Pj. Mills et Je. Dimsdale, ANGER SUPPRESSION - ITS RELATIONSHIP TO BETA-ADRENERGIC-RECEPTOR SENSITIVITY AND STRESS-INDUCED CHANGES IN BLOOD-PRESSURE, Psychological medicine, 23(3), 1993, pp. 673-678
While studies from diverse fields of research suggest a relationship b
etween problems expressing anger and cardiovascular illness, few studi
es have provided a potential pathophysiological link of such a relatio
nship. Forty-five males were classified according to one of three ange
r expression categories: those who did not suppress their anger (N = 1
3), those who partially suppressed their anger (N = 19), and those who
definitely suppressed their anger (N = 13). For each, we determined l
ymphocyte beta-adrenergic receptor function and blood pressure respons
iveness to a standardized mathematics stressor. Those subjects who rou
tinely suppressed their expression of anger had increased beta-adrener
gic receptor sensitivity (P = 0.01) (isoproterenol-stimulated cyclic A
MP production) and a greater systolic blood pressure response to the s
tressor (P = 0.001). Anger suppression was unrelated to the subject's
age, weight, or socioeconomic status. These findings may be germane to
prior clinical and epidemiologic observations relating anger expressi
on and cardiovascular illness.