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首页> 外文学位 >Effects of participant disclosure tendencies and physician verbal behavior on participant willingness to disclose facts: An analogue study.
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Effects of participant disclosure tendencies and physician verbal behavior on participant willingness to disclose facts: An analogue study.

机译：参与者披露倾向和医生言语行为对参与者披露事实的意愿的影响：一项模拟研究。

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摘要

The current study attempts to explain some of the factors related to patient self-disclosure in the medical encounter, including gender dynamics, patient overall concealment tendency, and physician verbal behavior. Participants were asked to put themselves in the place of patients while listening to audio files of three staged doctor visits (no problem scenario, fatigue scenario, and diabetes scenario). The design of the study is a 2 (patient gender) x 2 (physician gender) x 3 (physician statement: symptom focused question, feeling focused question, or self-disclosure) factorial using perceived privacy and importance of facts and self-disclosure tendency as covariates. Participants' perceptions of the physician were measured, as well as their willingness to disclose specific information to this physician.;Results indicated that the experimental manipulation was indeed salient to the participants, and the proposed covariates were statistically useful. Initial analysis suggested that the no problem scenario was conceptually different from the other two scenarios. In the fatigue and diabetes scenarios, the feeling question resulted in greater likelihood of disclosure than did the symptom question. The self-disclosure statement resulted in the higher attractiveness ratings than did the symptom question in all three scenarios. Additional findings relating to gender were nearing critical significance levels. The findings did not support reciprocity theory in the medical encounter. There was support for the use of patient-centered interviewing methods to increase patient likelihood of disclosure. The strengths and limitations of analogue studies are discussed, as are recommendations for future studies, including studies with other cultural groups and patients with chronic or serious medical conditions.
机译：当前的研究试图解释与医疗过程中患者自我披露有关的一些因素，包括性别动态，患者总体隐瞒倾向和医生的言语行为。要求参与者在听三个阶段的医生就诊的音频文件（无问题，疲劳和糖尿病的情况下）时，将自己置于患者的位置。研究的设计是2（患者性别）x 2（医师性别）x 3（医师陈述：症状集中的问题，感觉集中的问题或自我披露）的因子，使用感知的隐私权以及事实和自我披露倾向的重要性作为协变量。评估参与者对医师的看法，以及他们是否愿意向该医师披露特定信息。结果表明，实验操作确实对参与者很重要，建议的协变量在统计学上是有用的。初步分析表明，无问题方案与其他两种方案在概念上有所不同。在疲劳和糖尿病的情况下，与症状问题相比，感觉问题导致更大的信息泄露可能性。在所有这三种情况下，自我披露声明所产生的吸引力等级均高于症状问题。有关性别的其他发现已接近关键的显着水平。这些发现不支持互惠理论在医学界的遭遇。支持使用以患者为中心的采访方法来增加患者披露的可能性。讨论了类似研究的优势和局限性，以及对未来研究的建议，包括与其他文化群体以及患有慢性或严重疾病的患者进行的研究。

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  • 作者

    Champion, Crystal D.;

  • 作者单位

    University of Notre Dame.;

  • 授予单位 University of Notre Dame.;
  • 学科 Psychology Behavioral.;Health Sciences Education.;Speech Communication.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 99 p.
  • 总页数 99
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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