Study of the relationship between aggression and chronic diseases (diabetes and hypertension)

Boris Tilov1, Maria Semerdzhieva1, Desislava Bakova1

  • 1Department of Health Care Management, Faculty of Public Health, Medical University, Plovdiv, Bulgaria.

Insights

Aggression levels, including anger and hostility, significantly differ in patients with diabetes, hypertension, and musculoskeletal disorders. Arterial hypertension patients showed the highest physical aggression, while diabetes patients exhibited the highest verbal aggression.

Area of Science:

  • Psychosomatic medicine
  • Clinical psychology
  • Behavioral medicine

Background:

  • Focuses on diabetes mellitus and arterial hypertension, common psychosomatic conditions.
  • Investigates aggression as a potential factor in these chronic diseases.
  • Utilizes the Buss-Perry Aggression Questionnaire for assessment in a Bulgarian population.

Purpose of the Study:

  • To examine aggression as both a predictor and a correlate of diabetes and hypertension.
  • To understand the relationship between aggression subtypes and these chronic conditions.

Main Methods:

  • A cohort of 142 participants (54 men, 88 women) was studied.
  • Participants included individuals with musculoskeletal disorders (n=36), diabetes mellitus (n=54), and hypertension (n=52).
  • The Buss-Perry Aggression Questionnaire was administered to measure aggression levels.

Main Results:

  • Statistically significant differences in anger and hostility were found in 95% of cases among patients with diabetes, hypertension, and musculoskeletal disorders.
  • Patients with arterial hypertension displayed the highest levels of physical aggression (M=17.32±0.86).
  • Patients with diabetes showed the highest verbal aggression (M=15.24±0.64), while hypertension patients reported the highest anger (M=17.96±0.90) and hostility (M=19.15±0.86).

Conclusions:

  • Aggression, particularly anger and hostility, is significantly associated with diabetes, hypertension, and musculoskeletal disorders.
  • Distinct patterns of aggression subtypes are linked to specific chronic conditions.
  • Findings highlight the importance of assessing aggression in the management of psychosomatic diseases.
Abstract

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