Document Detail

Anger management style, blood pressure reactivity, and acute pain sensitivity: evidence for "Trait x Situation" models.
MedLine Citation:
PMID:  15184095     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Anger management style is related to acute and chronic pain, but it is not clear whether anger arousal is needed for these associations to emerge or whether physiological mechanisms mediate these links. PURPOSE: "Trait x Situation" models were examined to determine whether relationships between anger-out and pain and anger-in and pain depended on anger provocation's preceding pain induction and whether pain sensitivity variance explained by anger management style overlapped with variance in harassment-induced blood pressure reactivity. METHODS: Healthy individuals (N = 53) underwent either mental arithmetic with harassment and then a cold pressor (MA/CP) or vice versa (CP/MA). The Spielberger Anger Expression Inventory assessed anger-out using the Anger-Out subscale (AOS) and anger-in using the Anger-In subscale (AIS). RESULTS: AOS x Order and AIS x Order interactions for pain tolerance emerged, such that (a) AOS was related negatively to tolerance among MA/CP participants, whereas AOS and tolerance were not related in CP/MA; (b) AIS was related positively to tolerance in MA/CP, whereas AIS was related negatively to tolerance in CP/MA; and (c) tolerance variance accounted for by AOS in MA/CP overlapped substantially with tolerance variance accounted for by diastolic blood pressure reactivity. CONCLUSIONS: Findings support the notion that anger management style affects pain and are consistent with evidence that deficient endogenous opioid functioning may be one mechanism through which anger-out is linked to both pain sensitivity and cardiovascular stress reactivity, a connection that appears most reliably when anger is provoked.
John W Burns; Stephen Bruehl; Cynthia Caceres
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  27     ISSN:  0883-6612     ISO Abbreviation:  Ann Behav Med     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-08     Completed Date:  2004-09-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-204     Citation Subset:  IM    
Rosalind Franklin University of Medicine and Science, USA.
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MeSH Terms
Adaptation, Psychological*
Blood Pressure*
Multivariate Analysis
Pain / psychology*
Pain Threshold / psychology
Regression Analysis
Stress, Psychological / physiopathology*,  psychology
Grant Support

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