World Applied Programming, Vol (4), Issue (1), January 2014.

58-64
ISSN: 2222-2510
2013 WAP journal. www.tijournals.com

Effects of Anger Management Training on Students Mental

Health, Kermanshah University of Medical Sciences
Hojatallah Tahmasebian

Bahman Roshani *

Kermanshah university of medical

sciences, Kermanshah, Iran.

Kermanshah university of medical

sciences, Kermanshah, Iran.

Khosro Farhadi

Parisa Amjadian

Kermanshah university of medical

sciences, Kermanshah, Iran.

Kermanshah university of medical

sciences, Kermanshah, Iran.

Abstract: Introduction: Anger is a type of excitement often caused by a reaction to an inappropriate behavior of
others. Anger may be a fleeting annoyance or discomfort. Chronic anger has negative effects on physical and
mental health, social interaction and quality of life.. The aim of this study is evaluation of effectiveness of anger
management training on mental health of students.
Methods: In this quasi-experimental we used pretest-posttest with control group. Statistical society is
undergraduate and graduate students population of Kermanshah University of Medical Sciences in the year 8990. Sampling method that is sorted by random was 57 cases male and female students who wish to participate in
the study and randomly assigned to two groups: a group of 29 people and 28 people have taken advantage of the
most reliable measures of health. Both groups were pre-tested. Then (independent variable) on the anger
management skills training program was administered. After running the program, both groups of subjects were
assessed. Findings were analyzed by software (SPSS-18) and the associated two-sample T test and analysis of
variance.
The results obtained from statistical analysis showed that teaching anger management skills to enhance the
mental health of students has the significant difference between the experimental group and control group. In
this study, we used the 95% confidence level and a significance level of a=0/05. Multi-way analysis of
variance showed that the significant impact of rate 8/30% and 100% statistical power.
Conclusion: The deleterious consequences of anger within and outside of the individual and uncontrolled anger
puts health at risk and weaknesses and shortcomings in the management of anger, and destruction of personal
distress, interpersonal relations beyond and disturbance of public health and the deleterious consequences of
aggressive behavior is linked, So the anger management education programs such Promotion of public health
appears to be necessary and useful.
Keywords: anger management skills training, public health students, anger

I.

INTRODUCTION

One of the basic human emotions that typically accounts for most of the investigative report after fear is anger. Anger is
an emotional state in a range of physical and mental that may include from irritability to exasperation. The findings of
several studies show that the anger is a defense of the Ego When a person is confronted with other negative reflected
appraisals will defend itself against the opinions of others. Some people are more prone to anger and various social and
psychological factors affect the formation of expressing anger ( Bvshmn &Bamystr 1998 ) .
Chronic anger negatively affect physical and mental health, social interaction and quality of life(Dahln
&diphenhydramine, 2001).
Anger may lead to family, Interpersonal, job conflicts, negative evaluation of others and low self-esteem (Marie
merchandise& pin, 2003)

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Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

The mental health or intellectual is explained as activities performed to help individuals suffering from problems to save
them and guide people on prevention of problems and confusion. Thus the mental health never neglects quality of human
physical health.
There are three critical components of health: Physical, mental and social. It can be said that mental health means
creating a balance between the environments, human needs and desires that always trickle events and stress cause the
equilibrium to be put at risk. Because of this reason physical and mental health are related together and as we educate
and promote awareness of various physical ailments prevented, in the first principle of mental health our goal is
prevention (Divine, 1388).
Anger is a dangerous emotion because following the demolition and removal of something or someone it considers itself
an obstacle to the mechanism. Blood pressure, heart rate and body stimulation caused by anger may be dangerous for
person. If anger is not expressed in the endocrine, Hostility within the individual increases his performance in
interpersonal situations and social and compatibility with others to achieve goals, harms family life and job opportunities
(Beshkar, 1387).
Intense anger is the effective component in parents conflict with teenagers. The exclusion of teenage by parents makes
teenagers upset, While the disorder and disrespect for parents of teenage daughter or son make parents upset. Both
parents and adolescents may lack the motivation and skills needed to understand the steps necessary to ease their anger,
If not controlled properly, this powerful emotion, Could hinder the overall success and optimal functioning of
individuals, groups and communities is severely threatened. There are several approaches to conflict resolution for
parents and youth, including: Problem solving or problem-solving, negotiation and dialogue skills to do the best to
achieve consensus, Conflict resolution and communication skills as a way to express anger and control, Which is used as
a means of conflict resolution (Lutfi, 1385).
Anger may be caused by internal factors, such as irrational thoughts and beliefs, Ill-fitting expectations and feelings of
failure or external factors such as barratry, Being ignored, not being considerate of others, insults and abuse are actually
getting (Klinke, translated by Mohammad Khani, 1382).
Regarding the negative effects of social and individual anger, control of anger is important. Our management and anger
control interventions, reduce the emotional feelings and the physiological arousal of anger, Increase awareness and
education about anger practices and effective strategies to control it (Psychological Society of America, 2004).
Anger management skills, including: Social protection systems skills, listening skills, Probable links between and
negotiation skills, problem solving skills, relaxation skills, expertise and skills to maintain internal controls of humor.
The main objective of this research is study the effectiveness of anger management training on mental health
undergraduate and postgraduate students. In this study we try to answer the question that: Anger management training is
effective in increasing the public's health?
The hypotheses of this study are:
First hypothesis: Anger management training is effective in increasing mental health groups.
Second hypothesis: lack of anger control training is effective to control the increasing mental health.
Hypothesis III: anger control training on mental health impacts.
II.

MATERIALS AND METHODS

Methodology presents an experimental study with two groups Control and experimental pre-test and post-test was
performed. The population in this study, undergraduate students and graduate Kermanshah University of Medical
Sciences. In this study, a group of 29 members of the experimental group and a group of 28 persons (control group), or
see the undergraduate and postgraduate students, Independent variables were assessed before And after the treatment in
the public health of the exam was given. In this study, simple random sampling has been. Tools used in this study were a
questionnaire. In this study, Hiller was used to test general health gold leaf and Information about the purpose of the
test was given to participants. The questionnaires Gold Leaf (1972) in order to detect non-psychotic mental disorders
develop and set to determine the extent of non-psychotic mental disorders in therapy facilities, and other countries and is
used in various situations. This questionnaire has been widely \ "studies, surveys and general medicine outpatient and
inpatient \" is used And, according to Gold Leaf, seeking GHQ serious ailments such as: Schizophrenia or psychotic
depression (mental Pryshanh not). Text questionnaire about general health conditions and illness and disease with
emphasis on psychological issues , Health and social status and symptom of the state of health (healthy) person is
assessed. Application of Article 28 of the 1972 Gold Leaf and Hiller by using factor analysis method was developed on
the long form, 4 is a scale that scale is a 7-question. The measures include:

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Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

1) physical symptoms
2) anxiety and sleep disorders
3) impairment in social functioning
4) depression

Sessions of anger management training

Control
of Anger

Anger
control
skills

Meeting

Topic

Target

Anger means

Emotional self-awareness

The rage

Knowledge of the relationship - think - considering the positive aspects of behavior and
anger

Risks Wrath

Negative consequences of anger and its impact on human

Recognition

To monitor the physical symptoms of anger, rage, spontaneity and discovery of patterns

Assessment
Evaluation

Choosing the way

Behavioral skills, communication and assertiveness

Choosing the way

Problem solving and conflict resolution. The use of reconciliation and forgiveness in anger

Choosing the way

Of anger, Khvdaram building techniques - Sazs protect against stress and ...

and

Cognitive skills, emotional restraint and increased

III.

METHODS OF DATA ANALYSIS

Frequency distribution table for a description of the demographic characteristics of the study subjects . For data analysis
and statistical inference methods Frzylt (t - test) analysis of variance, two-sample dependent manifold is used.
IV.

RESULTS

According to Table 1; Although pre-test scores between experimental and control groups, anger management, but little
The difference in post-test scores are very high and obvious. Post-test and post-test scores of the experimental group
declined, but so has the control group scores.
The results are shown in Table (2); mental health and its scale means and standard deviations of pre-test and post-test
experimental group shows. According to these results, It was observed that the mean scores on measures of mental health
and post-test experimental group significantly decreased (Ie, they have lower rates of mental health scores increased).
According to figures obtained, Significant levels on measures of mental health and anger management training, so it is
less than 0.05, increased mental health.
The results in Table( 3) ,The mean and standard deviation, and mental health scales in the pretest and posttest control
group shows. According to these results, it is observed that the mean scores on measures of psychological and physical
symptoms at post-test than the control group obviously increased. According to figures obtained, Significant levels of
mental health, social dysfunction and depression is less than 0.05 in the control group Thus, the lack of anger
management training, social dysfunction and depression, increased control, and reduced overall health. But the physical
symptoms of anxiety and sleep disorders To test the significance level of 0.05 was higher than the control group The lack
of training, anger management, and over time these have been ineffective.
According to figures obtained from Table (4), The analysis of variance with repeated measures was used. Levels
observed significant interactive effect of group was significant at the 0.01 level (Pi = 0.001). So we can conclude with
99% confidence that the mental health of subjects who received anger management training Significantly compared to
the control group increased. The more accurately we can say that teaching anger management, mental health, and
increases significantly. As in Figure 1 is considered as the dependent variable axis (y) and repeated measurements on the
axis (X) are shown. The drawn line represents the coupling between control and experimental groups respectively. As
seen Drpysh test scores for anger management is almost identical in both groups, But scores of anger management

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Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

training in the treatment group significantly decreased While this is not the case in the control group. Steep slope of the
line represents the result of the test group.

Table (1): Table Mean and standard deviation of the separation of control and anger management test

Test ( n=28)
Variable

Groups

M
Controlling Anger

control ( n= 28 )

Number

pre-test
post-test

28
28

61.61
43.54

SD

SD

16.18
8.677

63.79
65.21

11.51
11.532

Table (2):
pre-test

post-test
t

Significant

8.677

6.62

0.001

11.25

2.675

4.796

0.001

4.853

10.93

2.61

6.136

0.001

16.39

4.289

12.68

3.486

4.532

0.001

13.75

6.162

8.68

2.038

4.366

0.001

Significant

Mean

SD

Mean

SD

Mental health

61.61

16.18

43.54

physical symptoms

15.54

4.376

anxiety and sleep disorders

15.93

social dysfunction
Depression

Table (3):
pre-test

post-test

Mean

SD

Mean

SD

Mental health

63.79

11.51

65.21

11.532

-2.134

0.042

physical symptoms

16

3.702

15.71

3.819

0.803

0.429

anxiety and sleep disorders

15.71

4.099

15.96

3.805

-1.368

0.183

social dysfunction

16.79

3.166

17.61

2.998

-2.589

0.015

Depression

15.29

4.868

15.93

4.61

-2.106

0.045

Table (4): ANOVA summary table for the factor group (mental health) between groups (control and test)
Source Changes

square

Pre-test

3984.143
1938.893
2661.75
16269.071

pre-test group
error

df

mean square ratio

1
1
1
108

3984.143
1938.893
2661.75
150.64

61

F
26.448
12.871
17.67

level of significance
0.001
0.001
0.001

Chi Eta
0.396
0.308

Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

V.

DISCUSSION

Kellner, in his study of the history of anger management programs and the effectiveness of intervention programs for
different groups shows. The results of the research in the field of anger management skills training for adolescents with
severe behavioral and emotional disorders that Intervention program that was implemented after 10 sessions, Participants
in conflicts with peers down and talk with a counselor about the issues raised in anger. Black and investigate Nvakv
(1993), which took the form of individual therapy, coping skills, self-monitoring, reducing the arousal and anger about
the various functions and over 28 individual sessions were taught. They reduce the prevalence of proper social behavior
and increased aggression observed after training. Follow-up was performed after 21 weeks of training left.
Lam (1999) in a study entitled, \ "The relationship between parental stress and anger \" which was conducted in Hong
Kong, has shown that stress and anger expression in children, are highly correlated Lemma findings (1999) suggests that
parents of children with uncontrolled anger is associated with child abuse and their.
Chang et al (2002), in a follow-up study that did that in the first period of adulthood had higher levels of anger For
coronary heart disease was 3.5 times and 6.4 times the risk of premature myocardial infarction who had low levels of
violence, the more chances they had.
Poor Josie (1373), concluded that the number and severity of coronary artery disease with anger and hostility are related
TyrvmndyIn particular, high blood pressure, Ansarifar (1377) A study concluded that the expansion and contraction of
blood pressure in people who do not express their anger is higher.
Connor and Barry (1999) 7 out of anger management training program for the students who were emotionally distraught,
implementation and have provided evidence of the positive effects of the program.
Fisher (2004) Anger management group training program for people with developmental disabilities have been
conducted and Reported that the program was effective in the treatment of patients after 3 months of the sample
remained stable.
Findings Jaklvsky (2005) showed that the level of resentment and anger management group therapy program also may
reduce the patient's dependence.
Results Paylt (2002) under the title \ "impact on reducing domestic violence, anger management training program that
participated in an 8 session anger management training, participants will reduce the level of anger. Brslyn (2005) and
Mac VAF (2004) also reached a similar conclusion.
Findings Allahyari (1376) showed that when de-stress, can reduce the level of aggression involved.
Findings Sadeghi (1380) found that anger management training program can reduce aggressive behavior of students.
Findings Yavarian et al (1385) defined an anger management training program was conducted for group, the
experimental group showed significantly reduced aggressive behavior.

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Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

Tyler and Nvakv (2005), citing the results of the meta-analysis that evaluated the efficacy of interventional therapy
monitoring have anger issues, they concluded that Interventions based on cognitive approaches - behavior, in many
clinical and non-clinical situations and for different groups, different ages have been effective.
Research Dvnlan, Tvnzynvvsky, Rabytz, Moffitt and colleagues (2005) suggest that anger is a negative relationship
between narcissism and positive relationship with self-esteem. Narcissistic personality with a comprehensive model of
magnanimity, approval and admiration and lack of empathy described. These people to feel shame, criticism, and are
susceptible to failure (anther race, 1388).
Barry, Chaplin and Grafmn (2006) in explaining the origins of the relationship between anger and narcissism describe
the Anger can be rooted in negative feedback, so that people are more narcissistic and aggressive act against another
assessment. They are trying to defend anything in return from his self-concept.
The findings of the survey results Sadeghi (1380), Bahram (1384), Said (1385) and Tarzan Gates et al (1386) was well
coordinated and aligned.
The results Sadeghi (1380) found that anger control training in rational ways - emotional - behavior has a positive effect
on reducing aggressive behavior in children.
Findings Bahrami (1384) showed that problem-solving skills of anger management skills, reduces aggression.
The results Saidi (1385) showed a consistent increase in consulting cooperative education - has a positive impact on
students' social and self-concept.
Nia Gates et al (1386) demonstrated communication skills training has a positive effect on communication patterns and
positive feelings to his wife.
VI.

CONCLUSIONS

The mental or intellectual activity that is done to help those suffering to save them the trouble and It also
leads people to prevent problems and confusion. Thus, mental health, physical health, quality of human
beings never be neglected. Anger is one of the basic human emotions of fear, accounts for most of the
investigative report .Anger is an emotional state of physical and mental aspects that can be included in a
range from irritability to rage. Since the devastating consequences of uncontrolled anger and rage that is
inside and outside the person's health in serious risk and Weaknesses and shortcomings in the management
of anger, and destruction of personal distress, interpersonal relations goes beyond public health and
dysfunction in aggressive behavior is linked to adverse outcomes, Anger management training programs so
as to promote the public health community seems to be necessary and useful.
REFERENCES
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]

Bushman , B , J ., & Baumeister , R , F ., ( 1998 ) . Threatened egotism , narcissism , self esteem , and direct and displaced aggression :
Does self love or self hate lead to violence ? J of Personality and Social Psychology , 75 , 219 229 .
Dahlen , E . R ,. & Deffenbacher , J . L . ( 2001 ) . anger management : Empirically supported cognitive therapies ; Current status and future
promise . New York : Springer P . C .
Calamari , E , . & Pini , M . ( 2003 ) . Dissociative experiences and anger proneness in late adolescent females with different attachment styles
. Journal of Adoleescence , 38 , 287 288 .
Beshkar, Sultanali. (1387), "The effects of marital conflict reduction skills training, anger management, conflict resolution Baghmlk couples
referred to the council," Master's thesis, and family counseling, martyr Chamran University of Ahvaz.
Lutfi, b. (1385). The impact of emotional intelligence skills to reduce conflicts between parent - child, adolescent girls in Kerman city. M.Sc.
Thesis, University of Social Welfare and Rehabilitation, Tehran
Klnykh, Chris. L.. (1998), Life Skills, translated Mohammadkhani S., (1382 and 1384), 2 volumes, Tehran, October Peganum.hermla
publications.
Kellner, M.H., Bry ,B.h.,&colletti, L.A.(2002). Teaching anger management skills to student with sever disorder. Journal of behavioral
disorder,27, 460
Black, L, &Novaco,R. W. (1993). Tratment ,Journal of anger with a developmentally disable man .In R.A.Wells,&v.j. giannetti (EDs),
Casebook of the brief psychotherapies. (pp. 143-185). New York: plenum
Lam, D.(1999). Parenting stress and anger: the hongkong experience. Child and family Social Work, 4,337-346.
Calamari, E., &pini, m.(2003). Dissociative experiences and anger proneness in late adolescent females with different attachment styles.
Journal of adolescence, 38,287,-288
Pour Josie, B. (1373). Analytical relationship between hostility and resentment, and the severity of coronary artery disease, MS Thesis, Tarbiat
Modarres University, Tehran.
Ansarifar, (1377). Examine the association between blood pressure and rotation, and the incidence of extreme anger at work and home nurses
employed in hospitals affiliated to Iran University of Medical Sciences, Master Thesis, Iran University of Medical Sciences.
Kellner, m. h.:&Bry,B. H.(1999). The effect of anger management group in a day school for emotionally disturbed adolescents. Adolescence,
34,136.

63

Hojatallah Tahmasebian, et al. World Applied Programming, Vol (4), No (1), January 2014.

[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]

[22]
[23]
[24]
[25]
[26]
[27]
[28]

Fisher,
R.(2004).
Anger
management
group
intervention
for
adults
with
developmentaldisabilitieds.
http://www.lib.umi.com/diddertations/fullcit/935550.
Jankowski, s.(2005). The effectiveness of anger management gorouptherepy in the
treatment of chemically dependet patients..
http://www.lib.umi.com/diddertations/fullcit/3188693.
Pilet, G.A.(2002).Efficacy of adult of adult psycho educatin in an anger management partion of a domestic violence treatment
program.http://www.lib.umi.com/diddertations/fullcit/3052663.
Breslin, j. h.(2005). Effectiveness of a rural anger management program in preventing domestic violence recidivism.
Macvaugh , G.S.(2004).outcomens of court intervention and diversionanary
programs for domestically violent
offenders.http://www.lib.umi.com/diddertations/fullcit/3143323.
Alhyary, AA. (1376). Specifying character Prkhvashgry adolescents terms of the relationship of these components and the component of
personality Prkhvashgry fathers and the effect of stress reduction therapy on aggression , PhD thesis, University of Tehran.
Sadeghi, Ahmad. (1380) Effects of anger management training practices intellectual, behavioral, emotional reducing aggressive behavior in
male high school students Mvzarn, MS Thesis, Tehran University.
Helpers, Gulshan-e-Taiba and the miracle zone. (1385) Effects of Group Education anger rational manner, behavior, emotional, behavioral
aggression in girls high school students in the city of Urmia. Proceedings of the Second International Congress of Iranian Psychological
Association.
Taylor, J.L.,&novaco , R.W.(2005).anger treatment for peple with development disablilities : a theory , evidence and manual based approach.
John Wiley &sons , ltd.
Donnellan, m.b., Trzeniewski, K.H.,Robins, R.W., Moffit, T.E., &Caspi, A.(2005).Low self-esteem is related to aggression , antisocial
behavior , and delinquency . Psychological Science, 16328-335
Anther race, S. (1388). Between self-esteem, perfectionism and self-handicapping their fascination with the psychology of a group of students
in XIII No. 1, pp. 84-69
Barry C.T., Chaplin W.F &Grafeman S.J.(2006). Aggression Following. Performance feedback: The influences of narcissism, feedback
valence, and comparative standard. Personality and Individual differences,41,177-187
Bahrami, F. (1384), "Efficiency of problem solving skills training on aggression in girls," Journal of Thought and Behavior, year XI, No.
4467-469.
Saidi, hakim. (1385), "The effects of cooperative learning on the fitness consultant personal - social, self-concept, students in first year high
school students' master's thesis advisers, Science and Research Branch, Islamic Azad University, Ahvaz
Shirali nia, Khadija. (1386), the impact of communication skills on communication patterns and positive feelings in the couple's marriage,
Ahvaz Family Counseling Master's thesis, martyr Chamran University.

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