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Emotional considerations in spasmodic dysphonia: psychometric quantification.

M P Cannito1

  • 1Department of Speech Communication, University of Texas, Austin.

Journal of Communication Disorders
|October 1, 1991
PubMed
Summary

Spasmodic dysphonia may have a psychogenic basis, as patients show higher depression and anxiety levels. This challenges recent neuromotor research, suggesting emotional factors are significant.

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Area of Science:

  • Psychology
  • Neurology
  • Speech-Language Pathology

Background:

  • Spasmodic dysphonia (SD) research has recently emphasized neuromotor aspects.
  • Historically, SD has been considered to have a psychogenic origin.
  • Empirical evidence supporting either the neuromotor or psychogenic basis of SD is limited.

Purpose of the Study:

  • To investigate the emotional characteristics of female subjects with spasmodic dysphonia.
  • To compare emotional profiles of SD patients with healthy controls.
  • To examine the role of depression, anxiety, and somatic complaints in SD.

Main Methods:

  • Psychometric measures were used to assess depression, anxiety, and somatic complaints.
  • 18 female subjects diagnosed with spasmodic dysphonia were compared to matched normal controls.

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  • Correlational analysis was performed to identify underlying factors.

    • Main Results:

    • Statistically significant differences were found between the spasmodic dysphonia and control groups across all measures.
    • Over 50% of subjects with spasmodic dysphonia exhibited clinically significant levels of depression and anxiety.
    • An "affective factor" was identified in the spasmodic dysphonia group, but not in the control group.

    Conclusions:

    • Findings suggest a significant psychogenic component in spasmodic dysphonia, challenging purely neuromotor explanations.
    • The results indicate a need to consider emotional factors in the theoretical and clinical understanding of SD.
    • Methodological approaches to SD research may need re-evaluation to incorporate psychological assessments.