Department of Surgery, University of Wisconsin-Madison.
Am J Speech Lang Pathol. 2021 Jan 27;30(1):228-238. doi: 10.1044/2020_AJSLP-20-00188. Epub 2021 Jan 13.
Purpose The purpose of this study was to determine concurrent validity of the Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) and Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) auditory-perceptual scales in children with voice disorders. A secondary purpose was to determine correlation between the GRBAS, CAPE-V, and objective voice measures. Method GRBAS and CAPE-V ratings and acoustic and aerodynamic measures were collected from the University of Wisconsin-Madison Voice and Swallow Outcomes Database. Correlations between CAPE-V and GRBAS ratings were calculated for overall severity of dysphonia, roughness, breathiness, and strain. Correlations between auditory-perceptual voice ratings and objective voice measures were also examined. Results One hundred thirty GRBAS and CAPE-V auditory-perceptual ratings were significantly correlated for overall severity, roughness, breathiness, and strain. values were highest for overall severity of dysphonia ( = .75) and lowest for strain ( = .54). CAPE-V and GRBAS ratings were largely associated with similar acoustic and aerodynamic measures. The highest correlations were observed for auditory-perceptual ratings of breathiness and jitter% (CAPE-V = .44, GRBAS = .44), shimmer% (CAPE-V = .45, GRBAS = .45), noise-to-harmonic ratio (CAPE-V = .42, GRBAS = .40), fundamental frequency (CAPE-V = .47, GRBAS = .44), and maximum phonation time (CAPE-V = .56, GRBAS = .51). Akaike information criterion values indicated that CAPE-V ratings were more strongly correlated with objective voice measures than GRBAS ratings. Conclusions CAPE-V and GRBAS scales have concurrent validity in children with voice disorders. CAPE-V ratings are more strongly correlated with acoustic and aerodynamic voice measures.
目的 本研究旨在确定嗓音障碍儿童的 GRBAS（等级、粗糙、呼吸、乏力和紧张）和 CAPE-V（共识性听觉感知嗓音评估）听觉感知量表的同时效度。次要目的是确定 GRBAS、CAPE-V 和客观嗓音测量之间的相关性。
方法 从威斯康星大学麦迪逊分校的嗓音和吞咽结果数据库中收集了 GRBAS 和 CAPE-V 评分以及声学和气流动力学测量值。计算了 CAPE-V 和 GRBAS 评分之间的总体嗓音障碍严重程度、粗糙、呼吸和紧张的相关性。还检查了听觉感知嗓音评分与客观嗓音测量值之间的相关性。
结果 130 个 GRBAS 和 CAPE-V 听觉感知评分与总体严重程度、粗糙、呼吸和紧张显著相关。 值最高的是总体嗓音障碍严重程度（ =.75），最低的是紧张（ =.54）。CAPE-V 和 GRBAS 评分主要与相似的声学和气流动力学测量值相关。观察到的最高相关性是对呼吸和微扰%（CAPE-V =.44，GRBAS =.44）、颤抖%（CAPE-V =.45，GRBAS =.45）、噪声与谐波比（CAPE-V =.42，GRBAS =.40）、基频（CAPE-V =.47，GRBAS =.44）和最大发音时间（CAPE-V =.56，GRBAS =.51）的听觉感知评分。Akaike 信息准则值表明，CAPE-V 评分与客观嗓音测量值的相关性强于 GRBAS 评分。
结论 在嗓音障碍儿童中，CAPE-V 和 GRBAS 量表具有同时效度。CAPE-V 评分与声学和气流动力学嗓音测量值的相关性更强。
