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Relationship Between Voice Problems and Depression Among American Adults.
Ho Kyung Lee1, Heather Shaw Bonilha2, Ickpyo Hong3
1Department of Occupational Therapy, Graduate School, Yonsei University, Wonju, Republic of Korea.
Summary
Individuals with voice problems are twice as likely to experience depressive symptoms. This highlights the critical need for integrated care addressing both voice disorders and mental health for better patient outcomes.
Area of Science:
- Otolaryngology
- Psychiatry
- Public Health
Background:
- Voice problems significantly impact quality of life and social participation.
- A higher prevalence of depression is noted in individuals with voice problems.
- Current clinical practices often overlook screening for depression in voice disorder patients.
Purpose of the Study:
- To update the analysis of depressive symptoms prevalence in individuals with voice disorders.
- To elucidate the current magnitude of the association between voice problems and depression.
- To encourage greater clinical awareness and improve care for co-occurring conditions.
Main Methods:
- Utilized a cross-sectional design with a national survey.
- Analyzed data from 23,706 adults from the 2022 National Health Interview Survey.
- Employed logistic regression models with propensity score matching to control for demographics and health conditions.
Main Results:
- Individuals with voice problems were approximately twice as likely to experience depressive symptoms (ORs 1.532-2.024, P < .05).
- Depressive symptoms showed a significant increase with greater severity (P < .0001) and duration (P = .0328) of the voice problem.
- Propensity score matching successfully balanced demographic and health condition differences between groups.
Conclusions:
- Confirmed robust associations between voice problems and depression in the current American adult population.
- Emphasized the critical need to understand the co-occurrence of voice problems and depression for optimal treatment.
- Advocated for integrated treatment planning that addresses both voice disorders and depression when applicable.
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