness symptoms and resource loss were related to greater anger. Angry feelings, in turn, led to more angry behavior. This angry behavior, in turn, resulted in increased anger of supporters. This process illustrates how chronic stress depletes both personal resources and social resources, making the individual increasingly vulnerable to further stressful experiences, inevitably to be confronted in chronic stress sequences.

Adaptation, Psychological↗
PubMed1980

Anger arousal and personality characteristics.

This study examines personality differences between subjects manifesting varying degrees of anger arousal. From a subject pool of 150 male and female college students, 91 high, medium, and low Anger Self-Report scorers and 90 high, medium, and low Anger Inventory scorers were selected for comparison on the California Psychological Inventory. As hypothesized, high-anger-arousal subjects scored lower on socialization, self-control, tolerance, psychological-mindedness, and flexibility. Also, low-anger-arousal subjects scored lower on self-acceptance and higher on responsibility, socialization, and good impression.

Adolescent↗
PubMed1989

Stability and level of self-esteem as predictors of anger arousal and hostility.

We examined stability of self-esteem and level of self-esteem as predictors of dispositional tendencies to experience anger and hostility. We reasoned that individuals with unstable high self-esteem would report especially high tendencies to experience anger and hostility, and that individuals with stable high self-esteem would report particularly low tendencies. We expected individuals with stable and unstable low self-esteem to fall between these two extremes. These predictions were derived from an analysis of anger and hostility that emphasized the instigating role of threats to self-esteem. Stability of self-esteem was assessed through multiple assessments of global self-esteem in naturalistic settings. Results revealed the predicted pattern for the tendency to experience anger and a "motor" component of hostility. The importance of considering both stability and level of self-esteem in analyses of anger and hostility is discussed.

Adult↗
PubMed1996

Assessing individual differences in constructive versus destructive responses to anger across the lifespan.

Scenario-based, self-report measures were developed to assess how people characteristically experience and manage anger from middle childhood through adulthood. The Anger Response Inventories (ARIs) for children, adolescents, and adults each assess (a) anger arousal, (b) intentions, (c) cognitive and behavioral responses, and (d) Long-term consequences. Several independent studies provide support for the reliability and validity of the ARIs. Theoretically consistent patterns of correlations were observed with (a) global self-report measures of hostility, aggression, and anger-management strategies (adult version); (b) teacher reports of behavioral and emotional adjustment (child and adolescent versions); and (c) self- and family-member reports of behaviors on specific anger episodes (adolescent and adult versions). Findings from additional personality and developmental studies are summarized, further supporting construct validity.

Adaptation, Psychological↗
PubMed2004

Appraisal as a pervasive determinant of anger.

L. Berkowitz and E. Harmon-Jones (2004) challenge appraisal theories of emotion by describing 2 sets of conditions (physical discomfort and anger-related muscle actions) in which anger appears to be elicited in the absence of theoretically predicted appraisals. In response, the authors discuss the ability of the specific appraisal model they have developed (e.g., C. A. Smith & L. D. Kirby, 2000, 2001; C. A. Smith & R. S. Lazarus, 1990) to account for such instances of anger. First, a number of issues are clarified relevant to the authors' model, including the nature of both the cognitive operations underlying appraisal and the specific appraisals hypothesized to evoke anger. The authors then describe how their model can account for the instances of anger described by L. Berkowitz and E. Harmon-Jones and how both accounts might be tested.

Adaptation, Psychological↗
PubMed2002

The essence of women's moral perspectives in anger expression situations.

This inquiry's purpose was to describe the meaning (essence) of moral perspective in adult women's experiences of anger expression. Moral perspectives have been perceived as pivotal to how one constructs and problem-solves real life dilemmas. Since some modes of anger expression have been identified as unhealthy, uncovering the meaning of moral perspectives in women's anger expression experiences could be significant to women's health. Through phenomenological interviews, 24 women, aged 21-65 (4 African-American and 20 Euro-American), reflected on an experience when they were angry and had to think about the right way to express their anger. Significant statements were extracted and thematized. Next, themes were clustered into the following essences of the experience: the realities of the self as moral, the morality of anger expression and the morality of outcomes.

Adult↗
PubMed2006

[The distressed personality (type D)--correlations with anger, aggression and hostility].

Type D (distressed personality) comprises the joint tendency to experience negative emotions (negative affectivity) and to inhibit these emotions in social situations (social inhibition). The distressed personality can be assessed by the Type D scale (DS14). In the present study, the German version of the DS14 was to be validated especially with regard to its interrelation with anger, aggression and hostility. The study included a clinical sample of 90 patients with coronary heart disease and a nonclinical sample of 86 participants. The two-factor structure of the DS14 could be confirmed in both samples. As expected, the subscale negative affectivity correlates highly with neuroticism; the subscale social inhibition correlates highly with extraversion. Negative affectivity also relates to almost every anger and aggression scale applied in this study. Participants classified as Type D report higher anger experience than non-Type D-classified persons. They show both heightened anger-in and anger-out and encounter others with more cynicism and hostility. It seems promising to provide special psychological treatment for these patients.

Adult↗
PubMed1995

Etiology and management of anger in groups: a psychodynamic view.

The author postulates that theoretical explanations of the etiology of anger and aggression inform the group therapist's interventions. Four psychodynamic schools of thought--drive theory, ego psychology, object relations theory, and self psychology--are discussed. Choice of the best-suited theory to increase understanding may vary according to the particular patient and/or set of group circumstances. A pitfall to be avoided is forcing any given individual, event, or process into a specific school of thought. In the group, special issues related to anger exist: the therapist's vulnerability to narcissistic injury if made the focus of anger, the increased intensity and force of anger that can be mustered in a group, and the safety afforded patients as they, outnumbering the therapist(s), express anger.

Anger↗
PubMed1995

Working with anger in groups: a modern analytic approach.

The development of Modern Psychoanalytic psychotherapy with schizophrenic and borderline patients is briefly traced, and the major themes of the treatment approach that derived from that early work are discussed with attention to their application in group therapy. These themes include the concepts of the narcissistic defense, narcissistic transference, joining or reinforcing defenses, emotional communication, and a shift away from the classical psychoanalytic emphasis on interpretation and insight to a strategy of helping the patient put all his or her thoughts and feelings into language in a constructive manner. These principles are discussed in connection with three kinds of problems involving anger in therapy groups: members' anger destructively turned against their own egos, anger expressed toward the leader within a negative transference, and anger destructively expressed toward others in the group. Lastly, consideration is given to the group leader's anger and its expression within the group. Some contrasts are made between the Modern Analytic approach and the classical Freudian position as well as Kohut's self psychology.

Anger↗
PubMed1987

The relation of essential hypertension to feelings of anxiety, depression and anger.

Franz Alexander (1939) offered the hypothesis a number of years ago that hypertension can result from the inhibition of feelings of anger. Although a great deal of research has been done to test this hypothesis, the results remain equivocal. Part of the difficulty is that usually only anger was examined, making it impossible to determine the extent to which the results were specific to anger and not general for other negative emotions. A second prevalent problem has been the failure to match hypertensive and control groups on demographic variables that may be relevant to the relationship of hypertension to anger and its expression, such as education, economic level, and age. A third problem is that most studies have investigated only male hypertensives, thereby limiting the generality of the findings. The present study compares male and female hypertensives with carefully matched controls on measures of anxiety, depression, and anger and its suppression.

Adult↗
PubMedDate not supplied

Women's anger, aggression, and violence.

Themes of powerlessness, power, and paradox predominate in this reflection on more than 15 years of research on women's anger. Studies conducted in the United States, France, and Turkey are highlighted. These studies have negated several myths while illuminating the general rationality of women's anger: It is squarely grounded in interpersonal interactions in which people deny women power or resources, treat them unjustly, or behave irresponsibly toward them. The offenders are not strangers; rather they are their closest intimates. But few women learned healthy anger expression while growing up. Anger is a confusing and distressing emotion for women, intermingled with hurt and pain. Its complexity requires greater attention by researchers, with regard to health-promoting interventions and to cultural differences, because anger in non-Western cultures has seldom been explored.

Adaptation, Psychological↗
PubMed1997

Case study: ego-dystonic anger attacks in mothers of young children.

Parental anger can have detrimental effects on children and can contribute to physical abuse. Ego-dystonic anger attacks are an underrecognized psychiatric symptom that occurs in associated with depression, with other psychiatric disorders, and in the absence of comorbid disorders. They are characterized by overwhelming anger and autonomic arousal occurring upon provocation viewed as trivial by the individual, and they respond well to treatment with serotonergic antidepressants. Consequently, they represent a readily treatable problem. Four cases of anger attacks in mothers of young children are described to illustrate the importance of recognizing and treating anger attacks.

1-Naphthylamine↗
PubMed1999

Anger management for adolescents: efficacy of brief group therapy.

OBJECTIVES: To investigate the efficacy of a brief, manual-based group therapy for adolescents with poor anger control. A previously developed anger management treatment package of 10 to 12 sessions was condensed to a 4-session package to be given within 2 weeks. Immediate effectiveness and the transfer of skills were investigated; anger management skills not only had to be acquired, they also had to be used in the adolescents' natural social interactions. METHOD: Fifty adolescent psychiatric inpatients were selected for high levels of anger and randomly assigned to treatment or control conditions. Pre- and posttreatment measures were administered to subjects and adults who rated the subjects' behaviors. RESULTS: Pre/post self-report measures, as well as behavior ratings by adults, indicated that the patients who went through the anger management series exhibited significantly improved skills. CONCLUSIONS: These results suggested that the intervention for adolescents was effective even though it was condensed, but it should not be further abbreviated.

Adaptation, Psychological↗
PubMed2001

Anger, impulsivity, social support, and suicide risk in patients with posttraumatic stress disorder.

An emerging literature suggests that posttraumatic stress disorder (PTSD) patients are at an increased risk for suicide. The objective of this study was: a) to reexamine the relationship between PTSD and suicide by comparing suicide risks of persons with PTSD, to persons with anxiety disorder and to matched controls; and b) to examine the relationship between anger, impulsivity, social support and suicidality in PTSD and other anxiety disorders. Forty-six patients suffering from PTSD were compared with 42 non-PTSD anxiety disorder patients and with 50 healthy controls on measures of anger, impulsivity, social support, and suicide risk. Persons with PTSD had the highest scores on the measures of suicide risk, anger, and impulsivity and the lowest scores on social support. Multivariate analysis revealed that in the PTSD group, impulsivity was positively correlated with suicide risk and anger was not. PTSD symptoms of intrusion and avoidance were only mildly correlated with suicide risk at the bivariate level but not at the multivariate level. For the PTSD and anxiety disorder groups, the greater the social support, the lower the risk of suicide. For the controls, social support and impulsivity were not related to suicide risk, whereas anger was. These findings suggest that persons with PTSD are at higher risk for suicide and that in assessing suicide risk among persons with PTSD, careful attention should be paid to levels of impulsivity, which may increase suicide risk, and to social support, which may reduce the risk.

Adolescent↗