Stress reactivity of emotional and verbal speech content in schizophrenia.

Speech fundamental frequencies (SFFs) are nonverbal sound frequencies that convey emotion in speech. The degree of SFF long-term averaged spectra (LTAS) convergence between conversants reflects aspects of conversant-reported quality of the interaction (e.g., emotional synchrony). This study investigated whether SFF LTAS convergence between inpatients diagnosed with schizophrenia (n = 20) and an interviewer was associated with severity of illness (SOI), formal speech disturbance (FSD), and stress reactivity of FSD. Participants provided speech samples describing stressful and nonstressful life experiences. In the stress condition, SFF LTAS was negatively correlated with SOI and FSD. Moreover, patients exhibiting stress reactivity of FSD also evidenced stress reactivity of SFF LTAS. These findings suggest that the emotional and verbal contents of speech are disrupted by stress in schizophrenia, and SOI is associated with FSD and reduced emotional communication during stressful conditions. The interaction between stress reactivity of FSD and SFF LTAS supports the construct validity of a reactivity dimension in schizophrenia.

Effects of dichotically enhanced electronic communication on crash risk and performance during simulated driving.

In a driving simulator experiment, male and female college students received turn-by-turn driving directions and cognitive tasks while interacting with an experimenter via an audio communication system. In an Enhanced condition (n = 29), lower speech frequencies (containing the speech fundamental frequency) were routed to participants' left ears (with right cerebral-hemisphere processing) and verbal frequencies above the speech fundamental frequency were routed to right ears (with left hemisphere processing). A control group (n = 31) heard unfiltered communications in both ears. Compared to those in the Control condition, participants in the Enhanced condition were significantly less likely to crash and had nonsignificantly lower rates of driving errors (speed infractions, improper lane position, and following distance errors). The results suggest a means of alleviating cognitive load pressure and mitigating crash risk when complex equipment is operated concurrently with two-way electronic communications (cell phone communication while driving, air-to-air and air-to-ground communications, etc.).

Targeted high and low speech frequency bands to right and left ears respectively improve task performance and perceived sociability in dyadic conversations.

Past research shows that the lower nonverbal frequencies of the human voice, beneath .5 kHz, transmit an acoustic signal promoting social convergence and status accommodation between human interlocutors. We conducted a laboratory experiment and a validation study to explore the possible communications benefits of targeting the low-frequency band to the left ears of human participants and the high-frequency band to the right ears. We compare this "Enhanced" condition with two other conditions: a "Confounded" condition, in which the low-frequency band was targeted to participants' right ears and the higher-frequency band to their left ears; and a Control condition, in which the entire unaltered frequency band was targeted to both ears. For the duration of their interaction, experiment participants engaged in dyadic conversations while attempting to complete a task via an audio-visual communication system. Our results show that both the speed and accuracy of task completion were significantly improved in the Enhanced condition. In the second validation study, groups of participants rated the quality of videotaped conversations from the experiment using a semantic differential instrument. The Enhanced condition conversations were rated significantly more affectively favourable than either the unaltered Control or Confounded condition conversations. Overall, our results exhibit potential for enhancing two-way electronic communications and improving task performances in media environments.

Further analysis of a doctor-patient nonverbal communication instrument.

This study examines the reliability and validity of the relational communication scale for observational measurement (RCS-O) using a random sample of 80 videotaped interactions of medical students interviewing standardized patients (SPs). The RCS-O is a 34-item instrument designed to measure the nonverbal communication of physicians interacting with patients. The instrument was applied and examined in two different interview scenarios. In the first scenario (year 1), the medical student's interview objective is to demonstrate patient-centered interviewing skills as the SP presents with a psychosocial concern. In the second scenario (year 3), the student's interview objective is to demonstrate both doctor-centered and patient-centered skills as the SP presents with a case common in primary care. In the year 1 scenario, 19 of the 34 RCS-O items met acceptable levels of inter-rater agreement and reliability. In the year 3 scenario, 26 items met acceptable levels of inter-rater agreement and reliability. Factor analysis indicated that in both scenarios each of the four primary relational communication dimensions was salient: intimacy, composure, formality, and dominance. Measures of correlation and differences involving the RCS-O dimensions and structural features of the interviews (e.g., number of questions asked by the medical student) are examined.