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음성장애환자에게서의 우울감 연구

A Study of depression symptom in patients with voice disorders

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주제분류학제간연구

초록

The objectives of this study are to research the frequency of depression symptom in patients with voice disorders and to investigate parameters associated with depression from voice evaluation. A hundred ninety six patients(106 males and 90 females) who had been diagnosed with voice disorders first in their lifetime were selected. All the patients were examined by laryngeal stroboscopy. For depression and voice study, personal interview, acoustic and aerodynamic analysis, voice handicap index(VHI), reflux symptom index(RSI), and beck depression index(BDI) were done respectively. Mild to severe BDI were seen in 26.2%(52 patients) of the whole patients. A BDI mean score of female patients was 8.8±7.5 which was higher than that of male patients(5.6±6.6), the difference observed being statistically significant(p<0.001). In the acoustic analysis, the score of sent_duration parameter was increasing in the patients with depression, which was significantly higher than the score of the patients without depression(p<0.05). In the addition, the scores of VHI and RSI were higher in the patients with depression(p<0.001). Our findings suggest that the prevalence of depression in patients with voice disorders is related to female, speaking velocity, and self-questionnaire. This result can be used for psychologically based approach to therapy.

Abstract

The objectives of this study are to research the frequency of depression symptom in patients with voice disorders and to investigate parameters associated with depression from voice evaluation. A hundred ninety six patients(106 males and 90 females) who had been diagnosed with voice disorders first in their lifetime were selected. All the patients were examined by laryngeal stroboscopy. For depression and voice study, personal interview, acoustic and aerodynamic analysis, voice handicap index(VHI), reflux symptom index(RSI), and beck depression index(BDI) were done respectively. Mild to severe BDI were seen in 26.2%(52 patients) of the whole patients. A BDI mean score of female patients was 8.8±7.5 which was higher than that of male patients(5.6±6.6), the difference observed being statistically significant(p<0.001). In the acoustic analysis, the score of sent_duration parameter was increasing in the patients with depression, which was significantly higher than the score of the patients without depression(p<0.05). In the addition, the scores of VHI and RSI were higher in the patients with depression(p<0.001). Our findings suggest that the prevalence of depression in patients with voice disorders is related to female, speaking velocity, and self-questionnaire. This result can be used for psychologically based approach to therapy.

참고문헌 (12)

  1. 백연숙, "우울증 화자 음성의 음향음성학적 특성", 말소리와 음성과학, 4(1), pp.91~98 (2012), 한국음성학회[DOI]
  2. 윤서영, "효과적인 우울증 치료를 위한 임상평가도구", 대한정신약물학회지, 23(4), pp.136~146 (2012), 대한정신약물학회
  3. Abeida, M. El Uali., "Study of the influence of psychological factors in the etiology of vocal nodules in women", Journal of voice, 27(1), pp.129.e15~129.e20 (2013)
  4. Alpert, M., "Reflections of depression in acoustic measures of the patients speech", Journal of affective disorders, 66, pp.59~69 (2001)
  5. Boone, D. R., "The voice and voice therapy. 7th ed" (2005), Allyn & Bacon
  6. Dietrich, M., "The frequency of perceived stress, anxiety, and depression in patients with common pathologies affecting voice", Journal of voice, 22, pp.472~488 (2008)
  7. Kessler, R. C., "Lifetime and 12-month prevalence of DSM-Ⅲ-R psychiatric disorders in the United States", Archives of general psychiatry, 51, pp.8~19 (1994)
  8. Misono, S., "Psychosocial distress in patients with presenting with voice concerns. Journal of voice", Journal of voice, 28(6), pp.753~761 (2014)
  9. Mundt, J. C., "Voice acoustic measures of depression severity and treatment response collected via interactive voice response(IVR)technology", Journal of Neurolinguistics, 20, pp.50~64 (2007)
  10. Siupsinskiene, N., "Psychological distress in patients with benign voice disorders", Folia phoniatrica et Logopaedica, 63, pp.281~288 (2011)
  11. Stemple, J. C., "Voice therapy clinical case studies(3rd edition)" (2010), Plural Publishing Inc

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