Leyns Clara, Meerschman Iris, T'Sjoen Guy, D'haeseleer Evelien
Center for Speech and Language Sciences (CESLAS), Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Department of Endocrinology, Ghent University Hospital, Ghent, Belgium.
Int J Transgend Health. 2023 Jul 27;25(4):719-737. doi: 10.1080/26895269.2023.2237009. eCollection 2024.
This study measured and compared the short-term impact of pitch elevation training (PET) and articulation-resonance training (ART) in transgender women, on self-perception, satisfaction and masculinity-femininity perceptions of listeners. A randomized controlled study with cross-over design was used. Thirty transgender women were included and received fourteen weeks of speech training. All participants started with sham training (four weeks), after which they were randomly assigned to one of two groups: one group continued with PET (five weeks), followed by ART (five weeks), the second group received both trainings in opposite order. Participants were recorded four times, in between the training blocks: pre, post 1 (after sham), post 2 (after training 1) and post 3 (after training 2). Participants did a self-evaluation through the Trans Woman Voice Questionnaire (TWVQ) and visual analogues scales (VAS) concerning their self-perception and satisfaction. Two listening experiments ( = 75) were conducted researching the continuous masculinity-femininity rating (through a VAS) and categorical masculinity-femininity attribution. Transgender women perceive their voices more feminine after the training and experience a positive impact on the vocal functioning and the voice-related impact on their daily life. However, a lot of the participants acknowledge that they need more speech training after ten weeks. Listeners rate the participants' voices more feminine after training, both during the continuous and categorical questions. Higher femininity scores were detected during self-perception and listener perceptions after the combination of both ART and PET, compared to the separate trainings. No order effects were detected between ART and PET, both for self-perception and listener perceptions. Defining outcome predictors is crucial in future research.
本研究测量并比较了变性女性中音调升高训练（PET）和发音-共鸣训练（ART）对自我认知、听众满意度以及听众对男性气质-女性气质认知的短期影响。采用了交叉设计的随机对照研究。纳入了30名变性女性并给予她们为期14周的言语训练。所有参与者均从假训练（4周）开始，之后被随机分为两组：一组继续进行PET训练（5周），随后进行ART训练（5周），第二组则按相反顺序接受两种训练。在训练阶段之间对参与者进行了4次录音：训练前、假训练后（第1次）、训练1后（第2次）和训练2后（第3次）。参与者通过跨性别女性声音问卷（TWVQ）和视觉模拟量表（VAS）对自己的自我认知和满意度进行了自我评价。进行了两项听力实验（n = 75），研究连续的男性气质-女性气质评分（通过VAS）和分类的男性气质-女性气质归因。变性女性在训练后认为自己的声音更具女性气质，并体验到对发声功能以及声音对其日常生活的积极影响。然而，许多参与者承认，在十周后他们需要更多的言语训练。在连续和分类问题中，听众在训练后对参与者声音的女性气质评价更高。与单独训练相比，ART和PET联合训练后，在自我认知和听众认知方面检测到更高的女性气质得分。在自我认知和听众认知方面，未检测到ART和PET之间的顺序效应。在未来研究中定义结果预测因素至关重要。
