Andersson K, Schalén L
Department of Logopedics and Phoniatrics, University Hospital, Lund, Sweden.
J Voice. 1998 Mar;12(1):96-106. doi: 10.1016/s0892-1997(98)80081-7.
It is generally accepted that psychogenic voice disorder (PVD) is a result of psychosocial stress; however, systematic studies of etiological factors in this condition are few. Furthermore, although immediate effects of therapy are estimated to be good, relapses are frequent, and the long-term effects of therapy are not known. The present prospective and longitudinal study on 30 patients was thus focused on possible etiological factors, the course of therapy, and the long-term results of therapy for PVD. The results indicate that interpersonal conflicts related to family and work are of basic importance in precipitating this condition. PVD is interpreted as a specific disorder of verbal emotional expression. Our therapy model in which vocal exercises are performed, together with training of communicative skills, seems rewarding. Relapses were not reported in 88% of the patients during the followup period of 1.9-8.4 years after therapy.
一般认为，心因性嗓音障碍（PVD）是心理社会压力的结果；然而，对这种病症病因因素的系统性研究很少。此外，尽管据估计治疗的即时效果良好，但复发频繁，且治疗的长期效果尚不清楚。因此，本对30名患者进行的前瞻性纵向研究聚焦于PVD可能的病因因素、治疗过程以及治疗的长期结果。结果表明，与家庭和工作相关的人际冲突在引发这种病症方面至关重要。PVD被解释为言语情感表达的一种特定障碍。我们的治疗模式，即进行嗓音练习并同时训练沟通技巧，似乎很有成效。在治疗后的1.9至8.4年随访期内，88%的患者未报告复发情况。
