The Frequency of Perceived Stress, Anxiety, and Depression in Patients with Common Pathologies Affecting Voice

Dietrich, Maria; Abbott, Katherine Verdolini; Gartner‐Schmidt, Jackie; Rosen, Clark A.

doi:10.1016/j.jvoice.2006.08.007

Cited by 182 publications

(150 citation statements)

References 41 publications

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“…On the other hand, psychogenic factors might cause voice disorders by increasing tension in the laryngeal muscles, especially for muscle tension dysphonia [34][35][36] . A bidirectional relationship between psychogenic factors and voice disorders has also been proposed by other authors 33,35,37) . The two kinds of symptoms may reciprocally reinforce each other, resulting in a vicious cycle.…”

Section: Discussionsupporting

confidence: 53%

“…A number of previous studies have also shown a positive relationship between voice disorders and various psychological problems [32][33][34][35][36][37] . However, because most of these studies used crosssectional designs, the causal relationship between the voice disorders and psychological conditions could not be determined.…”

Section: Discussionmentioning

confidence: 99%

“…The two kinds of symptoms may reciprocally reinforce each other, resulting in a vicious cycle. The role of psychological symptoms in precipitating, exacerbating, and maintaining voice disorders needs to be further clarified 33,37) . Univariate analyses revealed that speaking quietly, using a microphone during teaching, and speaking against background noise were associated with voice disorders and the latter two variables remained in the final logistic regression model after adjusting for potential confounds.…”

Section: Discussionmentioning

confidence: 99%

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A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

Lee

Lao

2010

Journal of Occupational Health

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A Cross-sectional Survey of Voice Disorders among Primary School Teachers in HongKong: Sophie Yick-yu Lee, et al. Tseung Kwan O Hospital, China-Objective: The purpose of the study was to investigate the prevalence of voice disorders and associated risk factors among primary school teachers in Hong Kong. Methods: A cross-sectional survey was conducted based on a random sample of 20 primary schools in Hong Kong. A total of 714 fulltime primary school teachers were invited to participate in the survey. Data were collected through a selfadministered questionnaire addressing the prevalence of voice disorders and potential risk factors. Stepwise logistic regression was used to assess the associations between voice disorders and the different risk factors. Results: The response rate for the questionnaire was 69.7% (498/714). Among the teachers who responded, 348 (69.9%) had suffered from a voice disorder in the past 12 mo. Thirty-one teachers (8.9%) rated their voice disorders as minimal, 124 (35.6%) as mild, 151 (43.4%) as moderate, and 42 (12.1%) as severe. Of the 348 teachers reporting voice disorders, 215 (61.8%) had sought professional help for their voice problems. The univariate analyses showed that the factors significantly associated with voice disorders included talking quietly (p=0.018), using a microphone (p=0.002), speaking against background noise (p<0.001), consuming alcohol (p=0.027), and having a history of asthma (p=0.001), colds (p=0.012), sinusitis (p=0.039), or laryngitis (p<0.001). After adjusting for potential confounds, the significant risk factors included speaking against background noise (adjusted OR=1.8), alcohol consumption (adjusted OR=0.40), history of asthma (adjusted OR=3.3), or laryngitis (adjusted OR=4.2). Conclusions: Approximately 70% of the sampled primary school teachers were affected by voice disorders. A substantial proportion of the effected teachers suffered both functional and psychological adverse effects. The findings indicate an urgent need for further investigation to identify the risk factors for voice disorders and to develop preventive strategies for primary school teachers. (J Occup Health 2010; 52: 344-352)

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

Lee

Lao

2010

Journal of Occupational Health

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“…Ebrecht et al (2004) found that the morning cortisol response of the day after a dermal biopsy was negatively correlated with speed of wound healing. As proposed by the psychobiological framework (Dietrich & Verdolini Abbott, 2008) and discussed by Dietrich (2008), findings regarding immunological changes as a result of stress or increased cortisol levels could be relevant for the voice domain in relation to laryngeal wound healing and changes on the vocal folds due to phono trauma.…”

Section: Physiological Pathways Of Cortisol and Its Possible Influencmentioning

confidence: 99%

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Holmqvist-Jämsén

Johansson

Santtila

et al. 2017

J Speech Lang Hear Res

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Purpose: We investigated whether participants who reported more often occurring vocal symptoms showed higher salivary cortisol levels and if such possible associations were different for men and women. Method:The participants (N = 170; men n = 49, women n = 121) consisted of a populationbased sample of Finnish twins born between 1961 and 1989. The participants submitted saliva samples for hormone analysis and completed a web-questionnaire including questions regarding the occurrence of six vocal symptoms during the past 12 months. The data were analyzed using the Generalized Estimated Equations (GEE) method.Results: A composite variable of the vocal symptoms showed a significant positive association with salivary cortisol levels (p < .001). Three of the six vocal symptoms were significantly associated with the level of cortisol when analyzed separately (p-values below .05). The results showed no gender difference regarding the effect of salivary cortisol on vocal symptoms. Conclusions:There was a positive association between the occurrence of vocal symptoms and salivary cortisol levels. Participants with higher cortisol levels reported more often occurring vocal symptoms. This could have a connection to the influence of stress on vocal symptoms since stress is a known risk factor of vocal symptoms and salivary cortisol can be seen as a biomarker for stress.

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“…Stress, anxiety, and depression may appear in patients with vocal folds lesions, paradoxical vocal fold disorder, and muscle-tension dysphonia 14 . In females, functional dysphonia may be a manifestation of stress and anxiety, with hyperactivity of ANS 11 .…”

Section: Introductionmentioning

confidence: 99%

Sinais e sintomas da disfunção autônoma em professores

Paes

Zambon²,

Behlau

2014

Rev. CEFAC

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Objetivo comparar sinais de disfunção autônoma gerais e relacionados à voz em professores com e sem queixas vocais. Métodos aplicação do Protocolo de Disfunção Autônoma (PDA) em 83 professores, sendo 60 mulheres e 23 homens, com a média de idade de 37,6 anos. A amostra foi dividida em dois grupos, com e sem queixas vocais, definidas de acordo com o número de sintomas apresentados no Protocolo de Sinais e Sintomas Vocais. Resultados o grupo com queixa vocal apresentou a média de 13,7 sintomas no PDA e o grupo sem queixa 7,7 (p=0,001). Considerando apenas os sintomas neurovegetativos relacionados com a voz, o grupo com queixa obteve a média de 4,7 sintomas e o grupo sem queixa 1,8 (p<0,001). Os sintomas relacionados com a voz que mais predominaram no grupo com queixa vocal, quando comparado com o grupo sem queixa, foram: cansaço quando fala (p<0,001), necessidade de engolir constantemente (p=0,014), dor de garganta (p=0,001), dor no pescoço enquanto fala (p=0,003), dor ou desconforto na ATM (p=0,017), necessidade constante de bocejar (p=0,023), pigarros constantes (p=0,010) e tensão na cabeça quando fala (p=0,019). Os sintomas observados no grupo sem queixa foram: nariz entupido (33,3%), respiração nasal difícil (29,2%) e espirros (25%). Conclusões o grupo com queixa vocal apresentou maior número de sinais neurovegetativos, principalmente nas questões relacionadas à voz do que o grupo sem queixa.

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The Frequency of Perceived Stress, Anxiety, and Depression in Patients with Common Pathologies Affecting Voice

Cited by 182 publications

References 41 publications

A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Sinais e sintomas da disfunção autônoma em professores

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