Deuster Dirk, Di Vincenzo Kim, Szukaj Michael, Am Zehnhoff-Dinnesen Antoinette, Dobel Christian
Department of Phoniatrics and Pedaudiology, University Hospital Münster, Kardinal-von-Galen-Ring 10, 48149, Münster, Germany.
Faculty of Psychology and Sports Science, University of Bielefeld, Bielefeld, Germany.
Eur Arch Otorhinolaryngol. 2016 Aug;273(8):2127-31. doi: 10.1007/s00405-016-4043-0. Epub 2016 Apr 12.
Previous studies demonstrated that there is a significant change in speaking fundamental frequency after testosterone therapy in female-to-male gender dysphoric individuals. It is yet an open question how the satisfaction with voice alteration can be predicted because until now it is not clear whether a testosterone therapy is sufficiently effective. The aim of the current study was not only to measure satisfaction with voice, but additionally to detect factors that predict or explain satisfaction with voice after testosterone therapy. Therefore, nine female-to-male gender dysphoric individuals were examined during the first year of testosterone treatment at different points of time. The patients underwent several voice analyses within 1 year and had to fill out several questionnaires concerning their voice, depressive symptoms, quality of life and voice handicap index. Multiple regression analyses were performed to find the factors that explained satisfaction with altered voice after 1 year. The difference of voice frequency in semitones before the treatment and after 1 year is the only significant predictor for satisfaction after 1 year (B = 0.442; SE = 0.049) and more important than the absolute fundamental frequency.
先前的研究表明，接受睾酮治疗后，女性向男性性别焦虑个体的言语基频会发生显著变化。然而，如何预测对嗓音改变的满意度仍是一个悬而未决的问题，因为到目前为止尚不清楚睾酮治疗是否足够有效。本研究的目的不仅是测量对嗓音的满意度，还在于检测预测或解释睾酮治疗后嗓音满意度的因素。因此，在睾酮治疗的第一年，对9名女性向男性性别焦虑个体在不同时间点进行了检查。患者在1年内接受了多次嗓音分析，并填写了几份关于其嗓音、抑郁症状、生活质量和嗓音障碍指数的问卷。进行多元回归分析以找出解释1年后对嗓音改变满意度的因素。治疗前与1年后的半音频率差异是1年后满意度的唯一显著预测因素（B = 0.442；标准误 = 0.049），且比绝对基频更重要。
