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Role of anxiety and anger in acne patients: a relationship with the severity of the disorder.

Studies investigating the possible role of personality and emotional factors in acne patients have yielded inconsistent and sometimes contradictory results. In the present study acne patients self-rated the severity of their conditions as mild, moderate, or severe and were compared to a control group on several personality variables. These self-ratings were compared to the objective ratings made by their dermatologists. Acne patients who self-rated their conditions as severe were found to experience significantly higher levels of trait anxiety than patients with mild and moderate conditions and control subjects; patients with severe and moderate conditions showed a higher state of anxiety than control subjects. Acne patients rated as severe by their dermatologists showed higher states of anxiety, "anger-in," and "anger-out" than the others. No other significant differences in terms of severity emerged, supporting the view that acne patients are not markedly neurotic. The results suggest that anxiety and anger are significant factors for severe acne patients and that future research should include severity ratings from both patients and physicians in the research design.

Acne Vulgaris↗

Anger, anxiety, and depression in early adolescents from intact and divorced families.

This study examined differences in anger, anxiety, and depression between early adolescents from divorced families and early adolescents from intact families. To control for extraneous variables, 24 early adolescents from divorced families were matched with 24 early adolescents from intact families according to gender, age, race, and grade in school. All responded to measures of state anger, state anxiety, and depression. Using the t test, one of the three hypotheses was supported. Statistically significant differences were found in state anger, but not in state anxiety or depression, between the two groups. Implications for nursing are addressed.

Adolescent↗

The relation of aggression, hostility, and anger to lipopolysaccharide-stimulated tumor necrosis factor (TNF)-alpha by blood monocytes from normal men.

Aggression, hostility, and anger significantly predict morbidity and mortality from atherosclerotic cardiovascular disease (ACVD). ACVD is believed to be an inflammatory disease characterized by increased expression of a number of proinflammatory cytokines, such as tumor necrosis factor (TNF)-alpha. This study examined the relation of aggression, hostility, and anger to monocyte-associated TNF-alpha expression following lipopolysaccharide (LPS) stimulation. Participants were 62 healthy, non-smoking men (aged 18-45 years). Hostility, anger, verbal, and physical aggression were assessed using the Buss-Perry aggression questionnaire (BPAQ). LPS-stimulated TNF-alpha expression was determined using dual-color flow cytometry gating for CD14(+) cells. After controlling for age, race, education, and alcohol use, scores on the hostility (p=.013), physical aggression (p=.010), and verbal aggression (p=.034) subscales, and the total score (p=.007) on the BPAQ were positively associated with LPS-stimulated TNF-alpha expression. The results suggest that hostility and aggression are associated with an increased expression of TNF-alpha, a cytokine implicated in ACVD.

Adolescent↗

Anger and other psychological factors in coronary atherosclerosis.

This study of 519 coronary angiography patients failed to replicate our earlier findings in 90 angiography patients (Tennant & Langeluddecke, 1985) which showed that trait tension, trait anxiety and suppression of anger were correlates of atherosclerosis. In the present study a variety of psychological measures, including state and trait anxiety, tension, anger, locus of control and suppression of anger, depression and anxiety, showed no significant association with coronary atherosclerosis as assessed by coronary angiography.

Adult↗

Anger, dissociation, and posttraumatic stress disorder among female assault victims.

The goal of the present study was to explore the relationship between anger and dissociation and their relationship to symptoms of post-trauma pathology. One hundred four female assault victims were assessed prospectively 2, 4, and 12 weeks post-assault. Measures of posttraumatic stress disorder (PTSD) severity, social functioning, anger, and dissociation were obtained at all assessments. Results revealed that differentiation between symptoms that predict later PTSD and impaired social functioning first becomes evident at 4 weeks post-assault. At 4 weeks post-assault, anger expression was predictive of later PTSD severity, whereas dissociation was predictive of poorer later functioning.

Adaptation, Psychological↗

Spirituality, resilience, and anger in survivors of violent trauma: a community survey.

This study evaluates the relationship between spirituality, resilience, anger and health status, and posttraumatic symptom severity in trauma survivors. A community sample (N = 1,200) completed an online survey that included measures of resilience, spirituality (general beliefs and reincarnation), anger, forgiveness, and hatred. In survivors of violent trauma (n = 648), these measures were evaluated with respect to their relationship to physical and mental health, trauma-related distress, and posttraumatic symptom severity. Using multivariate regression models, general spiritual beliefs and anger emerged in association with each outcome, whereas resilience was associated with health status and posttraumatic symptom severity only. Forgiveness, hatred, and beliefs in reincarnation were not associated with outcome. The importance of these findings to treating trauma survivors is discussed.

Adaptation, Psychological↗

Predicting PTSD symptoms in victims of violent crime: the role of shame, anger, and childhood abuse.

To examine the role of cognitive-affective appraisals and childhood abuse as predictors of crime-related posttraumatic stress disorder (PTSD) symptoms, 157 victims of violent crime were interviewed within 1 month post-crime and 6 months later. Measures within 1 month post-crime included previous physical and sexual abuse in childhood and responses to the current crime, including shame and anger with self and others. When all variables were considered together, shame and anger with others were the only independent predictors of PTSD symptoms at 1 month, and shame was the only independent predictor of PTSD symptoms at 6 months when 1-month symptoms were controlled. The results suggest that both shame and anger play an important role in the phenomenology of crime-related PTSD and that shame makes a contribution to the subsequent course of symptoms. The findings are also consistent with previous evidence for the role of shame as a mediator between childhood abuse and adult psychopathology.

Adolescent↗

Victim and perpetrator accounts of interpersonal conflict: autobiographical narratives about anger.

Subjects furnished autobiographical accounts of being angered (victim narratives) and of angering someone else (perpetrator narratives). The provoking behavior was generally portrayed by the perpetrator as meaningful and comprehensible, whereas the victim tended to depict it as arbitrary, gratuitous, or incomprehensible. Victim accounts portrayed the incident in a long-term context that carried lasting implications, especially of continuing harm, loss, and grievance. Perpetrator accounts tended to cast the incident as a closed, isolated incident that did not have lasting implications. Several findings fit a hypothesis that interpersonal conflicts may arise when a victim initially stifles anger and then finally responds to an accumulated series of provocations, whereas the perpetrator perceives only the single incident and regards the angry response as an unjustified overreaction. Victim and perpetrator roles are associated with different subjective interpretations.

Anger↗

Regulating responses to anger: effects of rumination and distraction on angry mood.

Previous research has found that self-focused rumination maintains or increases depressed mood, whereas distraction decreases depressed mood (S. Nolen-Hoeksema & J. Morrow, 1993; S. Nolen-Hoeksema, J. Morrow, & B. L. Fredrickson, 1993). The present series of experiments examined these mood regulation strategies in the context of an angry mood. In Experiments 1 and 3, rumination increased anger, whereas distraction decreased or had no effect on anger. In Experiments 2 and 4, women were more likely to choose to ruminate when in a neutral mood but to distract themselves following induction of an angry mood. Men were equally likely to choose rumination or distraction, regardless of mood condition. The results are interpreted and discussed within the framework of an associative-network model of anger.

Adaptation, Psychological↗

Attachment and anger in an anxiety-provoking situation.

In this study, women were told they would engage in an anxiety-provoking activity. Women then waited with their dating partner for the activity to begin. During this 5-min "stress" period, each couple's interaction was videotaped unobtrusively. Each couple was then told that the woman would not have to do the stressful activity, and each couple was unobtrusively videotaped again during a 5-min "recovery" period. The behavior of both partners was then coded during both periods. The major results revealed that more-avoidant men displayed greater anger during the stress period, especially if their partners were more anxious or distressed or sought more support from them. More-avoidant women also displayed greater anger, particularly if they were highly anxious or distressed and received little support or encountered anger from their partners. During the recovery period, highly ambivalent women behaved more negatively toward their partners if they had been more anxious in the stress period or had sought more support from their partners. These results are discussed in terms of attachment theory.

Adolescent↗

The terrible twos--anger and anxiety. Hazardous to your health.

Anxiety and anger are hazardous to health. This article offers a selective review of research that illustrates how anxiety and anger increase vulnerability to illnesses, compromise the immune system, increase lipid levels, exacerbate pain, and increase the risk of death from cardiovascular disease and from all sources of death. Possible mechanisms for such effects are identified, including the role of cardiovascular reactivity. Finally, data are provided on Anxiety Management Training, a brief, structured psychological intervention that has proven effective in anxiety as well as anger management.

Anger↗

Depression, self-esteem, and anger in emerging adulthood: seven-year trajectories.

This study used a school-based community sample (N=920) to examine trajectories of depressive symptoms, self-esteem, and expressed anger in the critical years of emerging adulthood (ages 18-25). Using data from 5 waves, the authors discovered that multilevel models indicated that, on average, depressive symptoms and expressed anger declined, whereas self-esteem increased. Between-persons predictors of variability in trajectories included gender (gender gaps in depressive symptoms and self-esteem narrowed), parents' education, and conflict with parents (depressive symptoms and expressed anger improved fastest in participants with highly educated parents and in those with higher conflict). Across time, increases in social support and marriage were associated with increased psychological well-being, whereas longer periods of unemployment were connected with higher depression and lower self-esteem. Emerging adulthood is a time of improving psychological well-being, but individual trajectories depend on specific individual and family characteristics as well as role changes.

Adolescent↗

Effects of forgiveness therapy on anger, mood, and vulnerability to substance use among inpatient substance-dependent clients.

Anger and related emotions have been identified as triggers in substance use. Forgiveness therapy (FT) targets anger, anxiety, and depression as foci of treatment. Fourteen patients with substance dependence from a local residential treatment facility were randomly assigned to and completed either 12 approximately twice-weekly sessions of individual FT or 12 approximately twice-weekly sessions of an alternative individual treatment based on routine drug and alcohol therapy topics. Participants who completed FT had significantly more improvement in total and trait anger, depression, total and trait anxiety, self-esteem, forgiveness, and vulnerability to drug use than did the alternative treatment group. Most benefits of FT remained significant at 4-month follow-up. These results support FT as an efficacious newly developed model for residential drug rehabilitation.

Adult↗

Predicting inept discipline: The role of parental depressive symptoms, anger, and attributions.

Relations among parents' psychological difficulties (i.e., depressive symptoms, overt anger), dysfunctional attributions for child misbehavior, and inept discipline were investigated in a representative community sample of 451 mothers and 449 fathers. Depressive symptoms and anger were hypothesized to relate to discipline via their link with parents' attributions. Path analyses revealed that depressive symptoms predicted parent-centered causal attributions (i.e., stable, global, and dispositional), which, in turn, related to laxness. Depressive symptoms also predicted child-centered responsibility attributions (i.e., controllable, intentional, and negative), which, in turn, related to overreactivity. Anger predicted overreactivity directly. The patterns of relations were similar for fathers and mothers. The importance of addressing parents' psychological difficulties and dysfunctional attributions in interventions for families with disruptive children is discussed.

Adult↗

Exploring the psychological underpinnings of the moral mandate effect: motivated reasoning, group differentiation, or anger?

When people have strong moral convictions about outcomes, their judgments of both outcome and procedural fairness become driven more by whether outcomes support or oppose their moral mandates than by whether procedures are proper or improper (the moral mandate effect). Two studies tested 3 explanations for the moral mandate effect. In particular, people with moral mandates may (a) have a greater motivation to seek out procedural flaws when outcomes fail to support their moral point of view (the motivated reasoning hypothesis), (b) be influenced by in-group distributive biases as a result of identifying with parties that share rather than oppose their moral point of view (the group differentiation hypothesis), or (c) react with anger when outcomes are inconsistent with their moral point of view, which, in turn, colors perceptions of both outcomes and procedures (the anger hypothesis). Results support the anger hypothesis.

Abortion, Induced↗

Overt anger in response to victimization: attributional style and organizational norms as moderators.

Prior theory and research suggests a positive relation between perceived victimization and overt anger. The authors proposed and tested a theoretical extension of this link by investigating possible moderating effects of individual and contextual variables. A sample of 158 employees of a municipality was used to test hypotheses that the relationship between perceived victimization and overt anger is moderated by hostile attributional style and perceptions of organizational norms. The results showed that the relation between perceptions of direct victimization and overt anger was stronger when the employee had a more rather than less hostile attributional style and when the employee perceived the organizational norms as more rather than less oppositional.

Adult↗

The appraisal basis of anger: specificity, necessity and sufficiency of components.

The nature of the association between anger and 5 appraisal-action tendency components--goal obstacle, other accountability, unfairness, control, and antagonism--was examined in terms of specificity, necessity, and sufficiency. In 2 studies, participants described recently experienced unpleasant situations in which 1 of the appraisal-action tendency components was present or absent and indicated which emotions they had experienced. The results showed that (a) other accountability and arrogant entitlement, as an instance of unfairness, are specific appraisals ability for anger; and most important, (b) none of the components is necessary or sufficient for anger. The findings suggest that the relation between emotions and appraisal-action tendency components should be conceptualized instead as a contingent association, meaning that they usually co-occur.

Adolescent↗

Repressive and defensive coping during fear and anger.

In this study, the relationship between repressive and defensive coping styles and somatovisceral responses as well as emotion self-reports were investigated in 2 situational contexts conceived to induce fear and anger. Anxiety (State-Trait Anxiety Inventory; L. Laux, P. Glanzmann, P. Schaffner, and C. D. Spielberger, 1981) x Defensiveness (Marlowe-Crowne Social Desirability Scale; D. P. Crowne and D. Marlowe, 1960) x Emotion (fear, anger) moderated regression analyses revealed that compared with baseline during fear, defensiveness was related to a decrease in heart rate variability. Also during fear, repressive-defensive copers had lower self-reports of negative affect but showed higher behavioral negative affect (m. corrugator reactivity) than other participants. During anger, defensiveness was positively related to both diastolic blood pressure reactivity and m. zygomaticus reactivity. Additional analyses showed that emotional responses of repressive-defensive copers were strongly moderated by the situational context.

Adaptation, Psychological↗