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Personality traits inventory in patients with vocal nodules

  • Laryngology
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Abstract

The objective of the study was to analyze temperament and character in females with vocal nodules (VN) compared to a vocally healthy control population. 61 females were examined over a 17-month period for dysphonia with VN (mean age 46 years, duration of vocal complaints from 2 months to 6 years). 71 control females were recruited in their environment (mean age 34 years). The validated French Version of the Temperament and Character Inventory (TCI) was used. Patients with VN had significantly (p < 0,05) greater scores for Persistence and Novelty Seeking, particularly for the subscales exploratory excitability and extravagance. They had lower scores for Harm Avoidance, in particular fear of uncertainty, shyness and fatigability. Scores on Reward Dependence were not significantly different except for the subscale dependence, which were significantly lower in patients. No significant difference was found with regard to scores on Self-directedness, except for scores on the subscale self-acceptance, which were significantly lower in patients. Scores on Cooperativeness were not significantly different, except for the subscale helpfulness, which were significantly higher in patients. Patients had significant greater scores for Self-transcendence overall and specifically on the subscales self-forgetfulness and spiritual acceptance. Our findings suggested that women with VN are likely to have a passionate temperament, which might constitute an indirect predisposition to elevated vocal loading and greater risk for phonotrauma. The risk for developing or maintaining VN could be decreased by attending to those personality-specific maladaptive behaviors. A possible personalized approach to voice therapy could be organized on the basis of the TCI findings.

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References

  1. Dikkers FG, Nikkels PG (1995) Benign lesions of the vocal folds: histopathology and phonotrauma. Ann Otol Rhinol Laryngol 104(9 Pt 1):698–703

    Article  CAS  PubMed  Google Scholar 

  2. Karkos PD, McCormick M (2009) The etiology of vocal fold nodules in adults. Curr Opin Otolaryngol Head Neck Surg 17(6):420–423

    Article  PubMed  Google Scholar 

  3. Vilkman E (2000) Voice problems at work: a challenge for occupational safety and health arrangement. Folia Phoniatr Logop 52(1–3):120–125

    CAS  PubMed  Google Scholar 

  4. Le Huche F (2004) Pathologie vocale d’origine fonctionnelle. Masson, Paris

    Google Scholar 

  5. Mirza N, Ruiz C, Baum ED, Staab JP (2003) The prevalence of major psychiatric pathologies in patients with voice disorders. Ear Nose Throat J 82:808–812

    PubMed  Google Scholar 

  6. Willinger U, Volkl-Kernstock S, Aschauer HN (2005) Marked depression and anxiety in patients with functional dysphonia. Psychiatry Res 134:85–91

    Article  PubMed  Google Scholar 

  7. Baker J (2008) The role of psychogenic and psychosocial factors in the development of functional voice disorders. Int J Speech Lang Pathol 10:210–230

    Article  PubMed  Google Scholar 

  8. Baker J, Lane RD (2009) Emotion processing deficits in functional voice disorders. In: Izdebski K (ed) Emotions in the human voice. Plural Publishing, San Diego, pp 105–136

    Google Scholar 

  9. Baker J, Ben-Tovim D, Butcher A, Esterman A, McLaughlin K (2013) Psychosocial risk factors which may differentiate between women with functional voice disorder, organic voice disorder and a control group. Int J Speech Lang Pathol 15(6):547–563

    Article  PubMed  Google Scholar 

  10. Dietrich M, Verdolini Abott K, Gartner-Schmidt J, Rosen CA (2008) The frequency of perceived stress, anxiety, and depression in patients with common pathologies affecting voice. J Voice 22(4):472–488

    Article  PubMed  Google Scholar 

  11. Dietrich M, Verdolini Abbott K (2012) Vocal function in introverts and extraverts during a psychological stress reactivity protocol. J Speech Lang Hear Res 55(3):973–987

    Article  PubMed  Google Scholar 

  12. El Uali Abeida M, Fernandez Liesa R, Valles Varela H, Garcia Campayo J, Rueda Gormedino P, Ortiz Garcia A (2011) Study of the influence of psychological factors in the etiology of vocal nodules in women. J Voice 27(1):129e15–129e20

    Google Scholar 

  13. C Mc Hugh-Munier, Scherer K, Lehmann W, Lehmann W, Scherer U (1997) Coping strategies, personality and voice quality in patients with vocal fold nodules and polypes. J Voice 11:452–461

    Article  Google Scholar 

  14. Millar A, Deary IJ, Wilson JA, MacKenzie K (1999) Is an organic/functional distinction psychologically meaningful in patients with dysphonia. J Psychosom 46(6):497–505

    Article  CAS  Google Scholar 

  15. Ratajczak J, Grzywacz K, Wojdas A, Rapiejko P, Jurkiewicz D (2008) Role of psychological factors in pathogenesis of disturbances of voice caused with vocal nodules. Otolaryngol Pol 62(6):758–763

    Article  PubMed  Google Scholar 

  16. Roy N, McGrory JJ, Tasko SM, Bless DM, Heisey D, Ford CN (1997) Psychological correlates of functional dysphonia: an investigation using the minnesota multiphasic personality inventory. J Voice 11:443–451

    Article  CAS  PubMed  Google Scholar 

  17. Roy N, Bless DM, Heisey D (2000) Personality and voice disorders. A superfactor traits analysis. J Speech Lang Hear Res 43:749–768

    Article  CAS  PubMed  Google Scholar 

  18. Roy N, Bless DM, Heisey D (2000) Personality and voice disorders: a multitrait-multidisorder analysis. J Voice 14:521–548

    Article  CAS  PubMed  Google Scholar 

  19. Gray J, Mc Naughton H (1996) The neuropsychology of anxiety: reprise. Nebr Symp Motiv 43:61–134

    CAS  PubMed  Google Scholar 

  20. Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of tempérament and character. Arch Gen Psychiatry 50:975–990

    Article  CAS  PubMed  Google Scholar 

  21. Svrakic DM, Draganic S, Hill K, Bayon C, Przybeck TR, Cloninger CR (2002) Temperament, character and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand 106:189–195

    Article  CAS  PubMed  Google Scholar 

  22. Eysenck HJ (1967) The biological basis of personality. Charles C, Thomas, Springfield

    Google Scholar 

  23. Pelissolo A, Lepine JP (2000) Normative data and factor structure of the temperament and character inventory (TCI) in the French version. Psychiatry Res 94:67–76

    Article  CAS  PubMed  Google Scholar 

  24. Baker J, Ben-Tovim DI, Butcher A, Esterman A, McLaughlin K (2007) Development of a modified diagnostic classification system for voice disorders with inter-rater reliability study. Logoped Phoniatr Vocol 32:99–112

    Article  PubMed  Google Scholar 

  25. Zelenski JM, Larsen RJ (1999) Susceptibility to affect: a comparison of three personality taxonomies. J Personal 67:761–791

    Article  CAS  Google Scholar 

  26. Cloninger CR (2000) A practical way to diagnosis personality disorder: a proposal. J Personal Disord 14:99–108

    Article  CAS  Google Scholar 

  27. Vintturi J (2001) Studies on voice production. Dissertation, University of Helsinski

  28. Kroemer KHE, Grandjean E (1997) Fitting the task to the human. Taylor & Francis, London

    Google Scholar 

  29. Nybo L, Secher N (2004) Cerebral perturbations provoked by prolonged exercise. Prog Neurobiol 72:223–261

    Article  PubMed  Google Scholar 

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Acknowledgements

Laura Lapierre, Speech Therapist, Aix-Marseille University, France. David Magalon, MD, Aix-Marseille University, France. Maria Dietrich, PH.D, CCC-SLP, University of Missouri, USA. The authors would like to thank warmly Maria Dietrich for her friendly thorough revision of the first draft and invaluable help for the manuscript.

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Authors and Affiliations

  1. Aix-Marseille Univ, Marseille, France

    Alexia Mattei, Joana Revis & Antoine Giovanni

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  1. Alexia Mattei
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  2. Joana Revis
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  3. Antoine Giovanni
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Correspondence to Alexia Mattei.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Comité de Protection des Personnes Sud Méditerranée II and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from all individual participants included in the study.

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Mattei, A., Revis, J. & Giovanni, A. Personality traits inventory in patients with vocal nodules. Eur Arch Otorhinolaryngol 274, 1911–1917 (2017). https://doi.org/10.1007/s00405-016-4421-7

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  • DOI: https://doi.org/10.1007/s00405-016-4421-7

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