본문 바로가기
KERD
논문KCI 등재

Anger in Elderly Patients with Depressive Disorders

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective This study was conducted to investigate anger in elderly patients with depressive disorders. Methods The subjects included 216 elderly patients with depression and 198 controls. All subjects were assessed by the State and Trait Anger Inventory (STAXI), Aggression Questionnaire (AQ), Reaction Inventory (RI). Results Elderly patients with depressive disorder showed lower levels of trait anger and anger expression on the STAXI, lower levels of verbal aggression and hostility on the AQ, and lower levels of anger reaction to the unpredictable disruption and disturbances factor, the embarrassing circumstances factor, and the personal disrespect factor on the RI than the controls. In the depression group, the severity of their depression was positively correlated with the trait anger, state anger, anger expression (except ‘anger control’) scores on the STAXI; the physical aggression, anger, and hostility scores on the AQ; and the anger reaction to unpredictable disruption and disturbances factor, the embarrassing circumstances factor, and the personal disrespect factor scores on the RI. However, the severity of depression negatively correlated with only anger control on the STAXI. In the linear logistic regression analysis, as there were higher levels of state anger seen in the STAXI, anger on the AQ, anger reaction to unpleasant factors on the RI, and therefore the likelihood of depression would be higher. Conclusion Elderly depressive patients are less likely to have anger traits and to express anger than normal elderly. However, in elderly depressive patients, the higher they have severity of depressive symptoms, the higher they reported anger experience and anger expression.

Abstract

Objective This study was conducted to investigate anger in elderly patients with depressive disorders. Methods The subjects included 216 elderly patients with depression and 198 controls. All subjects were assessed by the State and Trait Anger Inventory (STAXI), Aggression Questionnaire (AQ), Reaction Inventory (RI). Results Elderly patients with depressive disorder showed lower levels of trait anger and anger expression on the STAXI, lower levels of verbal aggression and hostility on the AQ, and lower levels of anger reaction to the unpredictable disruption and disturbances factor, the embarrassing circumstances factor, and the personal disrespect factor on the RI than the controls. In the depression group, the severity of their depression was positively correlated with the trait anger, state anger, anger expression (except ‘anger control’) scores on the STAXI; the physical aggression, anger, and hostility scores on the AQ; and the anger reaction to unpredictable disruption and disturbances factor, the embarrassing circumstances factor, and the personal disrespect factor scores on the RI. However, the severity of depression negatively correlated with only anger control on the STAXI. In the linear logistic regression analysis, as there were higher levels of state anger seen in the STAXI, anger on the AQ, anger reaction to unpleasant factors on the RI, and therefore the likelihood of depression would be higher. Conclusion Elderly depressive patients are less likely to have anger traits and to express anger than normal elderly. However, in elderly depressive patients, the higher they have severity of depressive symptoms, the higher they reported anger experience and anger expression.

참고문헌 (36)

  1. Spielberger CD, "The Experience and Expression of Anger: Construction and Validation of an Anger Expression Scale, in Anger and Hostility in Cardiovascular and Behavioral Disorders", pp.5~30 (1985), Hemisphere Publishing
  2. Biaggio MK, "Reliability and validity of four anger scales", J Pers Assess, 45, pp.639~648 (1981)
  3. Ramírez JM, "Aggression, and some related psychological constructs (anger, hostility, and impulsivity); some comments from a research project", Neurosci Biobehav Rev, 30, pp.276~291 (2006)
  4. Barefoot JC, "Age differ-ences in hostility among middle-aged and older adults", Psychol Aging, 8, pp.3~9 (1993)
  5. Barefoot JC, "Hostility patterns and health implications: correlates of Cook-Medley Hostility Scale scores in a national survey", Health Psychol, 10, pp.18~24 (1991)
  6. Schless AP, "Depression and hostility", J Nerv Ment Dis, 159, pp.91~100 (1974)
  7. Weissman MM, "Clinical evaluation of hostility in depression", Am J Psychiatry, 128, pp.261~266 (1971)
  8. Bland R, "Family violence and psychiatric disorder", Can J Psychiatry, 31, pp.129~137 (1986)
  9. Eronen M, "Mental disorders and homicidal behavior in Finland", Arch Gen Psychiatry, 53, pp.497~501 (1996)
  10. Swanson JW, "Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys", Hosp Community Psychiatry, 41, pp.761~770 (1990)
  11. Tedlow J, "Axis I and Axis II disorder comorbidity in unipolar depression with anger attacks", J Affect Disord, 52, pp.217~223 (1999)
  12. Gould RA, "Prevalence and correlates of anger attacks: a two site study", J Affect Disord, 39, pp.31~38 (1996)
  13. Brodaty H, "Aggression in the elderly", J Clin Psychiatry, 64(4), pp.36~43 (2003)
  14. Lyketsos CG, "Physical aggression in dementia patients and its relationship to depression", Am J Psychiatry, 156, pp.66~71 (1999)
  15. Raskind MA, "Evaluation and management of aggressive behavior in the elderly demented patient", J Clin Psychiatry, 60(15), pp.45~49 (1999)
  16. Kellner R, "Self-rated inhibited anger, somatization and depression", Psychother Psychosom, 57, pp.102~107 (1992)
  17. 고경봉, "The relation between anger expression, depression, and somatic symptoms in depressive disorders and somatoform disorders", JOURNAL OF CLINICAL PSYCHIATRY, 66(4), pp.485~491
  18. Hodapp V, "Anger and risk of suicide. Study of elderly psychiatric patients", Nervenarzt, 68, pp.55~61 (1997)
  19. Lin KM, "Hwa-Byung: a Korean culture-bound syndrome", Am J Psychia-try, 140, pp.105~107 (1983)
  20. Min SK, "A study of the concept of hwabyung", J Korean Neuropsychiatr Assoc, 28, pp.604~616 (1989)
  21. Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(20), pp.22~33 (1998)
  22. Hamilton M, "A rating scale for depression", J Neurol Neurosurg Psychiatry, 23, pp.56~62 (1960)
  23. 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구", 신경정신의학, 44(4), pp.456~465 (2005), 대한신경정신의학회
  24. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  25. Han HM, "A Standardiz-ation study of beck depression inventory in Korea", J Korean Neuropsychiatr Assoc, 25, pp.487~502 (1986)
  26. Yesavage JA, "Develop-ment and validation of a geriatric depression screening scale: a preliminary report", J Psychiatr Res, 17, pp.37~49 (1982)
  27. Cho MJ, "Validation of Geriatric Depression Scale, Korean version (GDS) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 38, pp.48~63 (1999)
  28. Spielberger CD, "State-Trait Anger Expression Inventory: Professional Manual" (1988), Psychological Assessment Resources
  29. Chon KK, "Development of the STAXI-K: IV", Korean J Art Ther, 7, pp.33~50 (2000)
  30. Buss AH, "The aggression questionnaire", J Pers Soc Psychol, 63, pp.452~459 (1992)
  31. 서수균, "한국판 공격성 질문지의 타당화 연구", 한국심리학회지 임상, 21(2), pp.487~501 (2002), 한국임상심리학회
  32. 조영우, "한국판 분노반응검사의 표준화 연구", 생물치료정신의학, 15(2), pp.130~139 (2009), 대한생물치료정신의학회
  33. Evans DR, "Development of the reaction inventory to measure anger", Psychol Rep, 29, pp.412~414 (1971)
  34. Riley WT, "Anger and hostility in depression", J Nerv Ment Dis, 177, pp.668~674 (1989)
  35. Fava M, "Anger attacks in patients with depression", J Clin Psychiatry, 60(15), pp.21~24 (1999)
  36. Wadsworth AP Jr, "comparison of two treatments for depression: the antidepressive program vs. traditional therapy", J Clin Psychol, 32, pp.445~449 (1976)

관련 논문AI추천

Comparative Analysis of Emotional Symptoms in Elderly Koreans with Hwa-Byung and Depression김정란, 김현진, 백승미, 안소현, 이미지, 임채성, 지익성, 최진훈대한신경정신의학회 · PSYCHIATRY INVESTIGATION2017 · 제14권 제6호정신과 외래 우울증 환자에서 분노 경험김영란, 김정란, 박권수, 안병훈, 왕성근, 지익성, 홍주봉대한생물치료정신의학회 · 생물치료정신의학2009 · 제15권 제2호한국인에서 연령 증가에 따른 분노와 공격성의 변화김정란, 김태성, 박재상, 왕성근, 임채성, 지익성대한노인정신의학회 · 노인정신의학2010 · 제14권 제2호The Relation between Anger Management Style and Organ System-Related Somatic Symptoms in Patients with Depressive Disorders and Somatoform Disorders고경봉, 박중규연세대학교의과대학 · Yonsei Medical Journal2008 · 제49권 제1호Anger-Related Characteristics According to Chronotypes in Bipolar or Depressive Disorders강태욱, 서화규, Choi Yoonmi, Jeong Hee-Jeong, Kim Soo Yeon, Lee Byung-Dae, Lee Kangyoon, Lee Young-Min, Lim Hyun Ju, Moon Eunsoo, Park Je-Min, Yoon Min대한신경정신의학회 · PSYCHIATRY INVESTIGATION2020 · 제17권 제9호Effect of Frailty on Depression among Patients with Late-life Depression: A Test of Anger, Anxiety, and Resilience as Mediators배치운, 이문수, Ashwin A. Patkar, Changsu Han, Cheolmin Shin, Hyun-Ghang Jeong, Junhyung Kim, Sang Won Jeon대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2024 · 제22권 제2호

이 간행물의 다른 논문 (6건)