The Predictors of Anger Expression of the Homeless in the Shelters

Article information

Res Community Public Health Nurs. 2011;22(1):22-32
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.1.22
Full-time Lecturer, Department of Nursing, Suwon Women's College, Korea.
Address reprint requests to: Yoon, Ji-Won, Department of Nursing, Suwon Women's College, 62 Suwonyeojadaehak-gil, Kwonsun-gu, Suwon 441-748, Korea. Tel: 82-31-290-8105, Fax: 82-31-290-8142, dumom@swc.ac.kr
Received 2010 September 30; Revised 2011 March 16; Accepted 2011 March 16.

Abstract

Purpose

The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents.

Methods

This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instruments.

Results

The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. R2=.065), and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. R2=.113).

Conclusion

This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

References

1. Applewhite SL. Homeless Veterans: perspectives on social services use. Soc Work 1997;42:19–30.
2. Association of Physicians for Humanism. A survey of health status of homeless Seoul: Association of Physicians for Humanism; 1998.
3. Boergers J, Spirito A, Donaldson D. Reasons for adolescent suicide attempts: Associations with psychological functioning. J Am Acad Child Adolesc Psychiatry 1998;37(12):1287–1293.
4. Cho DH. Psychological status of homeless in the shelter Busan: Busan National University; 2001. Unpublished master's thesis.
5. Cho HJ, Jun TY, Chae JH, Woo YS, Choi JE, Kee BS, et al. The relationship of heterogenous symptoms of depression and emotional regulation strategies in depressive disorder. Korean J Clin Psychol 2007;26(3):663–679.
6. Choi SI, Kim JS, Shin MS, Jo MJ. Modes of anger expression in relation to depression and somatization. J Korean Neuropsychiatr Assoc 2001;40(3):425–433.
7. Chon KK, Hahn DW, Lee CH, Spielberg CD. Korean adaptation of the state-trait anger expression inventory: Anger and blood pressure. Korean J Health Psychol 1997;2(1):60–78.
8. Choi WL. A study on the homeless careers Seoul: The Catholic University of Korea; 2000. Unpublished master's thesis.
9. Council of Religion & Citizen's Movements for the Homeless 2006. Retrieved December 1, 2006. from http://www.homeless.or.kr/zeroboard/zboard.php?id=new_data03.
10. Forgays DK, Spielberg CD, Ottaaway SA, Forgays SG. Factor structure of the state-trait anger expression inventory for middle-aged men and women. Assessment 1998;5(2):141–155.
11. Gilbert P, Gilbert J, Irons C. Life events, entrapments and arrested anger in depression. J Affect Disord 2004;79(1):149–160.
12. Hur JS. Homeless shelter residents' characteristics in relation to the duration of shelter residency, and major determinants of the duration of shelter residency. Korean J Soc Welf Stud 2002;19:227–256.
13. Hyun SW, Choi HK. An analysis of the roots of homeless. Korean Public Adm Q 2008;20(4):1153–1178.
14. Ju JY. The study on the relationship among anger expression mode, depression, and aggression in high school students Seoul: Seoul Women's University; 2005. Unpublished master s thesis.
15. Kim HS, Kim SY, Cho SM, Chung YK, Yang JJ, Shin YM. Mental health status and familial factors of runaway adolescents in shelter. J Korean Neuropsychiatr Assoc 2005;44(5):597–603.
16. Kim JH, Kim GI. Standardization study of Symptom Check List in Korea III. Ment Health Res 1984;2:278–311.
17. Kim KJ. Prediction model for health promotion behaviors in middle-aged men Seoul: Hanyang University; 2000. Unpublished doctoral dissertation.
18. Kim JH. Differences of psychological and mental characteristics between the homeless in the street and the shelter Seoul: Chungang University; 2002. Unpublished master's thesis.
19. Kim O, Kim AJ, Kim SH, Baik SH, Yang KM. Fatigue, depression and sleep in young adult and middle-aged. J Korean Acad Nurs 2003;33(5):618–624.
20. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service-oriented multi-level assessment instrument. J Gerontol 1982;37(1):91–99.
21. Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol 1991;10(1):98–113.
22. Lee SA. A study on the effects of the related factors on the mental health of the homeless -Focused on the homeless in the shelter in Daejeon- Daejeon: Chungnam National University; 2002. Unpublished master's thesis.
23. National Coalition for the Homeless. Illegal to be homeless: The criminalization of homelessness in the United States 2002 USA: National Law Center on Homelessness and Poverty; 2002.
24. Park SJ. A study of effect in the groupwork program for alcoholic homelessness Busan: Silla University; 2001. Unpublished master's thesis.
25. Park YJ, Baik S, Shin HJ, Yoon J, Chun SH, Moon S. Anger, cardiovascular health and depression in middle-aged Korean men: The mediating effect of social support. J Korean Acad Nurs 2006;36(5):863–871.
26. Park YJ, Ryu H, Han K, Kwon JH, Kim HK, Cho YJ, et al. Development and evaluation of a schoolbased anger management program (SAMP) for adolescents. J Korean Acad Nurs 2009;39(1):145–156.
27. Pica M, Engel SD, Welches P. An experimental approach to the inpatient anger management group. Int J Group Psychother 2003;53(2):177–200.
28. Suinn RM. The terrible twos-anger and anxiety: Hazardous to your health. Am Psychol 2001;56(1):27–36.
29. Yeo SJ. The health status of the homeless in sheltered Busan: Pusan National University; 2004. Unpublished master's thesis.
30. Won JS. The life experiences of the sheltered homeless. J Korean Acad Adult Nurs 2003;15(1):56–66.

Article information Continued

Table 1

Characteristics of Participants (N=407)

Table 1

Table 2

Summary of Descriptive Statistics for Study Variables (N=407)

Table 2

Table 3

Differences in Anger Expression by General Characteristics

Table 3

Table 4

Relationships among the Study Variables (N=407)

Table 4

AE=anger expression; PS=psychosomatic symptom; PHS=perceived health status.

Table 5

Influencing Factors on Anger Expression (N=407)

Table 5

Dummy variables: education (0=≤university), children(0=yes), duration of homelessness before visit(0=≤1 year), duration of shelter residency (0=≤1 year).