Summary
Objective
Previous research has indicated that voice disorders frequently co-occur with mental
health disorders, which may influence voice treatment seeking behavior and effectiveness.
Our goal is to characterize the existing literature on the relationship between voice
disorders and mental health and to investigate nuances related to mental health and
voice disorder diagnosis.
Data Sources
Ovid MEDLINE, ProQuest PsycINFO, and Web of Science.
Review Methods
Using the PRISMA protocol, a scoping review was performed. Databases searched included:
Ovid MEDLINE, ProQuest PsycINFO, and Web of Science. Our inclusion criteria were all
adults seen in an outpatient setting for voice and mental health disorders, excluding
those with a prior history of head and neck surgery, cancers, radiation, or developmental
anomalies, and certain mental health disorders. Results were screened by two independent
screeners for inclusion. Data were then extracted and analyzed to present key findings
and characteristics.
Results
A total of 156 articles, with publication dates ranging from 1938 to 2021, were included
in the analysis, with females and teachers being the most described population groups.
The most frequently studied laryngeal disorders were dysphonia (n = 107, 68.6%), globus (n = 33, 21.2%), and dysphonia with globus (n = 16, 10.2%). The two most common mental health disorders found in the included studies
were anxiety disorders (n = 123, 78.8%) and mood disorders (n = 111, 71.2%). The Voice Handicap Index was the most used tool to gather data on
voice disorders (n = 36, 23.1%), while the Hospital Anxiety and Depression Scale was the most used tool
to gather data on mental health disorders (n = 20, 12.8%). The populations studied within the included articles were predominately
female and worked in educational occupations. Race and ethnicity was only reported
for 10.2% of included articles (n = 16) and the most commonly studied race was White/Caucasian (n = 13, 8.3%).
Conclusion
Our scoping review of the current literature on mental health and voice disorders
reveals an intersection between the conditions. The current literature represents
change over time in terms of terminology that recognizes the patient's individualized
experience of mental health and laryngeal conditions. However, there is still a great
deal of homogeneity in the studied patient populations in terms of race and gender,
with patterns and gaps that require further investigation.
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 accessOne-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 VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Psychiatric therapy for dysphonia - aphonia; psychophonasthenia; falsetto.Arch Otolaryngol. 1938; 28: 213-221https://doi.org/10.1001/archotol.1938.006500402210052
Peters MDJ, Godfrey C, McInerney P, et al. Chapter 11: Scoping Reviews. In: Aromataris E, Munn Z, eds. JBI Manual for Evidence Synthesis. JBI; 2020. https://doi.org/10.46658/JBIMES-20-12
- Updated methodological guidance for the conduct of scoping reviews.JBI Evid Synth. 2021; 18: 2119-2126https://doi.org/10.11124/JBIES-20-00167
- PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation.Ann Intern Med. 2018; 169: 467-473https://doi.org/10.7326/M18-08505
Ravi S, Lopez V, Carter KV, et al. Intersection of dysphonia and mental health: a scoping review protocol. https://doi.org/10.17605/OSF.IO/RVE74
- PRESS peer review of electronic search strategies: 2015 guideline statement.J Clin Epidemiol. 2016; 75: 40-46https://doi.org/10.1016/j.jclinepi.2016.01.021
- Rayyan-a web and mobile app for systematic reviews.Syst Rev. 2016; 5: 210https://doi.org/10.1186/s13643-016-0384-4
- The REDCap consortium: building an international community of software platform partners.J Biomed Inform. 2019; 95103208https://doi.org/10.1016/j.jbi.2019.103208
- Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support.J Biomed Inform. 2009; 42: 377-381https://doi.org/10.1016/j.jbi.2008.08.010
- The Voice Handicap Index (VHI): development and validation.Am J Speech Lang Pathol. 1997; 6: 66-70https://doi.org/10.1044/1058-0360.0603.66
- Development and validation of the Voice Handicap Index-10.Laryngoscope. 2004; 114: 1549-1556https://doi.org/10.1097/00005537-200409000-00009
- The hospital anxiety and depression scale.Acta Psychiatr Scand. 1983; 67: 361-370https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
- An inventory for measuring depression.Arch Gen Psychiatry. 1961; 4: 561-571https://doi.org/10.1001/archpsyc.1961.01710120031004
- 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
- The PHQ-9: validity of a brief depression severity measure.J Gen Intern Med. 2001; 16: 606-613https://doi.org/10.1046/j.1525-1497.2001.016009606.x
- Manual for the State-Trait Anxiety Inventory.Consulting Psychologists Press, Palo Alto, CA1983
- The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection.Med Care. 1992; 30: 473-483
U.S. Bureau of Labor Statistics. Standard Occupational Classification. Washington
- Life events and difficulties preceding the onset of functional dysphonia.J Psychosom Res. 1988; 32: 311-319https://doi.org/10.1016/0022-3999(88)90073-6
- A psychosomatic approach to the globus hystericus syndrome.Acta Psychiatr Scand. 1976; 53: 21-28https://doi.org/10.1111/j.1600-0447.1976.tb00055.x
- Globus hystericus-a psychosomatic disease?.J Laryngol Otol. 1976; 90: 1021-1026https://doi.org/10.1017/s0022215100083067
- Marked depression and anxiety in patients with functional dysphonia.Psychiatry Res. 2005; 134: 85-91https://doi.org/10.1016/j.psychres.2003.07.007
- Personality, anxiety and functional dysphonia.Pers Individ Dif. 2005; 39: 1441-1449https://doi.org/10.1016/j.paid.2005.06.011
- Understanding and Treating Psychogenic Voice Disorder: A CBT Framework.John Wiley & Sons Ltd, New York, NY2007
- An update in thinking about nonorganic voice disorders.Arch Otolaryngol Head Neck Surg. 2006; 132: 1128-1132https://doi.org/10.1001/archotol.132.10.1128
- Functional Dysphonia During Mental Imagery: Exploring the Sources of Anxiety.University of Minnesota, Minneapolis, MN2005
- The role of psychogenic and psychosocial factors in the development of functional voice disorders.Int J Speech Lang Pathol. 2008; 10: 210-230https://doi.org/10.1080/17549500701879661
- Quality of life in dysphonic patients.J Voice. 2005; 19: 132-137https://doi.org/10.1016/j.jvoice.2004.01.007
- Patient versus partner perception of voice handicap.J Voice. 2007; 21: 485-494https://doi.org/10.1016/j.jvoice.2006.06.006
- The psychiatric management of the globus syndrome.Gen Hosp Psychiatry. 1988; 10: 214-219https://doi.org/10.1016/0163-8343(88)90022-9
- Emotional considerations in spasmodic dysphonia: psychometric quantification.J Commun Disord. 1991; 24: 313-329https://doi.org/10.1016/0021-9924(91)90006-5
- Problems in treating globus pharyngis.Clin Otolaryngol. 1994; 19: 55-60https://doi.org/10.1111/j.1365-2273.1994.tb01148.x
- A comparative study of psychological aspects of recurring and non-recurring functional aphonias.Eur Arch Otorhinolaryngol. 1996; 253: 240-244https://doi.org/10.1007/BF00171135
- A case of superior laryngeal nerve paresis and psychogenic dysphonia.J Speech Hear Disord. 1989; 54: 526-529https://doi.org/10.1044/jshd.5404.526
- Functional aphonia: psychosomatic aspects of diagnosis and therapy.Folia Phoniatr (Basel). 1988; 40: 131-137https://doi.org/10.1159/000265900
- High incidence of esophageal motor disorders in consecutive patients with globus sensation.Gastroenterology. 1991; 101: 1512-1521https://doi.org/10.1016/0016-5085(91)90386-y
- Psychological distress in a sample of adult Italian patients affected by vocal nodules and muscle-tension dysphonia: preliminary results.J Voice. 2023; 37: 300.e21-300.e29https://doi.org/10.1016/j.jvoice.2020.12.011
- Disease-specific self-efficacy in spasmodic dysphonia patients.Otolaryngol Head Neck Surg. 2013; 148: 450-455https://doi.org/10.1177/0194599812472319
- Psychogenic voice disorders.Otolaryngol Pol. 2018; 72: 26-34https://doi.org/10.5604/01.3001.0012.0636
- Dysphonia, perceived control, and psychosocial distress: a qualitative study.J Voice. 2019; 33: 682-690https://doi.org/10.1016/j.jvoice.2018.04.003
- Clinical features of psychogenic voice disorder and the efficiency of voice therapy and psychological evaluation.J Voice. 2019; 33: 250-254https://doi.org/10.1016/j.jvoice.2017.09.022
- Coprevalence of anxiety and depression with spasmodic dysphonia: a case-control study.J Voice. 2012; 26: 667.e1-667.e6https://doi.org/10.1016/j.jvoice.2011.08.011
- Globus hystericus or depressivus?.Hosp Med. 1998; 59: 640-641
- Globus hystericus: a brief review.Gen Hosp Psychiatry. 2004; 26: 78-82https://doi.org/10.1016/s0163-8343(03)00089-6
- Measuring quality of life in dysphonic patients: a systematic review of content development in patient-reported outcomes measures.J Voice. 2010; 24: 193-198https://doi.org/10.1016/j.jvoice.2008.05.006
- Reconsidering the role of psychosocial factors in functional dysphonia.Curr Opin Otolaryngol Head Neck Surg. 2011; 19: 150-154https://doi.org/10.1097/MOO.0b013e328346494d
- Psychological profile of dysfunctional dysphonia.Acta Otorhinolaryngol Ital. 2003; 23: 467-473
- Psychosocial distress in patients presenting with voice concerns.J Voice. 2014; 28: 753-761https://doi.org/10.1016/j.jvoice.2014.02.010
- Assessment of quality of life in persons with voice disorders.Curr Opin Otolaryngol Head Neck Surg. 2008; 16: 188-193https://doi.org/10.1097/MOO.0b013e3282febd10
- Mental health and dysphonia: which comes first, and does that change care utilization?.Laryngoscope. 2020; 130: 1243-1248https://doi.org/10.1002/lary.28203
Article info
Publication history
Published online: May 18, 2023
Accepted:
April 11,
2023
Publication stage
In Press Corrected ProofFootnotes
This article was presented at the AAO-HNSF 2022 Annual Meeting & OTO Experience, Philadelphia, PA, September 10-14, 2022.
Identification
Copyright
© 2023 Published by Elsevier Inc. on behalf of The Voice Foundation.
