Journal of Voice最新文献

{"title":"Menopausal Voice-Related Work Limitation Scale (MenoVWL): Development and Validation","authors":"Filipa M.B. Lã ,&nbsp;Ana M. Ramírez ,&nbsp;Diego Ardura ,&nbsp;Mauro B. Fiuza ,&nbsp;Nuria Polo","doi":"10.1016/j.jvoice.2022.11.019","DOIUrl":"10.1016/j.jvoice.2022.11.019","url":null,"abstract":"<div><h3>Objectives</h3><div>Menopause has been reported to affect the voice of female professional voice users (FPVUs). The present study aims at the development and validation of a scale to measure self-perceived menopausal voice-related limitation to work in FPVUs, henceforth the <em>Menopausal Voice-Related Work Limitation Scale</em> (<em>MenoVWL</em>).</div></div><div><h3>Methods</h3><div>Items were drawn from previous studies on impacts of sex steroid hormones on voice, available validated scales, and in-depth interviews with post-menopausal FPVUs. A preliminary version with 16 items was evaluated by a panel of 15 voice experts. The resulting revised version was filled in online, together with questions on current endocrinological reproductive status and related symptoms, history of amenorrhea, professional occupation, and demographic information. Responses concerning only professional voice users were selected and inclusive and exclusive criteria were applied for correct allocation of participants into pre- and post-menopausal stages within a restrict age range;192 responses were subject to factorial analysis for MenoVWL validation. Cronbach's alpha measured internal reliability. The scale was tested by comparing MenoVWL scores between pre- and post-menopausal FPVUs (98 and 94, respectively).</div></div><div><h3>Results</h3><div>Thirteen items were retained from the expert panel evaluation. Items presented a high Content Validity Index (.94 out of 1) and high Item Acceptance Ratio (86.25 %). Both exploratory and confirmatory factorial analysis rendered one dimension scale with an excellent internal consistency (Cronbach's alpha = .9). The results of a Mann-Whitney test showed a higher MenoVWL score for post- as compared to pre-menopausal FPVUs (<em>Z</em> = - 2.818; <em>P</em> = .005).</div></div><div><h3>Conclusions</h3><div>MenoVWL is a comprehensive and validated scale with a known factor structure. It constitutes a health care and safety outcome self-perceived measure of value to the early detection of voice-related limitations to work in FPVUs during menopause.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 850.e11-850.e21"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40569989","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":"Time-Synchronized MRI-Assessment of Respiratory Apparatus Subsystems—A Feasibility Study","authors":"Christian T. Herbst ,&nbsp;Kate Emerich ,&nbsp;Michaela A. Mayr ,&nbsp;Ansgar Rudisch ,&nbsp;Christian Kremser ,&nbsp;Helena Talasz ,&nbsp;Markus Kofler","doi":"10.1016/j.jvoice.2022.11.006","DOIUrl":"10.1016/j.jvoice.2022.11.006","url":null,"abstract":"<div><div>The thorax (TH), the thoracic diaphragm (TD), and the abdominal wall (AW) are three sub-systems of the respiratory apparatus whose displacement motion has been well studied with the use of magnetic resonance imaging (MRI). Another sub-system, which has however received less research attention with respect to breathing, is the pelvic floor (PF). In particular, there is no study that has investigated the displacement of all four sub-systems simultaneously. Addressing this issue, it was the purpose of this feasibility study to establish a data acquisition paradigm for time-synchronous quantitative analysis of dynamic MRI data from these four major contributors to respiration and phonation (TH, TD, AW, and PF). Three healthy females were asked to breathe in and out forcefully while being recorded in a 1.5-Tesla whole body MR-scanner. Spanning a sequence of 15.12 seconds, 40 MRI data frames were acquired. Each data frame contained two slices, simultaneously documenting the mid-sagittal (TH, TD, PF) and transversal (AW) planes. The displacement motion of the four anatomical structures of interest was documented using kymographic analysis, resulting in time-varying calibrated structure displacement data. After computing the fundamental frequency of the cyclical breathing motion, the phase offsets of the TH, PF, and AW with respect to the TD were computed. Data analysis revealed three fundamentally different displacement patterns. Total structure displacement was in the range of 0.94 cm (TH) to 4.27 cm (TD). Phase delays of up to 90<span><math><msup><mrow></mrow><mo>∘</mo></msup></math></span> (i.e., a quarter of a breathing cycle) between different structures were found. Motion offsets in the range of -28.30<span><math><msup><mrow></mrow><mo>∘</mo></msup></math></span> to 14.90<span><math><msup><mrow></mrow><mo>∘</mo></msup></math></span> were computed for the PF with respect to the TD. The diversity of results in only three investigated participants suggests a variety of possible breathing strategies, warranting further research.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 647-655"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9094916","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":"Emotional Adjustment in Children with Vocal Fold Nodules","authors":"Jeong Min Lee ,&nbsp;Nelson Roy ,&nbsp;Albert Park ,&nbsp;Harlan Muntz ,&nbsp;Marshall Smith","doi":"10.1016/j.jvoice.2022.10.019","DOIUrl":"10.1016/j.jvoice.2022.10.019","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Vocal fold nodules (VNs) in children are benign, bilateral, callous-like lesions at the junction of the anterior third and posterior two-thirds of the </span>true vocal folds. Chronic, repetitive, and intense vocal behavior is often cited as the primary etiology; however, difficulties with emotional adjustment may predispose some children towards extreme and possibly phonotraumatic vocal activity, thereby contributing secondarily to the development of VNs.</div></div><div><h3>Objectives</h3><div>This case-control study examined the association between features of emotional adjustment and VNs in children.</div></div><div><h3>Methods</h3><div>Parents of children with VNs (<em>N</em> = 40, <em>M_age</em> = 7.5, <em>SD_age</em> = 2.03) and two medical control groups [ie, voice disordered, but not VNs (VDCs; <em>N</em> = 40, <em>M</em>_age= 7.09, <em>SD_age</em> = 2.01) and vocally normal controls (VNCs; <em>N</em> = 40, <em>M_age</em> = 7.6, <em>SD_age</em> = 1.54)] participated in the study. Features of emotional adjustment were assessed using two inventories: the Parent Rating scale for Reactive and Proactive Aggression and the Revised Child Anxiety and Depression Scale – Parent version.</div></div><div><h3>Results</h3><div>As compared with the VNCs, children with VNs were significantly more aggressive (<em>P</em> = 0.042, Cohen's <em>d</em> = 0.47) whereas the VDCs were more depressed (<em>P</em> = 0.013, Cohen's <em>d</em><span> = 0.60). Furthermore, VDCs experienced more separation anxiety than VNs (</span><em>P</em> = 0.038, Cohen's <em>d = 0</em>.45) and VNCs (<em>P</em> = 0.021, Cohen's <em>d = 0.</em>55). No other significant between-group differences were identified between the VNs and VDCs.</div></div><div><h3>Conclusions</h3><div>When present, elevated aggression may represent a risk factor for VNs formation in children, and possibly influence treatment outcomes. Therefore, the current results highlight the importance of understanding the role of emotional adjustment in the evaluation and treatment of dysphonia in children.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 852.e17-852.e28"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10333706","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":"Singing Voice Symptomatology Following Presumed SARS-CoV-2 Infection","authors":"Sophia Dove ,&nbsp;Leryn Turlington ,&nbsp;Kate Elmendorf ,&nbsp;Kurayi Mahachi ,&nbsp;Christine Petersen ,&nbsp;David Meyer","doi":"10.1016/j.jvoice.2022.11.012","DOIUrl":"10.1016/j.jvoice.2022.11.012","url":null,"abstract":"<div><div>The impact of continued COVID-19 sequelae on singers’ vocal function has yet to be determined. An online survey of singers who have contracted SARS-CoV-2 infection was designed and administered globally. Participants (n = 1,153) were recruited in Africa, the Americas, Asia, Australia, and Europe. Survey questions included demographics, peri- and post-SARS-CoV-2 infection symptoms, and self-reported sequelae attributed to long-COVID. The survey was made available in English, Portuguese, Spanish, and Traditional and Simplified Mandarin Chinese. Data were statistically analyzed to provide a useful summary of the sample and to evaluate associations between long-COVID and singers’ vocal function. We found that age, gender, and vaccination status were not significantly correlated to a change in singing voice in our sample. However, severity of infection was statistically correlated with a change in singing voice. Of the 34 signs and symptoms presented, lingering cough, shortness of breath, and chronic fatigue were significantly correlated with a change in singing voice. These data and their analyses have added to our understanding of this growing population's unique vocal needs, and may inform strategies for singing voice habilitation in COVID-19 survivors.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 853.e9-853.e19"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836070","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":"Quasi-static ultrasound elastography of ex-vivo porcine vocal folds during passive elongation and adduction","authors":"Raphael Lamprecht ,&nbsp;Florian Scheible ,&nbsp;Reinhard Veltrup ,&nbsp;Casey Schaan ,&nbsp;Marion Semmler ,&nbsp;Jann-Ole Henningson ,&nbsp;Alexander Sutor","doi":"10.1016/j.jvoice.2022.11.033","DOIUrl":"10.1016/j.jvoice.2022.11.033","url":null,"abstract":"<div><div><strong>Objectives.</strong> The elastic properties of the vocal folds have great influence on the primary sound and thus on the entire subsequent phonation process. Muscle contractions in the larynx can alter the elastic properties of the vocal fold tissue. Quasi-static ultrasound elastography is a non-destructive examination method that can be applied to ex-vivo vocal folds. In this work, porcine vocal folds were passively elongated and adducted and the changes of the elastic properties due to that manipulations were measured. <strong>Methods.</strong> Manipulations were performed by applying force to sewn-in sutures. Elongation was achieved by a suture attached to the thyroid cartilage, which was pulled forward by defined weights. Adduction was effected by two sutures exerting torque on the arytenoid cartilage. A series of ten specimens was examined and evaluated using a quasi-static elastography algorithm. In addition, the surface stretch was measured optically using tattooed reference points. <strong>Results.</strong> This study showed that the expected stiffening of the tissue during the manipulations can be measured using quasi-static ultrasound elastography. The measured effect of elongation and adduction, both of which result in stretching of the tissue, is stiffening. However, the relative change of specific manipulations is not the same for the same load on different larynges, but is rather related to stretch caused and other uninvestigated factors. <strong>Conclusion.</strong> The passive elongation and adduction of vocal folds stiffen the tissue of the vocal folds and can be measured using ultrasound elastography.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 635-646"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10382062","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 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}