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Dysphonia, Perceived Control, and Psychosocial Distress: A Qualitative Study.
Stephanie Misono1, Caroline Haut2, Liza Meredith3
1Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota.
Summary
Psychological factors, like perceived control, significantly influence voice symptoms in adults. Adaptive coping strategies and perceived control can improve vocal function and recovery.
Area of Science:
- Psychology
- Speech-Language Pathology
- Health Psychology
Background:
- Voice problems significantly impact adults, with psychological factors often overlooked.
- Understanding the interplay between psychological state and vocal symptoms is crucial for effective treatment.
Purpose of the Study:
- To explore the relationship between psychological factors, specifically perceived control, and voice symptoms in adults undergoing treatment.
- To develop a conceptual model illustrating these associations.
Main Methods:
- Qualitative study employing semistructured interviews with 23 adult patients diagnosed with muscle tension dysphonia.
- Inductive thematic analysis of interview transcripts by a multidisciplinary team.
Main Results:
- No direct psychological cause identified, but significant life events preceded voice problems in half of participants.
- Psychological influences were reported to exacerbate voice symptoms.
- Perceived control over voice symptoms correlated with adaptive emotional and behavioral responses, aiding symptom improvement.
Conclusions:
- Participant narratives indicate psychological factors and emotions influence voice symptoms.
- Preliminary conceptual model developed, highlighting adaptive/maladaptive responses and their impact on vocal function.
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