Dysphonia, Perceived Control, and Psychosocial Distress: A Qualitative Study

Journal of Voice : Official Journal of the Voice Foundation
Stephanie MisonoEileen M Harwood

Abstract

The purpose of this qualitative study was to examine relationships between psychological factors, particularly perceived control, and voice symptoms in adults seeking treatment for a voice problem. Semistructured interviews of adult patients with a clinical diagnosis of muscle tension dysphonia were conducted and transcribed. Follow-up interviews were conducted as needed for further information or clarification. A multidisciplinary team analyzed interview content using inductive techniques. Common themes and subthemes were identified. A conceptual model was developed describing the association between voice symptoms, psychological factors, precipitants of ongoing voice symptoms, and perceived control. Thematic saturation was reached after 23 interviews. No participants reported a direct psychological cause for their voice problem, although half described significant life events preceding voice problem onset (eg, miscarriage and other health events, interpersonal conflicts, and family members' illnesses, injuries, and deaths). Participants described psychological influences on voice symptoms that led to rapid exacerbation of their voice symptoms. Participants described the helpfulness of speech therapy and sometimes also challen...Continue Reading

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Citations

May 1, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Stephanie MisonoJay F Piccirillo
Apr 28, 2019·The Annals of Otology, Rhinology, and Laryngology·Viann N Nguyen-FengStephanie Misono
Jan 16, 2021·Journal of Voice : Official Journal of the Voice Foundation·Débora Bonesso AndriolloCarla Aparecida Cielo
Feb 6, 2021·Journal of Voice : Official Journal of the Voice Foundation·Mara BehlauMarisa Barbara
Mar 2, 2021·Journal of Voice : Official Journal of the Voice Foundation·H Bengu ÇobanogluFiliz Civil Arslan
Dec 24, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Viann N Nguyen-FengStephanie Misono

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