Annals of Behavioral Medicine

, Volume 23, Issue 4, pp 282–290 | Cite as

Biobehavioral responses to interpersonal conflict during anger expression among anger-in and anger-out men

  • Sonia Suchday
  • Kevin T. Larkin


To examine whether typical modes of anger expression (i.e., anger-in, anger-out) were related to cardiovascular, affective, behavioral, and cognitive responses to interpersonal conflict, 20 anger-in and 20 anger-out undergraduate men participated in 2 role plays, one in which they were instructed to exhibit their anger overtly and the other in which they inhibited their anger. Results showed that anger-in individuals used significantly more repression self-statements than anger-out individuals across both role play interactions (p > .01). Anger-out persons showed exaggerated diastolic blood pressure response in contrast to anger-in participants, but only during the exhibited anger role play (p > .04). When the anger exhibition role play followed anger inhibition, diastolic blood pressure responses were more intense (p > .05), and heart rate recovery was significantly slower (p > .03) among anger-out participants in contrast to anger-in participants. These findings indicate that modes of anger expression (trait) and contextual demands of the interaction (state) interact in complex ways to influence biobehavioral reactions to anger provocation.


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  1. (1).
    Kawachi I, Sparrow D, Spiro A, Vokonas P, Weiss ST: A prospective study of anger and coronary heart disease. The Normative Aging Study.Circulation. 1996,94:2090–2095.PubMedGoogle Scholar
  2. (2).
    Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ: A meta-analytic review of research on hostility and physical health.Psychological Bulletin. 1996,119:322–348.PubMedCrossRefGoogle Scholar
  3. (3).
    Moller J: Do episodes of anger trigger myocardial infarction? A case-crossover analysis in the Stockholm Heart Epidemiology Program.Psychosomatic Medicine. 1999,61:842–849.PubMedGoogle Scholar
  4. (4).
    Krantz DS, Manuck SB: Acute psychophysiological reactivity and risk of cardiovascular disease: A review and methodological critique.Psychological Bulletin.1984,96:435–464.PubMedCrossRefGoogle Scholar
  5. (5).
    Smith TW, Houston BK, Stucky RJ: Type A behavior, irritability and cardiovascular reactivity.Motivation & Emotion. 1984,8:221–230.CrossRefGoogle Scholar
  6. (6).
    Smith TW: Hostility and health: Current status of a psychosomatic hypothesis.Health Psychology. 1992,11: 139–150.PubMedCrossRefGoogle Scholar
  7. (7).
    Engebretson TO, Matthews KA, Scheier MF: Relations between anger expression and cardiovascular reactivity: Reconciling inconsistent findings through a matching hypothesis.Journal of Personality and Social Psychology. 1989,57: 513–521.PubMedCrossRefGoogle Scholar
  8. (8).
    Lai JY, Linden W: Gender, anger expression style, and opportunity for anger release determine cardiovascular reaction to and recovery from anger provocation.Psychosomatic Medicine. 1992,54:297–310.PubMedGoogle Scholar
  9. (9).
    Faber SD, Burns JW: Anger management style, degree of expressed anger, and gender influence cardiovascular recovery from interpersonal harassment.Journal of Behavioral Medicine. 1996,19:31–53.PubMedCrossRefGoogle Scholar
  10. (10).
    Miller SB, Dolgoy L, Friese M, Sita A: Dimensions of hostility and cardiovascular response to interpersonal stress.Journal of Psychosomatic Research. 1996,41:81–95.PubMedCrossRefGoogle Scholar
  11. (11).
    Siegman AW: Cardiovascular consequences of expressing, experiencing, and repressing anger.Journal of Behavioral Medicine. 1993,16:539–569.PubMedCrossRefGoogle Scholar
  12. (12).
    Siegman AW, Snow CW: The outward expression of anger, the inward experience of anger and cardiovascular reactivity: The role of vocal expression.Journal of Behavioral Medicine. 1997,20:29–45.PubMedCrossRefGoogle Scholar
  13. (13).
    Vogele C, Steptoe A: Emotional coping and tonic blood pressure as determinants of cardiovascular responses to mental stress.Journal of Hypertension. 1992,10:1079–1089.PubMedGoogle Scholar
  14. (14).
    Vogele C, Jarvis A, Cheeseman K: Anger suppression, reactivity, and hypertension risk: Gender makes a difference.Annals of Behavioral Medicine. 1997,19:61–69.PubMedGoogle Scholar
  15. (15).
    Gallacher JE, Yarnell JW, Sweetnam PM, Elwood PC, Stansfeld SA: Anger and incident heart disease in the Caerphilly study.Psychosomatic Medicine. 1999,61:446–453.PubMedGoogle Scholar
  16. (16).
    Angerer P, Siebert U, Kothny W, Muhlbauer D, Mudra H: Impact of social support, cynical hostility, and anger expression on progression of coronary atherosclerosis.Journal of the American College of Cardiology. 2000,36:1781–1788.PubMedCrossRefGoogle Scholar
  17. (17).
    Brosschot JF, Thayer JF: Anger inhibition, cardiovascular recovery, and vagal function: A model of the link between hostility and cardiovascular disease.Annals of Behavioral Medicine. 1998,20:326–332.PubMedCrossRefGoogle Scholar
  18. (18).
    Suarez EC, Williams RB: The relationships between dimensions of hostility and cardiovascular reactivity as a function of task characteristics.Psychosomatic Medicine. 1990,52:558–570.PubMedGoogle Scholar
  19. (19).
    Everson SA, Goldberg DE, Kaplan GA, Julkunen J, Salonen JT: Anger expression and incident hypertension.Psychosomatic Medicine. 1998,60:730–735.PubMedGoogle Scholar
  20. (20).
    Harburg E, Blakelock EH, Roeper RJ: Resentful and reflective coping with arbitrary authority and blood pressure: Detroit.Psychosomatic Medicine. 1979,41:189–202.PubMedGoogle Scholar
  21. (21).
    Porter LS, Stone AA, Schwartz JE: Anger expression and ambulatory blood pressure: A comparison of state and trait measures.Psychosomatic Medicine. 1999,61:454–463.PubMedGoogle Scholar
  22. (22).
    Suls J, Wan CK: The relationship between trait hostility and cardiovascular reactivity: A quantitative review and analysis.Psychophysiology. 1993,30:615–626.PubMedCrossRefGoogle Scholar
  23. (23).
    Stoney CM: The role of reproductive hormones in cardiovascular and neuroendocrine function during behavioral stress. In Turner J, Sherwood A, Light KC (eds),Individual Differences in Cardiovascular Response to Stress. New York: Plenum, 1992, 147–163.Google Scholar
  24. (24).
    Spielberger CD:State Trait Anger Expression Inventory. Odessa, FL: Psychological Assessment Resources, 1988.Google Scholar
  25. (25).
    Semenchuk EM, Larkin KT: Behavioral and cardiovascular responses to interpersonal challenges among male offspring of essential hypertensives.Health Psychology. 1993,12:416–419.PubMedCrossRefGoogle Scholar
  26. (26).
    Larkin KT, Frazer NL, Semenchuk EM: Physiological, affective, and behavioral responses to interpersonal conflict among males from families with different levels of cohesion and adaptability.Journal of Psychopathology and Behavioral Assessment. 1997,18:239–254.CrossRefGoogle Scholar
  27. (27).
    Larkin KT, Semenchuk EM, Frazer NL, Suchday S, Taylor RL: Cardiovascular and behavioral responses to social confrontation: Measuring real-life stress in the laboratory.Annals of Behavioral Medicine. 1998,20:294–301.PubMedGoogle Scholar
  28. (28).
    Sturges LV, Goetsch VL: Physiological reactivity and heart beat awareness in anxiety sensitivity.Journal of Anxiety Disorders. 1996,10:283–294.CrossRefGoogle Scholar
  29. (29).
    Hops H, Mills TA, Patterson GR,Weiss RL:Marital Interaction Coding System. Eugene, OR: Oregon Research Institute, 1972.Google Scholar
  30. (30).
    Weider GB, Weiss RL: Generalizability theory and the coding of marital interactions.Journal of Consulting and Clinical Psychology. 1980,48:469–477.CrossRefGoogle Scholar
  31. (31).
    Suchday S, Desiderato O: Factor analysis of an anger cognitions inventory. Unpublished Master’s Thesis, Connecticut College, 1991.Google Scholar
  32. (32).
    Alexander F: Emotional factors in essential hypertension: Presentation of a tentative hypothesis.Psychosomatic Medicine. 1939,1:173–179.Google Scholar
  33. (33).
    Pope MK, Smith TW, Rhodewalt F: Cognitive, behavioral, and affective correlates of the Cook Medley Hostility Scale.Journal of Personality Assessment. 1990,54:501–514.PubMedCrossRefGoogle Scholar
  34. (34).
    Patterson GR: A microsocial analysis of anger and irritable behavior. In Chesney M, Rosenman RH (eds),Anger and Hostility in Cardiovascular and Behavioral Disorders. New York: Hemisphere McGraw-Hill, 1985, 83–100.Google Scholar

Copyright information

© The Society of Behavioral Medicine 2001

Authors and Affiliations

  • Sonia Suchday
    • 1
  • Kevin T. Larkin
    • 2
  1. 1.Department of Medical and Clinical PsychologyUniformed Services University of the Health SciencesBethesda
  2. 2.West Virginia UniversityUSA

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