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Fatigue occurs when materials rupture under repeated or fluctuating loads, even at stress levels far below their static breaking strength. It typically results in brittle failure, even for ductile materials. It is a critical consideration in designing machines and structural components subjected to repetitive or varying loads. The nature of these loadings can range from fluctuating loads like unbalanced pump impellers causing vibrations to repeatedly bending a thin steel rod wire back and forth...
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Relationship between fatigue, perfectionism, and functional dysphonia.

James O'Hara1, Tracey Miller, Paul Carding

  • 1Department of Otolaryngology Head and Neck Surgery, The Freeman Hospital, Newcastle upon Tyne, UK.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 16, 2011
PubMed
Summary

Patients with functional dysphonia report significantly higher levels of fatigue and perfectionism compared to healthy controls. These findings suggest functional dysphonia may share common pathways with other medically unexplained physical symptoms.

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Area of Science:

  • Psychology
  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Functional dysphonia is a voice disorder with no clear organic cause.
  • Cognitive behavioral therapy (CBT) is used for treatment, with preliminary observations suggesting links to fatigue and perfectionism.

Purpose of the Study:

  • To investigate and compare levels of general fatigue and perfectionism in individuals with functional dysphonia versus a control group.
  • To establish if heightened fatigue and perfectionism are characteristic of functional dysphonia.

Main Methods:

  • A case-control study was conducted in a UK teaching hospital.
  • Participants included 75 patients with functional dysphonia and 62 age- and sex-matched controls recruited via speech therapy and their friends.
  • Standardized questionnaires assessed fatigue (Likert and bimodal scoring) and perfectionism traits.

Main Results:

  • Patients with functional dysphonia exhibited significantly higher mean fatigue scores than controls using both Likert (P = .009) and bimodal (P = .003) scoring systems.
  • Mean perfectionism scores were also significantly elevated in the functional dysphonia group compared to controls (P = 0.043).

Conclusions:

  • This study provides the first substantial evidence linking elevated fatigue and perfectionism to functional dysphonia.
  • These findings suggest functional dysphonia is similar to other medically unexplained physical symptoms, involving somatopsychic distress.
  • The results have implications for future research and therapeutic approaches for functional dysphonia.