Domain-specific anger expression assessment and blood pressure during rest and acute stress

Anger expression has been linked to hypertension, although assessment of anger expression has not accounted for situational influences. We predicted that anger expression style varies across social situations. Two studies assessed reported anger expression in three domains (home, work, and during free time) and compared findings to those obtained using a global assessment. Participants reported expressing anger more openly when at home and they tend to exert greater control when at work. The domain-specific assessment was also more sensitive to sex differences than the general assessment. The second study examined the influence of this domain-specific anger expression assessment on blood pressure (BP) at rest and during acute challenge. In addition to replicating the first study, the second study showed that open anger expression particularly at work was associated with elevated BP. These studies represent a first step towards improving assessment of anger expression and determining how anger might relate to hypertension risk.