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关于个性在显微喉镜手术后声休依从性中作用的早期见解

Early Insights Into the Role of Personality in Adherence to Voice Rest After Phonomicrosurgery.

作者信息

Rubino Marianna, Fan Ruiqing Stephanie, Yiu Yin, Roy Nelson, Dueppen Abigail, Procter Teresa, Goodwin Maurice E, Thekdi Apurva A, Daniels Stephanie K, Joshi Ashwini

机构信息

Department of Communication Sciences and Disorders, University of Houston, Houston, TX.

Department of Communication Sciences and Disorders, University of Houston, Houston, TX.

出版信息

J Voice. 2025 Mar 7. doi: 10.1016/j.jvoice.2025.01.031.

DOI:10.1016/j.jvoice.2025.01.031
PMID:40057451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12257574/
Abstract

OBJECTIVES/HYPOTHESIS: The purpose of this preliminary investigation was to explore the relationship between personality and adherence to voice rest in individuals following phonosurgery for benign mucosal or submucosal/lamina propria lesions. We hypothesized that adherence to voice rest would be inversely related to Extraversion and directly related to Conscientiousness, two superfactor traits of the Big Five personality model.

STUDY DESIGN

This was a prospective, longitudinal, cohort study.

METHODS

Twenty-five patients (eight men, 17 women; mean age = 46.25 years; SD = 14.38) of Houston Methodist Hospital's Department of Otolaryngology, Head and Neck Surgery underwent microflap phonosurgery. Each participant provided demographic information, completed the Ten Item Personality Inventory (a brief Big Five personality instrument), and wore a vocal dosimeter to objectively measure voice rest adherence during a seven-day, postoperative period.

RESULTS

The participants' mean personality scores were higher than reported norms across all Big Five traits. Contrary to our hypotheses, (1) Extraversion related directly to voice rest adherence, and (2) no other personality traits (including Conscientiousness) related to voice rest adherence.

CONCLUSIONS

Although extraverts have been described as talkative, assertive, and outgoing, we found that high Extraversion was related to less vocalizing during the voice rest period. Our results are compatible with the health psychology literature that describes a positive relation between Extraversion and adherence to preventive healthcare practices. Future research should employ a larger, single-sex sample, potentially with greater similarity between patient diagnoses. Clinically, such data could inform counseling approaches to facilitate voice rest adherence and potentially improve surgical outcomes.

摘要

目的/假设:本初步调查旨在探讨在因良性黏膜或黏膜下/固有层病变接受喉显微外科手术后,个体的人格与噤声依从性之间的关系。我们假设噤声依从性与外向性呈负相关,与尽责性呈正相关,外向性和尽责性是大五人格模型中的两个超级因子特质。

研究设计

这是一项前瞻性纵向队列研究。

方法

休斯顿卫理公会医院耳鼻咽喉头颈外科的25名患者(8名男性,17名女性;平均年龄 = 46.25岁;标准差 = 14.38)接受了显微瓣喉显微外科手术。每位参与者提供了人口统计学信息,完成了十项人格量表(一种简短的大五人格测量工具),并佩戴了嗓音剂量计以客观测量术后七天内的噤声依从性。

结果

参与者在所有大五人格特质上的平均人格得分均高于报告的常模。与我们的假设相反,(1)外向性与噤声依从性直接相关,(2)没有其他人格特质(包括尽责性)与噤声依从性相关。

结论

尽管外向者被描述为健谈、自信和外向,但我们发现高外向性与噤声期较少发声有关。我们的结果与健康心理学文献一致,该文献描述了外向性与预防保健实践依从性之间的正相关关系。未来的研究应采用更大的单性别样本,患者诊断之间可能具有更大的相似性。在临床上,这些数据可为咨询方法提供参考,以促进噤声依从性并可能改善手术结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856c/12257574/abb0ecbd535b/nihms-2095581-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856c/12257574/520edf838555/nihms-2095581-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856c/12257574/abb0ecbd535b/nihms-2095581-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856c/12257574/520edf838555/nihms-2095581-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856c/12257574/abb0ecbd535b/nihms-2095581-f0002.jpg

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Cureus. 2023 Dec 18;15(12):e50714. doi: 10.7759/cureus.50714. eCollection 2023 Dec.
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Clinical Voice Outcomes for Two Voice Rest Protocols after Phonomicrosurgery.两种嗓音微创手术后嗓音休息方案的临床嗓音效果。
Laryngoscope. 2024 Jun;134(6):2812-2818. doi: 10.1002/lary.31250. Epub 2024 Jan 13.
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Patient Experience With Absolute Voice Rest Following Phonomicrosurgery: A Qualitative Study.
患者行显微嗓音手术后行绝对禁声的体验:一项定性研究。
Laryngoscope. 2024 Jan;134(1):361-366. doi: 10.1002/lary.30925. Epub 2023 Aug 10.
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Beyond yellow flags: The Big-Five personality traits and psychologically informed musculoskeletal rehabilitation.超越警示信号:大五人格特质与心理导向的肌肉骨骼康复
Musculoskeletal Care. 2023 Dec;21(4):1161-1174. doi: 10.1002/msc.1797. Epub 2023 Jul 11.
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Postoperative Voice Surgical Outcomes in Professional Singers vs Non-Singers.职业歌手与非歌手术后嗓音手术的结果
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