Psychogenic dysphonia: diversity of clinical and vocal manifestations in a case series

Martins, Regina Helena Garcia; Tavares, Elaine Lara Mendes; Ranalli, Paula Ferreira; Branco, Anete; Pessin, Adriana Bueno Benito

doi:10.1016/j.bjorl.2014.09.002

Cited by 16 publications

(10 citation statements)

References 13 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, it was observed the presence of vocal disorder in a percentage that is compatible with the one reported in the literature that describes it as ranging from 6 to 9%, which may reach 17%, when analyzed in an expanded age range between two to 16 years old 24,25 .…”

Section: Discussionsupporting

confidence: 90%

Association between voice disorder and breathing alteration in children

et al. 2018

View full text Add to dashboard Cite

Objective: to analyze the association between voice disorder and aspects related to breathing mode in children, according to sex. Methods: 250 children, aged six to nine years, attending a public school in São Paulo city, were selected. The collection consisted of spontaneously audio recorded speech samples. The breathing mode was evaluated for lip resting posture and nasal flow. Three audiologists performed the perceptual evaluation of the voice quality, with the help of GIRBAS scale. The results were associated using the chi-square test (p = 0.05). Results: 50.4% females and 49.6% males. As for the overall grade (G), 12.8% had voice disorder with respect to voice quality. In the breathing mode, 36.8% presented alterations in lip posture and 71.2%, in nasal flow. The associations between voice disorder and gender (p = 0.96), lip posture (p = 0.38) and nasal flow (p = 0.18) and between alterations in the nasal flow and sex (p = 0.449) were not confirmed. The association between lip posture and sex revealed significant differences in favor of males (p = 0.003). Conclusion: there was no statistically significant difference associating voice disorders with breathing mode (lip posture and nasal flow) and gender.

show abstract

Section: Discussionsupporting

confidence: 90%

Association between voice disorder and breathing alteration in children

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Psychogenic speech disorders manifest as dysphonia, dysarthria or articulation deficits, acquired stuttering, apraxia of speech, and abnormalities in prosody including prosodic aspects of the “foreign accent syndrome” (FAS) (1). Functional dysphonia refers to the non-neurogenic loss or alteration in voice (pitch, loudness, quality) (2). Dysarthria manifests as deficits in speech articulation, and, when psychogenic, often involves labial consonants (“l”, “r”) or relatively isolated hypernasality (1).…”

Section: Overviewmentioning

confidence: 99%

Non-Neurogenic Language Disorders: A Preliminary Classification

Mendez

2018

Psychosomatics

View full text Add to dashboard Cite

Clinicians and researchers have insufficiently emphasized the presence of NNLDs, their characteristics, and their identification. Yet, these disorders may be the first or predominant manifestation of a psychologically-mediated illness. There are 2 steps to recognition. The first is to know how to distinguish NNLDs from the manifestations of neurogenic language impairments after a neurological evaluation. The second step is awareness of specific associated and examination features that suggest the presence of a NNLD.

show abstract

“…Due to the influence of various emotions, negative and positive, the process of producing voice and the functioning of the respiratory-phonatory-articulatory mechanism are subject to change. Long-term disturbances of mental emotional and psychosocial balance, caused by anxiety, stress, depression, traumatic experiences, personality conflict or disturbances in social contacts are an important risk factor for the occurrence of voice quality disorders with psychogenic background ( Helena et al, 2014 )…”

Section: Introductionmentioning

confidence: 99%

Sudden and persistent dysphonia within the framework of COVID-19: The case report of a nurse

Buselli¹,

Corsi²,

Necciari³

et al. 2020

Brain, Behavior, & Immunity - Health

View full text Add to dashboard Cite

In December 2019, clusters of atypical pneumonia with unknown etiology emerged in the city of Wuhan in China. In early January 2020, the Center for Disease Control in China announced that it was identified a new coronavirus, first tentatively named 2019-nCoV and officially named SARS-CoV-2 by the International Committee on Taxonomy of Viruses. On 11 February 2020 the WHO identified the disease caused by SARS-CoV-2 as COVID-19 (COronaVIrus Disease-19 based on the year of appearance). Although only a few months have passed since the beginning of this pandemic, numerous studies, case reports, reviews by leading international scientific and medical journals have been published. However, given the unpredictability of virus behaviour and the still limited knowledge about it, many aspects of the infection are still little known. A recent epidemiological study has shown the presence of dysphonia in some patients with COVID-19, with a minority reporting aphonia during the clinical course of the disease. This case study draws attention on a 50-year-old female nurse presented with a history of fatigue for small efforts and persistent dysphonia at the Occupational Health Department of a major University Hospital in central Italy. The patient had a history of COVID-19 infection, which lasted about two months with pulmonary and extrapulmonary symptoms. After two RT-PCR negativities for SARS-CoV-2, dysphonia and fatigue due to minor efforts persisted. The patient, following the persistence of the symptomatology, carried out numerous specialist examinations, which showed no organic alterations. Based on her clinical and instrumental history, we hypothesized a psychogenetic dysphonia related to COVID-19. This case report highlights the importance of personalized medicine with long-term follow-up and good psychological support in patients who tested positive for COVID-19 and in particular in the categories at greatest risk of both contagion and adverse physical and mental outcomes like health care workers.

show abstract

Psychogenic dysphonia: diversity of clinical and vocal manifestations in a case series

Cited by 16 publications

References 13 publications

Association between voice disorder and breathing alteration in children

Association between voice disorder and breathing alteration in children

Non-Neurogenic Language Disorders: A Preliminary Classification

Sudden and persistent dysphonia within the framework of COVID-19: The case report of a nurse

Contact Info

Product

Resources

About