{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:30:14Z","timestamp":1791891014335,"version":"4.3.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T00:00:00Z","timestamp":1101859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p>The clinical significance of childhood hypertension is important as elevated pressures during childhood are found to follow a progressively increasing track into adulthood. Little work has been done to examine the relationship of emotions and emotional behavioral factors to the development of hypertension in children. Using the Roy Adaptation Model as a guide, this study investigated the relationship of anger expression and blood pressure (BP) among adolescents 16\u201318 years of age. Participants were 63 urban high school seniors. Measurements included the Anger Expression Inventory, a Demographic Questionnaire, and measures of systolic and diastolic blood pressure. Analysis revealed significant positive relationships between anger expression with blood pressure, and a significant inverse relationship between blood pressure and the control of anger for girls. No significant relationships between anger expression and blood pressure were noted for boys. The majority of students (53%) were found to have high normal or hypertensive blood pressure readings, putting them at increased cardiovascular risk.<\/jats:p>","DOI":"10.1177\/10598405040200060801","type":"journal-article","created":{"date-parts":[[2008,7,17]],"date-time":"2008-07-17T19:57:27Z","timestamp":1216324647000},"page":"335-342","source":"Crossref","is-referenced-by-count":39,"title":["Anger Expression and Blood Pressure in Adolescents"],"prefix":"10.1177","volume":"20","author":[{"given":"Tamie M.","family":"Starner","sequence":"first","affiliation":[{"name":"Tamie M. Starner, RN, MSN, CFNP, is a nurse practitioner with Monroe Family Practice Associates, Monroe, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalind M.","family":"Peters","sequence":"additional","affiliation":[{"name":"Rosalind M. Peters, RN, PhD, is an assistant professor at Wayne State University, College of Nursing, Detroit, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,12,1]]},"reference":[{"key":"b1-0200335","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)00090-R"},{"key":"b2-0200335","volume-title":"Heart disease and stroke: Statistics 2004 update.","author":"American Heart Association (AHA)","year":"2003"},{"key":"b3-0200335","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a010069"},{"key":"b4-0200335","doi-asserted-by":"publisher","DOI":"10.1002\/1520-6300(200102\/03)13:2<227::AID-AJHB1033>3.0.CO;2-K"},{"key":"b5-0200335","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.19.2560"},{"key":"b6-0200335","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.19.1.55"},{"key":"b7-0200335","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0603_5"},{"issue":"7","key":"b8-0200335","first-page":"25","volume":"37","author":"Davila Y","year":"1999","journal-title":"Journal of Psychosocial Nursing"},{"key":"b9-0200335","doi-asserted-by":"publisher","DOI":"10.1007\/BF01858173"},{"key":"b10-0200335","doi-asserted-by":"publisher","DOI":"10.1016\/0895-7061(95)00308-8"},{"issue":"6","key":"b11-0200335","first-page":"801","volume":"16","author":"Fernandes E","year":"2000","journal-title":"Canadian Journal of Cardiology"},{"key":"b12-0200335","doi-asserted-by":"publisher","DOI":"10.1007\/BF02895168"},{"key":"b13-0200335","volume-title":"The sixth report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure.","author":"Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (JNC VI)","year":"1997"},{"key":"b14-0200335","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.9.2090"},{"key":"b15-0200335","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.17.2271"},{"key":"b16-0200335","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70279-9"},{"key":"b17-0200335","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.1085"},{"key":"b18-0200335","volume-title":"Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults","author":"National Heart, Lung &amp; Blood Institute (NHLBI)","year":"1998"},{"key":"b19-0200335","volume-title":"Update on the Task Force Report (1987) on high blood pressure in children and adolescents","author":"National High Blood Pressure Education Program","year":"1996"},{"key":"b20-0200335","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-7599.2003.tb00352.x"},{"key":"b21-0200335","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199907000-00009"},{"key":"b22-0200335","volume-title":"The Roy adaptation model","author":"Roy C","year":"1999","edition":"2"},{"key":"b23-0200335","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025767900757"},{"key":"b24-0200335","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200105000-00017"},{"key":"b25-0200335","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8986.1995.tb02093.x"},{"key":"b26-0200335","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025535129121"},{"key":"b27-0200335","volume-title":"The experience and expression of anger: Construction and validation of an anger expression scale.","author":"Spielberger C","year":"1985"},{"key":"b28-0200335","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199711000-00005"},{"key":"b29-0200335","unstructured":"U.S. Census BureauGeographic comparison table: Age and sex 2000. 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