Tafiadis Dionysios, Chronopoulos Spyridon K, Kosma Evangelia I, Voniati Louiza, Raptis Vasilis, Siafaka Vasiliki, Ziavra Nausica
Department of Speech & Language Therapy, Technological Educational Institute of Epirus, Ioannina, Greece.
Department of Computer Engineering, Technological Educational Institute of Epirus, Arta, Greece.
J Voice. 2018 Jul;32(4):443-448. doi: 10.1016/j.jvoice.2017.06.007. Epub 2017 Jul 11.
Voice performance is an inextricable key factor of everyday life. Obviously, the deterioration of voice quality can cause various problems to human communication and can therefore reduce the performance of social skills (relevant to voice). The deterioration could be originated from changes inside the system of the vocal tract and larynx. Various prognostic methods exist, and among them is the Voice Handicap Index (VHI). This tool includes self-reported questionnaires, used for determining the cutoff points of total score and of its three domains relevant to young male Greek smokers. The interpretation of the calculated cutoff points can serve as a strong indicator of imminent or future evaluation by a clinician. Consistent with previous calculation, the VHI can also act as a feedback for smokers' voice condition and as monitoring procedure toward smoking cessation. Specifically, the sample consisted of 130 male nondysphonic smokers (aged 18-33 years) who all participated in the VHI test procedure. The test results (through receiver operating characteristic analysis) concluded to a total cutoff point score of 19.50 (sensitivity: 0.838, 1-specificity: 0). Also, in terms of constructs, the Functional domain was equal to 7.50 (sensitivity: 0.676, 1-specificity: 0.032), the Physical domain was equal to 7.50 (sensitivity: 0.706, 1-specificity: 0.032), and the Emotional domain was equal to 6.50 (sensitivity: 0.809, 1-specificity: 0.048).
嗓音表现是日常生活中一个不可分割的关键因素。显然，嗓音质量的恶化会给人际交流带来各种问题，从而降低社交技能（与嗓音相关）的表现。这种恶化可能源于声道和喉部系统内部的变化。存在多种预后方法，其中包括嗓音障碍指数（VHI）。该工具包括自我报告问卷，用于确定总分及其与年轻希腊男性吸烟者相关的三个领域的临界点。计算出的临界点的解释可作为临床医生即将进行或未来评估的有力指标。与先前的计算一致，VHI还可作为吸烟者嗓音状况的反馈以及戒烟监测程序。具体而言，样本由130名无嗓音障碍的男性吸烟者（年龄在18至33岁之间）组成，他们都参与了VHI测试程序。测试结果（通过受试者工作特征分析）得出总分临界点为19.50（敏感性：0.838，1-特异性：0）。此外，在结构方面，功能领域等于7.50（敏感性：0.676，1-特异性：0.032），身体领域等于7.50（敏感性：0.706，1-特异性：0.032），情感领域等于6.50（敏感性：0.809，1-特异性：0.048）。
