Jh. Kashani et al., CHARACTERISTICS OF ANGER EXPRESSION IN DEPRESSED CHILDREN, Journal of the American Academy of Child and Adolescent Psychiatry, 34(3), 1995, pp. 322-326
Objectives: To examine anger expression styles in depressed and nondep
ressed children and to investigate whether the relation between depres
sion and anger expression was mediated by family variables. Method: Fr
om a sample of 100 psychiatric inpatient children, 11 depressed childr
en and 11 matched nondepressed psychiatric controls were compared on t
wo self-report measures, the Pediatric Anger Expression Style and the
Family Adaptability and Cohesion Evaluation Scales-III-K. Results: Dep
ressed children reported significantly more difficulty maintaining cog
nitive control of their anger than did nondepressed children who were
psychiatric inpatients. Family cohesion and adaptability were not foun
d to have an effect on this relationship. No significant differences w
ere found with respect to the tendency to deny or suppress anger or th
e tendency to express anger aggressively. Conclusions: Depressed child
ren experienced more difficulties expressing their anger using a contr
olled/cognitive style than nondepressed (externalizing) children. The
lack of a mediating role of family variables suggests that anger expre
ssion styles may be more related to the characteristics of depression
in children, a finding that has clinical implications for addressing t
reatment of depressed children.