Kosztyła-Hojna Bożena, Moskal-Jasińska Diana, Kraszewska Anna, Łobaczuk-Sitnik Anna, Zdrojkowski Maciej, Duchnowska Emilia, Biszewska Jolanta
Zakład Fonoaudiologii Klinicznej i Logopedii, Uniwersytet Medyczny w Białymstoku.
Otolaryngol Pol. 2019 Apr 5;73(4):14-20. doi: 10.5604/01.3001.0013.0999.
Psychogenic dysphonia is defined as disturbances in voice and speech quality with emotional background with lack of organic changes in the larynx. Mental condition has significant impact on the process of producing voice, functioning of respiratoryphonatory- articulation mechanism and speech prosody. The aim of the study was visual, acoustic, perceptual assessment as well as self-assessment of voice and speech quality using subjective and objective methods in patients with psychogenic dysphonia. The study included 50 patients with psychogenic dysphonia diagnosed in the Department of Clinical Fonoaudiology and Logopedics, Medical University of Białystok and treated at the Foniatric Outpatient Clinic, University Hospital in Białystok in 2017-2018. The control group consisted of 30 subjects with euphonic voice. All patients underwent subjective and objective assessment of voice and speech quality. The GRBAS scale, breathing pathway assessment, respiratory-phonatory-articulation analysis, voice and speech intensity evaluation have been performed. Speech prosody has also been examined. Patient selfassessment of voice has been conducted using Voice Handicap Index (VHI). Objective evaluation of larynx included vibrations of vocal folds visualization using High Speed Digital Imaging (HSDI). Acoustic analysis of voice quality has been performed using DiagNova Technologies. The maximum phonation time (MPT) has been determined. Hyperfunctional dysphonia is the most common clinical form of psychogenic dysphonia. Abnormal breathing pathway influence the reduction of MPT and disturbance of respiratory-phonatory-articulation coordination in patients with psychogenic dysphonia. In psychogenic dysphonia intonation and speech rate disorders are observed. Results of voice self-assessment in the majority of examined patients indicates a mild voice disability.
精神性发声障碍被定义为在无喉部器质性改变的情况下，伴有情绪背景的嗓音和语音质量障碍。心理状况对发声过程、呼吸-发声-构音机制的功能以及言语韵律有重大影响。本研究的目的是使用主观和客观方法，对精神性发声障碍患者的嗓音和语音质量进行视觉、声学、感知评估以及自我评估。该研究纳入了50例在比亚韦斯托克医科大学临床听力学与言语治疗科确诊为精神性发声障碍，并于2017 - 2018年在比亚韦斯托克大学医院言语治疗门诊接受治疗的患者。对照组由30名嗓音正常的受试者组成。所有患者均接受了嗓音和语音质量的主观和客观评估。进行了GRBAS量表评估、呼吸通道评估、呼吸-发声-构音分析、嗓音和语音强度评估。还对言语韵律进行了检查。使用嗓音障碍指数（VHI）对患者的嗓音进行自我评估。对喉部的客观评估包括使用高速数字成像（HSDI）可视化声带振动。使用DiagNova Technologies对嗓音质量进行声学分析。测定了最大发声时间（MPT）。功能性发声亢进是精神性发声障碍最常见的临床形式。异常的呼吸通道会影响精神性发声障碍患者的MPT缩短以及呼吸-发声-构音协调障碍。在精神性发声障碍中可观察到语调及语速障碍。大多数受检患者的嗓音自我评估结果表明存在轻度嗓音残疾。
