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Cognitive behavioral therapy for functional dysphonia: a pilot study.

Paressa Daniilidou1, Paul Carding, Janet Wilson

  • 1Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, England, United Kingdom.

The Annals of Otology, Rhinology, and Laryngology
|November 9, 2007
PubMed
Summary
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Adding cognitive behavioral therapy (CBT) to voice therapy significantly improved outcomes for patients with functional dysphonia. CBT enhanced voice quality and reduced psychological distress more effectively than voice therapy alone.

Area of Science:

  • Speech-Language Pathology
  • Psychology
  • Otolaryngology

Background:

  • Functional dysphonia is a voice disorder impacting quality of life.
  • Psychological distress often accompanies functional dysphonia.
  • Standard voice therapy may not fully address psychological components.

Purpose of the Study:

  • To evaluate if cognitive behavioral therapy (CBT) training enhances speech and language therapy for functional dysphonia.
  • To determine if CBT-enhanced therapy reduces psychological distress in these patients.

Main Methods:

  • A speech-language therapist treated two cohorts of patients with functional dysphonia.
  • The first cohort received voice therapy alone (n=15).
  • The second cohort received voice therapy with added CBT skills (n=13) after the therapist's CBT training. Voice quality, quality of life, anxiety, and depression were measured.

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Main Results:

  • Both groups showed significant voice improvements.
  • The CBT group demonstrated significantly greater improvement in general well-being (GHQ-28) compared to the control group.
  • Only the CBT group showed significant improvement in depression scores (HADS).

Conclusions:

  • Integrating CBT skills into voice therapy is feasible and clinically effective for functional dysphonia.
  • CBT-enhanced therapy offers additional benefits for psychological distress.
  • Further research with larger cohorts is warranted.