Schwarz Karine, Fontanari Anna Martha Vaitses, Costa Angelo Brandelli, Soll Bianca Machado Borba, da Silva Dhiordan Cardoso, de Sá Villas-Bôas Anna Paula, Cielo Carla Aparecida, Bastilha Gabriele Rodrigues, Ribeiro Vanessa Veis, Dorfman Maria Elza Kazumi Yamaguti, Lobato Maria Inês Rodrigues
Gender Identity Program, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Centro Universitário Metodista do Sul, Faculdade de Fonoaudiologia, Porto Alegre, Rio Grande do Sul, Brazil.
Gender Identity Program, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
J Voice. 2018 Sep;32(5):602-608. doi: 10.1016/j.jvoice.2017.07.003. Epub 2017 Sep 28.
Voice is an important gender marker in the transition process as a transgender individual accepts a new gender identity. The objectives of this study were to describe and relate aspects of a perceptual-auditory analysis and the fundamental frequency (F0) of male-to-female (MtF) transsexual individuals. A case-control study was carried out with individuals aged 19-52 years who attended the Gender Identity Program of the Hospital de Clínicas of Porto Alegre. Vocal recordings from the MtF transgender and cisgender individuals (vowel /a:/ and six phrases of Consensus Auditory Perceptual Evaluation Voice [CAPE-V]) were edited and randomly coded before storage in a Dropbox folder. The voices (vowel /a:/) were analyzed by consensus on the same day by two judge speech therapists who had more than 10 years of experience in the voice area using the GRBASI perceptual-auditory vocal evaluation scale. Acoustic analysis of the voices was performed using the advanced Multi-Dimensional Voice Program software. The resonance focus and the degrees of masculinity and femininity for each voice recording were determined by listening to the CAPE-V phrases, for the same judges. There were significant differences between the groups regarding a greater frequency of subjects with F0 between 80 and 150 Hz (P = 0.003), and a greater frequency of hypernasal resonant focus (P < 0.001) in the MtF cases and greater frequency of subjects with absence of roughness (P = 0.031) in the control group. The MtF group of individuals showed altered vertical resonant focus, more masculine voices, and lower fundamental frequencies. The control group showed a significant absence of roughness.
在跨性别者接受新的性别认同的转变过程中，嗓音是一个重要的性别标志。本研究的目的是描述并关联男变女（MtF）变性者的听觉感知分析及基频（F0）的相关方面。对19至52岁参加阿雷格里港临床医院性别认同项目的个体进行了一项病例对照研究。来自MtF跨性别者和顺性别者的嗓音录音（元音/a:/以及共识听觉感知嗓音评估[CAPE-V]的六个短语）在存储到Dropbox文件夹之前进行了编辑和随机编码。两名在嗓音领域有超过10年经验的言语治疗师在同一天通过共识，使用GRBASI听觉感知嗓音评估量表对嗓音（元音/a:/）进行了分析。使用先进的多维嗓音程序软件对嗓音进行声学分析。对于相同的评判者，通过聆听CAPE-V短语确定每个嗓音录音的共振焦点以及男性化和女性化程度。在F0为80至150Hz的受试者频率方面，两组之间存在显著差异（P = 0.003），在MtF病例中高鼻音共振焦点的频率更高（P < 0.001），而在对照组中无粗糙度的受试者频率更高（P = 0.031）。MtF个体组表现出垂直共振焦点改变、嗓音更具男性化以及基频更低。对照组明显无粗糙度。
