在中国背景下基于大样本的GRBAS和CAPE-V可靠性研究
Yang Liu1, DongYan Huang2, HengXin Liu3
1Beijing LU HE Hospital, Capital Medical University, Beijing, China.
Journal of voice : official journal of the Voice Foundation
|August 12, 2025
概括
在中国,共识性听觉感知语音评估 (CAPE-V) 的可靠性高于语音评价的等级,粗,呼吸,喘息,应变 (GRBAS) 尺度. 由于其精度,建议CAPE-V用于研究和临床跟踪.
科学领域:
- 语音和听力科学 语言和听力科学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床语言学 临床语言学
背景情况:
- 准确的语音评估依赖于一致的感知评估工具.
- 语音的等级,粗度,气息,喘息,应变 (GRBAS) 和共识性听觉感知评价 (CAPE-V) 是广泛使用的,但它们在各种语言背景中的可靠性需要验证.
研究的目的:
- 评估GRBAS和CAPE-V在中国人群中的内部和间的可靠性.
- 为了比较这两种语音评价尺度在中国语境中的一致性.
主要方法:
- 662个语音样本被五位专家使用GRBAS和CAPE-V在两轮评估.
- 使用第一轮数据分析了评价者之间的一致性,而使用第二轮150个随机选择的样本评估了评价者内部的一致性.
- 统计分析包括科恩的卡帕,弗莱斯卡帕,类内相关系数 (ICC) 和斯皮尔曼相关性.
主要成果:
- 格拉巴斯 (GRBAS) 显示了较差的评价者之间一致性 (弗莱斯卡帕:0.08-0.32) 和相当到中等的评价者内部一致性 (科恩卡帕:0.22-0.53).
- CAPE-V显示了中等到优异的评价者内部一致性 (ICC:0.62-0.91) 和非常高的评价者内部一致性 (ICC:0.86-0.92).
- 四个共同的特征 (总体语音质量,粗,喘息,应变) 在各个尺度之间表现出很高的一致性 (rs:0.90-0.92).
结论:
- 在中国环境下,CAPE-V为语音评估提供了卓越的可靠性和精度,非常适合研究和临床监测.
- 尽管GRBAS在一致性方面的局限性,但其历史临床实用性和快速评估的方便性目前保持其相关性.
- 随着其采用越来越多,CAPE-V有望成为首选工具,未来可能取代GRBAS.
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