Psychiatric Disease and Functional Dysphonia and Aphonia

Measurement of Total Actual Speaking Time in a Patient with Spastic Dysphonia

“…How ever, in general, the cases which we encoun ter are not accompanied by central nervous system disorders. There are, meanwhile, also scientific papers dealing with the possible relevance of psychosomatic factors in the eti ology of dysphonia [Arnold, 1959;Guze and Brown, 1962], The variances in mean speaking time on each day of the week were measured and are shown in figure 3. When differences in speaking time between weekdays and holi days, including Sunday, are statistically ex amined, the value of 2.45 by Student's t test (p < 0.05) shows that the differences are sig nificant, being 8 min 30 s ± 3 min 42 s and 6 min 54 s ± 1 min 54 s, respectively.…”

Psychiatric disturbance and personality traits in dysphoric patients

“…Previous studies have assessed a variety of psychological parameters (Guze & Brown, 1962;Aronson, Peterson & Litin, 1966;House & Andrews, 1987), as well as the psychiatric status, in patients with functional voice disorders (this term which covers a wide range of distinct conditions and there is no consensus among professionals as to which patients merit this diagnosis). The patients are described as having a high degree of neurotic anxiety or depression and a poor ability to express anger (Guze & Brown, 1962;Aronson, Peterson & Litin, 1966), though these pioneering studies did not use validated psychiatric assessments. In agreement with the GHQ results of the present study, structured interview assessments of psychiatric status have found that about a third of patients with functional dysphonia had non-psychotic mood and anxiety states (House & Andrews, 1987).…”

“…No other personality disorders were found. Earlier reports suggested that the incidence of personality disorders, especially of hysterical personality traits, might be higher, but did not use validated assessment instruments (Guze & Brown, 1962;Aronson, Peterson & Litin, 1966).…”

The role of psychogenic and psychosocial factors in the development of functional voice disorders

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