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INVESTIGATION OF ANGER EXPRESSION STYLES IN PATIENTS WITH SCHIZOPHRENIA AND THEIR CLINICAL AND DEMOGRAPHIC PREDICTORS

Ertan Türe, Meral Kelleci

Türk Fen ve Sağlık Dergisi - 2025;6(3):142-149

Sivas Cumhuriyet University Health Services Research and Practice Hospital, Cardiovascular Surgery Service, Sivas, Türkiye

 

Purpose: This study aimed to investigate the anger expression styles of individuals diagnosed with schizophrenia and to identify the clinical and sociodemographic factors influencing these styles. Methods: A total of 70 inpatients diagnosed with schizophrenia participated in this descriptive and correlational study. Data were collected using the Personal Information Form, the Trait Anger and Anger Expression Inventory, and the Scale for the Assessment of Positive Symptoms (SAPS) and Scale for the Assessment of Negative Symptoms (SANS). Data were analyzed using nonparametric statistical methods including the Kruskal-Wallis test, Mann-Whitney U test, and Spearman correlation analysis. Results: Anger control scores were significantly lower among male patients, unemployed individuals, and those residing in extended families. Patients with a history of violence and those who were non-adherent to medication demonstrated markedly elevated levels of trait anger (M = 27.01, p = 0.003) and outward-directed anger (M = 22.60, p = 0.003), alongside significantly reduced anger control scores (M = 16.86, p = 0.003) compared to their counterparts. Furthermore, outward-directed anger was positively correlated with the severity of positive formal thought disorder (r = .286, p = 0.016), while anger control showed a negative correlation with hallucination severity (r = -.276, p = 0.021). Conclusion: The findings indicate that anger expression in individuals with schizophrenia is significantly influenced by both clinical symptoms and sociodemographic variables. The integration of anger assessment into routine psychiatric evaluations may enhance individualized treatment planning, contributing to improved symptom control, emotion regulation, and psychosocial functioning.