Trial reportPsychosomatic medicine2009
Anger expression and sleep quality in patients with coronary heart disease: findings from the Heart and Soul Study.
Trial report in Psychosomatic medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 59 citations in OpenAlex.
- The Sentinel Sleep Theory: Unweaving the biological function of REM sleep.Sleep medicine: X · 2026Article
- Risk Factors and Psychosocial Correlates of Emotionally Negative Dreams in Patients Referred to a Cardiac Rehabilitation Centre.The Malaysian journal of medical sciences : MJMS · 2020Article
- Direction of Association Between Depressive Symptoms and Lifestyle Behaviors in Patients with Coronary Heart Disease: the Heart and Soul Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Article
- Psychological Health and Overweight and Obesity Among High Stressed Work Environments.Obesity, open access · 2015Article
- The mediating effect of sleep quality on the relationship between PTSD and physical activity.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014Article
- Importance of hypertension and social isolation in causing sleep disruption in dementia.American journal of Alzheimer's disease and other dementias · 2014Article
- Association between dentures and the rate of falls in dementia.Medical devices (Auckland, N.Z.) · 2014Article
- Development and Validation of Sleep Disturbance Questionnaire in Patients with Acute Coronary Syndrome.International scholarly research notices · 2014Article
- Association of acute coronary syndrome-induced posttraumatic stress disorder symptoms with self-reported sleep.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2013Article
- Objective evidence of myocardial ischemia in patients with posttraumatic stress disorder.Biological psychiatry · 2013Article
- Poor sleep quality is associated with depressive symptoms in patients with heart disease.International journal of behavioral medicine · 2012Article
- Cognitive and affective control in insomnia.Frontiers in psychology · 2011Article
- Shorter leukocyte telomere length in midlife women with poor sleep quality.Journal of aging research · 2011Article
- "Sleep disparity" in the population: poor sleep quality is strongly associated with poverty and ethnicity.BMC public health · 2010Article
- Work and Health Correlates of Sleep Quantity and Quality Among Correctional Nurses.Journal of forensic nursingArticle
- Expression of anger in university students according to perceived quality of sleep.Sleep science (Sao Paulo, Brazil)Article
- Positive Affect and Health Behaviors Across 5 Years in Patients With Coronary Heart Disease: The Heart and Soul Study.Psychosomatic medicineArticle
- Contributing influences of work environment on sleep quantity and quality of nursing assistants in long-term care facilities: A cross-sectional study.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo evaluate if anger expression affects sleep quality in patients with coronary heart disease (CHD). Research has indicated that poor sleep quality independently predicts adverse outcomes in patients with CHD. Risk factors for poor sleep quality include older age, socioeconomic factors, medical comorbidities, lack of exercise, and depression.
methodsWe sought to examine the association of anger expression with sleep quality in 1020 outpatients with CHD from the Heart and Soul Study. We assessed anger-in, anger-out, and anger temperament, using the Spielberger State-Trait Anger Expression Inventory 2, and measured sleep quality, using items from the Cardiovascular Health Study and Pittsburgh Sleep Quality Index. We used multivariate analysis of variance to examine the association between anger expression and sleep quality, adjusting for potential confounding variables.
resultsEach standard deviation (SD) increase in anger-in was associated with an 80% greater odds of poor sleep quality (odds ratio (OR) = 1.8, 95% Confidence Interval (CI) = 1.6-2.1; p < .0001). This association remained strong after adjusting for demographics, comorbidities, lifestyle factors, medications, cardiac function, depressive symptoms, anger-out, and anger temperament (adjusted OR = 1.4, 95% CI = 1.5-1.7; p = .001). In the same model, each SD increase in anger-out was associated with a 21% decreased odds of poor sleep quality (OR = 0.79, 95% CI = 0.64-0.98; p = .03). Anger temperament was not independently associated with sleep quality.
conclusionsAnger suppression is associated with poor sleep quality in patients with CHD. Whether modifying anger expression can improve sleep quality or reduce cardiovascular morbidity and mortality deserves further study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.