분노표현 양식과 스트레스 노출이 심박변이도에 미치는 영향
The Effect of Anger Expression Style and Stress on Heart Rate Variablity
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Objective：Using patterns of change in heart rate variability (HRV), we investigated the effects of stress exposure and type of anger expression on cardiovascular diseases. Methods：Eighty-nine medical students were evaluated by STAXI-K, BDI, BAI, and measured HRV. According to the scores of anger expression questions in STAXI-K, objects are comparted to three groups. Each group is compared with others on the levels of depression, anxiety and HRV. Additionally objects are divided into two groups of functional anger expression group and dysfunctional anger expression group, and each group also divided into two groups, depending on the exposure of stressful situation or not. Members who took part in the stress exposure groups, they’ve got a serial arithmetic process for five minutes. We surveyed patterns of HRV in 4 each groups and estimated interactions between existence of stressful situation or type of anger expression and HRV. Results：Irrespective of stress manipulation, the dysfunctional anger expression group showed a marked increase in the LF/HF ratio in comparison to the functional anger expression group. Also, under conditions of stress manipulation, the stress exposure group exhibited a relatively increased level of TP. It can’t be discriminated any correlations between stress manipulation and type of anger expression. Conclusion：Both of them, exposure to the stressful situation and type of anger expression, have influence on cardiovascular diseases. By controlling anger and way of express that, it is possible to diminish the incidence of cardiovascular diseases.
Abstract
Objective：Using patterns of change in heart rate variability (HRV), we investigated the effects of stress exposure and type of anger expression on cardiovascular diseases. Methods：Eighty-nine medical students were evaluated by STAXI-K, BDI, BAI, and measured HRV. According to the scores of anger expression questions in STAXI-K, objects are comparted to three groups. Each group is compared with others on the levels of depression, anxiety and HRV. Additionally objects are divided into two groups of functional anger expression group and dysfunctional anger expression group, and each group also divided into two groups, depending on the exposure of stressful situation or not. Members who took part in the stress exposure groups, they’ve got a serial arithmetic process for five minutes. We surveyed patterns of HRV in 4 each groups and estimated interactions between existence of stressful situation or type of anger expression and HRV. Results：Irrespective of stress manipulation, the dysfunctional anger expression group showed a marked increase in the LF/HF ratio in comparison to the functional anger expression group. Also, under conditions of stress manipulation, the stress exposure group exhibited a relatively increased level of TP. It can’t be discriminated any correlations between stress manipulation and type of anger expression. Conclusion：Both of them, exposure to the stressful situation and type of anger expression, have influence on cardiovascular diseases. By controlling anger and way of express that, it is possible to diminish the incidence of cardiovascular diseases.
참고문헌 (25)
- MacDougall JM, "Components of type A, hostility, and anger-in: further relationships to angiographic findings", Health Psychol, 4, pp.137~152 (1985)
- Goldstein HS, "Relationship of resting blood pressure and heart rate to experienced anger and expressed anger", Psychosom Med, 50, pp.321~329 (1988)
- Burns JW, "Repressed anger and patterns of cardiovascular, self report and behavioral responses: Effects of harassment", J Psychosom Res, 47, pp.569~581 (1999)
- Kim SY, "Effects of trait anger and anger expression on cardiovascular response", 박사, pp.1998
- Baek SH, "Hostility, anger expression and anger expression of overt, covert narcissists", 박사, pp.2004
- Averill JR, "Anger and aggression: An essay on emotion" (1982), Springer-Verlag
- Spielberger CC, "The experience, expression and control of anger" (1988), Springer Verlag
- Funkenstein DH, "The direction of anger during a laboratory stress-inducing situation", Psychosom Med, 16, pp.404~413 (1954)
- Spielberger CD, "Measuring the experience, expression", Issues Compr Pediatr Nurs, 18, pp.207~232 (1995)
- Burns JW, "Psychological, situation, and gender predictions of cardiovascular reactivity to stress: A multivariate approach", J Behav Med, 16, pp.445~465 (1993)
- Mills PJ, "Anger assessment and reactivity to stress", J Psychosom Res, 33, pp.379~382 (1989)
- Park HK, "Case control study of relationship of anger expression and hypertension", Kor J Fam Med, 23, pp.869~880 (2002)
- Spielberger CD, "In: Clinical Personality Assessment: Practical approaches. Assessment of emotional status and personality traits: Measuring psychological vital sign" (1995), Oxford University Press
- Bilodeau L, "The Anger Workbook" (1992), Hazelden
- Hon EH, "Electronic Evaluation of the Fetal Heart Rate. Viii. Patterns Preceding Fetal Death, Further Observations", Am J Obstet Gynecol, 87, pp.814~826 (1963)
- Stein PK, "Heart rate variability: a measure of cardiac autonomic tone", Am Heart J, 127, pp.1376~1381 (1994)
- Rechlin T, "Decreased parameters of heart rate variation in amitriptyline treated patients: lower parameters in melancholic depression than in neurotic depression--a biological marker?", Biol Psychiatry, 36, pp.705~707 (1994)
- Yeragani VK, "Decreased heart rate variability in panic disorder patients: a study of power-spectral analysis of heart rate", Psychiatry Res, 46, pp.89~103 (1993)
- Jeon KK, "Developmental study of Korean STAXI rating scale", Kor Rehab Psychol Assoc, 3, pp.53~69 (1996)
- Vuksanovic V, "Heart rate variability in mental stress aloud", Med Eng Phys, 29, pp.344~349 (2007)
- Jeon KK, "Developmental study of Korean STAXI rating scale", Kor Rehab Psychol Assoc, 3, pp.53~69 (1996)
- Lee YH, "Reliability and validity study of BDI, SDS, MMPID rating scale", Kor J Clin Psychol, 10, pp.98~113 (1991)
- Seo SK, "Self focused attention", 박사, pp.1996
- 김 원, "정신과에서 심박 변이도(Heart Rate Variability)의 이용", 신경정신의학, 44(2), pp.176~184 (2005), 대한신경정신의학회
- McCraty R, "The effects of emotions on short-term power spectrum analysis of heart rate variability", Am J Cardiol, 76, pp.1089~1093 (1995)