Psychosocial risk factors which may differentiate between women with Functional Voice Disorder, Organic Voice Disorder and a Control group
Date
2013
Authors
Baker, J.
Ben Tovim, D.
Butcher, A.
Esterman, A.
McLaughlin, K.
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Journal article
Citation
International Journal of Speech-Language Pathology, 2013; 15(6):547-563
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Abstract
This study aimed to explore psychosocial factors contributing to the development of functional voice disorders (FVD) and those differentiating between organic voice disorders (OVD) and a non-voice-disordered control group. A case-control study was undertaken of 194 women aged 18 - 80 years diagnosed with FVD (n=73), OVD (n=55), and controls (n=66). FVD women were allocated into psychogenic voice disorder (PVD) (n=37) and muscle tension voice disorder (MTVD) (n=36) for sub-group analysis. Dependent variables included biographical and voice assessment data, the number and severity of life events and diffi culties and confl ict over speaking out (COSO) situations derived from the Life Events and Diffi culties Schedule (LEDS), and psychological traits including emotional expressiveness scales. Four psychosocial components differentiated between the FVD and control group accounting for 84.9% of the variance: severe events, moderate events, severe COSO, and mild COSO difficulties. Severe events, severe and mild COSO diffi culties differentiated between FVD and OVD groups, accounting for 80.5% of the variance. Moderate events differentiated between PVD and MTVD sub-groups, accounting for 58.9% of the variance. Psychological traits did not differentiate between groups. Stressful life events and COSO situations best differentiated FVD from OVD and control groups. More refined aetiological studies are needed to differentiate between PVD and MTVD.
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Data source: Supplementary materials, http://informahealthcare.com/doi/abs/10.3109/17549507.2012.721397
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Copyright 2013 The Speech Pathology Association of Australia