Summary
Objectives
There is evidence in the literature that voice characteristics are linked to mental
and physical health. The aim of this explorative study was to determine associations
between voice parameters measured by a voice range profile (VRP) and personality,
mental and physical health.
Study design
Cross-sectional population-based study.
Methods
As part of the LIFE-Adult-Study, 2639 individuals aged 18-80 years, randomly sampled
from the general population, completed both speaking and singing voice tasks and answered
questionnaires on depression, anxiety, life satisfaction, personality and quality
of life. The voice parameters used were fundamental frequency, sound pressure level,
their ranges and maximum phonation time. The associations were examined with the help
of correlation and regression analyses.
Results
Wider ranges between the lowest and highest frequency, between the lowest and highest
sound pressure level and longer maximum phonation time were significantly correlated
with extraversion and quality of life in both sexes, as well as openness and agreeableness
in women. Smaller ranges and shorter maximum phonation time were significantly correlated
with depression. Neuroticism in men was inversely correlated with the maximum phonation
time. In the speaking VRP, the associations for sound pressure level were more pronounced
than for the fundamental frequency. The same was true in reverse for the singing VRP.
Few associations were found for anxiety, life satisfaction and conscientiousness.
Conclusions
Weak associations between voice parameters derived from the VRP and mental and physical
health, as well as personality were seen in this exploratory study. The results indicate
that the VRP measurements in a clinical context are not significantly affected by
these parameters and thus are a robust measurement method for voice parameters.
Key Words
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References
- Einfluss verschiedener Methoden zur Bestimmung der mittleren Sprechstimmlage.HNO. 2013; 61: 609-616https://doi.org/10.1007/s00106-012-2665-0
- Standardization and feasibility of voice range profile measurements in epidemiological studies.J Voice. 2020; 36: 142.e9-142.e20https://doi.org/10.1016/j.jvoice.2020.04.014
- Sources of variation in phonetograms.J Voice. 1993; 7: 1-14https://doi.org/10.1016/S0892-1997(05)80107-9
- Stability in phonational frequency range.J Commun Disord. 1989; 22: 181-192https://doi.org/10.1016/0021-9924(89)90015-4
- How and when peers' positive mood influences employees' voice.J Appl Psychol. 2015; 100: 976-989https://doi.org/10.1037/a0038066
- The speaking voice in the general population: normative data and associations to sociodemographic and lifestyle factors.J Voice. 2017; 31 (257.e13-257.e24)https://doi.org/10.1016/j.jvoice.2016.06.001
- Associations of sex hormones and anthropometry with the speaking voice profile in the adult general population.J Voice. 2018; 32: 261-272https://doi.org/10.1016/j.jvoice.2017.06.011
- Phonetogram changes for trained singers over a nine-month period of vocal training.J Voice. 2002; 16: 37-43https://doi.org/10.1016/S0892-1997(02)00070-X
- The impact of extended voice use on the acoustic characteristics of phonation after training and performance of actors from the La MaMa Experimental Theater Club.J Voice. 2011; 25: e123-e137https://doi.org/10.1016/j.jvoice.2009.12.007
- Reflections of depression in acoustic measures of the patient's speech.J Affect Disord. 2001; 66: 59-69https://doi.org/10.1016/S0165-0327(00)00335-9
- Speech and voice parameters of depression: a pilot study.J Commun Disord. 1984; 17: 75-85https://doi.org/10.1016/0021-9924(84)90013-3
- Verbal indicators of depression.J Gen Psychol. 1992; 119: 351-363https://doi.org/10.1080/00221309.1992.9921178
- Vocal indicators of psychological stress.Ann N Y Acad Sci. 1980; 347: 47-72https://doi.org/10.1111/j.1749-6632.1980.tb21255.x
- The frequency of perceived stress, anxiety, and depression in patients with common pathologies affecting voice.J Voice. 2008; 22: 472-488https://doi.org/10.1016/j.jvoice.2006.08.007
- Quality of life indicators according to voice disorders and voice-related conditions.Laryngoscope. 2011; 121: 2004-2010https://doi.org/10.1002/lary.21895
- Vocal affect expression: a review and a model for future research.Psychol Bull. 1986; 99: 143-165https://doi.org/10.1037/0033-2909.99.2.143
- The Sound of Fear": assessing vocal fundamental frequency as a physiological indicator of social anxiety disorder.J Anxiety Disord. 2012; 26: 811-822https://doi.org/10.1016/j.janxdis.2012.07.005
- Psychosocial distress in patients presenting with voice concerns.J Voice. 2014; 28: 753-761https://doi.org/10.1016/j.jvoice.2014.02.010
- Lebensqualität bei Dysphonien.HNO. 2009; 57: 866-872https://doi.org/10.1007/s00106-009-1970-8
- Is voice therapy an effective treatment for dysphonia? A randomized controlled trial.BMJ. 2001; 323: 658-661https://doi.org/10.1136/bmj.323.7314.658
- Measuring the impact of dysphonia on quality of life using health state preferences.Laryngoscope. 2020; 130: E177-E182https://doi.org/10.1002/lary.28148
- Voice problems and depression among adults in the United States.Laryngoscope. 2016; 126: 1859-1864https://doi.org/10.1002/lary.25819
- Voice acoustical measurement of the severity of major depression.Brain Cogn. 2004; 56: 30-35https://doi.org/10.1016/j.bandc.2004.05.003
- Re-examining the robustness of voice features in predicting depression: compared with baseline of confounders.PLoS One. 2019; 14e0218172https://doi.org/10.1371/journal.pone.0218172
- Acoustic differences between healthy and depressed people: a cross-situation study.BMC Psychiatry. 2019; 19: 300https://doi.org/10.1186/s12888-019-2300-7
- Correlation between personality type and vocal pathology: a nonrandomized case control study.Laryngoscope. 2016; 126: 2063-2066https://doi.org/10.1002/lary.25810
- Do voices carry valid information about a speaker's personality?.J Res Pers. 2021; 92104092https://doi.org/10.1016/j.jrp.2021.104092
- Associations of speaking-voice parameters with personality and behavior in school-aged children.J Voice. 2020; 34 (485.e23-485.e31)https://doi.org/10.1016/j.jvoice.2018.09.022
American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 5th ed. American Psychiatric Publishing. Arlington, VA; 2013.
- The LIFE-Adult-Study: objectives and design of a population-based cohort study with 10,000 deeply phenotyped adults in Germany.BMC Public Health. 2015; 15: 691https://doi.org/10.1186/s12889-015-1983-z
- Recommendation by the Union of European Phoniatricians (UEP): standardizing voice area measurement/phonetography.Folia Phoniatr (Basel). 1983; 35: 286-288https://doi.org/10.1159/000265703
- The CES-D Scale: a self-report depression scale for research in the general population.Appl Psychol Meas. 1977; 1: 385-401https://doi.org/10.1177/014662167700100306
- A brief measure for assessing generalized anxiety disorder: the GAD-7.Arch Intern Med. 2006; 166: 1092-1097https://doi.org/10.1001/archinte.166.10.1092
- Psychometric properties of the Satisfaction with Life Scale (SWLS), derived from a large German community sample.Qual Life Res. 2018; 27: 1661-1670https://doi.org/10.1007/s11136-018-1844-1
- Assessing the Big-Five personality domains via short forms.Eur J Psychol Assess. 2006; 22: 139-148https://doi.org/10.1027/1015-5759.22.3.139
- How to Score and Interpret Single-Item Health Status Measures: a Manual for users of the SF-8 Health Survey. QualityMetric, Inc. and Health Assessment Lab. Lincoln, RI and, Boston, MA1999
- Major depressive disorder discrimination using vocal acoustic features.J Affect Disord. 2018; 225: 214-220https://doi.org/10.1016/j.jad.2017.08.038
- Mono- and multi-lingual depression prediction based on speech processing.Int J Speech Technol. 2017; 20: 919-935https://doi.org/10.1007/s10772-017-9455-8
Kraepelin E. Manic-depressive insanity and paranoia. E. & S. Livingstone. Edinburgh; 1921.
- Effects of age on the amplitude, frequency and perceived quality of voice.Age (Dordr). 2015; 37: 117https://doi.org/10.1007/s11357-015-9854-1
- Exploring the perceived health benefits of singing in a choir: an international cross-sectional mixed-methods study.Perspect Public Health. 2018; 138: 160-168https://doi.org/10.1177/1757913917739652
- The perceived benefits of singing: findings from preliminary surveys of a university college choral society.J R Soc Promot Health. 2001; 121: 248-256https://doi.org/10.1177/146642400112100409
- Personality inference from voice quality: the loud voice of extroversion.Eur J Soc Psychol. 1978; 8: 467-487https://doi.org/10.1002/ejsp.2420080405
- Does shyness influence the self-perception of vocal symptoms, public speaking, and daily communication?.J Voice. 2022; 36: 54-58https://doi.org/10.1016/j.jvoice.2020.02.015
- Angry, old, male - and trustworthy? How expressive and person voice characteristics shape listener trust.PLoS One. 2020; 15e0232431https://doi.org/10.1371/journal.pone.0232431
- You might belong in Gryffindor": children's courage and its relationships to anxiety symptoms, Big Five personality traits, and sex roles.Child Psychiatry Hum Dev. 2010; 41: 204-213https://doi.org/10.1007/s10578-009-0161-x
- Vocal function in introverts and extraverts during a psychological stress reactivity protocol.J Speech Lang Hear Res. 2012; 55: 973-987https://doi.org/10.1044/1092-4388(2011/10-0344
- Vocal aging and the impact on daily life: a longitudinal study.J Voice. 2004; 18: 193-202https://doi.org/10.1016/j.jvoice.2003.10.002
- Can voice disorders matter as much as life-threatening comorbidities to patients' general health?.Laryngoscope. 2020; 130: 2405-2411https://doi.org/10.1002/lary.28417
- Reliability of speaking and maximum voice range measures in screening for dysphonia.J Voice. 2007; 21: 397-406https://doi.org/10.1016/j.jvoice.2006.03.004
- Objective voice parameters and self-perceived handicap in dysphonia.Folia Phoniatr Logop. 2010; 62: 303-307https://doi.org/10.1159/000287715
- F0 change due to voice loading under laboratory and field conditions. A pilot study.Logoped Phoniatr Vocol. 1998; 23: 164-168https://doi.org/10.1080/140154398434068
Article info
Publication history
Published online: January 02, 2023
Accepted:
November 18,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.