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Selective impairment in the recognition of anger induced by diazepam.

RATIONALE: Facial expressions appear to be processed by at least partially separable neuro-cognitive systems. Given this functional specialization of expression processing, it is plausible that these neurocognitive systems may also be dissociable pharmacologically. OBJECTIVE: The present study therefore compared the effects of diazepam (15 mg) with placebo upon the ability to recognize emotional expressions. METHODS: A double blind, independent group design was used to compare the effects of diazepam and matched placebo in 32 healthy volunteers. Participants were presented morphed facial expression stimuli following a paradigm developed for use with patients with brain damage and asked to name one of the six basic emotions (sadness, happiness, anger, disgust, fear and surprise). RESULTS: Diazepam selectively impaired subjects' ability to recognize angry expressions but did not affect recognition of any other emotional expression. CONCLUSIONS: The findings are interpreted as providing further support for the suggestion that there are dissociable systems responsible for processing emotional expressions. It is suggested that these findings may have implications for understanding paradoxical aggression sometimes elicited by benzodiazepines.

Adult↗

Relationship between natural killer activity and anger expression in patients with coronary heart disease.

Recently, the contribution of the immune system in the development and progression of arteriosclerosis has been suggested. Moreover, psychological stress has also been reported to affect the immune response. Thus, psychological factors are considered to influence the immune response, and an excessive immune response promotes the progression of arteriosclerosis, resulting in the development of coronary heart disease (CHD). In this study, the relationship between the immune response and psychological factors was investigated in CHD patients (n = 74) and normal controls (n = 64). Natural killer (NK) activity was significantly higher in the CHD group than the normal control (CHD vs normal: 8151.39 vs 6653.06, P < 0.05), and was significantly elevated by the suppression of anger and negative emotions (P < 0.05). These results indicate that the characteristic process of psychological response in CHD patients is related to an overresponse of NK activity. We speculate that this linkage significantly influences the development of CHD.

Adult↗

Anxiety management training and anger control for type A individuals.

The present study sought to explore whether training Type A coronary-prone individuals in stress management would result in a diminution of Type A behaviors. The effectiveness of a single-method approach that focused specifically on anger management was tested. Results showed that the treatment, a modified version of Suinn's Anxiety Management Training, was associated with significant reductions in Type A inventory (Jenkins Activity Survey) scores. Two possible explanations for the results were entertained. First, Type A subjects may have experienced a sense of increased control over potentially threatening person-environment transactions which decreased the need for Type A coping behaviors. And second, the program may have caused Type A subjects to become hypersensitive to the uncomfortable symptoms of stress, and since some Type A behaviors induce stress, Type B behavior may have been negatively reinforced by symptom reduction. It was concluded that the most promising therapeutic target for change may be anger/hostility and that a narrow-focus single-method approach may be the most efficient and effective strategy for modifying coronary-prone behaviors.

Adult↗

Heart rate, anxiety, anger, and arousal reactions to enforced time-wasting: dependence on reactive uncontrol, work involvement, and dominance factors of 'type A'.

The factor structure of 'Type A' was examined in an experiment derived from the observation of Frankenhaeuser et al. (1980) that 'Type A' people are abnormally 'aroused' when deprived of work. Questionnaire scales were used which dissected 'Type A' (based on replicated factor analyses). The sample statistics for 21 female volunteers approximated the parent population statistics on orthogonal scales of Work Involvement (WI), Reactive Uncontrol (RU) and Dominance (D). The laboratory session involved reading for 15 min: (a) self-chosen 'useful' work material and (b) material judged by subjects (Ss) to be 'useless'. Ss and trained observers used the same scales for rating anxiety, arousal and anger states during reading periods. Observers interpreted facial expressions from video-tapes. Finger pulse amplitude and tonic heart rate (HR) were recorded during reading periods. RU (but not WI or D) correlated negatively with HR level and positively with increases in both HR and observed arousal under time-wasting conditions. Combination of changes in HR and observed arousal in a multiple R gave optimum 'prediction' of RU. While much evidence supported Frankenhaeuser's (1980) hypothesis, the multifactorial nature of 'Type A' was demonstrated.

Adolescent↗

Depression in spouses of chronic pain patients: the role of patient pain and anger, and marital satisfaction.

Although several studies have shown that spouses of chronic pain patients may experience clinically significant depressive symptoms few studies have comprehensively examined the role of both patient and spouse-related factors in the development and maintenance of this emotional distress. Twenty-nine married male chronic benign low back pain patients and their spouses were recruited in order to examine the role of patient, spouse, and marital factors in spouse depressive symptomatology. The results indicated that 28% percent of the spouses in the sample reported significantly depressed mood. A 2-stage regression analysis was employed that revealed 3 significant predictors of spouse's depressed mood, namely patient's average pain; patient's reported levels of anger and hostility, and the spouse's level of marital satisfaction. These findings are discussed in terms of their implications for clinical interventions for pain patients and their families.

Adult↗

Contributions from research on anger and cognitive dissonance to understanding the motivational functions of asymmetrical frontal brain activity.

Research has suggested that approach-related positive emotions are associated with greater left frontal brain activity and that withdrawal-related negative emotions are associated with greater right frontal brain activity. Different explanations have been proposed. One posits that frontal asymmetry is due to emotional valence (positivity/negativity), one posits that frontal asymmetry is due to motivational direction (approach/withdrawal), and one posits that frontal asymmetry is due to a combination of emotional valence and motivational direction (positive-approach/negative-withdrawal). Because research had confounded emotional valence and motivational direction, the theoretical explanation was muddled. Solely supporting the motivational direction model, recent research has revealed that anger and cognitive dissonance, emotions with negative valence and approach motivational tendencies, are related to relatively greater left frontal activity.

Anger↗

Emotion recognition bias for contempt and anger in body dysmorphic disorder.

Body dysmorphic disorder (BDD) patients are preoccupied with imagined defects or flaws in appearance (e.g., size or shape of nose). They are afraid of negative evaluations by others and often suffer significant morbidity including hospitalization and suicide attempts. Many patients experience ideas of reference, e.g., they often believe others take special notice of their "flaw". Facial expressions play an important role in conveying negative or positive feelings, and sympathy or rejection. In this study, we investigated emotion recognition deficits in 18 BDD patients and 18 healthy controls. Participants were presented with two questionnaires accompanying facial photographs. One questionnaire included self-referent scenarios ("Imagine that the bank teller is looking at you. What is his facial expression like?"), whereas the other one included other-referent scenarios ("Imagine that the bank teller is looking at a friend of yours," etc.), and participants were asked to identify the corresponding emotion (e.g., anger, contempt, neutral, or surprise). Overall, BDD patients, relative to controls, had difficulty identifying emotional expressions in self-referent scenarios. They misinterpreted more expressions as contemptuous and angry in self-referent scenarios than did controls. However, they did not have significantly more difficulties identifying emotional expressions in other-referent scenarios than controls. Thus, poor insight and ideas of reference, common in BDD, might be related to a bias for misinterpreting other people's emotional expressions as negative. Perceiving others as rejecting might reinforce concerns about one's personal perceived ugliness and social desirability.

Adult↗

Emotion and attention interactions in social cognition: brain regions involved in processing anger prosody.

Multiple levels of processing are thought to be involved in the appraisal of emotionally relevant events, with some processes being engaged relatively independently of attention, whereas other processes may depend on attention and current task goals or context. We conducted an event-related fMRI experiment to examine how processing angry voice prosody, an affectively and socially salient signal, is modulated by voluntary attention. To manipulate attention orthogonally to emotional prosody, we used a dichotic listening paradigm in which meaningless utterances, pronounced with either angry or neutral prosody, were presented simultaneously to both ears on each trial. In two successive blocks, participants selectively attended to either the left or right ear and performed a gender-decision on the voice heard on the target side. Our results revealed a functional dissociation between different brain areas. Whereas the right amygdala and bilateral superior temporal sulcus responded to anger prosody irrespective of whether it was heard from a to-be-attended or to-be-ignored voice, the orbitofrontal cortex and the cuneus in medial occipital cortex showed greater activation to the same emotional stimuli when the angry voice was to-be-attended rather than to-be-ignored. Furthermore, regression analyses revealed a strong correlation between orbitofrontal regions and sensitivity on a behavioral inhibition scale measuring proneness to anxiety reactions. Our results underscore the importance of emotion and attention interactions in social cognition by demonstrating that multiple levels of processing are involved in the appraisal of emotionally relevant cues in voices, and by showing a modulation of some emotional responses by both the current task-demands and individual differences.

Acoustic Stimulation↗

Anger and hostility in adolescents: relationships with self-reported attachment style and perceived parental rearing styles.

OBJECTIVE: To examine relationships between self-reported attachment style and parental rearing behaviors, on the one hand, and anger/hostility, on the other hand, in a sample of nonclinical adolescents (N=441). METHOD: Participants completed (a) a single-item measure of attachment style; (b) a questionnaire measuring perceptions of parental rearing behaviors; and (c) two scales assessing anger and hostility. RESULTS: Self-reported attachment style was related to anger/hostility. That is, adolescents who defined themselves as avoidantly or ambivalently attached displayed higher levels of anger/hostility than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing was also related to anger/hostility. More specifically, low levels of emotional warmth and high levels of rejection, control, and inconsistency were accompanied by high levels of anger/hostility. Finally, regression analyses showed that both attachment status and parental rearing behaviors accounted for a unique and significant proportion of the variance in anger/hostility. CONCLUSION: These findings are in keeping with the notion that family environment factors such as attachment style and parental rearing are involved in the development of anger/hostility in youths.

Adolescent↗

Psychophysiology of anger and violent behavior.

Antisocial behavior is a complex phenomenon that arises out of multiple causes involving biologic, psychological, and social forces. Moreover, different forms of violent antisocial behavior may each result from different biopsychosocial pathways. The overview of human psychophysiologic findings presented in this article provides some support for this notion. In particular, the finding of psychophysiologic underarousal (e.g., reduced resting HR and SC levels, increased slow-wave EEG, poor classical conditioning) is one of the most robust and best replicated findings in antisocial populations. The majority of these studies consist of populations exhibiting nonviolent antisocial behavior or milder forms of aggression. Findings of underarousal in institutionalized criminal samples are very few in number and are not well-replicated. The relationship of psychophysiologic underarousal to antisocial behavior, therefore, may be specific to covert forms of antisocial behavior and perhaps to some less severe forms of violent behavior. On the other hand, violence associated with anger and emotional aggression (which is often more impulsive, less controlled, and reactive to some perceived provocation) may have very different psychophysiologic underpinnings. It was suggested that risk factors for emotional aggression include a predisposition to negative affect/arousal and an inability to regulate that affect/arousal. It also was suggested that this effect will be most pronounced in individuals experiencing stressors or adverse social environments, where negative affect and arousal would be increased. Laboratory studies have suggested that overarousal may facilitate aggression in situations in which someone has been provoked. Clinical studies also have indicated a relationship between increased physiologic arousal, negative emotionality, and aggression/antisocial behavior in some populations, with increases in aggression in those also exposed to adverse home environments. Thus, the relationship of increased psychophysiologic arousal to antisocial behavior may be more specific to angry or emotional violence. It is important to note that these psychophysiologic distinctions are speculative for few studies actually have differentiated type of violence in their design. Pitts did group children according to proactive or reactive aggression and found reduced HR levels in both groups, but a substantial increase in HR only in the reactive aggressive group. Lakosina and Trunova found increased SC responsivity in psychopathic individuals characterized by affective violence. These studies provide some initial support for underarousal in proactive/instrumental aggression and overarousal in emotional aggression. It is important, however, that more studies be done with subtypes of violence to test the notion of such differential psychophysiologic patterns. Lastly, some definitional and methodologic considerations need to be mentioned. First, a distinction exists between physiologic arousal and reactivity. Typically, arousal refers to psychophysiologic activity that occurs during a resting state, whereas reactivity refers to activity that occurs in response to some stimulus. Although some studies did assess measures during a resting state, the majority of findings on over-arousal in relation to emotional aggression more accurately reflect psychophysiologic and emotional reactivity to a situation or stimulus. Second, arousal or reactivity are nonspecific terms that can refer to any psychophysiologic response system (e.g., electrodermal, cardiovascular, cortical, and so on). Responses from these systems typically do not correlate in the general population. Thus, it would be worthwhile for future studies to include more than one response system (as done by Raine et al) and see if the arousal/reactivity measures converge. If the measures converge, a general model of arousal or reactivity is supported. (ABSTRACT TRUNCATED)

Affect↗

Reducing adolescent clients' anger in a residential substance abuse treatment facility.

BACKGROUND: Sundown Ranch, a residential behavioral health care treatment facility for adolescents, tracked the progress and results of treatment by selecting performance measures from a psychosocial screening inventory. The temper scale was one of the two highest scales at admission and the highest scale at discharge. A clinical performance improvement (PI) project was conducted to assess improvements in clients' ability to manage anger after the incorporation of Rational Emotive Behavior Therapy (REBT) into treatment. METHODS: Eighteen months of baseline data (July 1, 1999 - February 1, 2001) were collected, and 20 months of data (May 1, 2001 - December 31, 2002) were collected after the introduction of the PI activity. In all, data were collected for 541 consecutive admissions. RESULTS: A comparison of five successive quarterly reviews indicated average scores of 1.4 standard deviations (SDs) above the mean on the temper scale before the PI activity and .45 SD above the mean after. The performance threshold of reduction of the average temper scale score to < or =1 SD was met for 17 of 20 months. DISCUSSION: The fact that the PI activity reduced the temper scale elevations by almost one full SD is highly suggestive of the efficacy of REBT with the treatment population. After the project was completed, REBT was promoted as an additional therapeutic modality within the treatment program.

Adolescent↗

Emotion in speech: the acoustic attributes of fear, anger, sadness, and joy.

Decoders can detect emotion in voice with much greater accuracy than can be achieved by objective acoustic analysis. Studies that have established this advantage, however, used methods that may have favored decoders and disadvantaged acoustic analysis. In this study, we applied several methodologic modifications for the analysis of the acoustic differentiation of fear, anger, sadness, and joy. Thirty-one female subjects between the ages of 18 and 35 (encoders) were audio-recorded during an emotion-induction procedure and produced a total of 620 emotion-laden sentences. Twelve female judges (decoders), three for each of the four emotions, were assigned to rate the intensity of one emotion each. Their combined ratings were used to select 38 prototype samples per emotion. Past acoustic findings were replicated, and increased acoustic differentiation among the emotions was achieved. Multiple regression analysis suggested that some, although not all, of the acoustic variables were associated with decoders' ratings. Signal detection analysis gave some insight into this disparity. However, the analysis of the classic constellation of acoustic variables may not completely capture the acoustic features that influence decoders' ratings. Future analyses would likely benefit from the parallel assessment of respiration, phonation, and articulation.

Adolescent↗

Negative symptoms, anger, and social support: response of an inpatient sample to news coverage of the September 11 terrorist attacks.

We examined the reactions of 17 male inpatients on a secure psychiatric unit to television news coverage of the September 11 attacks. All had psychotic diagnoses. We hypothesized that self-exposure and affective response to the news coverage and use of social support would be influenced by predominance of negative symptoms. Additionally, we examined for the emergence of common stress symptoms and exacerbations of psychosis. Results showed a dose-response relationship between amount of viewing and magnitude of response to the coverage. Anger was the emotion most clearly tied to coverage exposure and the other response variables. A wide range of stress symptoms was reported. Hypotheses concerning the influence of negative symptoms were partially supported. A significant minority of the patients disclosed exacerbation of psychotic symptoms in response to the attacks. Patients who reported a negative emotional reaction were more likely to talk to others about the attacks, but social contact did not predictably lead to affective relief.

Adult↗

Anger regulation in disadvantaged preschool boys: strategies, antecedents, and the development of self-control.

Emotion regulation strategies observed during an age 3 1/2 frustration task were examined in relation to (a) angry affect during the frustration task, (b) child and maternal characteristics at age 1 1/2, and (c) indices of self-control at age 6 in a sample of low-income boys (Ns varied between 189 and 310, depending on the assessment). Shifting attention away from sources of frustration and seeking information about situational constraints were associated with decreased anger. Secure attachment and positive maternal control correlated positively with effective regulatory strategy use. Individual differences in strategy use predicted self-control at school entry, but in specific rather than general ways: Reliance on attention-shifting strategies corresponded with low externalizing problems and high cooperation; reliance on information gathering corresponded with high assertiveness.

Adaptation, Psychological↗

The mediation of aggressive behavior: arousal level versus anger and cognitive labeling.

The principal goal of the present research was to contrast the arousal-level and cognitive-labeling (anger) interpretations of aggressive behavior. In a 2 X 5 factorial between-subjects design, subjects were first either insulated or treated neutrally by a confederate. Four fifths of the subjects then received on each of 50 trials a 10-sec tone sequence while deciding whether or not to give an "electric shock" to the confederate. The stimulation was either simple (4.00 bits/tone) or complex (9.17 bits/tone) and was presented at either a comfortable (73-d.) or an aversively loud (97-db.) level. A group was assigned to each of the four stimulation treatments. The remaining subjects received no stimulation. In terms of the total number of shocks administered by subjects in different groups, the cognitive-labeling hypothesis was strongly supported. Both complexity and loudness had an effect, but only on insulted subjects. Other implications of the results were discussed.

Adolescent↗

Jealousy: loss of relationship rewards, loss of self-esteem, depression, anxiety, and anger.

White's (1981) theory of romantic jealousy states that the loss (or anticipated loss) of a romantic partner to a rival causes two kinds of suffering: loss (or anticipated loss) of relationship rewards and loss (or anticipated loss) of self-esteem. Elaborating this theory, we proposed that loss of relationship rewards causes depression, whereas loss of self-esteem causes anxiety and anger. General support was found for White's theory and the elaborations, but not for the hypothesis that the loss of self-esteem causes anxiety. Anxiety may be a product of both loss of self-esteem and loss of relationship rewards.

Adaptation, Psychological↗

Anger and frontal brain activity: EEG asymmetry consistent with approach motivation despite negative affective valence.

The anterior regions of the left and right cerebral hemispheres have been posited to be specialized for expression and experience of approach and withdrawal processes, respectively. Much of the evidence supporting this hypothesis has been obtained by use of the anterior asymmetry in electroencephalographic alpha activity. In most of this research, however, motivational direction has been confounded with affective valence such that, for instance, approach motivation relates positively with positive affect. In the present research, we tested the hypothesis that dispositional anger, an approach-related motivational tendency with negative valence, would be associated with greater left- than right-anterior activity. Results supported the hypothesis, suggesting that the anterior asymmetry varies as a function of motivational direction rather than affective valence.

Adolescent↗

Coping with anger-provoking situations, psychosocial working conditions, and ECG-detected signs of coronary heart disease.

This study explored the association among coping, psychosocial work factors, and signs of coronary heart disease (CHD) among prison staff (777 men, 345 women). Electrocardiogram (ECG) recordings at rest, health examinations, and a questionnaire were used. A high level of covert coping in men and a low level of open coping in women showed the strongest association with signs of CHD. Among several traditional biological and lifestyle risk factors, only age and systolic blood pressure in men and none in the case of women were significantly associated with CHD signs in the final multivariate regression analyses. A coping style of repressed emotions and actions in anger-provoking situations, independent of traditional risk factors, seems to be associated with a prevalence of ECG signs in male and female prison staff.

Adaptation, Psychological↗