Baylor Carolyn R, Yorkston Kathryn M, Eadie Tanya L
Department of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St., Seattle, WA 98105, USA.
J Commun Disord. 2005 Sep-Oct;38(5):395-419. doi: 10.1016/j.jcomdis.2005.03.003.
The purpose of this study was to explore the biopsychosocial consequences of spasmodic dysphonia (SD) as experienced by people with SD. Qualitative research methods were used to investigate the insider's perspective of living with SD. Six adults with SD participated in face-to-face phenomenological interviews. The results are summarized in a model of personal experiences of SD which shows that communication-related quality of life (QOL) is shaped by experiences with multiple physiologic (voice quality, effort, voice dependability); personal (affective responses, changes in self-view, coping strategies) and social (physical environment, other people, participation in social roles) factors. Communication-related QOL is a complex and individualized construct with multidimensional contributors. This study suggests that understanding the nature of communication-related QOL for each individual requires exploration of each component of the model, exploration of the unique relationships among components for each person, and recognition of the multidimensional factors that shape the experience of SD.
As a result of this activity the reader will be able to (1) identify general features of the phenomenological research method; (2) identify the three general categories of psychosocial consequences of SD; (3) identify those psychosocial consequences of SD that are under-represented in the literature; and (4) identify key conclusions of the communication-related quality of life model.
本研究的目的是探究痉挛性发声障碍(SD)患者所经历的生物心理社会后果。采用定性研究方法来调查SD患者的内在视角。六名成年SD患者参与了面对面的现象学访谈。研究结果总结在一个SD个人经历模型中,该模型表明,与沟通相关的生活质量(QOL)受到多种生理(嗓音质量、用力程度、嗓音可靠性)、个人(情感反应、自我认知变化、应对策略)和社会(物理环境、他人、社会角色参与)因素经历的影响。与沟通相关的QOL是一个具有多维度影响因素的复杂且个体化的结构。本研究表明,要理解每个个体与沟通相关的QOL的本质,需要探索模型的每个组成部分,探索每个人各组成部分之间的独特关系,并认识到塑造SD体验的多维度因素。
通过本活动,读者将能够(1)识别现象学研究方法的一般特征;(2)识别SD心理社会后果的三个一般类别;(3)识别文献中未充分体现的SD心理社会后果;以及(4)识别与沟通相关的生活质量模型的关键结论。