Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (3): 37-41.doi: 10.6040/j.issn.1673-3770.1.2020.114

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Evaluation of voice and mental state in patients with functional dysphonia

ZHANG Kaiting1, LIU Jie1, XU Zhenju1, ZHANG Xiaoxue1, CAO Songli2, HAN Min1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, Shandong, China;
    2. Operating Room, the Affiliated Hospital of Qingdao University, Qingdao 266071, Shandong, China
  • Published:2021-05-14

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Abstract: Objective We aimed to explore the clinical importance of voice and mental state assessment in the diagnosis and treatment of functional speech disorders. Methods We selected 72 patients with functional dysphonia(experimental group)and 40 individuals without dysphonia(control group)from the Department of Otolaryngology, Affiliated Hospital of Qingdao University, from August 2017 to October 2020. In the functional dysphonia group, 50 individuals had enhanced dysphonia and 22 had diminished dysphonia. All patients underwent voice assessment, evaluation using the Grade, Roughness, Breathiness, Asthenia, Strain(GRBAS)scale and voice handicap index(VHI)scale, dynamic laryngoscopy, and evaluation of anxiety(Self-Rating Anxiety Scale, SAS)and depression(Self-Rating Depression Scale, SDS). We compared evaluation results of the various indicators between the two groups. Results In the experimental group, the GRBAS score was 1.92±1.03 and the VHI score was 58.43±23.17. Vocal cord closure, mucosal wave, symmetry, and periodicity scores in the experimental group were significantly different from those of the control group, in stroboscopic examination. In computer voice evaluation, the frequency perturbation, amplitude perturbation, and maximum sound time in the experimental group were significantly different from these values of the control group. We found significant differences in SAS and SDS scores between the experimental and control groups. Conclusion Voice and mental state assessment are important for guiding the diagnosis and treatment of patients with functional phonation disorder.

Key words: Functional dysphonia, Voice assessment, Self-rating anxiety scale, Self-rating depression scale, GRBAS evaluation

CLC Number: 

  • R767.92
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