EMOTIONAL EXPRESSION & TRANSIENT MYOCARDIAL ISCHEMIA

本项目的目标是使用已建立的测量方法 面部活动，以确定负面情绪表达是否与 短暂性心肌缺血（TMI）的发生。 TMI已经 在冠状动脉粥样硬化患者中普遍存在， 致死性和非致死性心脏事件的显著预测因子。 面部 以前已经使用了一些措施来区分被分类的个人， 作为A型或B型，并识别特定阴性表达 发现情绪与心脏活动的变化一致。 这项工作将在一项已获资助的研究的背景下进行， 可以检查面部表情之间的关系， 情绪和行为干预旨在降低频率， TMI发作的持续时间和强度。 标准期间收集的音频/视频记录中的面部行为 结构化面试将使用埃克曼和弗里森的面部测量 动作编码系统。 有三个目标： 目的1：探讨表达行为与TMI的关系 在精神压力任务中。 我们的目的是明确什么类型的心理 压力--对压力的情绪反应在脸上很明显-- 与缺血性事件的发生有关。 目的2：确定干预方案的有效性 旨在减少TMI的设计与之前表现出的表达行为有关， 干预，以及不同的干预措施是否影响不同的 情绪行为的各个方面。 目的3：探讨我们的面部表情测量之间的关系 以及其他正在收集的心理测量指标，特别是 确定面部的敌意，愤怒，厌恶， 蔑视与库克-梅德利敌意量表的得分有关。

The objective of this project is to use an established Method of measuring facial activity to determine if negative emotional expressions are related to the occurrence of Transient Myocardial Ischemia (TMI). TMI has been found to be prevelant among patients with coronary atherosclerosis, and a significant predictor of fatal and non-fatal cardiac events. The facial measures have been used previously to differentiate individuals classified as Type A or Type B, and to identify expressions of specific negative emotions found to coincide with changes in cardiac activity. This work will be done in the context of an already funded study where it is possible to examine the relationships between facial expressions of emotion and behavioral interventions designed to reduce the frequency, duration and intensity of TMI episodes. Facial behavior from audio/video records being collected during standard structured interviews will be measured using Ekman and Friesen's Facial Action Coding System. There are three aims: Aim 1: To examine the relationship between expressive behavior and TMI during mental stress tasks. Our purpose is to specify what type of mental stress -- which emotional reaction to stress as evident in the face -- is related to the occurrence of ischemic events. Aim 2: To determine whether the efficacy of the intervention programs designed to reduce TMI is related to the expressive behavior shown prior to intervention, and whether the different interventions influence different aspects of emotional behavior. Aim 3: To explore the relationship between our facial expression measures and the other psychometric measures being collected, in particular to determine how the facial measures of hostility, anger, disgust, and contempt relate to scores on the Cook-Medley Hostility Inventory.