Welcome to Open Science
Contact Us
Home Books Journals Submission Open Science Join Us News
Factors Affecting Anger and Its Effects on Mental Wellbeing Among Undergraduate Medical Students: A Cross-Sectional Study
Current Issue
Volume 4, 2019
Issue 2 (March)
Pages: 35-45   |   Vol. 4, No. 2, March 2019   |   Follow on         
Paper in PDF Downloads: 147   Since Mar. 20, 2019 Views: 2135   Since Mar. 20, 2019
Lavinya A/P Vasudevan, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Mayoora Thilakan A/L P. Thayaparan, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Edward Cheng Han Jian, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Erna Noor Fatihah Binti Abd Gapar, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Era Noor Solehah Binti Abd Gapar, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
One of the most common emotions associated with the younger generation is anger which is also said to be an adaptive mechanism in facing with frustration and threats. It can come wrapped with many physical and mental consequences if not managed properly. The objective is to study the factors affecting anger and the effects of anger on the mental wellbeing of undergraduate medical students in Melaka-Manipal Medical College. A pre-validated questionnaire based analytical cross sectional design was used in conducting this study. The questionnaires were distributed in printed and digital format to students of MBBS programme from Batch 34, 35, 36 and 37. A total number of 223 participants responded to the survey. There were no significant association between age (P-value = 0.304), gender (P-value = 0.197), ethnicity (P-value = 0.119), academic year (P-value = 0.472), relationship status (P- value = 0.658), religion (P-value = 0.336), financial aid (P-value = 0.171), mental exercise (P- value = 0.280) including alcohol and substance use (P-value = 0.795) with anger as the P-value for each factor was more than 0.05. The main source of anger for participants was ‘self’ (36.8%) and most claimed an episode of anger lasts a minute or an hour (66%). Most participants also claimed anger rarely affects their academic performance (52%) and relationships (61%). Besides that, most were found to rarely express their anger (44.5%), often suppress their anger (34%) and rarely have anger outbursts (72.2%). The mean mental wellbeing score was 46.1 ± 8.5 with range of 14.0 to 100.0. There was also negative and weak association between anger and mental wellbeing (r = -0.2, P-value = 0.002) with P-value that was less than 0.05 signifying that the weak association is significant. In conclusion, there were no association between age, gender, ethnicity, academic year, relationship status, religion, financial aid, mental exercise including alcohol and substance use with anger. A majority was found to have self as the primary cause of anger, anger episodes last a minute or an hour and anger rarely affects studies and relationships. Most often suppress their anger and rarely express anger and have outbursts. There was weak association between anger and mental wellbeing.
Medical Students, Anger, Questionnaire
Mayne, T. J., & Ambrose, T. K. (1999). Research review on anger in psychotherapy. Journal of Clinical Psychology, 55 (3), 353-363. doi: 10.1002/(SICI)1097-4679(199903)55:33.0.CO;2-B.
Harris, W., Schoenfield, C. D., Gwynne, P. W., & Weissler, A. M. (1964). Circulatory and humoral responses to fear and anger. The Psychologist, 7-155.
The American heritage dictionary of the English language. (2000). Boston: Houghton Mifflin. Anger
Cox, D. L., Stabb, S. D., & Bruckner, K. H. (2000). Womens anger: Clinical and developmental perspectives. Philadelphia, Pa: Brunner/Mazel.
Stein, N. L., & Levine, L. J. (1989). The causal organisation of emotional knowledge: A developmental study. Cognition & Emotion, 3 (4), 343-378.
Feindler, E. L., Marriott, S. A., & Iwata, M. (1984). Group anger control training for junior high school delinquents. Cognitive Therapy and Research, 8 (3), 299-311.
Nasir, R., & Ghani, N. A. (2014). Procedia - Social and Behavioral Sciences. Behavioral and Emotional Effects of Anger Expression and Anger Management among Adolescents, 140, 565-569. Retrieved from https://doi.org/10.1016/j.sbspro.2014.04.471.
Cacciopo, J. T., Berntson, G. G., Laresen, J. T., Poehlmann, K. M., & Ito, T. A. (1993). The psychophysiology of emotion. Lewis M, Haviland-Jones JM, Editors. Handbook of Emotions. 2, 173-191.
Philpart, M., Goshu, M., Gelaye, B., Williams, M. A., & Berhnae, Y. (2008). Prevalence and risk factors of gender-based violence committed by male college students in Awassa, Ethiopia. Violence and Victims.
Goodwin, R. D. (2006). Association between coping with anger and feelings of depression among youths. Am J Public Health, 664-669. doi: 10.2105/AJPH.2004.049742.
Abrahams, N., & Jewkes, R. (2005). Effects of South African men's having witnessed abuse of their mothers during childhood on their levels of violence in adulthood. Am J Public Health., 1811-1816. doi: 10.2105/AJPH.2003.035006.
Krug, E. G., Dahlberg, L. L., Mercy, J. A., & Lozano, R. (2002). World report on violence and health. Geneva: World Health Organization.
Satar, S., Cenkseven, F., & Karcioglu, O. (2005). An investigation of the anger levels of residents: Medical compared with surgical disciplines. Postgraduate Medical Journal, 653-656.
Goleman, D. (1997). Emotional intelligence: Why it can matter more than IQ. New York: Bantam Books, 75-92.
Jackson, J., Kuppens, P., & Sheeber, L. (2011). Expression of Anger in Depressed Adolescents, 463-474. Retrieved from doi: 10.1007/s10802-010-9473-3.
Gayathri, S. P., Joanne, T. M., Jonas, J. A., Eugene, T. Y., & Kumar, N. (2016). “Anger Management among Medical Undergraduate Students and Its Impact on Their Mental Health and Curricular Activities. Retrieved from https://doi.org/10.1155/2016/7461570.
Knight, J. (1999). A New Brief Screen for Adolescent Substance Abuse. Retrieved from Jun; 153 (6): 591-6. PMID: 10357299.
Dhalla, S. (1999-2010). A Review of the Psychometric Properties of the CRAFFT Instrument. Retrieved from Curr Drug Abuse Rev. 2011 Mar 1; 4 (1): 57-64. PMID: 21466499.
Novaco, R. (1975). Anger Control: The Development and Evaluation of an Experimental Treatment. Retrieved from Lexington Books, Mass, USA.
Novaco, R. (2003). Retrieved from https://www.wpspublish.com/store/Images/Downloads/Product/NAS- PI_Manual_Chapter_1.pdf.
Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., Brown, S. S.,... Stanfield, S. (2015). Warwick-Edinburgh Mental Well-being Scale (WEMWBS) User Guide Version 2. Retrieved from https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/researchers/userguide/we mwbs_user_guide_jp_02.02.16.pdf.
Averill, J. (1983). Studies on Anger and Aggression: Implications for Theories of Emotion. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi= df
Averill, J. (1982). Anger and Aggression: An Essay on Emotion. New York: Springer-Verlag.
Buntaine, R., & Costenbader, V. (1997). Self-Reported Differences in the Experience and Expression of Anger Between Girls and Boys.
Stoner, S., & Spencer, W. (1987). Age and Gender Differences with the Anger Expression Scale. Educ Psychol Meas. Retrieved from 47: 487-92. 39.
Kopper, B., & Epperson, D. (1991). Women and Anger: Sex and Sex Role Comparisons in the Expression of Anger. Psychology of Women Querterly. Retrieved from 15: 7-14.
Emel, K., Abdulkadir, K., & Faith, C. (2011). Anger Management and Factors That Influence Anger in Physicians. Retrieved from Balkan Med J 2011; 28: 62-8.
Potegal, M., Kosorok, M., & Davison, R. (1996). The Time Course of Angry Behavior in the Temper Tantrums of Young Children. Retrieved from Annals of the New York Academy of Sciences, vol. 794, pp. 31–45.
Open Science Scholarly Journals
Open Science is a peer-reviewed platform, the journals of which cover a wide range of academic disciplines and serve the world's research and scholarly communities. Upon acceptance, Open Science Journals will be immediately and permanently free for everyone to read and download.
Office Address:
228 Park Ave., S#45956, New York, NY 10003
Phone: +(001)(347)535 0661
Copyright © 2013-, Open Science Publishers - All Rights Reserved