Date of Submission


Degree Type


Degree Name

Doctor of Psychology (PsyD)



Department Chair

Robert A. DiTomasso, Ph.D., ABPP

First Advisor

Robert A. DiTomasso, Ph.D., ABPP, Chairperson

Second Advisor

Harry J. Morris, D.O., M.P.H.

Third Advisor

Steven Godin, Ph.D., M.P.H.


Psychometric evaluation of the Mahan and DiTomasso Anger Survey (MAD-AS) analysis in an outpatient cardiac population is herein described. The MAD-AS is a newer instrument that measures the cognitive, affective, and behavioral components of anger and is beneficial in that it is brief. One hundred fifty cardiac outpatients and one hundred fifty non-cardiac dental patients were administered a demographic form that requested information about cardiac risk factors, the MAD-AS, and the STAXI-2, a widely used valid and reliable measure of state and trait constructs of anger. The MAD-AS factor structure, construct validity, internal consistency, and reliability were examined and found to support the instrument. Group differences were hypothesized to exist in regards to anger; these differences were not statistically significant. However, when age and several risk factors were controlled for, group differences were detected in the expected trajectory in MAD-AS scores but not in STAXI-2 scores. The results described in this study support the reliability and validity of the MAD-AS.