The relation between anger management style, mood and somatic symptoms in anxiety disorders and somatoform disorders

Koh, Kyung Bong; Kim, Dong Kee; Kim, Shin Young; Park, Joong Kyu; Han, Mooyoung

doi:10.1016/j.psychres.2007.06.003

Cited by 34 publications

(12 citation statements)

References 17 publications

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“…One possibility is that by not expressing their anger feelings, MP patients keep them inside and develop a muscle contracture. In addition, previous evidence suggested that anger is related with both anxiety (Moscovitch et al, 2008; Hawkins and Cougle, 2011; Deschênes et al, 2012) and depression (Koh et al, 2002, 2008). This relationship was confirmed in our study, too.…”

Section: Discussionmentioning

confidence: 95%

Alexithymia, anger and psychological distress in patients with myofascial pain: a case-control study

Castelli¹,

Santis²,

Giorgi³

et al. 2013

Front. Psychol.

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Aims: The aim of this study was to investigate psychological distress, anger and alexithymia in a group of patients affected by myofascial pain (MP) in the facial region.Methods: 45 MP patients [mean (SD) age: 38.9 (11.6)] and 45 female healthy controls [mean (SD) age: 37.8 (13.7)] were assessed medically and psychologically. The medically evaluation consisted of muscle palpation of the pericranial and cervical muscles. The psychological evaluation included the assessment of depression (Beck Depression Inventory—short form), anxiety [State-Trait Anxiety Inventory Form Y (STAI-Y)], emotional distress [Distress Thermometer (DT)], anger [State-Trait Anger Expression Inventory—2 (STAXI-2)], and alexithymia [Toronto Alexithymia Scale (TAS)].Results: the MP patients showed significantly higher scores in the depression, anxiety and emotional distress inventories. With regard to anger, only the Anger Expression-In scale showed a significant difference between the groups, with higher scores for the MP patients. In addition, the MP patients showed significantly higher alexithymic scores, in particular in the Difficulty in identifying feelings (F1) subscale of the TAS-20. Alexithymia was positively correlated with the Anger Expression-In scale. Both anger and alexithymia showed significant positive correlations with anxiety scores, but only anger was positively correlated with depression.Conclusion: A higher prevalence of depressive and anxiety symptoms associated with a higher prevalence of alexithymia and expression-in modality to cope with anger was found in the MP patients. Because the presence of such psychological aspects could contribute to generate or exacerbate the suffering of these patients, our results highlight the need to include accurate investigation of psychological aspects in MP patients in normal clinical practice in order to allow clinicians to carry out more efficacious management and treatment strategies.

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Section: Discussionmentioning

confidence: 95%

Alexithymia, anger and psychological distress in patients with myofascial pain: a case-control study

Castelli¹,

Santis²,

Giorgi³

et al. 2013

Front. Psychol.

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“…As for the relation between mood and somatization, previous study showed that only anxiety, not depression nor anger, had a direct effect on the somatic symptoms of anxiety disorder patients, whereas anxiety and depression, not anger, had a direct effect on the somatic symptoms of somatoform disorder patients [32]. However, in healthy people there were no significant correlations between the changes in mood (tension-anxiety, depression, anger-hostility, vigor, fatigue, and confusion in POMS) and the changes in somatization.…”

Section: Discussionmentioning

confidence: 99%

Effect of 12 weeks of yoga training on the somatization, psychological symptoms, and stress-related biomarkers of healthy women

Yoshihara

Hiramoto

Oka

et al. 2014

BioPsychoSocial Med

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BackgroundPrevious studies have shown that the practice of yoga reduces perceived stress and negative feelings and that it improves psychological symptoms. Our previous study also suggested that long-term yoga training improves stress-related psychological symptoms such as anxiety and anger. However, little is known about the beneficial effects of yoga practice on somatization, the most common stress-related physical symptoms, and stress-related biomarkers. We performed a prospective, single arm study to examine the beneficial effects of 12 weeks of yoga training on somatization, psychological symptoms, and stress-related biomarkers.MethodsWe recruited healthy women who had no experience with yoga. The data of 24 participants who were followed during 12 weeks of yoga training were analyzed. Somatization and psychological symptoms were assessed before and after 12 weeks of yoga training using the Profile of Mood State (POMS) and the Symptom Checklist-90-Revised (SCL-90-R) questionnaires. Urinary 8-hydroxydeoxyguanosine (8-OHdG), biopyrrin, and cortisol levels were measured as stress-related biomarkers. The Wilcoxon signed-rank test was used to compare the stress-related biomarkers and the scores of questionnaires before and after 12 weeks of yoga training.ResultsAfter 12 weeks of yoga training, all negative subscale scores (tension-anxiety, depression, anger-hostility, fatigue, and confusion) from the POMS and somatization, anxiety, depression, and hostility from the SCL-90-R were significantly decreased compared with those before starting yoga training. Contrary to our expectation, the urinary 8-OHdG concentration after 12 weeks of yoga training showed a significant increase compared with that before starting yoga training. No significant changes were observed in the levels of urinary biopyrrin and cortisol after the 12 weeks of yoga training.ConclusionsYoga training has the potential to reduce the somatization score and the scores related to mental health indicators, such as anxiety, depression, anger, and fatigue. The present findings suggest that yoga can improve somatization and mental health status and has implications for the prevention of psychosomatic symptoms in healthy women.Trial registrationUniversity Hospital Medical Information Network (UMIN CTR) UMIN000007868.

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“…Anger expression in many forms is thought to have a potential impact on interpersonal, occupational and family functioning as well as self-esteem and negative evaluations by others [15]. A relation between anger-management styles and mood and somatic symptoms in anxiety, somatoform disorders and dissociative experiences has been documented [16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Psychogenic non-epileptic seizures: Predisposing factors to diminished quality of life

Myers

Laban-Grant

Matzner

et al. 2012

Epilepsy & Behavior

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The relation between anger management style, mood and somatic symptoms in anxiety disorders and somatoform disorders

Cited by 34 publications

References 17 publications

Alexithymia, anger and psychological distress in patients with myofascial pain: a case-control study

Alexithymia, anger and psychological distress in patients with myofascial pain: a case-control study

Effect of 12 weeks of yoga training on the somatization, psychological symptoms, and stress-related biomarkers of healthy women

Psychogenic non-epileptic seizures: Predisposing factors to diminished quality of life

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