title: Designing an Internet-Based Intervention Tailored to Psychological Factors for CVD Risk Reduction: Role of Stress and Anger.
abstract: OBJECTIVE
  To examine the mediating role of occupational stress on the relationship of anger expression to cardiovascular disease (CVD) risk using Framingham risk score equation in Korean adults with metabolic syndrome.
  
  
  METHODS
  This cross-sectional study was a secondary analysis of baseline data from a longitudinal study conducted in 91 Korean male workers. Psychological variables were assessed using structured questionnaires.
  
  
  RESULTS
  Occupational stress was significantly predictive of CVD risk (β=.278, p=.008). The inclusion of occupational stress non-significantly decreased the standardized beta by 33.6% for anger expression as a predictor of CVD risk (β=.152, p=.163). The Sobel test showed a significant mediating effect between occupational stress and CVD risk (p&lt;0.01).
  
  
  CONCLUSIONS
  This mediating role of occupational stress has important clinical implications as interventions designed to manage anger expression to reduce CVD risk in this population.
authors.affiliation: Ajou University College of Nursing, Suwon, South Korea.
authors.forename: Chun-Ja
authors.initials: CJ
authors.lastname: Kim
authors.affiliation: University of Pittsburgh School of Nursing, Pittsburgh, USA.
authors.forename: Na-Jin
authors.initials: NJ
authors.lastname: Park
authors.affiliation: University of Pittsburgh School of Nursing, Pittsburgh, USA.
authors.forename: JiYeon
authors.initials: J
authors.lastname: Choi
authors.affiliation: Hallym University, Chuncheon, South Korea.
authors.forename: Dong-Soo
authors.initials: DS
authors.lastname: Shin
mesh_terms: D000328:Adult; D000786:Anger; D000067449:Anger Management Therapy / Q000706:statistics & numerical data; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology*; D015984:Causality; D015897:Comorbidity; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D015995:Prevalence; D011379:Prognosis; D056910:Republic of Korea / Q000453:epidemiology; D040242:Risk Reduction Behavior; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D017216:Telemedicine / Q000706:statistics & numerical data