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An update in thinking about nonorganic voice disorders.
Eberhard Seifert1, Juerg Kollbrunner
1Division of Phoniatrics, Ear, Nose, and Throat Clinic, Head and Neck Surgery, Inselspital, University of Berne, Berne, Switzerland. eberhard.seifert@insel.ch
Archives of Otolaryngology--Head & Neck Surgery
|October 18, 2006
Summary
Psychosocial factors significantly impact nonorganic voice disorders (NVDs). Patients with NVDs struggle to resolve conflicts, highlighting the need for integrated psychological and voice therapy.
Area of Science:
- Psychology
- Otolaryngology
- Speech-Language Pathology
Background:
- Nonorganic voice disorders (NVDs) are linked to muscular tension from vocal misuse and emotional stress.
- Effective diagnosis and treatment necessitate addressing both physical and psychological components.
Purpose of the Study:
- To describe and evaluate psychosocial factors contributing to NVDs.
- To compare psychological profiles of NVD patients with those suffering from organic dysphonia.
Main Methods:
- A clinical survey was conducted at an academic tertiary referral center.
- 74 NVD patients and 19 organic dysphonia patients were psychologically assessed using the Giessen Test and Picture Frustration Test.
- Evaluated scales included social response, dominance, control, mood, permeability, social potency, and aggression categories.
Main Results:
- Patients with NVDs exhibited a tendency to seek rapid conflict resolution or external solutions.
- This avoidance prevented a deeper understanding of the conflict's root causes.
- A significant difference was observed in conflict-handling strategies between NVD and organic dysphonia groups.
Conclusions:
- Addressing psychosocial aspects is crucial for effective NVD therapy.
- Treatment plans should be individualized, considering voice training or psychological-psychotherapeutical approaches.
- Understanding patient's psychological state is key to treating the underlying causes of voice disorders.
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