Association between anger and first-onset primary spontaneous pneumothorax

• Published in: General hospital psychiatry Vol. 30; no. 4; pp. 331 - 336
• Main Authors: Lee, Sang-Hyuk, M.D., Ph.D, Choi, Ho, M.D, Kim, Seoyoung, M.D, Choi, Tae Kyou, M.D., Ph.D, Lee, Sungsoo, M.D, Kim, Borah, M.D, Suh, Shin Young, M.D., Ph.D, Yook, Ki-Hwan, M.D., Ph.D, Kim, Yong Woo, M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2008; Elsevier Science
• Subjects: Adaptation, Psychological - physiology; Adult; Anger; Anger - physiology; Biological and medical sciences; Body Mass Index; Comorbidity; Control Groups; Depressive Disorder - diagnosis; Depressive Disorder - epidemiology; Female; Fundamental and applied biological sciences. Psychology; Humans; Illness and personality; Illness, stress and coping; Korea - epidemiology; Life Change Events; Logistic Models; Male; Medical sciences; Models, Psychological; Personality Inventory - statistics & numerical data; Pneumology; Pneumothorax - diagnosis; Pneumothorax - epidemiology; Pneumothorax - physiopathology; Primary spontaneous pneumothorax; Psychiatry; Psychology and medicine; Psychology. Psychoanalysis. Psychiatry; Psychology. Psychophysiology; Respiratory system : syndromes and miscellaneous diseases; Risk Factors; Severity of Illness Index; Stress, Psychological - diagnosis; Stress, Psychological - epidemiology; Surveys and Questionnaires; Korea; Anger; Primary spontaneous pneumothorax; Human; Affect affectivity; Pneumothorax; Effusion; Pathophysiology; Respiratory disease; Spontaneous; Emotion emotionality; Stress; Body mass index; First episode; Cross sectional study; Primary; Pleural disease; Coping
• ISSN: 0163-8343; 1873-7714
• DOI: 10.1016/j.genhosppsych.2008.02.008

Abstract Objective Primary spontaneous pneumothorax (PSP) is a frequent and problematic disease, but its underlying causes and pathophysiology remain unclear. This study examined whether anger, which is related to many psychosomatic diseases, is a psychosocial factor associated with first-onset PSP. Method We administered the State–Trait Anger Expression Inventory, Stress Response Inventory, Coping Scale, Beck Depression Inventory and Global Assessment of Recent Stress to 91 patients with first-onset PSP and to 77 patients with recent minor trauma as controls. Results The scores on anger-in, anger-out, state anger and trait anger were significantly higher in the PSP group than in the control group. Logistic regression analysis revealed that low body mass index and trait anger could be associated with PSP. Conclusion We hypothesize that anger could play a role in the pathophysiology of PSP.