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.
Introduction:
This study focused on the widely examined psychosomatic diseases - diabetes mellitus and arterial hypertension as chronic conditions. The Buss-Perry validated questionnaire was used in it to measure aggression in Bulgarian conditions.
Aim:
To study aggression as a predictor and a connection of the chronic diseases diabetes and hypertension.
Material And Methods:
The number of the studied people was 142: 54 (38%) men and 88 (62%) women. Thirty-six of them had musculoskeletal disorders (77.8% women and 22.2% men), 54 had diabetes mellitus (29% women and 25% men) and 52 had hypertension (31% women and 21% men).
Results:
During the statistical analysis of the data, the results from the Buss-Perry questionnaire were compared in the group of patients with hypertension and diabetes mellitus with chronic diseases, related to musculoskeletal disorders.
Conclusion:
The study revealed that there was a statistically significant difference in 95% of the cases between anger, hostility in patients with diabetes, hypertension and musculoskeletal disorders. The highest levels of physical aggression were observed in patients with arterial hypertension, M = 17.32 ± 0.86. The highest average levels of verbal aggression were observed in patients with diabetes, M = 15.24 ± 0.64. The highest levels of anger were observed with patients with hypertension, M = 17.96 ± 0.90, and hostility - in patients with hypertension, M = 19.15 ± 0.86. The comparison between the four Aggression Questionnaire scales showed statistically significant differences between the patients with musculoskeletal disorders and the ones with hypertension and diabetes.
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