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Updated: May 23, 2026
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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
Exploring Mental Health in a Pediatric Paradoxical Vocal Fold Motion Sample Using Patient-Reported Outcomes
Lilia Mucka Andrew1, Claire B Sandler2, Courtney A Long3
1Psychology, Children's National Hospital, George Washington University, Washington, DC, USA.
Summary
Adolescents with paradoxical vocal fold motion (PVFM) often experience elevated anxiety and depression. These mental health conditions may precede PVFM diagnosis, indicating a need for targeted interventions.
Area of Science:
- Pediatric Otolaryngology
- Child and Adolescent Psychiatry
- Respiratory Medicine
Background:
- Paradoxical vocal fold motion (PVFM) involves inappropriate vocal fold adduction during inspiration, causing breathing difficulties.
- Anxiety is a suspected predisposing factor for PVFM, but its incidence in pediatric populations remains understudied.
Purpose of the Study:
- To investigate the prevalence of anxiety and depression in adolescents diagnosed with PVFM.
- To determine if anxiety and depression scores correlate with the need for therapeutic intervention in this cohort.
Main Methods:
- A retrospective review was conducted at a multidisciplinary PVFM clinic.
- Patient-reported outcome measures, including the Pediatric SFv1.1 Anxiety 8b and Level 2-Depression inventories, were administered to 23 pediatric patients (aged 10-17) and their parents.
Main Results:
- Elevated anxiety levels were reported in 69.6% of patients and 40% of parents.
- Elevated depression levels were reported in 30.4% of patients and 15% of parents.
- A significant correlation was found between higher child anxiety scores and the need for therapy (U=17, P=.004).
Conclusions:
- The study confirms high rates of anxiety and depression in adolescents with PVFM.
- Anxiety appears to be a significant predisposing factor for PVFM in this age group.
- Individualized interventions targeting anxiety and depression are recommended for affected adolescents.
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