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Hostility and Anger in Chronic Pain  [PDF]
Sara Oliveira,Lúcia Ribeiro
PsiLogos , 2012,
Abstract: Introduction: The affective component of pain incorporates various emotions, primarily negative in quality. A great emphasis has been traditionally given to the role of depression and anxiety in chronic pain. More recently, the focus has been directed towards hostility and anger, as fundamental components of the emotional experience of chronic pain. Objective: The aim of this article is to present a literature’s review about the association between chronic pain, anger and hostility. Discussion: Patients with several chronic disorders are characterized by high levels of trait anger and hostility. On the other hand, the manner in which angry feelings are typically handled (anger management style), especially the marked tendency to suppress or express angry feelings, is a particularly important determinant of the chronic pain severity. Conclusion: Hostility and anger are involved in the development, maintenance and treatment of chronic pain. Further research is needed to clarify its relationship with chronic pain and to evaluate the effects of anger management on treatment outcomes.
Hostility, Anger and Risk of Coronary Artery Atherosclerosis
E Masoudnia
Journal of Shahid Sadoughi University of Medical Sciences , 2011,
Abstract: Introduction: The previous researches about the etiology of coronary artery atherosclerosis have accentuated on clinical and medical risk factors, such as cigarette smoking, hypertension, diabetes mellitus, hyperlipidemia, positive family background, myocardial ischemia history in family, atherogenic diet, increase of A lipoprotein, inflammatory factors such as increase of cross-reactive protein and so on. Although factors in behavioral medicine are recognized as an independent risk factor in coronary artery atherosclerosis, few researches have been done on hostility and anger. The aim of this study was to determine the difference between normal people(Control group) and people with coronary artery atherosclerosis(Case group) with regards to hostility and anger. Methods: This study was performed as a case-control design. Data was collected from seventy-seven patients with coronary artery atherosclerosis who had referred to Afshar Hospital Professional Heart Clinic in Yazd city and seventy-eight normal people were used as control. Two groups completed the Buss and Perry Aggression Questionnaire(BPAQ) to measure their hostility and anger. Results: The results of the analysis showed that there was a statistically significant difference regarding hostility(p<.05) and anger(p<.001) between the two groups. Hierarchical multiple logistic regression analysis showed that the sociodemographic and clinical variables(step 1) explained 35.5 % to 47.4%, while hostility and anger(step 2) explained 6.7% to 9% of the variance in incidence of coronary artery atherosclerosis. Conclusion: Hostility and anger are strong risk factors for coronary artery atherosclerosis or CAD in Iran. Therefore, in order to decrease the incidence rate of coronary artery atherosclerosis in Iran, alongside medical interventions, attention should also be paid towards behavioral interventions in order to modify hostile and angrily behavior.
Hostility, Physical Aggression and Trait Anger as Predictors for Suicidal Behavior in Chinese Adolescents: A School-Based Study  [PDF]
Ping Zhang, Robert E. Roberts, Zhuoya Liu, Xian Meng, Jie Tang, Lin Sun, Yizhen Yu
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0031044
Abstract: Purpose This study explored the extent to which trait aggression is associated with suicidal behavior in a nationwide school-based sample of adolescents. Methods A nationwide sample of 14,537 high school students in urban areas of China was recruited. Information concerning suicide ideation, plans, attempts, trait aggression and other risk factors was collected by a self-reported questionnaire. Multivariate regression analyses were employed to predict suicidal behavior. Results Approximately 18.5% of students reported suicide ideation, 8.7% reported suicide plans, and 4.1% reported attempts during the past one year. Hostility and trait anger had a significant positive association with suicidal ideation. Hostility and physical aggression were positively related to suicide plans. Hostility had a positive correlation with suicide attempts, while trait anger was inversely associated with suicide attempts. Conclusions This study suggests that hostility, physical aggression and trait anger may be able to be used to predict suicidal behavior among adolescents. Suicide prevention programs should target at attenuating the severity of hostility, anger and physical aggression. But teachers and parents should also give close attention to students with low trait anger.
Wildfire Detection and Tracking over Greece Using MSG?SEVIRI Satellite Data  [PDF]
Nicolaos I. Sifakis,Christos Iossifidis,Charalabos Kontoes,Iphigenia Keramitsoglou
Remote Sensing , 2011, DOI: 10.3390/rs3030524
Abstract: Greece is a high risk Mediterranean country with respect to wildfires. This risk has been increasing under the impact of climate change, and in summer 2007 approximately 200,000 ha of vegetated land were burnt. The SEVIRI sensor, on board the Meteosat Second Generation (MSG) geostationary satellite, is the only spaceborne sensor providing five and 15-minute observations of Europe in 12 spectral channels, including a short-wave infrared band sensitive to fire radiative temperature. In August 2007, when the bulk of the destructive wildfires started in Greece, the receiving station, operated by the Institute for Space Applications and Remote Sensing, provided us with a time series of MSG-SEVIRI images. These images were processed in order to test the reliability of a real?time detection and tracking system and its complementarity to conventional means provided by the Fire Brigade. EUMETSAT’s Active Fire Monitoring (FIR) image processing algorithm for fire detection and monitoring was applied to SEVIRI data, then fine-tuned according to Greek conditions, and evaluated. Alarm announcements from the Fire Brigade’s archives were used as ground truthing data in order to assess detection reliability and system performance. During the examined period, MSG-SEVIRI data successfully detected 82% of the fire events in Greek territory with less than 1% false?alarms.
Long term quality of life after a wildfire disaster in a rural part of Greece  [PDF]
Vicky Papanikolaou, Dimitrios Adamis, John Kyriopoulos
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.22022
Abstract: Purpose: The main aims of this study were to evaluate the quality of life of wildfire victims and compare it with that of a control sample of people unaffected by the disaster, and to identify confounder factors (previous psychiatric caseness, demographic factors and losses) which may influence the quality of life. Methods: This was a cross sectional case-control study. Participants belonged to an adult population which had taken part in a previous study 6 months after the disaster. The measured variables were: 1) quality of life using the WHOQOL-BREF measure, 2) previous psychiatric caseness as identified using the SCL-90-R and 3) demographics. Results: Victims of the wildfires had a statistically significant poorer quality of life in the three domains of physical health, psychological health, and environment compared to controls. After adjusting for other variables, the only difference between victims and controls was in the environment domain. Conclusions: Disasters have long lasting effects on victims. Psychological and physical health may improve after some time but environmental quality of life may need longer. However, it is not known yet if the environmental aspect of quality of life could affect other aspects such as psychological health or social relationships in the future.
Anger and anger styles of the teacher candidates
Zeynep Deniz Y?ndem,Bayram B??ak
International Journal of Human Sciences , 2008,
Abstract: The aim of this study was to determine the anger and anger styles and the related variables of the anger on the teacher candidates. The participants of the study consist of 713 students of which 377 of them were first grade and 336 were fourth grade students. The range of participants was 17-27, with mean of 20.72 (Ss: 2.11). Data were collected with Trait Anger and Anger Styles Scale and Personal Information Form. According to findings, the anger and anger styles of the candidates were showed meaningful differences for major, gender and living place. However, there were no significant differences for the grade level, age and the income.
Topiramate for anger control: A systematic review  [cached]
Varghese Bindu,Rajeev A,Norrish Mark,Al Khusaiby Saleh
Indian Journal of Pharmacology , 2010,
Abstract: Background : Uncontrolled anger while being most commonly associated with personality disorders could also be part of many other conditions such as chronic low back ache and post-traumatic stress disorder. The intensity of anger as an emotional state at a particular time is known as "State Anger," whereas how often angry feelings are experienced over time is known as "Trait Anger." Anger could also manifest as expression of anger toward other persons or objects in the environment (Anger-Out), holding in or suppressing angry feelings (Anger-In) and controlling angry feelings by preventing the expression of anger toward other persons or objects in the environment or controlling suppressed angry feelings by calming down or cooling off (Anger Control). Objective : To prove the effectiveness of topiramate in the control of anger as compared to placebo and to disprove that its use leads to psychiatric adverse events by systematically reviewing the available randomized controlled trials. Materials and Methods : The basic search was performed in MEDLINE (1966 through November 2008) combined with the optimal search strategy for randomized controlled trials described in the Cochrane Reviewers′ Handbook. To update this search, we regularly screened citations from PubMed till November 2008 for eligible studies or reviews that might include eligible studies. The Cochrane Central Register of Controlled Trials (CENTRAL) was searched using the terms "topiramate" and "anger or aggression." In addition, we screened bibliographies of reviews and identified articles. Randomized clinical trials wherein study participants were aggressive adults were included. Results : We could arrive at a weighted mean difference of -3.16 (-3.64 to -2.68) in State Anger. The reduction in the score was highest in borderline personality disorder (BPD) patients as compared to those with low back ache. Trait Anger dropped by -2.93 (-3.49 to -2.37), especially in female BPD patients. Anger In reduced more or less uniformly across the studies by -1.43 (-1.84 to -1.03). Anger Out decreased by -2.8 (-3.19 to -2.42). This effect was minimal among the male BPD patients. Anger Control uniformly increased across the four studies by 2.32 (2.00-2.64). There is sufficient evidence to suggest that topiramate is significantly effective in stabilizing the "trait anger" while reducing the "state anger." "Anger Out" and "hostility" were significantly reduced. "Anger In" was the feature that was the least affected, although this was significant. This suggests that topiramate is effective in controlling anger. T
Anger and Impulsivity in Adolescents Attempting Suicide
Marmara Medical Journal , 2012,
Abstract: Objective: We aimed to evaluate anger and impulsivity in adolescent suicide attempters between the ages of 12 and 18, compared with control group; investigate the relation between hostility, impulsivity and suicide intent.Patients and Methods: Thirty-six adolescent patients between the ages of 12 and 18 referred to the Marmara University Hospital, Child and Adolescent Psychiatry Policlinic because of attempted suicide between June 2009 and May 2010, were included in the study. Thirty-four healthy subjects were selected as control group. Clinical assessment of participants was made with the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Life Time Version. Adolescents were also evaluated with the Spielberg State Trait Anger Expression Inventory and Barratt's Impulsivity Scale. The seriousness of attempted suicide in adolescents was determined with the Suicide Intent Scale.Results: Average total and subscores (except anger control subscore) of anger and impulsivity scales were found higher in adolescents attempting suicide than in control group (p<0.01). We found no relation between suicide intent, anger and impulsivity (p>0.05).Conclusion: Anger and impulsivity merit attention in adolescent attempted suicides. Additionally, our results reinforce the need for further studies investigating the relation between personality traits, psychiatric, familial and social factors for better understanding of the effect of anger and impulsivity in adolescent suicide behavior. (Marmara Medical Journal 2012;25:148-52)
Hostility and violence of acute psychiatric inpatients  [cached]
Raja Michele,Azzoni Antonella
Clinical Practice and Epidemiology in Mental Health , 2005, DOI: 10.1186/1745-0179-1-11
Abstract: Objective The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. Methods Retrospective analysis of data prospectively collected in a 6-year period. Results No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Seclusion was never used. Six cases (2,5‰) required physical restraint. Risk factors associated with violence were younger age, suicidal risk, and diagnosis of schizophrenia. Risk factors associated with hostile and violent behavior were younger age at the onset of the disorder, being single, having no children, lower GAF scores, higher BPRS hostility, SAPS, and CGI scores, lower BPRS anxiety-depression score, higher doses of psychoactive drugs, more frequent use of neuroleptics, diagnosis of mania, personality disorder, substance and alcohol related disorders, no diagnosis of depression. Conclusion The study confirms the low rate of violence among Italian psychiatric in-patients, the major relevance of clinical rather than socio-demographic factors in respect of aggressive behavior, the possibility of a no seclusion-no physical restraint policy, not associated either with higher rates of hostility or violence or with more severe drug side effects.
Anger Management and Factors that Influence Anger in Physicians  [cached]
Emel Ko?er,Abdulkadir Ko?er,Fatih Canan
Balkan Medical Journal , 2011,
Abstract: Objective: There are limited data regarding anger and its management with respect to physicians and many other professionals. Our objective was to evaluate anger expression and control in physicians. Material and Methods: The physicians of the Düzce School of Medicine were the participants in the study. Physicians were assigned to either an internal medicine or a surgery study group. Each group contained physicians from several specialties. The Spielberger State-Trait Anger Expression Inventory, and the Beck Anxiety and Depression Inventories were administered to all participants. The physicians (n=158) were evaluated and compared with controls (n=105) in terms of anger control and sociodemographic variables. Results: Anger-control scores were higher in physicians (p<0.01) and in those who willingly chose the medical profession (p<0.05). Age, number of years as a physician, and the specialty were negatively correlated with anger management in physicians working in the surgical disciplines (p<0.01). Only Beck anxiety and depression scores were positively correlated with anger-trait scores and anger-in scores for physicians working in the internal medicine disciplines (p<0.01).Conclusion: Physicians were relatively successful in coping with anger. A willingness to choose the medical profession was a factor influencing anger control. Age was the major factor affecting anger management in physicians.
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