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Purpose: We conducted a survey of psychiatric nurses to verify a postulated model for the psychological process leading to anger and aggressive behavior due to poor and insu cient social and related factors. Methods: e analysis was conducting by applying a causal model (postulated in my hypothesis) of con rmed validity explaining the relationship among the process of anger expression and the factors. Using this model, a structural equation (path diagram drawn using the causal model) was generated and path analysis was conducted by applying a structural equation model (SEM) and using the model ’s goodness-oft index. We also used nine di erent types of questionnaires, including questionnaires on social support, stress, and sympathy. Results and Conclusion: On analyzing the answers of the 1,001 surveyed nurses ( nal response rate=70.0%), we observed that the results of the analysis indicated that the model bestt occurred at the following parameters: GFI=0.94, AGFI=0.91, CFI=0.92, and RMSEA=0.063. Furthermore, it was revealed that the following model is the best t for the process that leads to the expression of aggressive behavior and the factors that a ect the process: inability to receive social support → accumulation of stress concerning the workplace environment, human relations at the workplace, and job contents → arousal of anger → expression of aggressive behavior. In addition, the results of multiple group analysis indicated clear gender di erences regarding several factors, including a partial correlation between sympathy and job-related stress, etc.

Creation of a Causal Model for the Process of Anger Expression and Related Factors in Psychiatric Nurses