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Related Experiment Videos

A psychological cascade model for persisting voice problems in teachers.

F I C R S de Jong1, B E Cornelis, F L Wuyts

  • 1Department of ORL, University Medical Centre St. Radboud, Nijmegen, The Netherlands. F.deJong@kno.umcn.nl

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|April 17, 2003
PubMed
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Teachers with persistent voice problems often face a deadlock, influenced by psychological and socioeconomic factors. Early identification of these

Area of Science:

  • Speech and Hearing Science
  • Psychology
  • Occupational Health

Background:

  • Persisting voice problems in teachers can significantly impact their professional lives.
  • Understanding maintaining factors and coping strategies is crucial for effective intervention.
  • A psychological cascade model offers a framework for analyzing chronic conditions.

Purpose of the Study:

  • To examine maintaining factors and coping strategies in teachers with persistent voice problems.
  • To apply a psychological cascade model to voice disorders in this population.
  • To introduce and define the concept of 'chronicity' in voice problems.

Main Methods:

  • Assessment of physical, functional, psychological, and socioeconomic factors in 76 teachers.
  • Utilizing the Voice Handicap Index (VHI) and visual analogue scale (VAS) for subjective voice problem rating.

Related Experiment Videos

  • Comparing patients in phase 1 of the cascade model with others.

    • Main Results:

    • Most teachers were in phase 1 (deadlocked situation) of the cascade model, characterized by externalization and unawareness.
    • Phase 1 patients reported higher VHI and VAS scores.
    • Socioeconomic factors combined with phase 1 status were key risk factors for high VHI scores, while socioeconomic factors alone predicted high VAS scores.

    Conclusions:

    • The concept of 'chronicity' describes maintained problems, a deadlock, and progression towards chronic disease, distinct from mere duration.
    • Inadequate coping strategies (emotional/psychological, physical, socioeconomic) are indicators of chronicity.
    • Interventions should address psychological and socioeconomic factors to prevent voice problems from becoming chronic.