Department of Otorhinolaryngology-Head and Neck Surgery, University of Kocaeli School of Medicine, Kocaeli, Turkey; Voice Clinic, University of Kocaeli School of Medicine, Kocaeli, Turkey.
Department of Psychiatry, Gender Identity Clinic, University of Kocaeli School of Medicine, Kocaeli, Turkey; Community Mental Health Center, University of Kocaeli, Kocaeli, Turkey.
J Voice. 2021 Sep;35(5):805.e27-805.e32. doi: 10.1016/j.jvoice.2020.01.023. Epub 2020 Feb 20.
This study aims to evaluate the psychometric properties of the adapted transsexual voice questionnaire for male-to-female (a-TVQ) for trans male individuals in order to determine the suitability for use in research and clinical practice among Turkish trans male individuals.
This study was conducted by the Gender Dysphoria Clinic and Voice Clinic of a tertiary hospital referral center. The a-TVQ, voice-related quality of life, and self-perception of voice masculinity rating scale were administered to 50 trans male individuals, of whom 27 were hormone naïve and 23 were undergoing hormone treatment. Psychometric properties were investigated with reliability and validity analysis.
The a-TVQ showed a strong internal consistency; the Cronbach's alpha coefficient for overall a-TVQ was 0.975, anxiety and avoidance factor was 0.948, vocal identity factor was 0.940, and vocal function factor was 0.923. No item needed to be deleted following adaptation. The a-TVQ scores showed a significant strong inverse correlation with the overall voice-related quality of life scores and the self-perception of voice masculinity rating (r = -0.863, r = -0.715, and P<0.001, respectively). The a-TVQ scores were significantly reduced in trans male individuals undergoing hormone treatment when compared with hormone naïve individuals.
Although not specifically designed for trans male individuals, the current results provide confidence as to the psychometric properties of a-TVQ and, therefore, its suitability for use with Turkish trans male individuals.
本研究旨在评估男性变女性(trans male)群体使用的变性嗓音问卷(a-TVQ)的心理测量学特性，以确定其在土耳其跨性别男性群体的研究和临床实践中的适用性。
该研究由一家三级医院转诊中心的性别焦虑症诊所和嗓音诊所进行。对 50 名跨性别男性个体进行了 a-TVQ、嗓音相关生活质量和自我感知嗓音男性化评分量表的评估，其中 27 名个体未接受激素治疗，23 名个体正在接受激素治疗。通过可靠性和有效性分析来研究心理测量学特性。
a-TVQ 表现出很强的内部一致性；总体 a-TVQ 的 Cronbach's alpha 系数为 0.975，焦虑和回避因子为 0.948，嗓音认同因子为 0.940，嗓音功能因子为 0.923。适应后无需删除任何项目。a-TVQ 评分与总体嗓音相关生活质量评分和自我感知嗓音男性化评分呈显著负相关(r=-0.863、r=-0.715，P<0.001)。与未接受激素治疗的个体相比，正在接受激素治疗的跨性别男性个体的 a-TVQ 评分显著降低。
尽管 a-TVQ 并非专为跨性别男性个体设计，但目前的结果为其心理测量学特性提供了信心，因此其适用于土耳其跨性别男性个体。
