Tunç Songur Elif, Esen Aydınlı Fatma, Sarı Ayşegül, Demirci Ayşe Nur, İncebay Önal
Department of Speech and Language Therapy, Selcuk University, Faculty of Health Sciences, Selçuklu, 42130, Konya, Turkey.
Department of Speech and Language Therapy, Hacettepe University, Faculty of Health Sciences, Ankara, Turkey.
J Relig Health. 2025 Aug;64(4):2697-2711. doi: 10.1007/s10943-025-02372-w. Epub 2025 Jul 28.
This study aims to compare the types and rates of vocal pathology and the levels of voice-related handicap between Islamic clergy and other professional voice users in Türkiye. The study design was retrospective and included 97 level 2 professional voice users aged 18-65 years who consulted the clinic with complaints of voice disorders. We examined demographic data, vocal complaints, vocal fold pathologies, smoking habits, reflux complaints, and Voice Handicap Index-10 (VHI-10) scores of the participants who met the inclusion criteria. Of these participants, 55 were Islamic clergy and 42 were other level 2 voice professionals, including teachers, call center workers, and receptionists. Age and smoking status did not differ significantly between the groups; however, Islamic clergy reported more reflux complaints. While muscle tension dysphonia was the most common pathology in Group 1 (Islamic clergy), vocal fold nodules were the most common in Group 2 (teachers, call center workers, and receptionists). Islamic clergy exhibited significantly higher VHI-10 scores compared to other level 2 professional voice users, suggesting more severe voice problems with a greater negative impact on clergy daily functioning. The findings suggest that Islamic clergy with voice disorders perceive a higher level of voice handicap, possibly due to their unique patterns of occupational voice use (e.g., mosque music) and the emotional, occupational, and financial consequences of impaired vocal performance in this population.
本研究旨在比较土耳其伊斯兰神职人员与其他专业用嗓人群的嗓音病理学类型和发生率，以及嗓音相关障碍的程度。本研究采用回顾性研究设计，纳入了97名年龄在18至65岁之间、因嗓音障碍前来诊所就诊的二级专业用嗓人群。我们检查了符合纳入标准的参与者的人口统计学数据、嗓音主诉、声带病理学、吸烟习惯、胃食管反流主诉以及嗓音障碍指数-10（VHI-10）评分。在这些参与者中，55名是伊斯兰神职人员，42名是其他二级嗓音专业人员，包括教师、呼叫中心工作人员和接待员。两组之间的年龄和吸烟状况没有显著差异；然而，伊斯兰神职人员报告的胃食管反流主诉更多。虽然肌肉紧张性发音障碍是第一组（伊斯兰神职人员）中最常见的病理学情况，但声带小结在第二组（教师、呼叫中心工作人员和接待员）中最为常见。与其他二级专业用嗓人群相比，伊斯兰神职人员的VHI-10评分显著更高，这表明他们存在更严重的嗓音问题，对神职人员的日常功能有更大的负面影响。研究结果表明，有声带疾病的伊斯兰神职人员认为嗓音障碍程度更高，这可能是由于他们独特的职业用嗓模式（如清真寺音乐），以及该人群中嗓音表现受损所带来的情感、职业和经济后果。
