Anger-Related Characteristics According to Chronotypes in Bipolar or Depressive Disorders

Abstract

Objective Though anger was highly associated with eveningness in general population, there is no study on the relationship between chronotype and anger-related characteristics in bipolar or depressive disorders. This study aimed to investigate the difference of anger-related characteristics according to chronotypes in bipolar or depressive disorders.Methods Patients with bipolar or depressive disorders (n=238) were included in this study. Their chronotypes and anger-related characteristics were assessed with a self-evaluation of the Composite Scale of Morningness (CSM), the State Trait Anger Expression Inventory (STAXI) and the Anger Coping Scale (ACS).Results The eveningness group in patients with mood disorders showed the highest scores of anger-trait (p<0.001), anger-expression (p=0.002) and anger-in (p<0.001) in STAXI subscales, verbal aggression (p=0.010) in ACS subscales among three groups, but the morningess group showed the lowest scores of these subscales among three groups. However, there were no significant differences in all subscales of the STAXI and ACS according to diagnostic subtypes in the Friedman test.Conclusion The results of this study suggested that eveningness in patients with mood disorders might be related to anger proneness and maladaptive anger coping. To manage anger emotion in the patients with mood disorders, therapeutic interventions to modulate eveningness might be helpful.

Association between anger expression and attempted suicide at a general emergency hospital in the south of Brazil

“…In such situations, they experience intense feelings of anger and have greater difficulty containing their aggressive impulses. The Trait Anger domain has been associated with developing health problems such as coronary artery disease, 18 binge eating disorder, 19 bipolar and depressive disorders, 20 alcohol and nicotine dependence, 21,22 and increased suicide risk. Specifically regarding the angry temperament facet, the result found in the current study indicates that clinicians must pay thorough attention to this feature.…”