Attachment-related differences in dispositional anger and its experience and expression following an insult-based anger induction

Variation in how individuals experience and express anger has been linked to their attachment style, particularly in close interpersonal contexts. However, little research has investigated attachment-related differences in anger and aggression in non-relational settings. This multi-method investigation reports two studies. The first investigated associations between adult attachment dimensions (anxiety and avoidance) in 270 participants. The second describes a lab-based anger provocation task, based on a modified version of the Taylor Aggression Paradigm, which examined associations between attachment dimensions and pre-post test change in self-reported anger, physiological responses, anger suppression and aggressive responding (N = 77). Results from study 1 indicate that attachment anxiety was a significant independent predictor of trait anger, while attachment avoidance was not. There were no significant interaction effects, suggesting distinct effects of attachment dimensions on anger. In study 2, attachment avoidance was negatively related to anger change scores from baseline to post-provocation and positively to anger suppression (measured by the discrepancy between self-report and physiological measures). Attachment anxiety was positively associated with aggressive responding. In summary, the findings support the high arousal-low control style previously associated with attachment anxiety, evidenced by elevated trait anger and higher aggressive responding. They also align with previous studies that support an association between attachment avoidance and emotion suppression, suggesting that the attachment framework can be usefully extended to understand anger and aggression in non-relational contexts.

Significance of anger suppression and preoccupied attachment in social anxiety disorder: a cross-sectional study

Background There is evidence for the relevance of attachment style and anger expression for the manifestation of social anxiety disorder (SAD). Method In a cross-sectional study 321 individuals with social anxiety disorder (41% men, age 38.8 ± 13.9) were compared with 94 healthy controls (37% men, age 35.8 ± 15.1) on several questionnaires (Attachment Styles Questionnaire, State Trait Anger Inventory, Social Phobia Inventory, Beck Depression Inventory). Results Individuals with SAD showed moderate-sized reduced levels of secure and large-sized increased levels of fearful and preoccupied attachment style compared to healthy controls (all p < 0.001) as well as small-sized increased levels of trait anger (p = 0.03) and moderate-sized increased levels of anger-in (p < 0.001). Attachment style and anger regulation could predict 21% (R2 = 0.21, p < 0.001) of the extent of social anxiety (SPIN) in SAD; secure (β = − 0.196, p < 0.01) and preoccupied attachment style (β = 0.117, p < 0.05), as well as anger-in (β = 0.199, p < 0.01) were significant cross-sectional predictors. Further analysis revealed that the relationship between preoccupied attachment and social anxiety is partially mediated by anger-in. Conclusion Study findings confirm the relevance of preoccupied attachment style and anger suppression for social anxiety. Disentangling the role of anger regulation in early attachment patterns has significant therapeutic implications in SAD.

Anger and aggressiveness in obsessive–compulsive disorder (OCD) and the mediating role of responsibility, non-acceptance of emotions, and social desirability

According to psychodynamic and cognitive models of obsessive–compulsive disorder (OCD), anger and aggression play an important role in the development and maintenance of the disorder. (Sub-) clinical samples with OCD have reported higher anger and anger suppression. Patients with checking-related symptoms of OCD showed a less aggressive self-concept as assessed by an Implicit Association Test (IAT). This study assessed anger and aggressiveness self-concepts in OCD as well as possible mediators of the link between OCD and aggressiveness. A total of 48 patients with OCD and 45 healthy controls were included. Measures included the State-Trait Anger Expression Inventory-II and an aggressiveness self-concept IAT (Agg-IAT). An inflated sense of responsibility, non-acceptance of emotions, and social desirability were tested as mediators. As expected, patients with OCD reported higher trait anger and anger suppression compared to healthy controls. Contrary to hypotheses, the aggressiveness self-concept (Agg-IAT) did not differ between groups. The inflated sense of responsibility mediated the relationship between group and anger suppression. Non-acceptance of negative emotions mediated the relationship between group and trait anger, as well as anger suppression. However, comorbidities and medication may account for some effect in anger suppression. Elevated trait anger and anger suppression in OCD patients could be explained by dysfunctional beliefs or maladaptive emotion regulation strategies. Emotion regulation therapy might help to enhance awareness and acceptance of emotions and possibly improve treatment outcomes.

Anger Suppression and Rumination Sequentially Mediates the Effect of Emotional Labor in Korean Nurses

The degree of emotional labor in nurses has been associated with negative physical and psychological health indices. The purpose of this study was to examine the relationship between emotional labor and depressive and anxiety symptoms in nurses. Specifically, the study addressed the question of whether anger suppression and anger rumination sequentially mediated the relationship. A total of 99 nurses was recruited from a university hospital in Korea. The questionnaires included instruments assessing emotional labor, anger suppression, anger rumination, as well as depressive and anxiety symptoms. Consistent with our hypothesis, there was a significant indirect effect of anger suppression and anger rumination on the relationship between emotional labor and depressive symptoms, as well as on the relationship between emotional labor and anxiety symptoms. The nurses’ degree of emotional labor, anger suppression, and anger rumination was associated with psychological adjustment. Thus, the impact of nurses’ negative affect needs to be adequately addressed, as inadequate resolution of anger may increase their vulnerability to experience depressive and anxiety symptoms. These findings may contribute to developing a strategy for enhancing nurses’ psychological health.