SUMMARY
Introduction
Vocal fold nodules are benign lesions that cause hoarseness in all age groups including
children, adolescents, and adults. These nodules may be caused either by singing or
other causes of tension in vocal activity.
Objective
The aim of this study was to evaluate the psychological symptoms of adult patients
with hoarseness and to investigate the relationship in psychological symptoms before
and after voice therapy.
Methods
23 Patients who were admitted with a voice complaint and diagnosed with vocal fold
nodules and a matched control group were evaluated. Two inventories recommended by
our psychiatrist (The Beck Anxiety Inventory, Brief Symptom Inventory) and Voice Handicap
Index-10 (VHI-10), were completed to evaluate the treatment outcomes and psychosocial
properties of the patients before and after voice therapy.
Results
A significant difference was observed in the BAI and BSI scores between the nodule
(+) group and the control group at the beginning of the study, before voice therapy.
A significant difference was found between the mean scores on the BAI and the BSI
before and after therapy in the vocal fold nodules group.
Conclusion
Patients with vocal fold nodules should be evaluated more extensively using psychological
assessment scales, such as the BSI, and a psychiatric consultation should be added
in cases of abnormal findings.
Keywords
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REFERENCES
- Benign lesions of vocal folds. Diagnosis and Treatment of Voice Disorders.Garsi, Madrid, Spain1996: 223-240
- Kulak Burun Boğaz Hastalıkları ve Baş Boyun Cerrahisi, Bölüm 7,3 Larenksin Benign Lezyonları.Guneş Tıp Kitabevi, Ankara2004: 1159-1165
- Simple vocal tasks for detecting vocal fold swelling.J Voice. 1990; 4: 172-183
- Understanding voice problem: a physiological perspective for diagnosis and treatment.Fourth edition. Wolters Kluwer, 2011: 231-240 (Health Adis (ESP))
- Investigation into psychological correlates of patients with vocal nodules using the Symptom Checklist-90-Revision.J Otolaryngol. 2007; 36: 227-232
- Clinical Voice disorders.4th ed. Thieme Medical Publishers, New York, NY2009: 166-193
- Personality traits and psychological factors in voice pathology: a foundation for future research.J Speech Lang Hear Res. 2000; 43: 737-748
- logical correlates of functional dysphonia: an investigation using the Minnesota Multiphasic Personality Inventory.J Voice. 1997; 11 (Psycho): 443-451
- Vocal function in introverts and extraverts during a psychological stress reactivity protocol.J Speech Lang Hear Res. 2012; 55: 973-987
- Disorders of laryngeal function.Otolaryngology. 1973; : 634
- Acoustic profiles in vocal emotion expression.J Personality and social psychol. 1996; 70: 614-636
- Communication of emotions in vocal expression and music performance: different channels, same code?.Psychol Bulletin. 2003; 129: 770-814
- Can you hear what I feel? A validated prosodic set of angry, happy, and neutral Italian pseudowords.Behav Res Methods. 2016; 48: 259-271
- Sounds of emotion: production and perception of affect-related vocal acoustics.Ann N Y Acad Sci. 2003; 1000: 244-265
- Can you hear what I feel? A validated prosodic set of angry, happy, and neutral Italian pseudowords.Behav Res Methods. 2016; 48: 259-271
- The Brief Symptom Inventory: an introductory report.Psychol Med. 1983; 13: 595-605
- Kısa Semptom Envanteri (KSE): Ergenler İçin Kullanımının Geçerlik, Güvenilirlik ve Faktör Yapısı.Türk Psikiyatri Dergisi. 2002; 13: 125-135
- An inventory for measuring clinical anxiety: psychometric properties.J Consul Clin Psychol. 1988; 56: 893-897
- Turkish version of the Beck Anxiety Inventory: psychometric properties.J Cogn Psychother. 1998; 12: 163-172
- The voice handicap index: development and validation.Am J Speech Lang Pathol. 1997; 6: 66-70
- Ses Handikap Endeksi (Voice Handicap Index) Türkçe versiyonunun güvenilirliği ve geçerliliği [Reliability and validity of the Turkish version of the Voice Handicap Index].Kulak Burun Bogaz Ihtis Derg. 2008; 18: 139-147
- A comparison of three methods for the management of vocal fold nodules.J Voice. 1992; 6: 271-276
- Psychological distress in patients with benign voice disorders.Folia Phoniatr Logop. 2011; 63: 281-288
- Stress and distress in non-organic voice disorders.Swiss Med Wkly. 2005; 135: 387-397
- Effect of application of transcutaneous electrical nerve stimulation and laryngeal manual therapy in dysphonic women: clinical trial.J Voice. 2015; 29: 200-208
- Vocal nodules management.Clin Otolaryngol. 2019; 44: 497-501
- Vocal fold nodules in adult singers: regional opinions about etiologic factors, career impact, and treatment. A survey of otolaryngologists, speech pathologists, and teachers of singing.J Voice. 1999; 13: 128-142
- Dysphonia, perceived control, and psychosocial distress: a qualitative study.J Voice. 2019 Sep; 33: 682-690
- Stein Dan J. Hollander Eric Rothbaum Barbara O. Textbook of Anxiety Disorders. American Psychiatric Pub, 2009
- Disorders of laryngeal function.in: Paparella MM Shumrick DA Otolaryngology. W.B. Saunders, Philadelphia, PA1973: 634
- Psycho-behavioral characteristics of children with vocal nodules: WPBIC ratings.J Speech Hear Disord. 1989; 54: 306-312
Article info
Publication history
Published online: February 25, 2021
Accepted:
January 26,
2021
Footnotes
H. B. Cobanoglu, M. F. Ogut, and S. Sirin were practicing in the same voice clinic during this study. These three authors are otorhinolaryngologists who also have MSc degrees in Audiology and Speech Disorders
Conflict of Interest: The authors declare that they have no conflict of interest.
Ethical standards: A clinical prospective observational study was conducted after obtaining approval from Karadeniz Technical University Faculty of medicine Ethics committee (2018/300).
Informed consent: Informed consent was obtained from all individual participants included in the study.
Authors confirm that there is no author identifying information anywhere in the blinded manuscript.
Identification
Copyright
© 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
