Bultynck Charlotte, Pas Charlotte, Defreyne Justine, Cosyns Marjan, den Heijer Martin, T'Sjoen Guy
Department of Internal Medicine, Ghent, Belgium.
Department of Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium.
Laryngoscope. 2017 Dec;127(12):2796-2804. doi: 10.1002/lary.26716. Epub 2017 Jul 21.
Self-perception of voice has a significant psychosocial impact on transgender persons. Research about the evolution of self-perception of voice during cross-sex hormone therapy (CSHT) is lacking. The aim of this study was to examine if self-perception of voice changes during CSHT, and if a change of serum testosterone levels as a result of CSHT can predict a change of self-perception of voice.
Prospective longitudinal study.
The Transsexual Voice Questionnaire (TVQ), consisting of three factors-anxiety and avoidance (AA), gender identity (GI), and voice quality (VQ)-was used. Transgender persons completed the TVQ at baseline (80 trans men and 103 trans women), after 3 and 12 months of CSHT follow-up.
Trans men: From 0 to 3 months, 0 to 12 months, and 3 to 2 months of CSHT, the AA and GI scores improved. From 0 to 3 months of CSHT, the increasing testosterone level was predictive for the improvements of AA and GI scores. Trans women: From 0 to 3 months, the GI score improved. From 0 to 12 months, the AA, GI, and VQ scores improved. Improvements of self-perception of voice could not be predicted by changing serum testosterone levels.
During CSHT, self-perception of voice improves in both trans men and trans women. In trans men only, the improving self-perception of voice during the first 3 months can be attributed to the CSHT. For trans women, this study supports that testosterone has acted irreversibly virializing to the voice before CSHT, if they already went through male puberty.
嗓音的自我认知对跨性别者有重大的心理社会影响。目前缺乏关于跨性别激素治疗（CSHT）期间嗓音自我认知演变的研究。本研究的目的是检验在CSHT期间嗓音的自我认知是否发生变化，以及CSHT导致的血清睾酮水平变化是否能预测嗓音自我认知的变化。
前瞻性纵向研究。
使用了变性者嗓音问卷（TVQ），该问卷由三个因素组成——焦虑与回避（AA）、性别认同（GI）和嗓音质量（VQ）。跨性别者在基线时（80名跨性别男性和103名跨性别女性）、CSHT随访3个月和12个月后完成TVQ。
跨性别男性：在CSHT的0至3个月、0至12个月以及3至12个月期间，AA和GI评分有所改善。在CSHT的0至3个月期间，睾酮水平的升高可预测AA和GI评分的改善。跨性别女性：在0至3个月期间，GI评分有所改善。在0至12个月期间，AA、GI和VQ评分有所改善。嗓音自我认知的改善无法通过血清睾酮水平的变化来预测。
在CSHT期间，跨性别男性和跨性别女性的嗓音自我认知均有所改善。仅对于跨性别男性，前3个月嗓音自我认知的改善可归因于CSHT。对于跨性别女性，如果她们已经经历过男性青春期，本研究支持睾酮在CSHT之前已对嗓音产生不可逆的男性化作用。
4。《喉镜》，2017年，第127卷，第2796 - 2804页。
