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Interoception, Voice Symptom Reporting, and Voice Disorders.

Julianna Comstock Smeltzer1, Sy Han Chiou2, Adrianna C Shembel3

  • 1School of Behavioral and Brain Sciences, Department of Speech, Language, and Hearing, University of Texas at Dallas, Richardson, Texas.

Journal of Voice : Official Journal of the Voice Foundation
|April 3, 2023
PubMed
Summary
This summary is machine-generated.

Individuals with functional voice disorders, particularly muscle tension dysphonia, may have reduced interoceptive awareness. Lower attention and emotional awareness correlate with higher voice handicap and vocal fatigue.

Keywords:
Functional voice disordersInteroceptionInteroceptive awarenessPrimary muscle tension dysphoniaVocal fatigueVoice handicap index

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Area of Science:

  • Neuroscience
  • Speech-Language Pathology
  • Psychology

Background:

  • Interoception, the sense of the body's internal state, is increasingly recognized for its role in various health conditions.
  • Its specific relationship with voice disorders, however, remains underexplored.

Purpose of the Study:

  • To investigate the link between interoception and voice disorder classification (functional, structural, neurological).
  • To examine interoception's relationship with voice-related outcomes in functional voice disorders.
  • To compare interoceptive awareness in muscle tension dysphonia patients versus typical voice users.

Main Methods:

  • A prospective cohort study involving 100 voice disorder patients and 25 typical voice users.
  • Utilized the Multidimensional Assessment of Interoceptive Awareness-2 (MAIA-2) for interoception assessment.
  • Collected voice disorder diagnoses, singing experience, Voice Handicap Index (VHI-10), and Vocal Fatigue Index (VFI-Part1) scores.

Main Results:

  • No significant interoception differences were found across voice disorder classes (functional, structural, neurological).
  • Higher VHI-10 and VFI-Part1 scores correlated with lower Attention Regulation in functional voice disorder patients.
  • Muscle tension dysphonia patients exhibited lower Emotional Awareness scores compared to controls.

Conclusions:

  • Reduced attention to bodily sensations may be associated with greater self-reported voice handicap and fatigue.
  • Individuals with primary muscle tension dysphonia may possess diminished interoceptive processing abilities compared to typical voice users.