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Fear and anger in delusional (paranoid) disorder: the association with violence.

We report a series of 15 patients with delusional (paranoid) disorder as defined in DSM-III-R. All were supervised by a forensic psychiatry service after violent or threatening acts. We hypothesised that delusions and actions in these patients would be congruent with an abnormal mood characterised by fear and anger. Informants and the patients indicated a pervasive and persistent abnormality of mood (fear and defensive anger), with delusions and actions that were congruent with this mood during the offence and for over a month before. Other behaviours, such as fleeing or barricading to avoid delusional persecutors, were also consistent with congruence of mood and delusions. In all cases, violent acts and mood were congruent, but in three cases the violent act was unrelated to delusions. Although a study such as this does not demonstrate that the mood abnormality is primary, we believe moods of fear and anger in delusional disorder are not sufficiently recognised as part of the disorder.

Adolescent↗

Eliciting and measuring children's anger in the context of their peer interactions: ethical considerations and practical guidelines.

Ecologically valid procedures for eliciting and measuring children's anger are needed to enhance researchers' theories of children's emotional competence and to guide intervention efforts aimed at reactive aggression. The purpose of this article is to describe a laboratory-based game-playing procedure that has been used successfully to elicit and measure children's anger across observational, physiological, and self-report channels. Steps taken to ensure that participants are treated ethically and fairly are discussed. The article highlights recently published data that emphasize the importance of provoking and assessing children's anger across multiple channels using laboratory-based procedures. Finally, it presents preliminary data that suggests that the safeguards taken to protect children were successful in making both children and their parents feel well treated and comfortable.

Aggression↗

Domestic violence and anger: what can primary care nurses do?

Patients with anger problems can cause difficulties for themselves, their families and society. Though psychological treatments are available, they are not always accessible. In order to help the victims of domestic violence, we focus here on working with perpetrators of violence. This article offers some statistics about the extent of the problem. It discusses difficulties in motivating patients for therapy and describes the cognitive model of anger. A number of intervention strategies based on this model are then discussed. The purpose is to assist clinicians with less experience of this patient group to help their patients minimize the frequency and severity of the anger incidents. Pointers for good practice are outlined.

Adolescent↗

Driving aggression in forensic and non-forensic populations: relationships to self-reported levels of aggression, anger and impulsivity.

A series of four questionnaires - the Buss-Perry Aggression Questionnaire (AQ), the Barratt Impulsivity Scale (BIS-11), the Driving Anger Scale (DAS) and a Driving Violence Inventory (DVI) - were administered to a sample of 473 British drivers consisting of undergraduates (N=185), members of the public (N=106) and offenders (N=182) serving sentences in closed prisons in England (violent=82, non-violent=100). Offenders consistently rated acts of driving aggression as less severe compared with other drivers. Offender attributions of driving violence differed to other drivers in that they were equally likely to perceive obscene gesturing as high or low intensity responses; they also viewed assault as a high intensity response whereas members of the public rated it more severely. Trait levels of anger and aggression were the predictors of driving violence in all groups but previous aggressive behaviour was only a predictor for the offenders. Gender and age were found to be predictors of aggressive driving in non-offenders. Even with the effects of age controlled, offenders (and violent offenders in particular) scored higher on measures of driving anger and aggression. These data suggest that offenders differ in their perceptions of aggressive behaviours experienced in everyday driving and as a consequence are more likely to commit acts that other drivers perceive as violent. As offenders are known to display similar perceptual biases in other domains, identified as precursors to their aggressive behaviour, it seems likely that experience effects (as reflected in the trait measures) underpin differences in driving aggression between offenders and non-offenders.

Adolescent↗

'I was like a wild wild person': understanding feelings of anger using interpretative phenomenological analysis.

This paper is concerned with illuminating how emotion (anger) and emotion-related phenomena such as feelings, thoughts and expressions appear to the individual person. In particular, it focuses on the role of feelings in emotion experience. It does this through the qualitative analysis of interview material from a single person case study using interpretative phenomenological analysis. The paper examines how the participant feels and experiences anger, the defining characteristics of anger episodes, and how the typical pattern of these episodes is disrupted by life-changes. The findings are examined in light of phenomenological ideas and the utility of these ideas for psychology's understanding of emotion argued for.

Adult↗

Interpersonal sensitivities: their links to mood, anger and gender.

This paper explores two interpersonal sensitivities (to rejection and to social put-down) in a group of 54 depressed men and 50 depressed women. Measures of anhedonia, anxiety, anger, social comparison, and submissive behaviour were also obtained. We found no differences in rejection sensitivity, anger, anhedonia, or anxiety between the sample of depressed men and women. Depressed women rated themselves as more submissive and more inferior than depressed men, and blamed themselves more for being criticized and put-down by other people. Principal components analysis (PCA) revealed three underlying factors: mood (including anxiety and depression), internalization (related to self-blame and feelings of low rank), and externalization (related to anger and blaming others for criticism). For both men and women internalization was significantly correlated with depression. However, externalization was negatively related to depression in women, but positively related to depression in men.

Adult↗

A prospective study of social support, anger expression and risk of periodontitis in men.

BACKGROUND: Stress is associated with poor oral hygiene, increased glucocorticoid secretion that can depress immune function, increased insulin resistance and potentially increased risk of periodontitis. METHODS: The authors examined the association between social support, anger expression and periodontitis in 42,523 male, U.S.-based, health professionals. Subjects were aged 40 to 75 years in 1986, and more than half were dentists. The men were free of a diagnosis of periodontitis at the start of follow-up in 1996. RESULTS: Subjects who reported having at least one close friend had a 30 percent lower risk of developing periodontitis compared with those who did not have a close friend (relative risk, or RR = 0.70; 95 percent confidence interval, or CI, 0.51-0.96). Men who participated in religious meetings or services had a 27 percent lower risk of developing periodontitis compared with men who did not participate in religious meetings (RR = 0.73; 95 percent CI, 0.64-0.83). After the authors adjusted for potential confounding variables, men whose anger scores were in the top quintile were 72 percent more likely to report having periodontitis compared with men whose scores were in the lowest quintile (RR = 1.72; 95 percent CI, 1.39-2.12). Men who reported being angry on a daily basis had a 43 percent higher risk of developing periodontitis compared with men who reported being angry seldom. CONCLUSION: Reduced social isolation and anger expression may play an important role in maintaining oral health, as well as general health and well-being. CLINICAL IMPLICATIONS: When treating patients with periodontitis, clinicians should be cognizant of the social and behavioral factors that may affect oral health.

Adult↗

Narcissistic personality features and self-reported anger.

The relationship between anger and narcissistic personality characteristics was examined for 91 students in introductory psychology courses. 35 individuals high in narcissism reported greater verbally expressed anger. Males high in narcissism were more likely to express anger physically. Results are discussed in terms of DSM-III--R criteria for narcissistic personality disorder.

Adult↗

Humor preferences among angered males and females: associations with humor content and sexual desire.

Previous research has indicated a connection between the appreciation of different content types of humor and the effectiveness of laughter to reduce a hostile mood. Although a person's state of arousal can influence the preferences shown for a particular type of humor, little research has examined how sexual desire may contribute to preferences for humor. Anger was experimentally induced in 180 men and 180 women who had noted sexual desire before exposure to humor with sexual, sexist, and neutral content. Assessment of appreciation scores showed that angered men and women preferred sexual and sexist humor when they reported high sexual desire. Mood assessment indicated this appreciation related to the removal of anger and the reporting of a happy state with low ratings of sexual desire. Participants preferred neutral humor and showed least appreciation of sexist humor. Also, they did not enjoy a reduction in their hostile mood following exposure to humor.

Adolescent↗

Hostility and anger measures in coronary heart disease.

Recent research addressing the link between psychological factors and risk of coronary heart disease (CHD) has focused on the areas of hostility and anger and produced sometimes contradictory results. This study makes use of four questionnaire measures of hostility and anger, which were administered to matched groups with and without CHD. Quicker experiences of anger with greater verbal expression best predicted CHD. The difficulties in teasing out the relative contributions of emotional expression, experience and personality using available questionnaires are discussed.

Adult↗

[Recognition of joy, anger, and fear by face expression in humans].

Behavioral and neurophysiological characteristics of a visual recognition of emotions of joy, anger, and fear were studied in 9 young healthy men and 10 women. It was shown that these emotions were identified by subjects with different rate and accuracy; significant gender differences in recognition of anger and fear were found. Recording of visual evoked potentials (VEP) from the occipital (O1/2), medial temporal (T3/4), inferior temporal (T5/6), and frontal (F3/4) areas revealed differences (related with the type of emotion) in the latencies of P150, N180, P250, and N350 waves and in the amplitude of VEP components with the latencies longer than 250 ms. These differences were maximally expressed in T3/4 derivation. The subjects could be divided in two groups. The first group was characterized by increased VEP latencies and higher amplitudes of VEP components later than 250 ms in response to anger (in comparison with other types of emotions). These phenomena were observed in all the derivations but were most pronounced in T3/4. In the second group, only late P250 and N350 components had shorter latencies during recognition of fear. VEP amplitude variations related with the type of emotions were insignificant and were recorded in the occipital and frontal areas. The two groups of subjects also differed in psychoemotional personality characteristics. It is suggested that primary recognition of facial expression takes place in the temporal cortical areas. A possible correlation of electrophysiological indices of emotion recognition with personality traits is discussed.

Adult↗

Positively channeling workplace anger and anxiety. Part I.

Negative emotions are not only a natural component of the world of work, they must be acknowledged and engaged if individuals are to make good decisions and if businesses are to create effective teams. Understanding that anger is a fear based emotion and that the brain is structured so anger and fear can be processed more quickly than rational thinking provides tremendous insights for occupational health personnel. Occupational and environmental health nurses can use the techniques presented in this article to develop employee self awareness and skills for positively channeling their workplace anger and anxiety.

Anger↗

Anger and depressive states among treatment-seeking drug abusers: testing the psychopharmacological specificity hypothesis.

The aim of this study was to examine the self-medication hypothesis (SMH) of substance abuse. The SMH suggests that drug abuse is driven by an attempt to alleviate specific psychological distress. One prediction from the SMH hypothesis is that drugs of abuse, because of their different pharmacological properties, attract specific patient subgroups. Specifically, this study tested the hypothesis' that opiate abusers experience difficulty managing aggression and that cocaine abusers suffer from distress associated mostly with depression. The State-Trait Anger Expression Inventory (STAXI) and the Beck Depression Inventory II were used to examine levels of anger and depression among three groups of substance abusers (opiates, cocaine, cannabis), defined by their primary drug of abuse. Anger and depression scores were elevated, but contrary to Khantzian's hypothesis, there were few differences between groups, and if anything, opiate addicts were more depressed and the cocaine abusers were angrier on several subscales. Data are discussed in terms of diagnosis and clinical treatment implications.

Adult↗

Proneness to hypomania/mania symptoms or depression symptoms and asymmetrical frontal cortical responses to an anger-evoking event.

The behavioral approach system (BAS) reflects the propensity to respond to signals of reward, including stimuli associated with safety and goal-oriented attack (e.g., anger). Hypomania/mania has been posited to involve increased BAS activity. In contrast, depression has been posited to involve decreased BAS activity. Building on past research, which suggests that increased left frontal cortical activity is a neurophysiological index of BAS activity, the present research tested the hypotheses that proneness toward hypomania/mania symptoms would be related to increased relative left frontal activity and that proneness toward depression symptoms would be related to decreased relative left frontal activity in response to an anger-evoking event. Results from 67 individuals who had completed a measure of proneness toward these affective symptoms and were exposed to an anger-evoking event supported the hypotheses.

Anger↗

The relationship between personality, anger expression, and perceived family control among incarcerated male juveniles.

The literature suggests that a multitude of psychological and social factors can interact to place adolescents at risk for aggression and violence. This study examined three of these factors: personality, affect, and family. Using a heterogeneous sample of male adolescents at risk for violence, a hierarchical, agglomerative cluster analysis was conducted to categorize these adolescents in terms of personality characteristics. Results of the analysis suggested three clusters of at-risk adolescents. Examination of the three cluster types found distinctions between groups on anger expression, trait anger, and trait anxiety, but not family control. It was concluded that, among male delinquents, elevated psychopathology is associated with higher anger and anxiety, but not higher family control.

Adolescent↗

Facing challenges to family-centered care. II: Anger in the clinical setting.

Common sources of parental anger in the hospital setting include visiting restrictions, an unexpected change in the child's health status, confusion resulting from conflicting or insufficient information provided by the staff, and feeling undervalued in the care of their infant or child. Principles of family-centered care can be applied to develop strategies that assist nurses in handling these stressful situations in a professional and therapeutic manner. Nurses' own defensiveness and anger in response to parental anger can also be eased by use of these techniques as well as by mentoring, education, and support.

Adult↗

The relationship of blood pressure to a brief measure of anger during routine health screening.

A brief questionnaire (12 items) was developed to assess aspects of anger that could be expeditiously obtained during health screenings where medical students and residents can acquire valuable research and clinical experience simultaneously. Blood pressures were measured immediately upon sitting and after 3 minutes in 179 subjects who attended a health fair in Nashville. The questionnaire was administered after both blood pressure measurements were acquired. Scores on the measure of anger correlated significantly (P = .0009) with resting systolic blood pressure (SBP) in both blacks and whites while a measure of "John Henryism" showed no correlation with blood pressure in either group (P = .81). The findings are consistent with the literature in supporting a connection between anger and blood pressure but do not support the relationship between John Henryism and blood pressure.

Adult↗

[The Anger Processing Scale. I. Item analysis and reliability determination].

An inventory for assessing different anger-coping strategies was designed. The initial item pool contained 51 items and was presented to a heterogeneous group of 412 subjects. Factoranalytic and itemmetric analyses resulted in a 28 item anger-coping inventory. The factors spontaneous behaviour, controlled affect, guilt and social inhibition were identified. Internal consistency data of the factors (cronbach-alpha) varried between 0.67 and 0.81. In a second analysis the 28 item scale were presented to a heterogeneous group of 100 subjects. In the following analysis the complete factor structure could be replicated, except for three items. This inventory can be used as an instrument for assessing different anger-coping strategies. Clinical application is discussed.

Adaptation, Psychological↗