• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Anger, denial, and cardiovascular reactivity in postmenopausal women

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Find Full text
    Author
    Brown, Raymonde Ann
    Advisor
    Dennis, Karen E.
    Date
    1999
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    Coronary heart disease (CHD) is the leading cause of death for women in the United States. The relationship between anger and cardiovascular reactivity, studied extensively in men, indicates that anger may be a contributing factor in the development of CHD. Only recently has research suggested that anger also may increase the risk of CHD in women. The purpose of this study was to examine the combined effects of anger and denial on cardiovascular responses to mental stressor tasks and CHD risk factors in postmenopausal women. Eighty postmenopausal women (58 +/- 5 years old, mean + SD) participated in the study. A median split on trait anger and denial was used to classify subjects into three groups: (1) low anger/low denial; (2) low anger/high denial; and (3) high anger/low or high denial. Mental stressors given to the women were speech and anger recall tasks. CHD risk factors included cholesterol (CHOL), triglycerides (TG), high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C) body mass index (BMI), and waist-hip ratio (WHR) At baseline WHR (0.80 +/- 0.10), CHOL (201 +/- 33), TG (125 +/- 56), HDL-C (56 +/- 16), and LDL-C (119 +/- 31) were with in normal limits. BMI (29 +/- 8) indicated obesity. Repeated measures analysis of variance revealed statistically significant (P < .05) changes in heart rate and systolic and diastolic blood pressure from baseline to each stress task, however there were no significant differences between the groups. The speech task precipitated a greater heart rate change than the anger recall task. A significant change in both negative and positive affect accompanied the cardiovascular changes, but the groups did not differ on CHD risk factors. Anger and denial may be part of a complex pattern of psychological vulnerability to CHD risk and disease end-points. If cardiovascular reactivity is the mediating mechanism, then women may be at increased risk. Continued efforts toward refining the relationship of anger and denial and its biological impact will contribute to a better understanding of women's coronary-prone behavior association with CHD.
    Description
    University of Maryland, Baltimore. Nursing. Ph.D. 1999
    Keyword
    Psychology, Psychobiology
    Health Sciences, Nursing
    Psychology, Personality
    Anger
    Coronary Disease--psychology
    Postmenopause
    Risk Factors
    Women
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1281
    Collections
    Theses and Dissertations All Schools
    Theses and Dissertations School of Nursing

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.