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1.
Pers Soc Psychol Bull ; : 1461672231207567, 2023 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-37888143

RESUMO

Despite the prevalence of deception, people rarely doubt others' sincerity. However, indirect evaluations of liars and truth-tellers may differ even in the absence of suspicion about veracity. Across three studies, we provide evidence for the truth attraction effect in two samples of target stimuli and three samples of participant judges. Target people are perceived as more attractive when telling the truth versus when they lie, an effect mediated by target warmth and openness. The truth attraction effect is stronger for female targets (vs. males); however, it is unaffected by the gender of the judge. Findings suggest people may be more likely to approach truth-tellers versus liars, even when not actively judging veracity. We discuss the challenges and benefits of treating both targets and participants as random factors in linear mixed-effect analyses and join the chorus of calls to increase the number of target stimuli in deception research.

2.
Curr Opin Psychol ; 33: 256-264, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32361679

RESUMO

This paper reviews the nonverbal display of power, status, and dominance (PSDom). While PSDom are theoretically and often practically separate constructs, in the domain of nonverbal behaviors (NVBs) they are more often expressed similarly. Experimental research and field observations on adult humans were harvested for this review. The goals of this review were to: (1) summarize the list of reliable NVBs of PSDom (with associated references), (2) separately report those behaviors we think are associated with PSDom from those actually associated with PSDom, (3) describe the few existing distinctions between how power, status, and dominance each display NVBs and describe new reports on NVB associated with SES, social network size, and confidence, (4) address the quandary of whether the nonverbal expression of PSDom are universal across gender and culture and (5) provide a resource for researchers wishing to code nonverbal behaviors associated with PSDom.


Assuntos
Relações Interpessoais , Comunicação não Verbal/psicologia , Classe Social , Predomínio Social , Adulto , Associação , Humanos
3.
Ethn Dis ; 30(2): 331-338, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32346279

RESUMO

Objectives: The metabolic syndrome (MetS) refers to a cluster of interrelated physiological characteristics that are associated with an increased risk of cardiovascular disease and diabetes. While the clinical usefulness of the MetS has been the subject of controversy for years, increasingly sophisticated methods are being used to measure the concept. Participants: Study of community health center patients who were not diabetic; study group was evenly divided between Black and White adults. Main Outcome Measures: Latent MetS score and MetS status based on the five-point scale developed by the National Cholesterol Education Panel (NCEP). Methods: Structural equation modeling of MetS incorporating the effects of race/ethnicity, racial discrimination, socioeconomic position (SEP), and selected mediating variables. Results: The largest influences on latent MetS scores were SEP (negative relationship) and male gender (higher scores for men). Two mediating variables, physical activity and stress-related eating, had smaller impacts. Self-reported racial discrimination was associated with cynical hostility but did not influence the MetS level among nondiabetics. Despite higher NCEP scores and MetS prevalence rates for Blacks compared with Whites, race did not have direct effect on MetS levels when adjusted for the other characteristics in our model. Conclusions: Neither race nor self-reported racial discrimination had direct effects on MetS level in our structural model. The large effects of socioeconomic position and male gender were not mediated by the other variables in the model.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus , Síndrome Metabólica/etnologia , Determinantes Sociais da Saúde/etnologia , População Negra/estatística & dados numéricos , Fatores de Risco Cardiometabólico , Doenças Cardiovasculares/etnologia , Doenças Cardiovasculares/metabolismo , Doenças Cardiovasculares/prevenção & controle , Diabetes Mellitus/etnologia , Diabetes Mellitus/metabolismo , Diabetes Mellitus/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estruturais , Prevalência , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricos
4.
Emotion ; 20(3): 462-472, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30829501

RESUMO

Emotional Intelligence (EI) is a set of adaptive skills that involve emotions and emotional information. Prior research suggests that lower EI individuals behave maladaptively in social situations compared to higher EI individuals. However, there is a paucity of research on whether EI promotes adaptive decision-making. Leveraging the somatic marker hypothesis, we explore whether EI moderates the relationship between skin conductance responses (SCRs) and risky decision-making. In two separate sessions in the behavioral lab, participants (N = 52) completed tests of emotional intelligence and made a total of 5,145 decisions involving risk. At Time 1, participants completed an ability test of EI and cognitive intelligence. At Time 2, participants completed 100 decision trials of the Iowa Gambling Task (IGT). Consistent with prior research using the IGT, participants played a computerized card game with real monetary rewards in which two "safe" decks led to higher average monetary rewards and two "risky" decks led to higher average losses. We found that EI moderates the relationship between physiological arousal, as measured by SCRs, and risk-taking. Specifically, lower EI individuals exhibited a maladaptive, positive association between SCRs and risk-taking, whereas higher EI individuals did not exhibit a relationship between SCRs and risk-taking. Our findings suggest one important way in which low EI may lead to maladaptive decision-making is through appraising physiological arousal incorrectly. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Biomarcadores/metabolismo , Tomada de Decisões/fisiologia , Inteligência Emocional/fisiologia , Adulto , Feminino , Humanos , Masculino , Assunção de Riscos , Adulto Jovem
5.
J Pers Soc Psychol ; 117(3): 560-578, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30869984

RESUMO

Humans consistently face the challenge of discerning liars from truth-tellers. Hundreds of studies in which observers judge the veracity of laboratory-created lies and truths suggest that this is a difficult task; in this context, lie-detection accuracy is notoriously poor. Challenging these findings and traditional methodologies in lie-detection research, we draw upon the somatic marker hypothesis and research on interoception to find that: (a) people experience physiological reactions indicating increased sympathetic arousal while observing real, high-stakes lies (vs. truths), and (b) attending to these physiological reactions may improve lie-detection accuracy. Consistent with the tipping point framework, participants demonstrated more physiological arousal and vasoconstriction while observing real crime liars versus truth-tellers, but not mock crime liars versus truth-tellers (Experiment 1; N = 48). Experiment 2 replicated this effect in a larger sample of participants (N = 169). Experiment 3 generalized this effect to a novel set of stimuli; participants demonstrated more physiological arousal to game show contestants who lied (vs. told the truth) about their intention to cooperate in a high-stakes economic game (N = 71). In an intervention study (Experiment 4; N = 428), participants were trained to attend to their physiological signals; lie-detection accuracy increased relative to a control condition. Experiment 5 (N = 354) replicated this effect, and the addition of a bogus training condition suggested that increased accuracy was not simply attributable to self-focused attention. Findings highlight the limitations of relying on laboratory-created lies to study human lie-detection and suggest that observers have automatic, physiological reactions to being deceived. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Nível de Alerta/fisiologia , Enganação , Interocepção/fisiologia , Detecção de Mentiras , Percepção Social , Sistema Nervoso Simpático/fisiologia , Vasoconstrição/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
6.
J Pers ; 85(5): 583-592, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-27237702

RESUMO

OBJECTIVES: The present research is concerned with the relation between accuracy in judging targets' affective states and accuracy in judging the same targets' personality traits. In two studies, we test the link between these two types of accuracy with the prediction that accuracy of judging traits and of judging states will be associated when fundamental affective qualities are shared. METHOD: In Study 1, affective states and personality traits of 29 targets were rated by 124 judges whose individual accuracy was scored as the correlation between their ratings and target criterion scores (across targets). In Study 2, a comparable analysis was done using 30 different targets and 330 different judges. RESULTS: Accuracy in judging distressed affect was significantly positively correlated with accuracy in judging Neuroticism in both studies, as well as in a meta-analysis across the two studies. Accuracy in judging positive affect was significantly positively correlated with accuracy in judging Extraversion in one of the two studies, with the meta-analysis across the two studies being significant. CONCLUSIONS: These findings provide preliminary evidence for a new model (State and Trait Accuracy Model) that outlines when concordance in accuracy across traits and states should be expected.


Assuntos
Afeto/fisiologia , Julgamento/fisiologia , Personalidade/fisiologia , Percepção Social , Adulto , Feminino , Humanos , Masculino , Narrativas Pessoais como Assunto , Adulto Jovem
7.
Trends Cogn Sci ; 20(8): 579-588, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27353575

RESUMO

The tipping point framework of lie detection posits that people can, and do, accurately detect deception. This framework pinpoints three circumstances that aid accuracy: (i) using methods of measurement that circumvent controlled, conscious cognition; (ii) when individual differences or situational factors portend potent risks to lie detection failure, such as in high-stakes or threatening settings; and (iii) when factors diminish concern over the relationship or reputation costs of asserting that someone has lied. We thus depict a psychological system that registers lie detection consistently in nonconscious reactions (e.g., brain based, bodily, indirect social evaluations) and that allows information into consciousness to inform overt assessments of lies when the costs of failing to detect deception exceed those of signaling distrust.


Assuntos
Enganação , Individualidade , Julgamento , Detecção de Mentiras/psicologia , Encéfalo , Cognição , Humanos , Relações Interpessoais , Comportamento Social , Percepção Social
8.
Proc Natl Acad Sci U S A ; 113(23): 6449-53, 2016 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-27217566

RESUMO

People are regularly asked to report on their likelihoods of carrying out consequential future behaviors, including complying with medical advice, completing educational assignments, and voting in upcoming elections. Despite these stated self-predictions being notoriously unreliable, they are used to inform many strategic decisions. We report two studies examining stated self-prediction about whether citizens will vote. We find that most self-predicted voters do not actually vote despite saying they will, and that campaign callers can discern which self-predicted voters will not actually vote. In study 1 (n = 4,463), self-predicted voters rated by callers as "100% likely to vote" were 2 times more likely to actually vote than those rated unlikely to vote. Study 2 (n = 3,064) replicated this finding and further demonstrated that callers' prediction accuracy was mediated by citizens' nonverbal signals of uncertainty and deception. Strangers can use nonverbal signals to improve predictions of follow through on self-reported intentions-an insight of potential value for politics, medicine, and education.


Assuntos
Entrevistas como Assunto , Política , Adulto , Idoso , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Incerteza
9.
Proc Natl Acad Sci U S A ; 113(15): 4009-14, 2016 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-27035937

RESUMO

Across two field studies of romantic attraction, we demonstrate that postural expansiveness makes humans more romantically appealing. In a field study (n = 144 speed-dates), we coded nonverbal behaviors associated with liking, love, and dominance. Postural expansiveness-expanding the body in physical space-was most predictive of attraction, with each one-unit increase in coded behavior from the video recordings nearly doubling a person's odds of getting a "yes" response from one's speed-dating partner. In a subsequent field experiment (n = 3,000), we tested the causality of postural expansion (vs. contraction) on attraction using a popular Global Positioning System-based online-dating application. Mate-seekers rapidly flipped through photographs of potential sexual/date partners, selecting those they desired to meet for a date. Mate-seekers were significantly more likely to select partners displaying an expansive (vs. contractive) nonverbal posture. Mediation analyses demonstrate one plausible mechanism through which expansiveness is appealing: Expansiveness makes the dating candidate appear more dominant. In a dating world in which success sometimes is determined by a split-second decision rendered after a brief interaction or exposure to a static photograph, single persons have very little time to make a good impression. Our research suggests that a nonverbal dominance display increases a person's chances of being selected as a potential mate.


Assuntos
Amigos/psicologia , Relações Interpessoais , Comunicação não Verbal , Postura/fisiologia , Comportamento Sexual/psicologia , Comportamento Social , Humanos , Amor , Parceiros Sexuais
10.
J Exp Psychol Gen ; 144(5): 982-92, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26301794

RESUMO

The successful detection of deception is of critical importance to adaptive social relationships and organizations, and perhaps even national security. However, research in forensic, legal, and social psychology demonstrates that people are generally very successful deceivers. The goal of the current research was to test an intervention with the potential to decrease the likelihood of successful deception. We applied findings in the architectural, engineering, and environmental sciences that has demonstrated that enriched environments (vs. scarce ones) promote the experience of comfort, positive emotion, feelings of power and control, and increase productivity. We hypothesized that sparse, impoverished, scarcely endowed environments (vs. enriched ones) would decrease the ability to lie successfully by making liars feel uncomfortable and powerless. Study 1 examined archival footage of an international sample of criminal suspects (N = 59), including innocent relatives (n = 33) and convicted murderers (n = 26) emotionally pleading to the public for the return of a missing person. Liars in scarce environments (vs. enriched) were significantly more likely to reveal their lies through behavioral cues to deception. Study 2 (N = 79) demonstrated that the discomfort and subsequent powerlessness caused by scarce (vs. enriched) environments lead people to reveal behavioral cues to deception. Liars in scarce environments also experienced greater neuroendocrine stress reactivity and were more accurately detected by a sample of 66 naïve observers (Study 3). Taken together, data suggest that scarce environments increase difficulty, and decrease success, of deception. Further, we make available videotaped stimuli of Study 2 liars and truth-tellers.


Assuntos
Criminosos/psicologia , Sinais (Psicologia) , Enganação , Meio Ambiente , Adulto , Análise de Variância , Emoções/fisiologia , Feminino , Humanos , Hidrocortisona/metabolismo , Masculino , Saliva/metabolismo , Adulto Jovem
12.
J Appl Psychol ; 100(4): 1286-1295, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25664473

RESUMO

The authors tested whether engaging in expansive (vs. contractive) "power poses" before a stressful job interview--preparatory power posing--would enhance performance during the interview. Participants adopted high-power (i.e., expansive, open) poses or low-power (i.e., contractive, closed) poses, and then prepared and delivered a speech to 2 evaluators as part of a mock job interview. All interview speeches were videotaped and coded for overall performance and hireability and for 2 potential mediators: verbal content (e.g., structure, content) and nonverbal presence (e.g., captivating, enthusiastic). As predicted, those who prepared for the job interview with high- (vs. low-) power poses performed better and were more likely to be chosen for hire; this relation was mediated by nonverbal presence, but not by verbal content. Although previous research has focused on how a nonverbal behavior that is enacted during interactions and observed by perceivers affects how those perceivers evaluate and respond to the actor, this experiment focused on how a nonverbal behavior that is enacted before the interaction and unobserved by perceivers affects the actor's performance, which, in turn, affects how perceivers evaluate and respond to the actor. This experiment reveals a theoretically novel and practically informative result that demonstrates the causal relation between preparatory nonverbal behavior and subsequent performance and outcomes.


Assuntos
Relações Interpessoais , Comunicação não Verbal/psicologia , Seleção de Pessoal , Postura , Poder Psicológico , Percepção Social , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
14.
Psychol Sci ; 25(5): 1098-105, 2014 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-24659190

RESUMO

To maximize survival and reproductive success, primates evolved the tendency to tell lies and the ability to accurately detect them. Despite the obvious advantage of detecting lies accurately, conscious judgments of veracity are only slightly more accurate than chance. However, findings in forensic psychology, neuroscience, and primatology suggest that lies can be accurately detected when less-conscious mental processes (as opposed to more-conscious mental processes) are used. We predicted that observing someone tell a lie would automatically activate cognitive concepts associated with deception, and observing someone tell the truth would activate concepts associated with truth. In two experiments, we demonstrated that indirect measures of deception detection are significantly more accurate than direct measures. These findings provide a new lens through which to reconsider old questions and approach new investigations of human lie detection.


Assuntos
Detecção de Mentiras/psicologia , Inconsciente Psicológico , Adolescente , Adulto , Enganação , Feminino , Humanos , Masculino , Percepção Social , Roubo/psicologia , Adulto Jovem
15.
PLoS One ; 8(10): e77174, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24204765

RESUMO

OBJECTIVES: To date, limited and inconsistent evidence exists regarding racial discrimination and risk of cardiovascular disease (CVD). METHODS: Cross-sectional observational study of 1005 US-born non-Hispanic black (n = 504) and white (n = 501) participants age 35-64 randomly selected from community health centers in Boston, MA (2008-2010; 82.4% response rate), using 3 racial discrimination measures: explicit self-report; implicit association test (IAT, a time reaction test for self and group as target vs. perpetrator of discrimination); and structural (Jim Crow status of state of birth, i.e. legal racial discrimination prior 1964). RESULTS: Black and white participants both had adverse cardiovascular and socioeconomic profiles, with black participants most highly exposed to racial discrimination. Positive crude associations among black participants occurred for Jim Crow birthplace and hypertension (odds ratio (OR) 1.92, 95% confidence interval (CI) 1.28, 2.89) and for explicit self-report and the Framingham 10 year CVD risk score (beta = 0.04; 95% CI 0.01, 0.07); among white participants, only negative crude associations existed (for IAT for self, for lower systolic blood pressure (SBP; beta = -4.86; 95% CI -9.08, -0.64) and lower Framingham CVD score (beta = -0.36, 95% CI -0.63, -0.08)). All of these associations were attenuated and all but the white IAT-Framingham risk score association were rendered null in analyses that controlled for lifetime socioeconomic position and additional covariates. Controlling for racial discrimination, socioeconomic position, and other covariates did not attenuate the crude black excess risk for SBP and hypertension and left unaffected the null excess risk for the Framingham CVD score. CONCLUSION: Despite worse exposures among the black participants, racial discrimination and socioeconomic position were not associated, in multivariable analyses, with risk of CVD. We interpret results in relation to constrained variability of exposures and outcomes and discuss implications for valid research on social determinants of health.


Assuntos
População Negra , Doenças Cardiovasculares/psicologia , Centros Comunitários de Saúde , Racismo/psicologia , População Branca , Adulto , Boston/epidemiologia , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etnologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Preconceito , Fatores de Risco , Fatores Socioeconômicos
16.
Psychol Sci ; 24(11): 2281-9, 2013 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-24068113

RESUMO

Research in environmental sciences has found that the ergonomic design of human-made environments influences thought, feeling, and action. In the research reported here, we examined the impact of physical environments on dishonest behavior. In four studies, we tested whether certain bodily configurations-or postures-incidentally imposed by the environment led to increases in dishonest behavior. The first three experiments showed that individuals who assumed expansive postures (either consciously or inadvertently) were more likely to steal money, cheat on a test, and commit traffic violations in a driving simulation. Results suggested that participants' self-reported sense of power mediated the link between postural expansiveness and dishonesty. Study 4 revealed that automobiles with more expansive driver's seats were more likely to be illegally parked on New York City streets. Taken together, the results suggest that, first, environments that expand the body can inadvertently lead people to feel more powerful, and second, these feelings of power can cause dishonest behavior.


Assuntos
Ergonomia/psicologia , Postura/fisiologia , Poder Psicológico , Comportamento Social , Adulto , Condução de Veículo/psicologia , Enganação , Feminino , Humanos , Masculino , Distribuição Aleatória , Método Simples-Cego , Roubo/psicologia , Adulto Jovem
17.
PLoS One ; 7(6): e35088, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22761650

RESUMO

We experience the world serially rather than simultaneously. A century of research on human and nonhuman animals has suggested that the first experience in a series of two or more is cognitively privileged. We report three experiments designed to test the effect of first position on implicit preference and choice using targets that range from individual humans and social groups to consumer goods. Experiment 1 demonstrated an implicit preference to buy goods from the first salesperson encountered and to join teams encountered first, even when the difference in encounter is mere seconds. In Experiment 2 the first of two consumer items presented in quick succession was more likely to be chosen. In Experiment 3 an alternative hypothesis that first position merely accentuates the valence of options was ruled out by demonstrating that first position enhances preference for the first even when it is evaluatively negative in meaning (a criminal). Together, these experiments demonstrate a "first is best" effect and we offer possible interpretations based on evolutionary mechanisms of this "bound" on rational behavior and suggest that automaticity of judgment may be a helpful principle in clarifying previous inconsistencies in the empirical record on the effects of order on preference and choice.


Assuntos
Evolução Biológica , Comportamento de Escolha , Julgamento , Comportamento do Consumidor , Feminino , Humanos , Masculino
18.
PLoS One ; 6(11): e27636, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22125618

RESUMO

BACKGROUND: To date, research on racial discrimination and health typically has employed explicit self-report measures, despite their potentially being affected by what people are able and willing to say. We accordingly employed an Implicit Association Test (IAT) for racial discrimination, first developed and used in two recent published studies, and measured associations of the explicit and implicit discrimination measures with each other, socioeconomic and psychosocial variables, and smoking. METHODOLOGY/PRINCIPAL FINDINGS: Among the 504 black and 501 white US-born participants, age 35-64, randomly recruited in 2008-2010 from 4 community health centers in Boston, MA, black participants were over 1.5 times more likely (p<0.05) to be worse off economically (e.g., for poverty and low education) and have higher social desirability scores (43.8 vs. 28.2); their explicit discrimination exposure was also 2.5 to 3.7 times higher (p<0.05) depending on the measure used, with over 60% reporting exposure in 3 or more domains and within the last year. Higher IAT scores for target vs. perpetrator of discrimination occurred for the black versus white participants: for "black person vs. white person": 0.26 vs. 0.13; and for "me vs. them": 0.24 vs. 0.19. In both groups, only low non-significant correlations existed between the implicit and explicit discrimination measures; social desirability was significantly associated with the explicit but not implicit measures. Although neither the explicit nor implicit discrimination measures were associated with odds of being a current smoker, the excess risk for black participants (controlling for age and gender) rose in models that also controlled for the racial discrimination and psychosocial variables; additional control for socioeconomic position sharply reduced and rendered the association null. CONCLUSIONS: Implicit and explicit measures of racial discrimination are not equivalent and both warrant use in research on racial discrimination and health, along with data on socioeconomic position and social desirability.


Assuntos
Negro ou Afro-Americano/estatística & dados numéricos , Preconceito , Inquéritos e Questionários , População Branca/estatística & dados numéricos , Adulto , Boston , Centros Comunitários de Saúde/estatística & dados numéricos , Estudos Transversais , Escolaridade , Emprego/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Fumar , Desejabilidade Social , Fatores Socioeconômicos
19.
Psychol Sci ; 21(10): 1363-8, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20855902

RESUMO

Humans and other animals express power through open, expansive postures, and they express powerlessness through closed, contractive postures. But can these postures actually cause power? The results of this study confirmed our prediction that posing in high-power nonverbal displays (as opposed to low-power nonverbal displays) would cause neuroendocrine and behavioral changes for both male and female participants: High-power posers experienced elevations in testosterone, decreases in cortisol, and increased feelings of power and tolerance for risk; low-power posers exhibited the opposite pattern. In short, posing in displays of power caused advantaged and adaptive psychological, physiological, and behavioral changes, and these findings suggest that embodiment extends beyond mere thinking and feeling, to physiology and subsequent behavioral choices. That a person can, by assuming two simple 1-min poses, embody power and instantly become more powerful has real-world, actionable implications.


Assuntos
Hidrocortisona/sangue , Comunicação não Verbal/fisiologia , Comunicação não Verbal/psicologia , Poder Psicológico , Assunção de Riscos , Testosterona/sangue , Afeto/fisiologia , Nível de Alerta/fisiologia , Feminino , Jogo de Azar/fisiopatologia , Jogo de Azar/psicologia , Hierarquia Social , Humanos , Masculino , Saliva/química
20.
J Gen Intern Med ; 22(9): 1231-8, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17594129

RESUMO

CONTEXT: Studies documenting racial/ethnic disparities in health care frequently implicate physicians' unconscious biases. No study to date has measured physicians' unconscious racial bias to test whether this predicts physicians' clinical decisions. OBJECTIVE: To test whether physicians show implicit race bias and whether the magnitude of such bias predicts thrombolysis recommendations for black and white patients with acute coronary syndromes. DESIGN, SETTING, AND PARTICIPANTS: An internet-based tool comprising a clinical vignette of a patient presenting to the emergency department with an acute coronary syndrome, followed by a questionnaire and three Implicit Association Tests (IATs). Study invitations were e-mailed to all internal medicine and emergency medicine residents at four academic medical centers in Atlanta and Boston; 287 completed the study, met inclusion criteria, and were randomized to either a black or white vignette patient. MAIN OUTCOME MEASURES: IAT scores (normal continuous variable) measuring physicians' implicit race preference and perceptions of cooperativeness. Physicians' attribution of symptoms to coronary artery disease for vignette patients with randomly assigned race, and their decisions about thrombolysis. Assessment of physicians' explicit racial biases by questionnaire. RESULTS: Physicians reported no explicit preference for white versus black patients or differences in perceived cooperativeness. In contrast, IATs revealed implicit preference favoring white Americans (mean IAT score = 0.36, P < .001, one-sample t test) and implicit stereotypes of black Americans as less cooperative with medical procedures (mean IAT score 0.22, P < .001), and less cooperative generally (mean IAT score 0.30, P < .001). As physicians' prowhite implicit bias increased, so did their likelihood of treating white patients and not treating black patients with thrombolysis (P = .009). CONCLUSIONS: This study represents the first evidence of unconscious (implicit) race bias among physicians, its dissociation from conscious (explicit) bias, and its predictive validity. Results suggest that physicians' unconscious biases may contribute to racial/ethnic disparities in use of medical procedures such as thrombolysis for myocardial infarction.


Assuntos
População Negra/etnologia , Médicos/psicologia , Preconceito , Terapia Trombolítica/psicologia , População Branca/etnologia , Adulto , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/terapia , Feminino , Humanos , Masculino , Valor Preditivo dos Testes , Inquéritos e Questionários , Terapia Trombolítica/estatística & dados numéricos
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