Journal of Voice最新文献

{"title":"Effect of Behavioral Cough Suppression Therapy Delivered via Telehealth","authors":"Nathaniel Sundholm ,&nbsp;Sandeep Shelly ,&nbsp;Miranda L. Wright ,&nbsp;Jane Reynolds ,&nbsp;Laurie Slovarp ,&nbsp;Amanda I. Gillespie","doi":"10.1016/j.jvoice.2022.11.015","DOIUrl":"10.1016/j.jvoice.2022.11.015","url":null,"abstract":"<div><h3>Objectives/Hypothesis</h3><div>Behavioral cough suppression therapy (BCST) has demonstrated up to 88% effectiveness at treating refractory chronic cough (RCC). With onset of the COVID-19 pandemic, along with many other medical services, BCST shifted to telehealth delivery. Our group hypothesized that BCST delivered via telemedicine by a specialized Speech-Language Pathologist would be comparable to previously reported response to treatment for in-person settings.</div></div><div><h3>Study Design</h3><div>Retrospective review.</div></div><div><h3>Methods</h3><div>An Emory IRB approved, retrospective review of electronic medical records was completed for RCC patients who received BCST via telehealth from March 2020 through January 2022 at Emory Voice Center. Patients were included in the study if they had a diagnosis of RCC, were referred for BCST, were seen for at least one therapy session in the telehealth setting, and provided Cough Severity Index (CSI) data pre and post-treatment. Patients were excluded if they had incomplete datasets, a known pulmonary condition, structural laryngeal disorders, smoking history, dysphagia, and ACE-inhibitor use. Change in CSI score pre- and post-treatment was calculated to determine treatment effect. Paired-samples t-tests were conducted to compare pre-and post-treatment CSI score change.</div></div><div><h3>Results</h3><div>Fifty-one RCC patients were included in this study; 88% were female with an average age of 60 years (SD = 12.68). Post-treatment CSI scores were significantly lower than pretreatment CSI scores (<em>P</em> &lt; 0.0001). These findings are comparable to historical documented CSI change achieved with in-person BCST.</div></div><div><h3>Conclusions</h3><div>This study provides preliminary evidence of the efficacy of BCST via telehealth for treating RCC. The findings of this study support the continued flexibility in speech-language pathology service delivery to include in-person and telehealth platforms for RCC beyond the COVID-19 pandemic.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 851.e1-851.e5"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10412108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vocal Impact in Patients With Unilateral Diaphragmatic Paralysis","authors":"Flávia Badaró ,&nbsp;Mayra Caleffi-Pereira ,&nbsp;João Paulo Macedo ,&nbsp;Mara Behlau ,&nbsp;André Luís Pereira de Albuquerque","doi":"10.1016/j.jvoice.2022.11.031","DOIUrl":"10.1016/j.jvoice.2022.11.031","url":null,"abstract":"<div><h3>Objectives</h3><div><span>This study aimed to investigate the possible vocal impact confirmed by diagnostic tests, the degree of perception of possible vocal impairment by patients with Unilateral </span>Diaphragmatic paralysis<span> (UDP) and its correlation with ventilatory weakness.</span></div></div><div><h3>Methods</h3><div><span><span>The researchers conducted an analytical, observational and case-control study with 70 individuals, including 35 UDP patients and 35 healthy patients in a control group, who underwent the following assessments: 1) Self-assessment of voice handicap (VHI-10); 2) Self-Assessment of Quality of Life (SF-36); 3) Self-Assessment of Dyspnea (MRC); 4) Objective vocal measures (Maximum </span>Phonation<span> Time (MPT) in /a/, /s/, /z/ and glottal-to-noise excitation ratio); 5) Functional respiratory pressures (Spirometry and maximum ventilatory pressures); 6) General degree of dysphonia – G on the GRBAS Scale. The sex, age and </span></span>body mass index (BMI) of the individuals were the variables used to match the sample of this study.</div></div><div><h3>Results</h3><div>When compared with controls, patients with UDP had a restrictive functional pattern and inspiratory weakness, with symptoms of dyspnea and worsening quality of life. When associated with a possible vocal impact, these patients had voice handicap and decreased MPT values for all phonemes, especially /a/. There was also a correlation between vocal performance and inspiratory weakness. However, it should be noted that, despite having vocal impairment, many patients did not report the perception of this fact, somehow neglecting such impairment.</div></div><div><h3>Conclusions</h3><div>In addition to the expected weakness of the ventilatory muscles, patients with UDP had clinically verified vocal impact, and those who had greater inspiratory weakness also had greater voice impairment. Finally, it is relevant that not all patients perceived such vocal impact, which showed a very reduced perception of this impairment in patients with UDP.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 855.e11-855.e19"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10511677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Anterior Palatoplasty and Functional Expansion Sphincter Pharyngoplasty on Voice Quality in Patients with Obstructive Sleep Apnea","authors":"Ayşe Karaoğullarından,&nbsp;Sanem Okşan Erkan","doi":"10.1016/j.jvoice.2022.11.032","DOIUrl":"10.1016/j.jvoice.2022.11.032","url":null,"abstract":"<div><h3>Objectives</h3><div><span>We aimed to examine the effects of anterior palatoplasty<span> (AP) and functional expansion sphincter pharyngoplasty (FESP) on voice quality in patients with OSAS and to compare them with each other</span></span><strong>.</strong></div></div><div><h3>Merhods</h3><div><span><span>The study included 380 patients who came to the Otorhinolaryngology Clinic of our hospital with symptoms of snoring and </span>sleep apnea between April 2020 and April 2022 and were referred to the sleep laboratory for </span>polysomnography<span> (PSG).Forty patients who met the study criteria and underwent AP and 26 patients who underwent FESP were included in the study. All surgeries were performed under general anesthesia<span> by the same otolaryngologist within 1 month at the latest after sleep endoscopy. Acoustic voice analysis was performed using the Praat voice analysis program preoperatively and postoperatively at 6 months. F0, jitter, shimmer, and NHR (noise-to-harmonic ratio) were compared between the groups pre and postoperatively.</span></span></div></div><div><h3>Results</h3><div>There were 20 females and 20 males in the AP group, 12 females and 14 males in the FESP group, There was no statistically significant difference in sex distribution between the groups (<em>P</em><span> = 0.952). The difference between the preop and postop F0, jitter, shimmer, and NHR in both the AP and FESP groups was statistically significant (</span><em>P</em> &lt; 0.01). After AP and FESP surgeries, F0 values ​​increased, jitter, shimmer and NHR values ​​decreased (<em>P</em> &lt; 0.01).F0, jitter, shimmer, and NHR changes were the greatest in the FESP group.(<em>P</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Positive changes in F0, jitter, shimmer, and NHR were greatest in the FESP group significantly. FESP surgery affects voice quality more than AP surgery in patients with OSAS.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 856.e1-856.e7"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10581916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Validity and Reliability of Voice Activity and Participation Profile-Turkish Version (VAPP-TR)","authors":"Elife Barmak ,&nbsp;Nazmiye Atila Çağlar ,&nbsp;Esma Altan ,&nbsp;Bünyamin Çıldır ,&nbsp;Emel Çadallı Tatar","doi":"10.1016/j.jvoice.2022.11.005","DOIUrl":"10.1016/j.jvoice.2022.11.005","url":null,"abstract":"<div><div>A voice activity and participation profile (VAPP) is a self-assessment tool used to measure activity and participation limitations resulting from voice disorders. This study aims to demonstrate the adaptation, validity, and reliability of the Turkish version of the VAPP scale. A total of 231 individuals, 155 with voice disorders (patient group) and 76 without voice disorders (normal group), were included in this study. With reliability, internal consistency, and test-retest methods; validity was evaluated with criterion and convergent validity methods. The Cronbach α coefficient calculated for internal consistency was found to be 0.985 for the VAPP total and between 0.914 and 0.978 for the subsections. Intraclass Correlation Coefficient was found to be 0.974 for the VAPP total and between 0.800 and 0.981 for the subsections. Total and subsection scores of the VAPP scale had correlation coefficients ranged between 0.725 and 0.903 with VHI_T and V-RQOL_T in the whole sample (all <em>P</em><span>&lt;0.001). The cut-off point was determined as ≥ 8 by ROC curve analysis for criterion validity. VAPP-TR is a valid and reliable tool that can be used to evaluate the quality of life of Turkish patients with voice disorders, particularly those with activity limitations and participation restrictions.</span></div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 852.e1-852.e9"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10764177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences and Similarities in the Perception of Voice Gender for Individuals Who are or are not Members of the LGBT+ Community","authors":"Christine Brennan Ph.D. ,&nbsp;Annalise C. Hannah M.A. ,&nbsp;Jordan Romick B.A. ,&nbsp;Jennifer Walentas Lewon M.S. ,&nbsp;Christina Meyers Ph.D.","doi":"10.1016/j.jvoice.2022.11.020","DOIUrl":"10.1016/j.jvoice.2022.11.020","url":null,"abstract":"<div><h3>Purpose</h3><div>Compared to transgender individuals, cisgender men and women perceived “male” and “female” voices differently when using a forced-choice task with binary terms. Here, we compared individuals’ perceptions of voice gender due to the influence of their own gender and/or sexuality using a rating scale rather than a forced-choice scenario.</div></div><div><h3>Methods</h3><div>Fifty-five participants (cisgender, transgender, and non-binary adults) listened to vocal recordings of four cisgender men and four cisgender women speakers (some recordings were pitch shifted resulting in 12 unique voice conditions) and rated the voices on a 7-point Likert scale ranging from masculine (1) to feminine (7). Likert ratings and reaction time of responses were recorded and analyzed. For a small subset of recordings, participants provided terms to describe the gender of the recorded voices.</div></div><div><h3>Results</h3><div>For the Likert voice gender rating task, there was a significant effect of gender for two out of twelve conditions. There were no significant effects of sexuality on any of the conditions. For reaction time (RT), there was no significant effect of gender for any conditions. There was no significant effect for sexuality when one subject was removed (for one condition). The number of vocabulary terms used to describe gender was significantly higher for LGBT+ participants, who used significantly more descriptive terms than those who identified as cisgender and heterosexual.</div></div><div><h3>Discussion</h3><div>Cisgender heterosexual speech-language pathologists working with transgender/non-binary clients can be more confident that their conceptualization and perception of voice gender are likely to align with that of their clients. Clinicians should utilize continuum terms (masculine, feminine) rather than the binary terms (male, female). Training of speech-language pathologists should include increasing awareness and knowledge of the perspectives and terminology used by members of the LGBT+ community with the aim of improving future clinician-client communication.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 845.e11-845.e21"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35255490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Voice Projection Training on Acoustic and Auditory-Perceptual Characteristics of Voice in Tamil-Speaking Imams","authors":"Thirunavukkarasu Jayakumar ,&nbsp;Hasan Ali Mohamed Yasin ,&nbsp;Jesnu Jose Benoy","doi":"10.1016/j.jvoice.2022.10.024","DOIUrl":"10.1016/j.jvoice.2022.10.024","url":null,"abstract":"<div><h3>Background</h3><div>Imams are professional voice users at risk of developing voice problems. Speech-Language Pathologists need to provide intervention programs to target risk factors associated with voice disorders and improve the voice quality of Imams. However, studies examining the effect of vocal training for Imams are limited in the literature.</div></div><div><h3>Objectives</h3><div>This study attempted to document the acoustic and auditory-perceptual changes in the voices of Tamil-speaking Imams with a voice projection training program.</div></div><div><h3>Methods</h3><div>Eleven Tamil-speaking Imams participated in a voice projection training program. Voice samples were recorded at four specific time points before, during, and after the voice projection training. These recordings were subjected to various acoustic analyses (AVQI, Dr Speech, and MDVP) and auditory-perceptual analysis (CAPE-V) to determine the changes with the voice projection training.</div></div><div><h3>Results</h3><div>Auditory-Perceptual analysis carried out by five experienced SLPs suggested significant changes in the voice quality of the participants with voice projection training. High inter-rater reliability was observed across the judges as well. We observed positive changes in several acoustic measures indicated within AVQI, Dr Speech, and MDVP software. These primarily included changes in fundamental frequency, noise related measures (HNR, SNR), and perturbation measures.</div></div><div><h3>Conclusion</h3><div>Voice projection training positively impacts the acoustic and auditory-perceptual characteristics of the voices of Tamil-speaking Imams.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 847.e1-847.e12"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40488659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automatic GRBAS Scoring of Pathological Voices using Deep Learning and a Small Set of Labeled Voice Data","authors":"Shunsuke Hidaka ,&nbsp;Yogaku Lee ,&nbsp;Moe Nakanishi ,&nbsp;Kohei Wakamiya ,&nbsp;Takashi Nakagawa ,&nbsp;Tokihiko Kaburagi","doi":"10.1016/j.jvoice.2022.10.020","DOIUrl":"10.1016/j.jvoice.2022.10.020","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Auditory-perceptual evaluation frameworks, such as the grade-roughness-breathiness-asthenia-strain (GRBAS) scale, are the gold standard for the quantitative evaluation of pathological voice quality. However, the evaluation is subjective; thus, the ratings lack reproducibility due to inter- and intra-rater variation. Prior researchers have proposed deep-learning-based automatic GRBAS score estimation to address this problem. However, these methods require large amounts of labeled voice data. Therefore, this study investigates the potential of automatic GRBAS estimation using </span>deep learning with smaller amounts of data.</div></div><div><h3>Methods</h3><div>A dataset consisting of 300 pathological sustained /a/ vowel samples was created and rated by eight experts (200 for training, 50 for validation, and 50 for testing). A neural network<span> model that predicts the probability distribution of GRBAS scores from an onset-to-offset waveform was proposed. Random speed perturbation, random crop, and frequency masking were investigated as data augmentation techniques, and power, instantaneous frequency, and group delay were investigated as time-frequency representations.</span></div></div><div><h3>Results</h3><div>Five-fold cross-validation was conducted, and the automatic scoring performance was evaluated using the quadratic weighted Cohen's kappa. The results showed that the kappa values of the automatic scoring performance were comparable to those of the inter-rater reliability of experts for all GRBAS items and the intra-rater reliability of experts for items G, B, A, and S. Random speed perturbation was the most effective data augmentation technique overall. When data augmentation was applied, power was the most effective for items G, R, A, and S; for Item B, combining group delay and power yielded additional performance gains.</div></div><div><h3>Conclusion</h3><div>The automatic GRBAS scoring achieved by the proposed model using scant labeled data was comparable to that of experts. This suggests that the challenges resulting from insufficient data can be alleviated. The findings of this study can also contribute to performance improvements in other tasks such as automatic voice disorder detection.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 846.e1-846.e23"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40496984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Choir Improves Vocal Production Measures in Individuals Living with Parkinson's Disease","authors":"Arla Good ,&nbsp;Elizabeth Earle ,&nbsp;Esztella Vezer ,&nbsp;Sean Gilmore ,&nbsp;Steven Livingstone ,&nbsp;Frank A. Russo","doi":"10.1016/j.jvoice.2022.12.001","DOIUrl":"10.1016/j.jvoice.2022.12.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Parkinson's disease (PD) is a neurodegenerative disease leading to motor impairments and dystonia across diverse muscle groups including vocal muscles. The vocal production challenges associated with PD have received considerably less research attention than the primary gross motor symptoms of the disease despite having a substantial effect on quality of life. Increasingly, people living with PD are discovering group singing as an asset-based approach to community building that is purported to strengthen vocal muscles and improve vocal quality.</div></div><div><h3>Study design/Methods</h3><div>The present study investigated the impact of community choir on vocal production in people living with PD across two sites. Prior to and immediately following a 12-week community choir at each site, vocal testing included a range of vocal-acoustic measures, including lowest and highest achievable pitch, duration of phonation, loudness, jitter, and shimmer.</div></div><div><h3>Results</h3><div>Results showed that group singing significantly improved some, though not all, measures of vocal production. Group singing improved lowest pitch (both groups), duration (both groups), intensity (one group), jitter (one group), and shimmer (both groups).</div></div><div><h3>Conclusions</h3><div>These findings support community choir as a feasible and scalable complementary approach to managing vocal production challenges associated with PD.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 848.e7-848.e20"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9094917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Factors of Listeners’ Attitudes Related to Dysphonic Voices in Native Brazilian Portuguese","authors":"Deyverson da Silva Evangelista ,&nbsp;Giorvan Ânderson dos Santos Alves ,&nbsp;Anna Alice Almeida ,&nbsp;Leonardo Wanderley Lopes","doi":"10.1016/j.jvoice.2022.11.028","DOIUrl":"10.1016/j.jvoice.2022.11.028","url":null,"abstract":"<div><h3>Objectives</h3><div>To verify whether there are differences in the judgments of listeners’ attitudes as a function of the presence, severity, and type of vocal deviation, and to identify the predictive factors of listeners’ attitudes toward dysphonic voices in Brazilian Portuguese speakers.</div></div><div><h3>Methods</h3><div>A sample of CAPE-V sentences was used from 44 subjects of both genders. The samples presented different severities of vocal deviation (general grade - GG) (healthy, mild, moderate, and severe) and different degrees of roughness (GR), breathiness (GB), and strain (GS), characterized by a perceptual-auditory judgment performed by speech therapists. The samples were presented to 152 listeners of both genders who performed the judgment of 12 attitudes inserted in a semantic differential scale previously validated for this study. Here, we used a Logistic Regression Model.</div></div><div><h3>Results</h3><div>There was no association between listener's gender and the judgment of attitudes. Subjects with vocal quality deviation were judged more negatively in relation to vocally healthy individuals. We observed that higher the GG, higher the negative judgment of listeners in relation to the speakers. Listeners judged breathy and strained voices as more negative. In the general model for female and male voices, the increase in GB and GG reduced the chance of a voice being evaluated positively by 16 and 20%, respectively. For female voices, GB and GS reduced the chance of a female voice being evaluated positively by 36 and 19%, respectively. GG reduces the chance of a male voice being evaluated positively by 46%, while GR increases the chance of a male voice being judged positively by 62 %.</div></div><div><h3>Conclusions</h3><div>There is an association between the presence, severity, and type of vocal deviation and listeners’ attitudes. We identified a predictive model of listeners' attitudes related to dysphonic voices among Brazilian Portuguese speakers. In general, GG and GB were predictors of negative attitudes toward listeners. GB and GS were predictors of negative attitudes toward female voices. The GG is a predictor of negative attitudes toward male voices, while the GR increases the chance of positive judgments.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 849.e9-849.e25"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10346097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Personality, Physical and Mental Health with Voice Range Profiles","authors":"Thomas A. Ostermann ,&nbsp;Michael Fuchs ,&nbsp;Andreas Hinz ,&nbsp;Christoph Engel ,&nbsp;Thomas Berger","doi":"10.1016/j.jvoice.2022.11.025","DOIUrl":"10.1016/j.jvoice.2022.11.025","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>Cross-sectional population-based study.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 707-717"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10479651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}