PMID: 9429986Jan 16, 1998Paper

Anger management style and hostility: predicting symptom-specific physiological reactivity among chronic low back pain patients

Journal of Behavioral Medicine
J W Burns

Abstract

It was hypothesized that anger management style (anger-in or anger-out) and hostility affect the aggravation of chronic low back pain (CLBP) through symptom-specific (i.e., lower paraspinal muscle) reactivity during stress. Subjects were 102 CLBP patients who performed mental arithmetic and an Anger Recall Interview (ARI) while trapezius and lower paraspinal EMG, SBP, DBP, and HR were recorded. Results showed anger-in x hostility and anger-out x gender interactions for lower paraspinal but not trapezius reactivity, and only during the ARI. Further analyses revealed that (1) hostility was related positively to lower paraspinal reactivity among high anger suppressors, (2) hostility was related negatively to lower paraspinal reactivity among low anger suppressors, and (3) anger expression was related positively to lower paraspinal reactivity only among men. Anger management style and hostility may contribute to the exacerbation of CLBP by influencing stress reactivity only in muscles near the site of pain or injury.

Citations

May 23, 2006·International Journal of Behavioral Medicine·Stephen BruehlJohn W Burns
Jun 30, 2006·Journal of Behavioral Medicine·Stephen BruehlJohn W Burns
Apr 6, 2007·Journal of Behavioral Medicine·Stephen BruehlOk Y Chung
Jun 8, 2012·The Clinical Journal of Pain·Michael J L SullivanZina Trost
May 17, 2003·Pain·Kelly A GreenwoodFrancis J Keefe
Jun 9, 2004·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·John W BurnsCynthia Caceres
Jul 29, 2005·Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association·James W CarsonSteven R Thorp
Mar 21, 2007·Headache·Robert A NicholsonPeter J Norton
Aug 23, 2007·Journal of Behavioral Medicine·Phillip J QuartanaJohn W Burns
May 25, 2005·Psychosomatic Medicine·Philip M UllrichKarl J Kreder
May 24, 2008·Journal of Behavioral Medicine·John W BurnsStephen Bruehl
Oct 30, 2001·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·M Tang

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