Organic and functional dysphonias: comparison of Self-Assessment protocols by confirmatory factor analysis.

IF 0.7 4区医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Logopedics Phoniatrics Vocology Pub Date : 2024-07-01 Epub Date: 2022-10-13 DOI:10.1080/14015439.2022.2130422

Özlem Cangökçe Yaşar, Emel Tahir, Özgür Kemal, Emre Dünder

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引用次数: 0

Abstract

Objective: This study aims to see if the effects of the sub-domains of the Voice Handicap Index-10 (VHI-10) and Voice Related Quality of Life (VRQoL) differ in organic (OD) and functional dysphonia (FD).

Method: A total of 162 patients completed the validated Turkish versions of the Voice Handicap Index-10 (VHI-10) and Voice-Related Quality of Life (VRQoL). Physical (pVHI-10), emotional (eVHI-10) and functional (fVHI-10) sub-domains of VHI-10 and physical-functional (PF-VRQoL), socio-emotional (SE-VRQoL) dimensions of VRQoL were assessed. Confirmatory factor analysis (CFA) was used to compare the sub-domains of these questionnaires between diagnostic categories.

Results: The total and sub-domain scores of both VHI-10 and VRQoL were not statistically different between the two etiologic categories of dysphonia (MANOVA, p > .05). The total VHI-10 and total VRQoL scores were significantly and moderately correlated in both the OD and FD groups. During CFA, 4 models were constructed for the OD and FD groups for VHI-10 and VRQoL factors. There was no significant difference between OD and FD groups in terms of path coefficients of sub-domains (z test, p > .05).

Conclusion: In terms of VHI-10 and VRQoL, the sub-domains of each questionnaire are equally important in both organic and functional dysphonia. Functional disorders do not depend only on "emotional" factors, and neither do organic problems. Factor analysis should be included when performing a study on patient-reported outcome measures.

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器质性和功能性呼吸困难：通过确证因子分析比较自我评估方案。

研究目的本研究旨在了解嗓音障碍指数-10（VHI-10）和嗓音相关生活质量（VRQoL）对器质性发音障碍（OD）和功能性发音障碍（FD）患者的影响是否不同：方法：共有 162 名患者完成了经过验证的土耳其版嗓音障碍指数-10 (VHI-10) 和嗓音相关生活质量 (VRQoL)。对 VHI-10 的生理（pVHI-10）、情感（eVHI-10）和功能（fVHI-10）子域以及 VRQoL 的生理-功能（PF-VRQoL）和社会-情感（SE-VRQoL）维度进行了评估。结果显示，总分和子领域得分均高于诊断类别：结果：VHI-10 和 VRQoL 的总分和子域得分在两种病因类型的发音障碍之间没有统计学差异（MANOVA，P > .05）。发音障碍组和听力障碍组的 VHI-10 总分和 VRQoL 总分具有显著的中度相关性。在 CFA 过程中，针对 VHI-10 和 VRQoL 因子，为 OD 组和 FD 组构建了 4 个模型。OD组和FD组的子域路径系数无明显差异（z检验，P>.05）：结论：就 VHI-10 和 VRQoL 而言，每份问卷的子域对器质性和功能性发音障碍都同样重要。功能性障碍不仅取决于 "情绪 "因素，器质性问题也是如此。在对患者报告的结果测量进行研究时，应进行因素分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Logopedics Phoniatrics Vocology 医学-耳鼻喉科学

CiteScore

2.50

自引率

9.10%

发文量

审稿时长

>12 weeks

期刊介绍： Logopedics Phoniatrics Vocology is an amalgamation of the former journals Scandinavian Journal of Logopedics & Phoniatrics and VOICE. The intention is to cover topics related to speech, language and voice pathology as well as normal voice function in its different aspects. The Journal covers a wide range of topics, including: Phonation and laryngeal physiology Speech and language development Voice disorders Clinical measurements of speech, language and voice Professional voice including singing Bilingualism Cleft lip and palate Dyslexia Fluency disorders Neurolinguistics and psycholinguistics Aphasia Motor speech disorders Voice rehabilitation of laryngectomees Augmentative and alternative communication Acoustics Dysphagia Publications may have the form of original articles, i.e. theoretical or methodological studies or empirical reports, of reviews of books and dissertations, as well as of short reports, of minor or ongoing studies or short notes, commenting on earlier published material. Submitted papers will be evaluated by referees with relevant expertise.