Expressive vocal behavior and the severity of coronary artery disease

This study sought to ascertain the relationship of expressive vocal behavior in a structured interview and the severity of coronary artery disease in a group of 79 patients referred for coronary angiography. One half of the structured interview was administered in a nonchallenging manner, the other...

Full description

Saved in:

Bibliographic Details
Published in:	Psychosomatic medicine Vol. 49; no. 6; p. 545
Main Authors:	Siegman, A W, Feldstein, S, Tomasso, C T, Ringel, N, Lating, J
Format:	Journal Article
Language:	English
Published:	United States 01-11-1987
Subjects:	Adult Affect Age Factors Aged Coronary Angiography Coronary Disease - psychology Female Humans Interview, Psychological - methods Male Middle Aged Risk Factors Speech Type A Personality
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	This study sought to ascertain the relationship of expressive vocal behavior in a structured interview and the severity of coronary artery disease in a group of 79 patients referred for coronary angiography. One half of the structured interview was administered in a nonchallenging manner, the other half in a moderately challenging manner. In patients age 60 and younger, two speech measures derived from the nonchallenging interview, a computer-scored index of the frequency of simultaneous speech and judged loudness level, accounted for 38% of the variance in the patients' severity of stenosis scores, when the latter was indexed by the Gensini method. The same speech indices derived from the challenging interview segment accounted for only 18% of the variance on the patients' Gensini scores. In the older patient group, only one speech variable, speech rate in the nonchallenging interview segment, contributed to the patients' Gensini scores. The findings suggest a) that in younger patients objective, computer-scorable, speech variables correlate significantly with severity of coronary occlusion, and b) that is not essential that these speech indices be derived from a structured interview that is administered in a challenging and provocative manner. In the present study, there were no significant correlations between the participants' global TABP scores and their occlusion scores.
ISSN:	0033-3174
DOI:	10.1097/00006842-198711000-00001