Background: Nowadays, the medical environment has become more competitive in terms of fulfilling various desires of client and to deliver improved service. Repetitive and continued stress may lead anger. Anger is defined as a natural emotion that triggers self-protection mechanism in oneself in a stressful condition. Extreme stress or if duration and intensity of anger are uncontrollable then it could have a negative impact on physical health which can further cause difficulties such as inadequate life, interpersonal issues and depression. Objectives: To find out anger expression style among nurses who work in the hospitals of Karachi, Pakistan, and to assess the association between interpersonal problems and levels of anger expression. Methods: This cross-sectional study was conducted at Dow University Hospital and Civil Hospital Karachi from July to August 2017. The data were collected through a structured questionnaire. The questionnaire was based on two parts: the first part was related to demographic form and it was comprised of 10 questions. The second part has two forms, which includes the Stat Trait anger inventory (STAIX) and Korean Inventory of Interpersonal Problems Circumplex Scales (KIIP-SC). Results: Data were gathered from 196 participants working in shifts. More than half of the study participants were young (26 - 35-year-old). To the extent that interpersonal problems were regarded, nurses were negatively associated with state anger and trait anger where positive associations were found with anger control, anger in and anger out. This research exhibited consistent moderate correlation for cold vindictive among anger control, anger in and anger out. This study exhibited that the groups that had the most difficulty with interpersonal problems are the anger-in and out groups. Conclusion: It is concluded that anger expression types trait-anger, stat-anger, anger in, anger control and anger out were not at higher side and showed weaker characteristics of respective subgroups. Similarly, interpersonal problems were also at the lower side and exhibiting lighter characteristics of respective subgroups.
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