SPEECH CHARACTERISTICS IN CORONARY HEART DISEASE

冠心病的言语特征

• 批准号: 3345900
• 负责人: LARRY W SCHERWITZ
• 金额: $ 16.36万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-12-01 至 1986-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3345900
• 关键词: aggression; behavior test; behavioral medicine; coronary disorder; disease /disorder proneness /risk; goal oriented behavior; human subject; interview; male; psycholinguistics; psychological stressor; self concept; social competition; stress; type A /type B personality

The proposed competing renewal builds upon the findings of the original grant showing that the frequency and density of self-references (I, me, my) are independently and prospectively related to the incidence of CHD in MRFIT, particularly CHD mortality. While these findings suggest that self-involvement may be a risk factor for CHD, the study was conducted with "high risk" males and the results may not generalize to males with normal risk factor levels. Therefore, proposed is replication using the Structured Interviews from another prospective study of CHD risk factors -- the Western Collaborative Group Study. We propose counting self-reference frequency and density from the baseline Structured Interviews for all 257 individuals who incurred CHD and a matched control sample of 514 who remained free of CHD. While self-reference frequency and density have been predictive of CHD, they remain a crude indicator of self-involvement. To further define how self-references appear and how they function in the Structured Interview, we have developed a more sophisticated analysis which we propose to apply to the original 577 MRFIT Structured Interviews. Specifically, this psycholinguistic analysis is designed to test hypotheses about specific aspects of self that may be related to CHD. The hypotheses will be tested with the 193 individuals who incurred CHD in MRFIT and their matched controls. In addition to the above findings for self-involvement, we have discovered a possible answer to the question of why Type A behavior did not predict CHD in MRFIT. Our results indicate that there are significant differences in the predictiveness of the interviewers' Type A assessments for CHD. Further, these differences are related to differences in the MRFIT interviewer style. Based upon a pilot study showing promising differences, we propose identifying specific interviewer speech characteristics that distinguish predictive from nonpredictive interviewers.

拟议的竞争性延期是在原调查结果的基础上提出的。 格兰特表明，自我指涉（我，我，我的）的频率和密度 与冠心病的发病率独立且前瞻性相关， MRFIT，尤其是CHD死亡率。 虽然这些发现表明， 自我卷入可能是冠心病的一个危险因素，这项研究是在 “高风险”男性，结果可能无法推广到正常男性 风险因素水平。 因此，建议使用 来自另一项冠心病风险因素前瞻性研究的结构化访谈-- 西方合作研究。 我们建议计算自我参照 所有257个基线结构化访谈的频率和密度 患有CHD的个体和514名患有CHD的匹配对照样本， 没有CHD。 虽然自我参照频率和密度可以预测CHD， 它们仍然是自我参与的粗略指标。 为了进一步定义 自我参考的出现以及它们在结构化面试中的作用， 我们已经开发了一种更复杂的分析方法， 577 MRFIT结构化面试 具体来说， 心理语言学分析旨在检验关于特定 可能与CHD有关的自我方面。 将对假设进行检验 与193例MRFIT中发生CHD的患者及其匹配的 对照 除了上述关于自我参与的发现之外，我们还发现 为什么A型行为不能预测 MRFIT中的CHD。 我们的研究结果表明， 对冠心病的A型评估的预测性。 此外，这些差异与MRFIT的差异有关 面试官风格 根据一项显示有希望的差异的试点研究， 我们建议识别特定的面试官语音特征， 区分预测型和非预测型面试者。