Department of Otorhinolaryngology - Head and Neck Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
Department of Otorhinolaryngology - Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, South Korea.
J Voice. 2021 Jan;35(1):160.e7-160.e13. doi: 10.1016/j.jvoice.2019.07.020. Epub 2019 Sep 5.
The purpose of present study was to validate a Korean version of the Voice Catastrophization Index for assessing catastrophization in patients with voice problems in a Korean population.
Case group patients with voice problems (n = 80) and control group patients without voice problems (n = 25) participated in the study. They were asked to complete three questionnaires: Korean Voice Handicap Index, Korean Voice-Related Quality of Life, and Korean Voice Catastrophization Index (K-VCI). Some of case group with voice problems completed the same three questionnaires again to assess test-retest reliability. Clinicians implemented the Consensus Auditory-Perceptual Evaluation of Voice evaluation to rate the overall severity on voice quality.
K-VCI scores for case group were significantly higher than those for control group. K-VCI scores were significantly correlated with Korean Voice Handicap Index, Korean Voice-Related Quality of Life, and overall severity. The K-VCI had significant test-retest reliability and its internal consistency was good to excellent (range of Cronbach alpha correlation coefficients: 0.789-0.930). The K-VCI was not affected by patient sex, age, symptom duration, or diagnosis types. K-VCI scores were highest among patients with primary muscle tension dysphonia.
We validated the K-VCI questionnaire for use in measuring the degree of catastrophization of voice problems in a Korean population. Future studies with a larger sample size will be necessary to further verify this and determine the clinical usefulness of the K-VCI.
本研究旨在验证一种用于评估韩国人群中嗓音问题患者的灾难化程度的韩文版嗓音灾难化指数(K-VCI)。
嗓音问题患者(n=80)为病例组,无嗓音问题患者(n=25)为对照组,两组均需完成韩文版嗓音障碍指数量表(K-VHI)、韩文版嗓音相关生活质量量表(K-VRQOL)和韩文版嗓音灾难化指数(K-VCI)。部分嗓音问题患者(病例组)重复完成这三个问卷以评估测试-重测信度。临床医生使用共识性听觉感知评估嗓音评估来评估嗓音质量的总体严重程度。
病例组的 K-VCI 评分显著高于对照组。K-VCI 评分与 K-VHI、K-VRQOL 和总体严重程度显著相关。K-VCI 具有良好到极好的测试-重测信度(Cronbach α 相关系数范围:0.789-0.930),且内部一致性较好。K-VCI 不受患者性别、年龄、症状持续时间或诊断类型的影响。原发性肌肉紧张性发声障碍患者的 K-VCI 评分最高。
我们验证了 K-VCI 问卷用于评估韩国人群嗓音问题的灾难化程度。未来需要更大样本量的研究来进一步验证这一点,并确定 K-VCI 的临床实用性。