Watts Christopher R, Vanryckeghem Martine
Davies School of Communication Sciences & Disorders Texas Christian University Fort Worth TX U.S.A.
Department of Communication Sciences and Disorders University of Central Florida Orlando FL U.S.A.
Laryngoscope Investig Otolaryngol. 2017 Dec 8;2(6):466-470. doi: 10.1002/lio2.128. eCollection 2017 Dec.
To investigate the self-perceived affective, behavioral, and cognitive reactions associated with communication of speakers with spasmodic dysphonia as a function of employment status.
Prospective cross-sectional investigation.
148 Participants with spasmodic dysphonia (SD) completed an adapted version of the Behavior Assessment Battery (BAB-Voice), a multidimensional assessment of self-perceived reactions to communication. The BAB-Voice consisted of four subtests: the Speech Situation Checklist for A) Emotional Reaction (SSC-ER) and B) Speech Disruption (SSC-SD), C) the Behavior Checklist (BCL), and D) the Communication Attitude Test for Adults (BigCAT). Participants were assigned to groups based on employment status (working versus retired).
Descriptive comparison of the BAB-Voice in speakers with SD to previously published non-dysphonic speaker data revealed substantially higher scores associated with SD across all four subtests. Multivariate Analysis of Variance (MANOVA) revealed no significantly different BAB-Voice subtest scores as a function of SD group status (working vs. retired).
BAB-Voice scores revealed that speakers with SD experienced substantial impact of their voice disorder on communication attitude, coping behaviors, and affective reactions in speaking situations as reflected in their high BAB scores. These impacts do not appear to be influenced by work status, as speakers with SD who were employed or retired experienced similar levels of affective and behavioral reactions in various speaking situations and cognitive responses. These findings are consistent with previously published pilot data. The specificity of items assessed by means of the BAB-Voice may inform the clinician of valid patient-centered treatment goals which target the impairment extended beyond the physiological dimension.
2b.
探讨与痉挛性发声障碍患者沟通相关的自我感知情感、行为和认知反应与就业状况之间的关系。
前瞻性横断面调查。
148名痉挛性发声障碍（SD）患者完成了行为评估量表（BAB - 语音）的改编版，这是一种对沟通自我感知反应的多维评估。BAB - 语音由四个子测试组成：A）情绪反应言语情境检查表（SSC - ER）和B）言语中断检查表（SSC - SD），C）行为检查表（BCL），以及D）成人沟通态度测试（BigCAT）。参与者根据就业状况（在职与退休）分组。
将SD患者的BAB - 语音与先前发表的非发声障碍患者数据进行描述性比较，结果显示在所有四个子测试中，SD患者的得分显著更高。多变量方差分析（MANOVA）显示，BAB - 语音子测试得分在SD组状态（在职与退休）方面没有显著差异。
BAB - 语音得分显示，SD患者的嗓音障碍对沟通态度、应对行为以及言语情境中的情感反应产生了重大影响，这体现在他们较高的BAB得分上。这些影响似乎不受工作状态的影响，因为在职或退休的SD患者在各种言语情境中的情感和行为反应以及认知反应水平相似。这些发现与先前发表的试点数据一致。通过BAB - 语音评估的项目特异性可能会为临床医生提供以患者为中心的有效治疗目标信息，这些目标针对的是超出生理维度的损伤。
2b。
