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[Psychological factors in spasmodic dysphonia]

C Kiese-Himmel1, P Zwirner

  • 1Abteilung Phoniatrie/Pädaudiologie der Georg-August-Universität Göttingen.

Laryngo- Rhino- Otologie
|July 1, 1996
PubMed
Summary

Spastic dysphonia may stem from a mix of neurological and psychosocial elements, not solely psychological ones. Stressful life events and personality traits appear to play a role in this voice disorder.

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[Guideline: Auditory processing and perception disorders: Proposal for treatment and management of APD : S1 guideline of the German Society of Phoniatrics and Pediatric Audiology].

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Area of Science:

  • Neurology
  • Psychology
  • Speech-Language Pathology

Context:

  • Spastic dysphonia was historically viewed as psychogenic, but neurological origins are increasingly recognized.
  • This study investigates psychological factors in patients diagnosed with adductor spasmodic dysphonia.

Purpose:

  • To evaluate psychological factors in individuals with adductor spasmodic dysphonia.
  • To explore the potential contribution of psychosocial stressors and personality traits to the disorder.

Summary:

  • Psychometric testing revealed no significant deviations from norms for emotional instability, hypochondriasis, somatization, or depression.
  • A notable proportion of patients experienced mild to moderate psychosocial stress from life events (e.g., illness, bereavement) preceding symptom onset.
  • Nearly half of the patients exhibited personality traits including high achievement orientation and trait anxieties.

Impact:

  • Findings suggest spasmodic dysphonia likely results from a complex interplay of neurological and psychosocial factors.
  • Highlights the need for a multifactorial approach in understanding and potentially treating spasmodic dysphonia.

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