Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Anger, Cardiovascular Health and Depression in Middle-aged Korean Men: the Mediating Effect of Social Support

중년남성의 분노, 심혈관 건강과 우울의 관계: 사회적지지의 매개효과

  • Published : 2006.08.01
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Abstract

Purpose: A descriptive correlational study was designed to examine the relationship of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean men. In addition, this study investigated the mediating effect of social support in relation to anger and other variables. Methods: Two hundred and ninety nine men aged 40 to 64 years were recruited from a health center at K University Hospital located in Ansan City, Kyungki province, Korea. The instruments used were Spielberger's state trait anger expression inventory-the Korean version for trait anger and anger expression, Beck's depression inventory for depression, and a Personal resource questionnaire for perceived social support. Results: Men with high trait anger showed significantly higher systolic blood pressure(BP) and diastolic BP The level of cholesterol did not have a significant relationship with trait anger and anger expression. The severity of depression was significantly higher in men with high trait anger or more frequent uses of anger-in or anger-out. The perceived social support had a significant mediating effect in relation to trait anger and depression. Conclusions: Various nursing interventions for managing anger or improving social support need to be developed in a future study.

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References

  1. Bennet, J. A. (2000). Mediator and moderator variables in nursing research : Conceptual and statistical differences. Res Nurs Health, 23, 415-420 https://doi.org/10.1002/1098-240X(200010)23:5<415::AID-NUR8>3.0.CO;2-H
  2. Burtist, C. A., & Ashwood, E. R. (1994). Tietz textbook of chemistry (2nd ed.). Philadelphia : WB Saunders Company
  3. Choi, S. I., Kim, Z. S., Shin, M. S., & Cho, M. J. (2001). Modes of anger expression in relation to depression and somatization. J Korean Neuropsychiatr Assoc, 40(3), 425-433
  4. Chon, K. K., Hahn, D. W., Lee, C. H., & Spielberger, C. D. (1997). Korean adaptation of the state-trait inventory : Anger and blood pressure. Korean J Health Psychol, 2(1), 60-78
  5. Everson, S. A., Goldberg, D. E., Kaplan, G. A., Julkunen, J., & Salonen, J. T. (1998). Anger expression and incident hypertension. Psychosom Med, 60(6), 730-735 https://doi.org/10.1097/00006842-199811000-00014
  6. Forgays, D. K., Spielberger, C. D., Ottaaway, S. A., & Forgays, S. G. (1998). Factor structure of the state-trait anger expression inventory for middle-aged men and women. Assessment, 5(2), 141-155 https://doi.org/10.1177/107319119800500205
  7. Hahn, H. M., Yum, T. H., Shin, Y. W., Kim, K. H., Yoon, D. J., & Chung, K. J. (1986). A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc, 25(3), 487-502
  8. Hammen, C., & Compas, B. (1994). Unmasking depression in children and adolescents : The problem of cormorbidity, Clin Psychol Rev, 14(6), 585-603 https://doi.org/10.1016/0272-7358(94)90018-3
  9. Koh, K. B., Choe, K. O., & An, S. K. (2003). Anger and coronary calcification in individuals with and without risk factors of coronary artery disease. Yonsei Medical J, 44(5), 793-799 https://doi.org/10.3349/ymj.2003.44.5.793
  10. Lee, C. W. (1993). Relationship between anger-coping types and serum total cholesterol. Keimyung Univ Med J, 12(3), 337-344
  11. Muller, M. M., Rau, H., Brody, S., Elbert, T., & Heinle, H. (1995). The relationship between habitual anger coping style and serum lipid and lipoprotein concentrations. Biol Psychol, 41 (1), 69-81 https://doi.org/10.1016/0301-0511(95)05124-S
  12. Ohira, T., Iso, H., Tanigawa, T., Sankai, T., Imano, H., Kiyama, M., Sato, S., Naito, Y., Lida, M., & Shimamoto, T. (2002). The relation of anger expression with blood pressure levels and hypertension in rural and urban Japanese communities. J Hypertens, 20(1), 21-27 https://doi.org/10.1097/00004872-200201000-00005
  13. Park, Y., Baik, S., Choi, Y., Shin, H., Moon, S., & Khim, S. (2005). The relation of trait anger and anger expression to cardiovascular responses and depression in middle-aged Korean women. J Korean Acad Nurs, 35(7), 1371-1378 https://doi.org/10.4040/jkan.2005.35.7.1371
  14. Park, Y. J., Han, K. S., Shin, H. J., Kang, H. C., & Moon, S. H. (2004). Anger, problem behaviors, and health status in adolescent women. J Korean Acad Nurs, 34(7), 1234-1242 https://doi.org/10.4040/jkan.2004.34.7.1234
  15. Raikkonen, K., Matthews, K. A., & Kuller, L. H. (2002). The relationship between psychological risk attributes and the metabolic syndrome in healthy women : Antecedent or consequence? Metabolism, 51(12), 1573-1577 https://doi.org/10.1053/meta.2002.36301
  16. Raikkonen, K., Matthews, K. A., Sutton-Tyrrell, K., & Kuller, L. H. (2004). Trait anger and the metabolic syndrome predict progression of carotid atherosclerosis in healthy middle- aged women. Psychosom Med, 66(6), 903-908 https://doi.org/10.1097/01.psy.0000143638.31297.11
  17. Rutledge, T., Reis, S. E., Olson, M., Owens, J., Kelsey, S. F., Pepine, C. J., Reichek, N., Rogers, W. J., Merz, C. N.B., Sopko, G., Cornell, C. E., & Matthews, K. A. (2001). Psychosocial variables are associated with atherosclerosis risk factors among women with chest pain : The Wise study. Psychosom Med, 63(2), 282-288 https://doi.org/10.1097/00006842-200103000-00014
  18. Schum, J. L., Jorgensen, R. S., Verhaghen, P., Sauro M., & Thibodeau. (2003). Trait anger, anger expression, and ambulatory blood pressure : A meta-analytic review. J Behav Med, 26(5), 395-415 https://doi.org/10.1023/A:1025767900757
  19. Suh, M. H., & Oh, K. S. (1993). A study of well-being in caregivers caring for chronically in family members. J Korean Acad Nurs, 23(3), 467-486
  20. Smith, T. W. Glazer, K., Ruiz, J. M., & Gallo, L. C. (2004). Hostility, anger, aggressiveness, and coronary heart disease : An interpersonal perspective on personality, emotion, and health. J Pers, 72(6), 1217-1270 https://doi.org/10.1111/j.1467-6494.2004.00296.x
  21. Stoney, C. M., & Engebretson, T. O. (2000). Plasma homocysteine concentrations are positively associated with hostility and anger. Life Sci, 66(23). 2267-2275 https://doi.org/10.1016/S0024-3205(00)00556-7
  22. Strike, P. C., & Streptoe, A. (2005). Behavioral and emotional triggers of acute coronary syndrome : A systematic review and critique. Psychosom Med, 67, 179-186 https://doi.org/10.1097/01.psy.0000155663.93160.d2
  23. Thomas, S. P. (2001). Teaching healthy anger management. Perspect Psychiatr Care, 37(2), 41-48
  24. Thomas, S. P., & Atakan, S. (1993). Trait anger, anger expression, stress, and health status of American and Turkish midlife women. Health Care Women Int, 14(2), 129-143 https://doi.org/10.1080/07399339309516035
  25. Weinert, C., & Brandt, P. A. (1987). Measuring social support with the personal resource questionnaire. Western J Nurs Res, 9(4), 589-602 https://doi.org/10.1177/019394598700900411
  26. Williams, J. E., Paton, C. C., Siegler, L. C., Eigenbrodt, M. J., Nieto, F. J., & Tyroler, H. A. (2000). Anger proneness predicts coronary heart disease risk. Circulation, 101(17),2034-2039 https://doi.org/10.1161/01.CIR.101.17.2034
  27. Wilson, R. S., Bienias, J.L, Mendes de leon, C. F., Evans D. A., & Bennett, D. A.(2003). Negative affect and mortality on older persons. Am J Epidemiol, 158(9), 827-835 https://doi.org/10.1093/aje/kwg224