研究年龄如何影响帕金森病患者的自我认知和声音意识
Francisco Contreras-Ruston1, Héctor Arriagada-Concha2, Antonia Lagos-Villaseca3
1Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain; Faculty of Psychology and Neuroscience, Department of Neuropsychology and Psychopharmacology, Maastricht University, 6229 ER Maastricht, The Netherlands; Speech-Language Pathology and Audiology Department - Universidad de Valparaíso, San Felipe, Chile.
Journal of voice : official journal of the Voice Foundation
|March 11, 2025
概括
患有帕金森病 (PD) 的人对声音变化的自我意识有所降低,年龄不会加剧这种缺陷. 标准语音问卷可能无法有效地捕捉PD患者的语音问题.
科学领域:
- 神经学 神经学
- 语音和听力科学 语言和听力科学
- 老年学是一门学科.
背景情况:
- 帕金森病 (PD) 与语音障碍和感官反受损有关,影响自我感知和对声音变化的意识.
- 老龄化自然影响感官和运动系统,引发了关于其与PD对语音自我意识的联合影响的问题.
- 目前的患者报告结果测量 (PROMs) 可能不足以评估PD (IwPD) 患者的声音变化.
研究的目的:
- 调查IwPD中年龄和感官反之间的相互作用,涉及自我感知和对声音变化的意识.
- 为了比较IwPD,一般语音障碍 (GVD) 个体和健康对照 (HC) 之间的语音自我感知和意识缺陷.
主要方法:
- 研究包括三个年龄相似的组:27个IwPD (61-79岁),25个GVD (57-83岁) 和28个HC (60-80岁).
- 使用语音症状量表,语音障碍指数-10和语音相关生活质量PROMs评估语音自我感知.
- 分析语音的声音强度,并使用多变量技术 (PCA,集群分析) 来识别语音质量和自我意识的群体间差异.
主要成果:
- 与GVD和HC组相比,IwPD组表现出较低的自我感知和对语音问题的意识.
- 年龄在IwPD组中没有显著影响语音自我感知或意识.
- 与HC和PD组相比,GVD组在所有PROM和语音参数中显示出明显的差异;PCA显示了总得分和语音强度的显著群体差异.
结论:
- 与年龄相关的感官反变化不会显著影响IwPD的语音自我感知和意识减少.
- 显而易见的模式出现了:GVD形成了一个单独的集群,而IwPD显示了与HC和GVD重叠的变异性.
- 在IwPD中,PROM对语音问题的诊断实用性有限,这凸显了需要量身定制的措施的需要.
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