Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson

Abstract

Purpose: To investigate, in patients with Parkinson's disease (PD), the coping strategies; the most reported vocal symptoms; and the relation between coping, voice symptoms, and communicative aspects. Methods: Seventythree subjects were included in the sample, 33 of which were participants in the experimental group (EG) with diagnosis of PD and 40 were control subjects, that is, healthy and without vocal complaints. They underwent the following procedures: application of Voice Symptoms Scale (VoiSS), Brazilian Version; Voice DisabilityCoping Questionnaire (VDCQ), Brazilian Version; and the questionnaire Living with Dysarthria (LwD). Results:The EG presented deviations in all protocols: VDCQ, with the most frequently coping strategy being "selfcontrol," VoiSS, with "Impairment" as the most prevalent domain, and LwD, presenting changes in all sections.Vocal signs and symptoms and communicative aspects were shown to have a regular correlation with coping.The correlation between vocal symptoms and communicative aspects was as follows: the greater the impairment in communication, the greater the VoiSS emotional scores and the more they complaint of voice-related signs and symptoms. Conclusion: Patients with PD use all kinds of coping strategies, but prefer using self-control.They present several vocal signs and symptoms, and "Impairment" was the most prevalent domain. There are difficulties in all aspects of communication. The higher the occurrence of vocal signs and symptoms, the more the patient reports the difficulties of living with dysarthria, particularly when deviations affect the emotional domain.

Concept Mapping to Define Components for an Occupation-Based Intervention for Parkinson’s Disease and Anxiety1

“…People with PD use fewer coping strategies than people with other long-term conditions [48,49]. Many tend to use "self-control" [48,49].…”

“…People with PD use fewer coping strategies than people with other long-term conditions [48,49]. Many tend to use "self-control" [48,49]. Women with PD tend to have more problem-focused coping strate-gies than men, but people with PD generally use both problem-focused and emotion-focused coping strategies [50].…”

“…However, we can only be confident that 1% of participants with PD meet the YOPD criterion (Table 1). The next age group (45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64) accounted for 39% of the sample. As these age groups are based on the UK census, we cannot determine how many participants would be considered YOPD.…”

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3

“…It characterizes the consistency of foods that a person can swallow and self-classifies health as poor, fair, good, very good, or excellent. 18 The SWAL-QOL is the only instrument that assesses dysphagia irrespective of the condition, 17,19,20 and is validated for use in individuals with SCA3. 14 The LwD 21 was used to measure the impact of dysarthria on communication.…”

Craniopuntura de Yamamoto na doença de Parkinson

“…No que se refere ao domínio da Comunicação, também do PDQ-39 68 , a análise dos valores de mediana revelou uma melhora de 16,7%. No presente estudo, a disartria que é caracterizada por um conjunto de alterações resultantes de distúrbio no controle muscular do mecanismo da fala 83 que resulta monotonia, redução da intensidade da voz e articulação imprecisa, 40,84,85 , foi foco de tratamento de dois sujeitos (NP 3 e NP %), com discreta melhora. Apesar de não ter sido foco de tratamento, sob a visão do sujeito NP 1, após a craniopuntura sua fala melhorou.…”