Trait anger management style moderates effects of actual ("state") anger regulation on symptom-specific reactivity and recovery among chronic low back pain patients.

Psychosomatic Medicine
John W BurnsStephen Bruehl

Abstract

We examined whether "state" anger regulation-inhibition or expression-among chronic low back pain (CLBP) patients would affect lower paraspinal (LP) muscle tension following anger-induction, and whether these effects were moderated by trait anger management style. Eighty-four CLBP patients underwent harassment, then they regulated anger under one of two conditions: half expressed anger by telling stories about people depicted in pictures, whereas half inhibited anger by only describing objects appearing in the same pictures. They completed the anger-out and anger-in subscales (AOS; AIS) of the anger expression inventory. General Linear Model procedures were used to test anger regulation condition by AOS/AIS by period interactions for physiological indexes. Significant three-way interactions were found such that: a) high trait anger-out patients in the inhibition condition appeared to show the greatest LP reactivity during the inhibition period followed by the slowest recovery; b) high trait anger-out patients in the expression condition appeared to show the greatest systolic blood pressure (SBP) reactivity during the expression period followed by rapid recovery. Results implicate LP muscle tension as a potential physiological m...Continue Reading

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Citations

Jun 8, 2012·The Clinical Journal of Pain·Michael J L SullivanZina Trost
Apr 2, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Phillip J QuartanaJohn W Burns
May 6, 2011·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·John W BurnsStephen Bruehl
Oct 21, 2010·Appetite·Kristin L SchneiderSherry L Pagoto
Jun 8, 2011·Journal of Clinical Psychology·Mark A LumleyFrancis J Keefe
Oct 24, 2015·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Michael A RussellJoshua M Smyth
Dec 13, 2016·Medical Humanities·Josie BillingtonAnne-Louise Humphreys
Oct 21, 2009·British Journal of Health Psychology·Phillip J Quartana, John W Burns
Jun 8, 2019·PloS One·Zeynep Emine Okur GüneyPeter Henningsen
May 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S CarriereRobert R Edwards
Dec 16, 2021·Scandinavian Journal of Pain·Tomonori AdachiMasahiko Shibata

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