Advertisement
Research Article| Volume 33, ISSUE 5, P801.e1-801.e6, September 2019

Personality Traits of Children With Vocal Fold Nodules

  • Ingrid Verduyckt
    Correspondence
    Address correspondence and reprint requests to Ingrid Verduyckt, Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, CRIR-CRLB du CIUSSS Centre-Sud-de-l'Ile-de-Montréal, Montreal H3C3J7, Quebec, Canada.
    Affiliations
    École d'orthophonie et d'audiologie, Université de Montréal, Montréal, Quebec, Canada

    Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, CRIR-CRLB du CIUSSS Centre-Sud-de-l'Ile-de-Montréal, Montréal, Quebec, Canada
    Search for articles by this author
  • Caroline Rhéault
    Affiliations
    École d'orthophonie et d'audiologie, Université de Montréal, Montréal, Quebec, Canada
    Search for articles by this author
  • Marc Remacle
    Affiliations
    Department of Oto-rhino-laryngology, CHL, Luxembourg, Luxembourg
    Search for articles by this author
  • Dominique Morsomme
    Affiliations
    Département de logopédie, Université de Liège, Liège, Belgium
    Search for articles by this author

      Summary

      This is a case-control study investigating the personality profiles of children with vocal fold nodules (VFNs). Personality has been suggested as a contributing factor to VFN in adults and in children. However, previous studies in children have focused on psychopathologic traits and have reported contradictory findings. The aim of our study was to explore whether general, nonpathologic personality structure predicts the presence of VFN in children. Personality traits were measured in 34 children with VFN, aged 6.0–13.6, and 34 age- and sex-matched normophonic controls by means of a pediatric five-factor personality questionnaire. Children with VFN were found to be significantly more extroverted than controls (P = 0.022, d = 0.61), and a binary logistic regression showed that extraversion significantly predicted the presence of VFN in our population (P = 0.027). The clinical implications of the results are discussed.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Dejonckere P.H.
        Voice problems in children: pathogenesis and diagnosis.
        Int J Pediatr Otorhinolaryngol. 1999; 49: 311-314
        • Van Houtte E.
        • Van Lierde K.
        • D'Haeseleer E.
        • et al.
        The prevalence of laryngeal pathology in a treatment-seeking population with dysphonia.
        Laryngoscope. 2010; 120: 306-312
        • Connor N.P.
        • Cohen S.B.
        • Theis S.M.
        • et al.
        Attitudes of children with dysphonia.
        J Voice. 2008; 22: 197-209
        • Verduyckt I.
        • Morsomme D.
        • Remacle M.
        Validation and standardization of the pediatric voice symptom questionnaire: a double-form questionnaire for dysphonic children and their parents.
        J Voice. 2012; 26: e129-e139
        • Zur K.B.
        • Cotton S.
        • Kelchner L.
        • et al.
        Pediatric Voice Handicap Index (pVHI): a new tool for evaluating pediatric dysphonia.
        Int J Pediatr Otorhinolaryngol. 2007; 71: 77-82
        • Ruddy B.H.
        • Sapienza C.M.
        Treating voice disorders in the school-based setting: working within the framework of IDEA.
        Lang Speech Hear Serv Sch. 2004; 35: 327-332
        • Martins R.H.G.
        • Hidalgo Ribeiro C.B.
        • de Mello B.M.Z.F.
        • et al.
        Dysphonia in children.
        J Voice. 2012; 26 (e17-674.e20): 674
        • Remacle M.
        • Degols J.C.
        • Delos M.
        Exudative lesions of Reinke's space. Anatomopathological correlation.
        Acta Otorhinolaryngol Belgica. 1996; 50: 253-264
        • Martins R.H.G.
        • Defaveri J.
        • Custodio Domingues M.A.
        • et al.
        Vocal fold nodules: morphological and immunohistochemical investigations.
        J Voice. 2010; 24: 531-539
        • Abbott K.V.
        Some guiding principles in emerging models of voice therapy for children.
        In Seminars in speech and language. 2013; 34: 80-93
        • Speyer R.
        Effects of voice therapy: a systematic review.
        J Voice. 2008; 22: 565-580
        • Signorelli M.E.
        • Madill C.J.
        • McCabe P.
        The management of vocal fold nodules in children: a national survey of speech-language pathologists.
        Int J Speech Lang Pathol. 2011; 13: 227-238
        • De Bodt M.S.
        • Ketelslagers K.
        • Peeters T.
        • et al.
        Evolution of vocal fold nodules from childhood to adolescence.
        J Voice. 2007; 21: 151-156
        • Verdolini-Marston K.
        • Burke M.K.
        • Lessac A.
        • et al.
        Preliminary study of two methods of treatment for laryngeal nodules.
        J Voice. 1995; 9: 74-85
        • Roy N.
        • Bless D.M.
        • Heisey D.
        Personality and voice disorders: a superfactor trait analysis.
        J Speech Lang Hear Res. 2000; 43: 749-768
        • Roy N.
        • Bless D.M.
        • Heisey D.
        Personality and voice disorders: a multitrait-multidisorder analysis.
        J Voice. 2000; 14: 521-548
        • Yano J.
        • Ichimura K.
        • Hoshino T.
        • et al.
        Personality factors in pathogenesis of polyps and nodules of vocal cords.
        Auris Nasus Larynx. 1982; 9: 105-110
        • Mattei A.
        • Revis J.
        • Giovanni A.
        Personality traits inventory in patients with vocal nodules.
        Eur Arch Otorhinolaryngol. 2017; 274: 1911-1917
        • Abeida M.E.U.
        • Liesa R.F.
        • Varela H.V.
        • et al.
        Study of the influence of psychological factors in the etiology of vocal nodules in women.
        J Voice. 2013; 27 (e115-129. e120): 129
        • Nichols D.S.
        Essentials of MMPI-2 Assessment.
        John Wiley & Sons, Hoboken, New Jersey2011
        • Green G.
        Psycho-behavioral characteristics of children with vocal nodules: WPBIC ratings.
        J Speech Hear Disord. 1989; 54: 306-3112
        • Nemec J.
        The motivation background of hyperkinetic dysphonia in children: a contribution to psychologic research in phoniatry.
        Logos. 1961; 4: 28-31
        • Wilson F.B.
        Emotional stress may cause voice anomalies in kids.
        JAMA. 1971; 216: 2085
        • Wilson K.D.
        Children with vocal nodules.
        J Speech Hear Disord. 1961; 26: 19-26
        • Toohill R.J.
        The psychosomatic aspects of children with vocal fold nodules.
        Arch Otolaryngol. 1975; 101: 591-595
        • Wilson F.B.
        • Lamb M.M.
        Comparison of personality characteristics of children with and without vocal nodules based on Rorschach protocol interpretation.
        Acta Symbolica. 1974; 5: 43-55
        • Roy N.
        • Holt K.I.
        • Redmond S.
        • et al.
        Behavioral characteristics of children with vocal fold nodules.
        J Voice. 2007; 21: 157-168
        • Achenbach T.M.
        • Ruffle T.M.
        The Child Behavior Checklist and related forms for assessing behavioral/emotional problems and competencies.
        Pediatr Rev. 2000; 21: 265-271
        • Schmidt S.
        • Petermann F.
        Developmental psychopathology: attention deficit hyperactivity disorder (ADHD).
        BMC Psychiatry. 2009; 9: 58
        • D'Alatri L.
        • Petrelli L.
        • Calò L.
        • et al.
        Vocal fold nodules in school age children: attention deficit hyperactivity disorder as a potential risk factor.
        J Voice. 2015; 29: 287-291
        • Erdur O.
        • Herguner A.
        • Ozturk K.
        • et al.
        Attention deficit hyperactivity disorder symptoms in children with vocal fold nodules.
        Int J Pediatr Otorhinolaryngol. 2016; 85: 5-7
        • McCabe K.O.
        • Fleeson W.
        What is extraversion for? Integrating trait and motivational perspectives and identifying the purpose of extraversion.
        Psychol Sci. 2012; 23: 1498-1505
        • Roskam I.
        • de Maere-Gaudissart A.
        • Vandenplas-Holper C.
        Mise au point d'un instrument d'évaluation de la personnalité des enfants à partir du Modèle à Cinq Facteurs.
        L'Orientation Scolaire Prof. 2000; 29: 661-672
        • Sackett P.R.
        • Lievens F.
        • Van Iddekinge C.H.
        • et al.
        Individual differences and their measurement: a review of 100 years of research.
        J Appl Psychol. 2017; 102: 254
        • Depue R.A.
        • Lenzenweger M.F.
        A neurobehavioral dimensional model. Handbook of personality disorders: theory, research, and treatment.
        2001 (136–176)
        • Titze I.R.
        • Svec J.G.
        • Popolo P.S.
        Vocal dose measures quantifying accumulated vibration exposure in vocal fold tissues.
        J Speech Lang Hear Res. 2003; 46: 919-932
        • Bastian R.W.
        • Thomas J.P.
        Do talkativeness and vocal loudness correlate with laryngeal pathology? A study of the vocal overdoer/underdoer continuum.
        J Voice. 2016; 30: 557-562
        • Scherer K.R.
        Personality inference from voice quality: the loud voice of extraversion.
        Eur J Soc Psychol. 1978; 8: 467-487
        • Driskell J.E.
        • Salas E.
        The effect of content and demeanor on reactions to dominance behavior.
        Group Dyn. 2005; 9: 3
        • McCrae R.R.
        • Costa P.T.
        Toward a new generation of personality theories: theoretical contexts for the Five-Factor Model.
        in: Wiggins J.S. The Five-factor Model of Personality: Theoretical Perspectives. Guilford, New York1996: 51-87
        • Bogg T.
        • Roberts B.W.
        Conscientiousness and health-related behaviors: a meta-analysis of the leading behavioral contributors to mortality.
        Psychol Bull. 2004; 130: 887-919
        • Franks P.
        • Chapman B.
        • Duberstein P.
        • et al.
        Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy.
        Br J Health Psychol. 2009; 14: 473-487
        • Wheeler K.
        • Wagaman A.
        • McCord D.
        Personality traits as predictors of adherence in adolescents with type I diabetes.
        J Child Adolesc Psychiatr Nurs. 2012; 25: 66-74
        • Zugelj U.
        • Zupancic M.
        • Komidar L.
        • et al.
        Self-reported adherence behavior in adolescent hypertensive patients: the role of illness representations and personality.
        J Pediatr Psychol. 2010; 35: 1049-1060
        • Hirano M.
        Objective evaluation of the human voice: clinical aspects.
        Folia Phoniatr Logop. 1989; 41: 89-144
        • Tabachnick B.G.
        • Fidell L.S.
        • Osterlind S.J.
        Using multivariate statistics.
        2001
        • Corp I.
        IBM SPSS Statistics for Windows, Version 19.0.
        IBM Corp., Armonk, NY2010 (Released)
        • Kiliç M.A.
        • Okur E.
        • Yildirim I.
        • et al.
        The prevalence of vocal fold nodules in school age children.
        Int J Pediatr Otorhinolaryngol. 2004; 68: 409-412
        • Sudak D.M.
        • Codd III, R.T.
        • Ludgate J.W.
        • et al.
        Teaching and supervising Cognitive Behavioral Therapy.
        John Wiley & Sons, Hoboken, New Jersey2015
        • Miller T.
        • Deary V.
        • Patterson J.
        Improving access to psychological therapies in voice disorders: a cognitive behavioural therapy model.
        Curr Opin Otolaryngol Head Neck Surg. 2014; 22: 201-205
        • Smillie L.D.
        • DeYoung C.G.
        • Hall P.J.
        Clarifying the relation between extraversion and positive affect.
        J Pers. 2015; 83: 564-574
        • Tuzuner A.
        • Demirci S.
        • Oguz H.
        • et al.
        Pediatric vocal fold nodule etiology: what are its usual causes in children?.
        J Voice. 2017; 31 (e519-506. e523): 506
        • Karkos P.D.
        • McCormick M.
        The etiology of vocal fold nodules in adults.
        Curr Opin Otolaryngol Head Neck Surg. 2009; 17: 420-423
        • Lauriello M.
        • Angelone A.
        • Businco D.L.R.
        • et al.
        Correlation between female sex and allergy was significant in patients presenting with dysphonia.
        Acta Otorhinolaryngol Ital. 2011; 31: 161