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Updated: May 30, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
[Auditory-perceptive, acoustic and vocal self-perception analyses in children]
Rafaella Cristina Oliveira1, Letícia Caldas Teixeira, Ana Cristina Côrtes Gama
1Curso de Fonoaudiologia, Universidade Federal de Minas Gerais – UFMG – Belo Horizonte (MG), Brasil. rafaellacris_bh@hotmail.com
A significant number of children (37.14%) have dysphonia, often characterized by breathy or rough voice quality and negative self-perception. Acoustic measures were also altered in these children.
Area of Science:
- Pediatric Voice Disorders
- Speech-Language Pathology
- Otolaryngology
Context:
- Dysphonia prevalence in children is not well-established.
- Understanding the relationship between objective voice measures and subjective self-perception is crucial for diagnosis and intervention.
- Childhood voice disorders can impact social and academic development.
Purpose:
- To determine the prevalence of dysphonia in children aged 6-10 years.
- To compare auditory-perceptive, acoustic, and vocal self-perception data between dysphonic and non-dysphonic children.
- To investigate the correlation between objective voice findings and children's self-assessment of their voice.
Summary:
- The study found a 37.14% occurrence of dysphonia in 70 children (ages 6-10).
- Dysphonic children most frequently presented with breathy and/or rough voice qualities.
- Acoustic analysis revealed higher frequency and amplitude perturbation quotient and lower harmonic-to-noise ratio in dysphonic children. Negative self-perception was more common in dysphonic children, though acoustic measures did not differ based on self-perception.
- Auditory-perceptive analysis identified breathiness and roughness as common vocal deviations.
Impact:
- This research highlights a substantial prevalence of childhood dysphonia, emphasizing the need for early identification and intervention.
- Findings underscore the connection between objective voice characteristics, perceptual voice quality, and negative self-perception in dysphonic children.
- The study provides valuable data for clinicians and researchers in pediatric voice disorders, informing diagnostic and therapeutic strategies.
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