Anger management style, hostility and spouse responses: Gender differences in predictors of adjustment among chronic pain patients

被引:86
作者
Burns, JW [1 ]
Johnson, BJ [1 ]
Mahoney, N [1 ]
Devine, J [1 ]
Pawl, R [1 ]
机构
[1] LAKE FOREST HOSP,LAKE FOREST,IL
关键词
anger management; hostility; adjustment; gender difference; chronic pain patient;
D O I
10.1016/0304-3959(95)00169-7
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This study examined whether relationships between anger management style (anger suppression; anger expression) and adjustment variables for patients with chronic pain depend on patient hostility, and/or depend on a patient's gender. A 'spouse response model' was also evaluated to test whether patient expression of hostile anger is linked to infrequent positive and frequent negative responses from spouses, and hence to poor adjustment. The sample of 127 married chronic pain patients was assessed prior to entry into a multidisciplinary pain treatment program. Hierarchical multiple regressions revealed significant 'Anger Expression x Hostility x Gender' interactions for pain severity, activity interference and activity level: High Anger Expressor/Low Hostile women reported the lowest pain and highest activity; Low Anger Expressor/High Hostile men reported the highest pain and highest interference, Among men, support was also found for a spouse response model: pain severity and activity interference for High Anger Expressors was partly accounted for by negative spouse responses. Results suggest that discriminations among patients may be made based on anger management style in interaction with level of hostile attitude and the patient's gender, and that these distinctions may have implications for understanding mechanisms of pain and disability, and for designing appropriate treatment.
引用
收藏
页码:445 / 453
页数:9
相关论文
共 34 条
[1]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[2]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[3]   PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[4]   INTERACTIVE EFFECTS OF TRAITS, STATES, AND GENDER ON CARDIOVASCULAR REACTIVITY DURING DIFFERENT SITUATIONS [J].
BURNS, JW .
JOURNAL OF BEHAVIORAL MEDICINE, 1995, 18 (03) :279-303
[5]   PSYCHOLOGICAL, SITUATIONAL, AND GENDER PREDICTORS OF CARDIOVASCULAR REACTIVITY TO STRESS - A MULTIVARIATE APPROACH [J].
BURNS, JW ;
KATKIN, ES .
JOURNAL OF BEHAVIORAL MEDICINE, 1993, 16 (05) :445-465
[6]  
Cohen J, 1984, APPL MULTIPLE REGRES, V2, P183
[7]  
COOK W, 1954, J APPL PSYCHOL, V238, P414
[8]  
Curtis G., 1988, ANXIETY RES INT J, V1, P65, DOI DOI 10.1080/10615808808248221
[9]   PSYCHOGENIC PAIN AND THE PAIN-PRONE PATIENT [J].
ENGEL, GL .
AMERICAN JOURNAL OF MEDICINE, 1959, 26 (06) :899-918
[10]   THE SCOPE AND SIGNIFICANCE OF ANGER IN THE EXPERIENCE OF CHRONIC PAIN [J].
FERNANDEZ, E ;
TURK, DC .
PAIN, 1995, 61 (02) :165-175