Anger management style, hostility and spouse responses: Gender differences in predictors of adjustment among chronic pain patients
Anger management style, hostility and spouse responses: Gender differences in predictors of adjustment among chronic pain patients
复制标题
DOI：
10.1016/0304-3959(95)00169-7
复制
发表时间：
1996-03-01
期刊：
影响因子：
7.4
通讯作者：
Pawl, R
中科院分区：
文献类型：
--
作者：
Burns, JW;Johnson, BJ;Pawl, R
本研究探讨了慢性疼痛患者的愤怒管理方式（愤怒抑制；愤怒表达）与调整变量之间的关系是否取决于患者的敌意和/或患者的性别。还评估了“配偶反应模型”，以测试患者表达敌意愤怒是否与配偶不常见的积极和频繁的消极反应有关，从而与适应不良有关。在进入多学科疼痛治疗计划之前，对 127 名已婚慢性疼痛患者样本进行了评估。分层多元回归揭示了疼痛严重程度、活动干扰和活动水平之间显着的“愤怒表达 x 敌意 x 性别”交互作用：高愤怒表达/低敌意女性报告疼痛最低，活动最高；低愤怒表达者/高敌意男性报告了最高的疼痛和最高的干扰。在男性中，还发现了对配偶反应模型的支持：高愤怒表达者的疼痛严重程度和活动干扰部分是由配偶的负面反应造成的。结果表明，患者之间的歧视可能是基于与敌对态度水平和患者性别相互作用的愤怒管理方式，这些区别可能对理解疼痛和残疾机制以及设计适当的治疗有影响。
This study examined whether relationships between anger management style (anger suppression; anger expression) and adjustment variables for patients with chronic pain depend on patient hostility, and/or depend on a patient's gender. A 'spouse response model' was also evaluated to test whether patient expression of hostile anger is linked to infrequent positive and frequent negative responses from spouses, and hence to poor adjustment. The sample of 127 married chronic pain patients was assessed prior to entry into a multidisciplinary pain treatment program. Hierarchical multiple regressions revealed significant 'Anger Expression x Hostility x Gender' interactions for pain severity, activity interference and activity level: High Anger Expressor/Low Hostile women reported the lowest pain and highest activity; Low Anger Expressor/High Hostile men reported the highest pain and highest interference, Among men, support was also found for a spouse response model: pain severity and activity interference for High Anger Expressors was partly accounted for by negative spouse responses. Results suggest that discriminations among patients may be made based on anger management style in interaction with level of hostile attitude and the patient's gender, and that these distinctions may have implications for understanding mechanisms of pain and disability, and for designing appropriate treatment.