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The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses
Won Hee Lee, Chun Ja Kim
Journal of Korean Academy of Nursing 2006;36(6):925-932.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.925
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses.

Method

A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.

Result

The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trait anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%.

Conclusion

These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

Citations

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The Effects of Cognitive Behavioral Anger Management Program on Self-consciousness and Anger in Korean Military Man
Myung Sun Hyun, Kyoung A Nam, Hee Sun Kang
Journal of Korean Academy of Nursing 2006;36(6):1076-1084.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.1076
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate a cognitive behavioral anger management intervention in order to increase self-consciousness and decrease anger among Korean military men.

Methods

A quasi-experimental design was used for this study. Ninety two soldiers were screened for unhealthy anger expression using a questionnaire. Among them, 26 soldiers who showed unhealthy anger expression were selected for this study. They were matched by rank and assigned to either a treatment or control group. The treatment group received the intervention three consecutive times, once a week and for 120 minutes per session. Participants were assessed before and after the intervention for anger (the State-Trait Anger Scale) and self-consciousness (Self-consciousness Scale). Data was analyzed using descriptive statistics, χ2-test, Mann-Whitney test, and Wilcox on signed rank test.

Results

There was no statistically significant decrease in anger or increase in self-consciousness between the two groups following treatment. However, there was a significant increase in private self-consciousness in the treatment group after the intervention(p=.006).

Conclusion

The cognitive behavioral anger management program improves private self-consciousness in soldiers. However, Additional research is needed to explore whether long-term intervention is more effective for anger control in the military setting. The findings from this study suggest that more attention should be given to mental health care for Korean soldiers.

Citations

Citations to this article as recorded by  
  • The Effects of Cognitive-Behavioral Therapy on Depression, Anger, and Self-Control for Korean Soldiers
    Myung-Sun Hyun, Hyang-In C. Chung, Jennie C. De Gagne, Hee Sun Kang
    Journal of Psychosocial Nursing and Mental Health Services.2014; 52(2): 22.     CrossRef
  • Effectiveness of the Military Mental Health Promotion Program
    Chung Hee Woo, Sun Ah Kim
    Journal of Korean Academy of Nursing.2014; 44(6): 717.     CrossRef
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The Relation of Trait anger and Anger Expression to Cardiovascular Responses and Depression in Middle-aged Korean Women
Young Joo Park, Soonim Baik, Younghee Choi, Hyunjeong Shin, Sohyun Moon, Soonyong Khim
Journal of Korean Academy of Nursing 2005;35(7):1371-1378.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1371
AbstractAbstract PDF
Purpose

This study was designed to examine the relation of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean women.

Methods

This descriptive correlational design was conducted using a convenient sample taken from the health center of K University Hospital located in Kyungki province, Korea. The subjects were 252 women aged 40 to 64 years. Spielberger's state trait anger expression inventory - Korean version and Beck's depression inventory were used for measuring trait anger, state anger, anger expression and depression. Data was analyzed by descriptive statistics, t-test, Pearson correlation, two-way ANOVA, and cluster analysis using a pc-SAS program.

Results

The anger expression types by cluster analysis were Anger out/in type, Low anger expression type, and Anger control type. The level of cholesterol and depression were significantly higher in women with high anger in and high trait anger. In addition, the level of depression was significantly higher in women with a high anger temperament.

Conclusions

Trait anger and anger in might be related to cholesterol and depression in women. However, this study does not reveal the relation between blood pressure and trait anger and anger expression.

Citations

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    Yong Mi Lee, Geun Myun Kim
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  • Effects of Parental Attachment and Depressive Mood on Anger Expression Style among College Students
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  • A Comparison of the Health Status and Health Promoting Behaviors between Type D Personality and Non-Type D Personality in Middle aged Women
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    So-Hyun Moon, Young-Joo Park
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Anger and Health Status in Late School-Age Children
Young Joo Park, Eun Sook Park, Soo Jeong Kim, Seung Sook Yang, Hyun Jeong Shin, Hye Sang Im, So Hyun Moon
Journal of Korean Academy of Nursing 2005;35(5):888-895.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.888
AbstractAbstract PDF
Purpose

This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status.

Methods

One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOVA, Duncan's multiple comparison test, and Wilcoxon rank sum test.

Results

Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger.

Conclusion

This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.

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    Yong Mi Lee, So Young Pak, Myeong Hui Choe
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  • Anger Expression Types and Interpersonal Problems in Nurses
    Aekyung Han, Jongsoon Won, Oksoo Kim, Sang E. Lee
    Asian Nursing Research.2015; 9(2): 146.     CrossRef
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    So-Hyun Moon, Hyo-Ja An
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  • The Relation of Anger and Anger Expression to Eating Disorders in Late School-Age Children
    So-Hyun Moon, Younghae Chung, Jung Hye Kim
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  • Anger Expression Type and Mental Health in Middle Aged Women
    Il-Rim Choi
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A Correlational Study among Perceived Stress, Anger Expression, and Depression in Cancer Patients
Pyong Sook Lee, Jung Nam Sohn, Yong Mi Lee, Eun Young Park, Ji Sun Park
Journal of Korean Academy of Nursing 2005;35(1):195-205.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.195
AbstractAbstract PDF
Purpose

This study was to identify the relationship between perceived stress, anger expression, and level of depression in cancer patients.

Method

A cross-sectional descriptive study design was used. Data was collected by questionnaires from 185 in- and out-patients who were diagnosed with cancer at 3 university hospitals and the National Cancer Center using Spielberger et al.'s Anger Expression Scale, Cohen, Kamarch & Mermelstein's Perceived Stress, and Derogatise's SCL-90. The data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SAS/PC.

Result

The perceived stress in cancer patients indicated a significant positive correlation to anger-in(r=.288, p=.000), anger-out(r=.232, p=.001), and depression(r=.68, p=.000), but no significant correlation to anger-control. The anger-in of cancer patients showed a significant positive relationship to anger-out(r=.53, p=.000), and depression(r=.383, p=.000), but no significant correlation to anger-control. Anger-out showed a significantly negative correlation to anger-control(r=-.248, p=.001) and a positive correlation to depression(r=.240, p=.001). The most significant predictor which influenced depression in cancer patients was perceived stress, followed by anger-in and hobby, and these factors explained their depression with a variance of 54%.

Conclusion

These results suggested that cancer patients with a high degree of perceived stress are likely to be high in anger-out and anger-in. Perceived stress and anger-in are major factors which affect depression in cancer patients.

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  • Effects of Urban Forest Therapy on Depression, Anxiety, and Sleep Quality in People Experiencing Cancer
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Anger, Problem Behaviors, and Health Status in Adolescent Women
Young Joo Park, Keum Sun Han, Hyun Jeong Shin, Hyun Chul Kang, So Hyun Moon
Journal of Korean Academy of Nursing 2004;34(7):1234-1242.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1234
AbstractAbstract PDF
Purpose

This cross-sectional study was designed to identify anger-expression typesof adolescent women and investigate the relation between the identified anger-expression types and their problem behaviors and health status.

Method

One hundred ninety nine high school freshmen were recruited from September to November, 2003. Data wasanalyzed using descriptive statistics, cluster analysis, χ2-test, ANOVA, and Duncan's multiple comparison test.

Result

Three anger-expression types in adolescent women were found; Anger-out/in, Anger-control/in, and Anger-control type. Adolescent women with frequently using the anger-out/in type and with higher state anger reported more delinquent behaviors, more health risk behaviors, and higher psychosomatic symptoms. However, adolescent women with lower state anger and frequently using the anger-control type reported more depression scores.

Conclusion

There is a need to further clarify the relationship between anger-expression typesand depression in adolescent women. The findings suggest the necessity of a development of the program for lowering the anger level and controlling the unfavorable anger expression types such as the anger-out in.

Citations

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  • Anger, Anger Expression Types, Problem Behaviors, and Suicide Probability in Adolescent Women using Cluster Analysis
    So Hyun Moon, Hun Ha Cho
    Korean Journal of Women Health Nursing.2015; 21(2): 128.     CrossRef
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    Yeon-Hwan Park, Hye-Jin Hyun, Su Jeong Yu, Do-Hwa Byen
    Journal of Korean Academy of Community Health Nursing.2011; 22(3): 315.     CrossRef
  • Anger, Anger Expression, and Suicidal Ideation in Korean Adolescents
    Young-Joo Park, Hosihn Ryu, Kuem Sun Han, Jung Hye Kwon, Han Kyeom Kim, Hyun Cheol Kang, Ji-Won Yoon, Suk-Hee Cheon, Hyunjeong Shin
    Archives of Psychiatric Nursing.2010; 24(3): 168.     CrossRef
  • Anger, Anger Expression, and Biopsychosocial Health in Korean Adolescents.
    Young Joo Park, Kuem Sun Han, Nah Mee Shin, Hyun Cheol Kang, Sook Hee Chun, Ji Won Yoon, Hyunjeong Shin
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2010; 19(1): 106.     CrossRef
  • Anger Expression Type and Mental Health in Middle Aged Women
    Il-Rim Choi
    Journal of Korean Academy of Nursing.2009; 39(4): 602.     CrossRef
  • Types of Anger Expression in Adolescent Women - A Q-Methodological Approach -
    So-Hyun Moon, Young-Joo Park
    Journal of Korean Academy of Nursing.2008; 38(4): 522.     CrossRef
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Development and Effectiveness of a Program for Relieving 'Hwa-Byung' Symptoms
Young Joo Park, Jong Woo Kim, Sung Hoon Cho, So Hyun Moon
Journal of Korean Academy of Nursing 2004;34(6):1035-1046.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.1035
AbstractAbstract PDF
Purpose

This one group experimentation was designed to develop a program for relieving ‘ Hwa-Byung’(HB) symptoms and examine its effects on HB symptoms, pain threshold emotions like anger, anxiety and depression.

Method

The program consisted of three components the change of the cognitive thoughts, the formation of a supportive network, and induction of mind-body relaxation. Sixteen middle-aged women with HB were divided into three groups for group dynamics according to the time of the recruitment. Data was collected for nine months at three time points, before, immediately after, and one month later of its application.

Result

There were statistically significant differences in the severity level of state anger, state anxiety, depression, and HB symptoms according to the time interval. The means of state anger and state anxiety were reduced after the intervention, but it was slightly increased one month later. The means of depression and HB symptoms were continuously reduced after the intervention and one month later.

Conclusion

This was the first management program for HB women in Korea. A future study must be done with the research design formethodological strength revision of the program.

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    Kyung Soon Ko
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    In Chul Jung, Woo Chang Choi, Sang Ryong Lee
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    BMC Complementary and Alternative Medicine.2013;[Epub]     CrossRef
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    Journal of Oriental Neuropsychiatry.2012; 23(4): 153.     CrossRef
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Prediction on the Negative Outcomes of Anger in Female Adolescents
Young Joo Park, Kuem Sun Han, Hyun Jeong Shin, Hyun Chul Kang, Sook Hee Chun, So Hyun Moon, Young Sik Lee, Hun Soo Kim
Journal of Korean Academy of Nursing 2004;34(1):172-181.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.172
AbstractAbstract PDF
Purpose

This study was designed to construct a structural model for explaining negative outcomes of anger in female adolescents.

Method

Data was collected by questionnaires from 199 female adolescents ina female high school in Seoul. Data analysis was done with SAS for descriptive statistics and a PC-LISREL Program for Covariance structural analysis.

Result

The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 7 paths and adding free parameters to it. The modified model withthe paths showed a good fit to the empirical data(χ2 =5.62, p=.69, GFI=.99, AGFI=.97, NFI=.99, NNFI=1.01, RMSR=.02, RMSEA=.00). Trait anger, state anger, and psychosocial problems were found to have a significant direct effect on psychosomatic symptoms. State anger, psychosocial problems, and learning behaviorswere found to have direct effects on depression of female adolescents.

Conclusion

The derived modelis considered appropriate for explaining and predicting negative outcomes of anger in female adolescents. Therefore, it can effectively be used as a reference model for further studies and is a suggested direction in nursing practice.

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  • The Effects of a Suicide Prevention Program Applied on Psychodrama among Female High School Students
    Gyeong Ran Park, Hee Sook Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 269.     CrossRef
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    Eun-Young Chin, Sung-Sup So, Myung-In Lee
    Journal of Digital Convergence.2015; 13(8): 409.     CrossRef
  • Suicidal Ideation in Adolescents: An Explanatory Model Using LISREL
    Young-Joo Park, Hosihn Ryu, KuemSun Han, Jung Hye Kwon, Han Kyeom Kim, Hyun Cheol Kang, Ji-Won Yoon, Suk-Hee Cheon, Hyunjeong Shin
    Western Journal of Nursing Research.2010; 32(2): 168.     CrossRef
  • Development and Evaluation of a School-based Anger Management Program (SAMP) for Adolescents
    Young-Joo Park, Ho-Sihn Ryu, Keum-Sun Han, Jung Hye Kwon, HanKyeom Kim, Yoon Jung Cho, Hyun-Cheol Kang, Suk-Hee Cheon, Ji-Won Yoon
    Journal of Korean Academy of Nursing.2009; 39(1): 145.     CrossRef
  • Anger Expression Type and Mental Health in Middle Aged Women
    Il-Rim Choi
    Journal of Korean Academy of Nursing.2009; 39(4): 602.     CrossRef
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Correlational Study among Anger, Perceived Stress and Mental Health Status in Middle Aged Women
Pyoung Sook Lee
Journal of Korean Academy of Nursing 2003;33(6):856-864.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.856
AbstractAbstract PDF
Purpose

This study was to identify the relationships of trait anger, mode of anger expression, and perceived stress to mental health status in middle aged women.

Method

The subjects were 157 middle aged women from 40s to 60s who lived in Seoul. Data was collected by questionnaire surveys using the convenience sampling. The instruments used for this study were Spielberger's trait anger scale and anger expression scale, Cohen, Kamarck, and Mermelstein's perceived stress and Derogatis's SCL-90-R. The collected data was analyzed using descriptive statistics, Pearson correlation coefficient, and Stepwise multiple regression with SAS/PC.

Result

The trait anger of middle aged women indicated a significantly positive correlation to perceived stress(r=.180, p=.023) and mental health status(r.=021, p=.014). Anger-in(r=.237, p<.05), and perceived stress(p=.461, p<.01) showed significantly positive correlation to mental health status. The most significant predictor influencing health status of middle aged women was perceived stress, and anger-in and the variance explained was 27%.

Conclusion

These results suggested that middle aged women with high degree of trait anger is likely to be high in stress perception. Perceived stress and anger-in are major factors influencing mental health status.

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    Hyejin Lee, Kyung-Hea Lee, Eunkyung Kim, Mi-Jung Kim, Suk-Man Hwang
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  • Patterns of Anger Expression among Middle-aged Korean Women: Q methodology
    Yong Mi Lee, Geun Myun Kim
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    Hye-Sook Shin, Jia Lee, Kyung-Hee Lee, Young-A Song
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Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men
Su In Park, Sunah Kim
J Korean Acad Nurs 2014;44(4):361-370.   Published online August 29, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.4.361
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons.

Methods

The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K).

Results

The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health.

Conclusion

Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

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Effects of a Family Education Program for Families of Pathological Gamblers
Jungah Hong, Soo Yang
J Korean Acad Nurs 2013;43(4):497-506.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.497
AbstractAbstract PDF
Purpose

This study was done to examine the intervention effects on the family of a family education program for pathological gamblers based on Community Reinforcement and Family Training (CRAFT).

Methods

A quasi-experimental, nonequivalent control group pretest-posttest design was used. The participants were 44 families of pathological gamblers from G center in Gyung-gi Province and 5 Gam-Anon groups in Seoul City and Gyung-gi Province. The experimental group (n=22) attended the 6 weekly 2 hour-long CRAFT family education program. The control group (n=22) attended the 12-step program of Gam-Anon. Data were collected from November, 2011 to May, 2012.

Results

Compared with the control group, the experimental group showed significant decrease in depression (p=.001) and state anger (p=.039). There were no significant differences between groups in the level of interpersonal communication, trait anger, the mode of anger expression and self-esteem.

Conclusion

Findings from this study suggest that the CRAFT family education program is effective in decreasing depression and state anger in families of pathological gamblers.

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    Laura Bottel, Bert Theodor te Wildt, Matthias Brand, Magdalena Pape, Stephan Herpertz, Jan Dieris-Hirche
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Nurses' Experience of Incivility in General Hospitals
Se Young Kim, Kwang-Ok Park, Jong Kyung Kim
J Korean Acad Nurs 2013;43(4):453-467.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.453
AbstractAbstract PDF
Purpose

This study was done to describe nurses' experience of incivility in hospitals and to consider nurses' work environment.

Methods

Data were collected through in-depth interviews and analyzed using Colaizzi' phenomenological analysis methodology. Participants were seven experienced clinical nurses working on a general ward (2 nurses), or in an intensive care unit (2 nurses), emergency room (2 nurses), or operating room (1 nurse).

Results

The incivility that nurses experienced was categorized as follows: 'being afflicted as a weak person', 'being treated as less than a professional', 'being overwhelmed by shock and anger', 'experiencing an untenable situation', 'struggling to survive', and 'pursuing professional growth'.

Conclusion

Behavior guidelines should be developed to reduce incivility, and incivility cases should be continuously monitored by the nursing department. Also, to handle incivility problems in clinical nursing areas, a reporting and counseling system and education programs are needed.

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    Kyung-Jae Lee, Jeung-Im Kim
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Patterns of Anger Expression among Middle-aged Korean Women: Q methodology
Yong Mi Lee, Geun Myun Kim
J Korean Acad Nurs 2012;42(7):1001-1008.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1001
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify the characteristics of anger expression in middle-aged Korean women by categorizing their patterns of expression while considering the complexity and multidimensionality of anger, and by investigating the characteristics relative to the patterns.

Methods

The research design was a descriptive design using Q methodology, which is a method of measuring subjectivity. A convenience sample of 42 participants aged 40–60 years and living in the community in Korea was recruited. The PC-QUANL software program (a factor analysis program for the Q technique) was used to analyze the Q-sort data.

Results

Four factors were extracted that described different expressions of anger among middle-aged Korean women; these factors explained 50.1% of the total variance. The frames of reference of the four factors were a) direct diversion, b) silent masking with remaining anger, c) self digestion, and d) controlling anger with objectification.

Conclusion

In this study has identified patterns and characteristics of anger expression among middle-aged Korean women were identified, which will aid the development of effective anger-management programs for controlling anger in this population. In future studies, it would be helpful to investigate how the patterns of anger expression established herein are associated with specific health problems such as cardiovascular disorder and cancer.

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Anger Expression Type and Mental Health in Middle Aged Women
Il-Rim Choi
J Korean Acad Nurs 2009;39(4):602-612.   Published online August 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.4.602
AbstractAbstract PDF
Purpose

The purpose of this study was to identify type of anger expression and mental health in middle aged women.

Methods

From August to October 2005, survey data were collected by using the State Trait Anger Expression Inventory and Symptom Check List-90-Revision (SCL). Participants (1,442) were classified into four types of anger expression by K-mean cluster analysis. For collecting interview data for content analysis, 18 participants (4-5 participants from each type of anger expression) were recruited. The interview data were collected between March and September 2006.

Results

The average score of the state anger of middle-aged women was 11.95, and that of the trait anger was 18.75. The average anger expression scores were 12.72 for Anger-In, 13.45 for Anger-Out, and 18.51 for Anger-Control. The average SCL scores were 45.03 for somatization, 42.23 for obsessive-compulsiveness, 42.44 for interpersonal sensitivity, 42.45 for depression, 42.40 for anxiety, 42.62 for hostility, 44.44 for phobic anxiety, 43.65 for paranoid ideation, and 43.08 for psychoticism. The anger expression types identified in this study were 1) anger-out in secret, 2) anger-control with a patience, 3) anger-out with suppression, and 4) low anger expression type. The psychosomatic symptom scores were the highest in type III (anger-out with suppression), and the lowest in type IV (low anger expression type).

Conclusion

This study can be helpful in assisting middle aged women to control their anger effectively and may contribute to the improvement of their mental health.

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  • Anger, personality traits and psychopathological symptoms in subjects exposed to negative interpersonal actions in workplaces: an observational study in a large sample attending a Center for Occupational Stress
    Barbara Forresi, G. Michelini, W. Sapuppo, G. Costa, G. Castellini, S. Livellara, R. Gregori Grgič
    International Archives of Occupational and Environmental Health.2022; 95(8): 1763.     CrossRef
  • High Anger Expression is Associated with Reduced Cortisol Awakening Response and Health Complaints in Healthy Young Adults
    Ángel Romero-Martínez, Luis Moya-Albiol
    The Spanish Journal of Psychology.2016;[Epub]     CrossRef
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    Eun-Kyung Kim, Chin Kang Koh
    Korean Journal of Stress Research.2016; 24(3): 151.     CrossRef
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    Aekyung Han, Jongsoon Won, Oksoo Kim, Sang E. Lee
    Asian Nursing Research.2015; 9(2): 146.     CrossRef
  • Patterns of Anger Expression among Middle-aged Korean Women: Q methodology
    Yong Mi Lee, Geun Myun Kim
    Journal of Korean Academy of Nursing.2012; 42(7): 1001.     CrossRef
  • The Related Factors Influencing on Self-rated Health Level of Middle-aged Women
    Hyejin Lee, Kyung-Hea Lee, Eunkyung Kim, Mi-Jung Kim, Suk-Man Hwang
    Korean Journal of Community Nutrition.2012; 17(3): 290.     CrossRef
  • The Relation Among Parenting Stress, Anger and Anger Expression in Infant's Mothers
    Dong-Young Park
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  • A Comparison of the Health Status and Health Promoting Behaviors between Type D Personality and Non-Type D Personality in Middle aged Women
    Sun Hyoung Bae, Jin-Hee Park, Euigeum Oh
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Development and Evaluation of a School-based Anger Management Program (SAMP) for Adolescents
Young-Joo Park, Ho-Sihn Ryu, Keum-Sun Han, Jung Hye Kwon, HanKyeom Kim, Yoon Jung Cho, Hyun-Cheol Kang, Suk-Hee Cheon, Ji-Won Yoon
J Korean Acad Nurs 2009;39(1):145-156.   Published online February 17, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.145
AbstractAbstract PDF
Purpose:

This study was done to develop a school-based anger management program (SAMP) of 4 sessions and examine its effects on the anger, anger expression, psychosomatic responses, psychosocial responses, and immunologic responses in adolescents.

Methods:

A quasi-experimental study using a nonequivalent control group, pre-post design with repeated measures was used. Chi-square test, t-test, paired t-test, and Fisher’s exact test were used to analyze the data.

Results:

There were no differences between the experimental and control groups in outcome variables except for lymphocytes. However, following additional analyses, statistically significant differences by time point were observed for pain sensitivity, T cell, Helper T (Th) cell, Suppressor (Ts) cell and Natural Killer (NK) cell post-treatment, entrapment and psychosomatic symptoms at the 4-week follow-up, and resilience at the 10-week follow-up for the experimental group.

Conclusion:

Although some modifications in contents and administration will be required to increase the effectiveness of the program for anger management, SAMP can be used to promote anger management ability in adolescents.

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  • Effects of Anger and Entrapment on Psychological Health of High School Boys: Focused on the Mediating Effects of Social Support
    Sun Yi Yang, Yun Hee Oh
    Child Health Nursing Research.2017; 23(4): 429.     CrossRef
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    Rah Il Hwang, Ji-Won Yoon
    Journal of Korean Academy of Community Health Nursing.2011; 22(1): 22.     CrossRef
  • Educational Needs for Prevention of Cell Phone Addiction in Korean Adolescents
    Hyun Young Koo, Hyun Sook Park
    Journal of Korean Academy of Child Health Nursing.2010; 16(4): 304.     CrossRef
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Types of Anger Expression in Adolescent Women - A Q-Methodological Approach -
So-Hyun Moon, Young-Joo Park
J Korean Acad Nurs 2008;38(4):522-532.   Published online August 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.4.522
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the types of anger expression in adolescent women.

Methods

The Q-Methodology which provides a method of analyzing the individual's subjectivity was used. The 32 subjects classified 50 selected Q-statements on a 9 point scale to make a normal distribution. The collected data was analyzed by a PC-QUANL program.

Results

Five types of anger expression in adolescent women were identified. Type I: Direct attacking expression type, Type II: Mature consideration type, Type III: Passive indirect expression type, Type IV: Avoidance conversion type, and Type V: Expression control type.

Conclusion

This study revealed that different approaches of nursing intervention strategies are recommended based on the five types of anger expression and their characteristics.

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The effect of a Group Therapy for the Offenders of Family Violence
Mi-Yeul Hyun
J Korean Acad Nurs 2008;38(3):420-427.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.420
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the contribution of group therapy to the improvement of self-esteem, anger, stress coping and communication of those who were violent in to family.

Methods

The research design was a one-group-pretest-posttest design in quasi-experimental research, and the period of this study was from March to October, 2005. Participants were 14 offenders who were ordered to be counseled according to 'the special exemption law for punishing domestic violence.' Group therapy was applied once a week for 8 weeks. Results were collected by using a questionnaire for self-esteem, anger, stress coping and communication. In the data analysis, Wilcoxon signed test with SPSS/WIN 12.0 program was used.

Results

The scores of self-esteem and communication showed statistically significant improvement from pre to post therapy. However, the scores of anger and stress coping were not significantly changed from pre to post therapy.

Conclusion

This group therapy was effective in improving the self-esteem and communication in offenders of family violence.

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Anger, Cardiovascular Health and Depression in Middle-aged Korean Men: the Mediating Effect of Social Support
Young Joo Park, Soonim Baik, Hyun Jeong Shin, Ji Won Yoon, Sook Hee Chun, Sohyun Moon
Journal of Korean Academy of Nursing 2006;36(5):863-871.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.863
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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.

Citations

Citations to this article as recorded by  
  • Family Stress, Somatization, Social Support and Depression among Middle-aged Workers
    Eliza Lee
    Korean Journal of Occupational Health Nursing.2015; 24(3): 224.     CrossRef
  • Anger Expression Types and Interpersonal Problems in Nurses
    Aekyung Han, Jongsoon Won, Oksoo Kim, Sang E. Lee
    Asian Nursing Research.2015; 9(2): 146.     CrossRef
  • Impact of depression and anxiety on adverse event profiles in Korean people with epilepsy
    Soo-Kyoung Kim, Sung-Pa Park, Oh-Young Kwon
    Epilepsy & Behavior.2015; 46: 185.     CrossRef
  • Gender Specific Role of Anger Expression in Association with Depression and Health Behavior in Community-Dwelling Elders
    Mi Heui Jang, Jia Lee, Ae Sil Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(1): 38.     CrossRef
  • Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men
    Su In Park, Sunah Kim
    Journal of Korean Academy of Nursing.2014; 44(4): 361.     CrossRef
  • Frequency of affective symptoms and their psychosocial impact in Korean people with epilepsy: A survey at two tertiary care hospitals
    Oh-Young Kwon, Sung-Pa Park
    Epilepsy & Behavior.2013; 26(1): 51.     CrossRef
  • The Predictors of Anger Expression of the Homeless in the Shelters
    Rah Il Hwang, Ji-Won Yoon
    Journal of Korean Academy of Community Health Nursing.2011; 22(1): 22.     CrossRef
  • A comparison of the health and related quality of life between middle‐aged Korean and Chinese women
    K.‐B. Kim, S.R. Sok
    International Nursing Review.2010; 57(4): 463.     CrossRef
  • Development and Evaluation of a School-based Anger Management Program (SAMP) for Adolescents
    Young-Joo Park, Ho-Sihn Ryu, Keum-Sun Han, Jung Hye Kwon, HanKyeom Kim, Yoon Jung Cho, Hyun-Cheol Kang, Suk-Hee Cheon, Ji-Won Yoon
    Journal of Korean Academy of Nursing.2009; 39(1): 145.     CrossRef
  • Anger Expression Type and Mental Health in Middle Aged Women
    Il-Rim Choi
    Journal of Korean Academy of Nursing.2009; 39(4): 602.     CrossRef
  • Types of Anger Expression in Adolescent Women - A Q-Methodological Approach -
    So-Hyun Moon, Young-Joo Park
    Journal of Korean Academy of Nursing.2008; 38(4): 522.     CrossRef
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Association of Anger Expression Patterns and Health Status in Health Care Workers
Won Hee Lee, Duck Hee Kang, Jin Hee Park, Soo Hyun Kim, Sung Gil Min, Jae Hun Nho
Journal of Korean Academy of Nursing 2006;36(5):821-828.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.821
AbstractAbstract PDF
Purpose

The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers.

Method

Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA.

Results

Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns.

Conclusion

Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.

Citations

Citations to this article as recorded by  
  • Role of Irrational Beliefs and Anger Rumination on Nurses’ Anger Expression Styles
    Eun-Mi Ham, Mi-Jin You
    Workplace Health & Safety.2018; 66(5): 223.     CrossRef
  • The Convergence Study of Interpersonal Caring Behaviors on Anger, Job Stress and Social Support in Nurses
    Jin-Ah Han, Mi-Jin Kim
    Journal of the Korea Convergence Society.2016; 7(3): 87.     CrossRef
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