Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension
This observational study aimed to investigate the interplay between psychological factors in clinical and non-clinical groups of patients with arterial hypertension. Specifically, the main objectives were: i) to examine associations between personality traits, anger, and psychological symptoms; ii)...
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PAGEPress Publications
2025-07-01
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| Series: | Research in Psychotherapy |
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| Online Access: | https://www.researchinpsychotherapy.org/rpsy/article/view/867 |
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| author | Francesca Giordano Sara Guidotti Clemente Salerno Carlo Pruneti Omar Carlo Gioacchino Gelo |
| author_facet | Francesca Giordano Sara Guidotti Clemente Salerno Carlo Pruneti Omar Carlo Gioacchino Gelo |
| author_sort | Francesca Giordano |
| collection | DOAJ |
| description | This observational study aimed to investigate the interplay between psychological factors in clinical and non-clinical groups of patients with arterial hypertension. Specifically, the main objectives were: i) to examine associations between personality traits, anger, and psychological symptoms; ii) to explore how coping styles interact with anger in modulating distress; and iii) to compare patients with and without significant psychological distress. One hundred hypertensive patients (mean age 56.04±12.04) were consecutively recruited. Psychological symptoms, anger dimensions, personality traits, and coping strategies were assessed through the Symptom Checklist-90- Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), the 16 Personality Factors Questionnaire (16PF), and the Coping Orientation to Problems Experienced (COPE), respectively. The Global Severity Index (GSI) of the SCL-90-R was used to differentiate a clinical group (T-score≥63) from a non-clinical one. In the overall sample, specific personality traits predicted anxiety, somatization, and paranoid ideation. Symptoms such as psychoticism and hostility were linked to poor anger regulation, and the expression of anger was associated with avoidance-based coping. Patients with higher levels of psychological distress (49% of the patients) were more introverted and emotionally unstable, with symptoms predicted by low liveliness and high rule-consciousness. In contrast, anger expression and control emerged as key modulators of subclinical symptoms even in the non-clinical group (51% of the sample). The integrative and comparative nature of the study described different relationships between personality, anger management, and psychological symptoms between groups of hypertensive patients, divided according to the severity of psychological distress. Additionally, even sub-threshold symptoms proved to be shaped by patterns of emotional regulation, underscoring the need to integrate psychological assessments in the treatment of hypertension.
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| format | Article |
| id | doaj-art-8f0503cab5b244e0a6e4ccfcdec0496f |
| institution | DOAJ |
| issn | 2499-7552 2239-8031 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | PAGEPress Publications |
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| series | Research in Psychotherapy |
| spelling | doaj-art-8f0503cab5b244e0a6e4ccfcdec0496f2025-08-20T02:51:57ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312025-07-0110.4081/ripppo.2025.867Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertensionFrancesca Giordano0Sara Guidotti1Clemente Salerno2Carlo Pruneti3Omar Carlo Gioacchino Gelo4Local Health Authority, LecceClinical Psychology, Psychophysiology, and Neuropsychology Laboratories, Department of Medicine and Surgery, University of ParmaDepartment of Rehabilitation Cardiology, Antonio Galateo Hospital, San Cesario (LE)Clinical Psychology, Psychophysiology, and Neuropsychology Laboratories, Department of Medicine and Surgery, University of ParmaDepartment of Human and Social Sciences, University of Salento, LecceThis observational study aimed to investigate the interplay between psychological factors in clinical and non-clinical groups of patients with arterial hypertension. Specifically, the main objectives were: i) to examine associations between personality traits, anger, and psychological symptoms; ii) to explore how coping styles interact with anger in modulating distress; and iii) to compare patients with and without significant psychological distress. One hundred hypertensive patients (mean age 56.04±12.04) were consecutively recruited. Psychological symptoms, anger dimensions, personality traits, and coping strategies were assessed through the Symptom Checklist-90- Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), the 16 Personality Factors Questionnaire (16PF), and the Coping Orientation to Problems Experienced (COPE), respectively. The Global Severity Index (GSI) of the SCL-90-R was used to differentiate a clinical group (T-score≥63) from a non-clinical one. In the overall sample, specific personality traits predicted anxiety, somatization, and paranoid ideation. Symptoms such as psychoticism and hostility were linked to poor anger regulation, and the expression of anger was associated with avoidance-based coping. Patients with higher levels of psychological distress (49% of the patients) were more introverted and emotionally unstable, with symptoms predicted by low liveliness and high rule-consciousness. In contrast, anger expression and control emerged as key modulators of subclinical symptoms even in the non-clinical group (51% of the sample). The integrative and comparative nature of the study described different relationships between personality, anger management, and psychological symptoms between groups of hypertensive patients, divided according to the severity of psychological distress. Additionally, even sub-threshold symptoms proved to be shaped by patterns of emotional regulation, underscoring the need to integrate psychological assessments in the treatment of hypertension. https://www.researchinpsychotherapy.org/rpsy/article/view/867Hypertensionclinical psychologycoping stylesangerpersonality |
| spellingShingle | Francesca Giordano Sara Guidotti Clemente Salerno Carlo Pruneti Omar Carlo Gioacchino Gelo Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension Research in Psychotherapy Hypertension clinical psychology coping styles anger personality |
| title | Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension |
| title_full | Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension |
| title_fullStr | Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension |
| title_full_unstemmed | Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension |
| title_short | Impact of personality traits, coping styles, and anger on psychological symptoms of patients with arterial hypertension |
| title_sort | impact of personality traits coping styles and anger on psychological symptoms of patients with arterial hypertension |
| topic | Hypertension clinical psychology coping styles anger personality |
| url | https://www.researchinpsychotherapy.org/rpsy/article/view/867 |
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