Summary
Objective
This case comparison explored the relation between personality, perceived present
control, and postoperative voice rest (as estimated by self-report and objective voice
use) following surgery for benign vocal fold lesions.
Method
Two participants were included. Both participants were diagnosed with benign vocal
fold pathology, underwent phonosurgery, and were assigned to either complete voice
rest (CVR) or relative voice rest (RVR) postoperatively. During voice rest (VR), a
visual analog scale (VAS) and a dosimeter (the Vocalog2) were used daily to estimate
self-perceived and objective voice use, respectively. The participants also completed
questionnaires on voice-related demographics, the Voice Handicap Index (VHI), Ten-Item
Personality Inventory (TIPI), and Perceived Present Control (PPC). After 7 days of
CVR or RVR, participants completed a postoperative questionnaire and a final VAS for
overall voice use.
Results
A wide discrepancy was observed in one of two participant's subjective perception
of voice use (using the VAS) versus objective dosimetry data wherein she reported
significantly more voice use than was observed objectively. Differences in personality
and PPC between the participants did not appear to affect their voice use following
the VR protocols.
Conclusion
The amount of voice use in both VR protocols for these two participants suggests that
personality and PPC did not affect their adherence to recommendations of VR. Patients
may perceive their voice use differently across time, which might play a role in their
adherence to voice rest recommendations: voice use measured as instances versus a
unit of time (seconds).
Key Words
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REFERENCES
- Voice disorders: etiology and diagnosis.J Voice. 2016; 30: 761.e1-761.e9https://doi.org/10.1016/j.jvoice.2015.09.017
- Description of laryngeal pathologies by age, sex, and occupation in a treatment-seeking sample.J Speech Hear Disord. 1988; 53: 57-64https://doi.org/10.1044/jshd.5301.57
- The Voice and Voice Therapy.10th ed. Pearson, Hoboken, NJ2019
- Defining the lived experience of older adults with voice disorders.J Voice. 2013; 27: 61-67
- Current understanding and review of the literature: vocal fold scarring.J Voice. 2006; 20: 110-120
- Current treatment of vocal fold scarring.Curr Opin Otolaryngol Head Neck Surg. 2005; 13: 143-147
- Is voice rest never indicated?.J Voice. 1989; 3: 87-91
White AC, Carding P. Pre- and postoperative voice therapy for benign bocal fold lesions: factors influencing a complex intervention. J Voice. 2020;Jan;36(1):59–67
- Characterization of chronic vocal fold scarring in a rabbit model.J Voice. 2004; 18: 116-124
- Characterization of vocal fold scarring in a canine model.Laryngoscope. 2003; 113: 620-627
- Functional outcomes of reduced hyaluronan in acute vocal fold scar.Ann Otol Rhinol Laryngol. 2004; 113: 767-776
- Histologic and rheologic characterization of vocal fold scarring.J Voice. 2002; 16: 96-104
- Voice rest after vocal fold surgery: current practice and evidence.J Laryngol Otol. 2013; 127: 773-779
- Role of voice rest following laser resection of vocal fold lesions: a randomized controlled trial.Laryngoscope. 2020; 130: 1750-1755
- Voice outcome following carbon dioxide laser assisted microlaryngeal surgery.Indian J Otolaryngol Head Neck Surg. 2015; 67: 361-365
- Current practices for voice rest recommendations after phonomicrosurgery.Laryngoscope. 2018; 128: 1170-1175
- Absolute or relative voice rest after phonosurgery: a blind randomized prospective clinical trial.Logoped Phoniatr Vocol. 2018; 43: 143-154
- Voice rest and sick leave after phonosurgical procedures: surveys among European laryngologists and phoniatricians.Eur Arch Otorhinolaryngol. 2019; 276: 483-487
- The clinical utility of vocal dosimetry for assessing voice rest.Laryngoscope. 2015; 125: 171-176
- Voice rest and sick leave after phonosurgical procedures: surveys among European laryngologists and phoniatricians.Eur Arch Otorhinolaryngol. 2019; 276: 483-487https://doi.org/10.1007/s00405-019-05283-1
- An investigation of the relationship between adherence to voice therapy for muscle tension dysphonia and employment, social support, and life satisfaction.J Voice. 2021; 35: 386-393https://doi.org/10.1016/j.jvoice.2019.10.015
- Relationships among personality, daily speaking voice use, and phonotrauma in adult female singers.J Speech Lang Hear Res. 2021; 64: 4580-4598https://doi.org/10.1044/2021_JSLHR-21-00274
- Self-ratings of vocal status in daily life: reliability and validity for patients with vocal hyperfunction and a normative group.Am J Speech Lang Pathol. 2017; 26: 1167-1177https://doi.org/10.1044/2017_AJSLP-17-0031
- Compliance and quality of life in patients on prescribed voice rest.Otolaryngol Head Neck Surg. 2011; 144: 104-107
- A very brief measure of the big five personality domains.J Res Pers. 2003; 37: 504-528
- The structure of phenotypic personality traits.Amer Psych. 1993; 48: 26-34
- The “Big Five” factor taxonomy: dimension of personality in the natural language and in questionnaires.in: Pervin LA Handbook of Personality: Theory and Research. Guilford Press (New York City, NY), 1990: 66-100
- Personality traits and psychological factors in voice pathology: a foundation for future research.J Speech Lang Hear Res. 2000; 43: 737-748https://doi.org/10.1044/jslhr.4303.737
- Perceived control and voice handicap in patients with voice disorders.Health Psych. 2017; 36: 1105-1108
- Perceived control, voice handicap, and barriers to voice therapy.J Voice. 2021; 35: 326.e313-326.e319
- Positive psychological determinants of treatment adherence among primary care patients.Prim Health Care Res Dev. 2015; 16: 398-406https://doi.org/10.1017/S1463423614000292
- Personality and voice disorders: a superfactor trait analysis.J Speech Lang Hear Res. 2000; 43: 749-768https://doi.org/10.1044/jslhr.4303.749
- DM Toward a theory of the dispositional bases of functional dysphonia and vocal nodules: exploring the role of personality and emotional adjustment.in: Kent RD Ball MJ The Handbook of Voice Quality Measurement. Singular Publishing Group, Norwich, England2000: 461-480
- The impact of a vocal loading task on voice characteristics of female speakers with benign vocal fold lesions.J Voice. 2021; ([published online ahead of print, 2021 Dec 23]) (S0892-1997(21)00396-9)https://doi.org/10.1016/j.jvoice.2021.11.009
- Web-based perceived present control intervention for voice disorders: a pilot study.J Voice. 2020; 34: 300.e1-300.e9https://doi.org/10.1016/j.jvoice.2018.08.006
- Randomized controlled trial of supplemental augmentative and alternative communication versus voice rest alone after phonomicrosurgery.Otolaryngol Head Neck Surg. 2015; 152: 494-500
- Role of voice therapy in adherence to voice rest after office-based vocal fold procedures.Amer J Sp-Lang Path. 2021; : 1-12
Article info
Publication history
Published online: January 11, 2023
Accepted:
December 15,
2022
Publication stage
In Press Corrected ProofFootnotes
The research in this publication was supported by the National Institute of Deafness and Communication Disorders of the National Institutes of Health under award number R21DC017205 (PI: Joshi)
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
