Abstract
The manner and extent to which voice amplitude and frequency control mechanisms change with age is not well understood. The related question of whether the assessment of one’s own voice evolves with age, concomitant with the acoustical changes that the voice undergoes, also remains unanswered. In the present study, we characterized the aging of voice production mechanisms (amplitude, frequency), compared the aging voice in different experimental contexts (vowel utterance, connected speech) and examined the relationship between voice self-assessment and age-related voice acoustical changes. Eighty healthy adults (20 to 75 years old) participated in the study, which involved computation of several acoustical measures of voice (including measures of fundamental frequency, voice amplitude, and stability) as well as self-assessments of voice. Because depression is frequent in older adults, depression and anxiety scores were also measured. As was expected, analyses revealed age effects on most acoustical measures. However, there was no interaction between age and the ability to produce high/low voice amplitude/frequency, suggesting that voice amplitude and frequency control mechanisms are preserved in aging. Multiple mediation analyses demonstrated that the relationship between age and voice self-assessment was moderated by depression and anxiety scores. Taken together, these results reveal that while voice production undergoes important changes throughout aging, the ability to increase/decrease the amplitude and frequency of voice are preserved, at least within the age range studied, and that depression and anxiety scores have a stronger impact on perceived voice quality than acoustical changes themselves.
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References
Ahmad K, Yan Y, Bless D (2012) Vocal fold vibratory characteristics of healthy geriatric females—analysis of high-speed digital images. J Voice. doi:10.1016/j.jvoice.2011.12.002
Awan SN (2011) The effect of smoking on the dysphonia severity index in females. Folia Phoniatr Logop 63:65–71. doi:10.1159/000316142
Baken RJ (1987) Clinical measurement of speech and voice. College-Hill Press, Boston
Baken RJ (2005) The aged voice: a new hypothesis. J Voice 19:317–325
Baker KK, Ramig LO, Sapir S et al (2001) Control of vocal loudness in young and old adults. J Speech Lang Hear Res 44:297–305
Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B 57:289–300. doi:10.2307/2346101
Bhuta T, Patrick L, Garnett JD (2004) Perceptual evaluation of voice quality and its correlation with acoustic measurement. J Voice 18:299–304. doi:10.1016/j.jvoice.2003.12.004
Bier SD, Watson CI, McCann CM (2014) Using the perturbation of the contact quotient of the EGG waveform to analyze age differences in adult speech. J Voice 28:267–273. doi:10.1016/j.jvoice.2013.10.021
Birkhaug EJ, Aarstad HJ, Aarstad AKH, Olofsson J (2002) Relation between mood, social support and the quality of life in patients with laryngectomies. Eur Arch Otorhinolaryngol 259:197–204
Bloch I, Behrman A (2001) Quantitative analysis of videostroboscopic images in presbylarynges. Laryngoscope 111:2022–2027
Boersma P, Weenink D (2012) Praat: doing phonetics by computer. University of Amsterdam, Amsterdam
Bohnenkamp TA, Andrews M, Shrivastav R, Summers A (2002) Changes in children’s voices: the effect of cognitive cues. J Voice 16:530–543
Boscolo-Rizzo P, Maronato F, Marchiori C et al (2008) Long-term quality of life after total laryngectomy and postoperative radiotherapy versus concurrent chemoradiotherapy for laryngeal preservation. Laryngoscope 118:300–306
Brown WS, Morris RJ, Michel JF (1989) Vocal jitter in young adult and aged female voices. J Voice 3:113–119
Carding P, Carlson E, Epstein R et al (2000) Formal perceptual evaluation of voice quality in the United Kingdom. Logoped Phoniatr Vocol 25:133–138
Da Silva PT, Master S, Andreoni S et al (2011) Acoustic and long-term average spectrum measures to detect vocal aging in women. J Voice 25:411–419
Danker H, Wollbrück D, Singer S et al (2010) Social withdrawal after laryngectomy. Eur Arch Otorhinolaryngol 267:593–600. doi:10.1007/s00405-009-1087-4
Darrigrand B, Mazaux JM (2000) L’Échelle de communication verbale de Bordeaux (E.C.V.B.). Ortho Édit, Isbergues
De Maddalena H (2002) The influence of early speech rehabilitation with voice prostheses on the psychological state of laryngectomized patients. Eur Arch Otorhinolaryngol 259:48–52
de Menezes M, Keyla S, Master S, Guzman M et al (2014) Differences in acoustic and perceptual parameters of the voice between elderly and young women at habitual and high intensity. Acta Otorrinolaringol Engl Ed 65:76–84. doi:10.1016/j.otoeng.2013.11.012
Decoster W, Debruyne F (1997) The ageing voice: changes in fundamental frequency, waveform stability and spectrum. Acta Otorhinolaryngol Belg 51:105–112
Dehqan A, Scherer RC, Dashti G et al (2013) The effects of aging on acoustic parameters of voice. Folia Phoniatr Logop 64:265–270
Dejonckere PH, Remacle M, Fresnel-Elbaz E et al (1996) Differentiated perceptual evaluation of pathological voice quality: reliability and correlations with acoustic measurements. Rev Laryngol Otol Rhinol 117:219–224
Devins GM, Stam HJ, Koopmans JP (1994) Psychosomal impact of laryngectomy mediated by perceived stigma and illness intrusiveness. Can J Psychiatry 39:608–616
Eskenazi L, Childers DG, Hicks DM (1990) Acoustic correlates of vocal quality. J Speech Hear Res 33:298–306
Etter NM, Stemple JC, Howell DM (2013) Defining the lived experience of older adults with voice disorders. J Voice 27:61–67
Ferrand CT (2002) Harmonics-to-noise ratio: an index of vocal aging. J Voice 16:480–487
Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198
Forero Mendoza LA, Cataldo E, Vellasco MMBR et al (2014) Classification of vocal aging using parameters extracted from the glottal signal. J Voice 28:532–537. doi:10.1016/j.jvoice.2014.02.001
Fourcin A (2009) Aspects of voice irregularity measurement in connected speech. Folia Phoniatr Logop 61:126–136. doi:10.1159/000219948
Fourcin A, Abberton E (2008) Hearing and phonetic criteria in voice measurement: clinical applications. Logoped Phoniatr Vocol 33:35–48. doi:10.1080/14015430701251574
Fox KR (2000) The effects of exercise on self perceptions and self-esteem. Int J Sport Psychol 31:228–240
Fraile R, Godino-Llorente JI (2014) Cepstral peak prominence: a comprehensive analysis. Biomed Signal Process Control 14:42–54
Furegato ARF, Santos JLF, Da Silva EC (2008) Depression among nursing students associated to their self-esteem, health perception and interest in mental health. Rev Lat Am Enfermagem 16:198–204. doi:10.1590/S0104-11692008000200005
Goy H, Fernandes DN, Pichora-Fuller MK, van Lieshout P (2013) Normative voice data for younger and older adults. J Voice 27:545–555. doi:10.1016/j.jvoice.2013.03.002
Gramming P, Sundberg J, Ternström S et al (1988) Relationship between changes in voice pitch and loudness. J Voice 2:118–126
Gregory ND, Chandran S, Lurie D, Sataloff RT (2012) Voice disorders in the elderly. J Voice 26:254–258. doi:10.1016/j.jvoice.2010.10.024
Hanna E, Sherman A, Cash D et al (2004) Quality of life for patients following total laryngectomy vs chemoradiation for laryngeal preservation. Arch Otolaryngol Head Neck Surg 130:875–879
Harnsberger JD, Shrivastav R, Brown WS et al (2008) Speaking rate and fundamental frequency as speech cues to perceived age. J Voice 22:58–69
Hayes AF, Preacher KJ (2013) Statistical mediation analysis with a multicategorical independent variable. Br J Math Stat Psychol 67:451–470
Heman-Ackah YD, Heuer RJ, Michael DD et al (2003) Cepstral peak prominence: a more reliable measure of dysphonia. Ann Otol Rhinol Laryngol 112:324–333
Hoit JD, Hixon TJ (1987) Age and speech breathing. J Speech Hear Res 30:351–366
Hoit JD, Hixon TJ, Altman ME, Morgan WJ (1989) Speech breathing in women. J Speech Hear Res 32:353–365
Hollien H, Hollien PA, de Jong G (1997) Effects of three parameters on speaking fundamental frequency. J Acoust Soc Am 102:2984–2992
Honjo I, Isshiki N (1980) Laryngoscopic and voice characteristics of aged persons. Arch Otolaryngol 106:149–150
Huber JE, Spruill J (2008) Age-related changes to speech breathing with increased vocal loudness. J Speech Lang Hear Res 51:651–668
Hudon C, Potvin O, Turcotte M-C et al (2009) Normalisation du mini-mental state examination (MMSE) chez les Québécois francophones âgés de 65 ans et plus et résidant dans la communauté. Can J Aging La Rev Can du Vieil 28:347. doi:10.1017/S0714980809990171
Hunter EJ, Kapsner-Smith M, Pead P et al (2012) Age and speech production: a 50-year longitudinal study. J Am Geriatr Soc 60:1175–1177. doi:10.1111/j.1532-5415.2012.03983.x
Jacobson BH, Johnson A, Grywalski C et al (1997) The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 6:66–69
Kendall K (2007) Presbyphonia: a review. Curr Opin Otolaryngol Head Neck Surg 15:137–140. doi:10.1097/MOO.0b013e328166794f
Kersing W, Jennekens FG (2004) Age-related changes in human thyroarytenoid muscles: a histological and histochemical study. Eur Arch Otorhinolaryngol 261:386–392. doi:10.1007/s00405-003-0702-z
Kessler RC, Berglund P, Demler O et al (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:593–602
Kreul EJ (1972) Neuromuscular control examination (NMC) for Parkinsonism: vowel prolongations and diadochokinetic and reading rates. J Speech Hear Res 15:72–83
La voix (2006) La voix - Ses troubles chez les enseignants. Inserm, Paris
Lee A, Hankin BL (2009) Insecure attachment, dysfunctional attitudes, and low self-esteem predicting prospective symptoms of depression and anxiety during adolescence. J Clin Child Adolesc Psychol 38:219–231
Legrand FD (2014) Effects of exercise on physical self-concept, global self-esteem, and depression in women of Low socioeconomic status with elevated depressive symptoms. J Sport Exerc Psychol 36:357–365
Linville SE (1996) The sound of senescence. J Voice 10:190–200
Linville SE, Fisher HB (1985) Acoustic characteristics of perceived versus actual vocal age in controlled phonation by adult females. J Acoust Soc Am 78:40–48
Ma EPM, Love AL (2010) Electroglottographic evaluation of Age and gender effects during sustained phonation and connected speech. J Voice 24:146–152
MacKinnon DP, Fairchild AJ, Fritz MS (2007) Mediation analysis. Annu Rev Psychol 58:593–614
Maruthy S, Ravibabu P (2015) Comparison of dysphonia severity index between younger and older carnatic classical singers and nonsingers. J Voice. doi:10.1016/j.jvoice.2014.05.001
Maryn Y, Corthals P, Van Cauwenberge P et al (2010) Toward improved ecological validity in the acoustic measurement of overall voice quality: combining continuous speech and sustained vowels. J Voice 24:540–555
Maslan J, Leng X, Rees C et al (2011) Maximum phonation time in healthy older adults. J Voice 25:709–713
Miloyan B, Byrne GJ, Pachana NA (2014) Threshold and subthreshold generalized anxiety disorder in later life. Am J Geriatr Psychiatry 1–9. doi: 10.1016/j.jagp.2014.08.010
Morris RJ, Brown WS (1994) Age-related differences in speech intensity among adult females. Folia Phoniatr Logop 46:64–69
Murden RA, McRae TD, Kaner S, Bucknam ME (1991) Mini-mental state exam scores vary with education in blacks and whites. J Am Geriatr Soc 39:149–155
Nalbadian M, Nikolaou A, Nikolaidis V et al (2001) Factors influencing quality of life in laryngectomized patients. Eur Arch Otorhinolaryngol 258:336–340
Orlikoff RF (1990) The relationship of age and cardiovascular health to certain acoustic characteristics of male voices. J Speech Hear Res 33:450–457
Orth U, Robins RW (2013) Understanding the link between Low self-esteem and depression. Curr Dir Psychol Sci 22:455–460
Plank C, Schneider S, Eysholdt U et al (2011) Voice- and health-related quality of life in the elderly. J Voice 25:265–268. doi:10.1016/j.jvoice.2009.11.002
Pontes P, Brasolotto A, Behlau M (2005) Glottic characteristics and voice complaint in the elderly. J Voice 19:84–94
Pontes P, Yamasaki R, Behlau M (2006) Morphological and functional aspects of the senile larynx. Folia Phoniatr Logop 58:151–158
Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40:879–891
Preacher KJ, Rucker DD, Hayes AF (2007) Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res 42:185–227
Ptacek PHP, Sander EKE, Maloney WH, Jackson CCR (1966) Phonatory and related changes with advanced age. J Speech, Lang Hear Res 9:353–361
Rabinov CR, Kreiman J, Gerratt BR, Bielamowicz S (1995) Comparing reliability of perceptual ratings of roughness and acoustic measure of jitter. J Speech Hear Res 38:26–32
Ramig LO, Gray S, Baker K et al (2001) The aging voice: a review, treatment data and familial and genetic perspectives. Folia Phoniatr Logop 53:252–265
Revis J, Giovanni A, Wuyts F, Triglia JM (1999) Comparison of different voice samples for perceptual analysis. Folia Phoniatr Logop 51:108–116
Reynolds K, Pietrzak RH, El-Gabalawy R et al (2015) Prevalence of psychiatric disorders in U. S. older adults: findings from a nationally representative survey. World Psychiatry 14:74–81. doi:10.1002/wps.20193
Riketta M (2004) Does social desirability inflate the correlation between self-esteem and anxiety? Psychol Rep 94:1232–1234
Rouch I, Achour-Crawford E, Roche F et al (2014) Seven-year predictors of self-rated health and life satisfaction in the elderly : the proof study. J Nutr Health Aging 18:840–847
Roy N, Stemple J, Merrill RM, Thomas L (2007) Epidemiology of voice disorders in the elderly: preliminary findings. Laryngoscope 117:628–633. doi:10.1097/MLG.0b013e3180306da1
Sapienza CM, Stathopoulos ET (1995) Speech task effects on acoustic and aerodynamic measures of women with vocal nodules. J Voice 9:413–418
Sato K, Umeno H, Nakashima T (2010) Functional histology of the macula flava in the human vocal fold—part 2: its role in the growth and development of the vocal fold. Folia Phoniatr Logop 62:263–270. doi:10.1159/000316962
Sato K, Umeno H, Ono T, Nakashima T (2011) Histopathologic study of human vocal fold mucosa unphonated over a decade. Acta Otolaryngol 131:1319–1325. doi:10.3109/00016489.2011.615067
Sauder C, Roy N, Tanner K et al (2010) Vocal function exercises for presbylaryngis: a multidimensional assessment of treatment outcomes. Ann Otol Rhinol Laryngol 119:460–467
Shrout PE, Bolger N (2002) Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods 7:422–445
Solhaug HI, Romuld EB, Romild U, Stordal E (2012) Increased prevalence of depression in cohorts of the elderly: an 11-year follow-up in the general population – the HUNT study. Int Psychogeriatr 24:151–158
Solomon NP, Garlitz SJ, Milbrath RL (2000) Respiratory and laryngeal contributions to maximum phonation duration. J Voice 14:331–340
Sowislo JF, Orth U (2012) Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull 139:213–240
Sperry EE, Klich RJ (1992) Speech breathing in senescent and younger women during oral reading. J Speech Hear Res 35:1246–1255
Stathopoulos ET, Sapienza CM (1997) Developmental changes in laryngeal and respiratory function with variations in sound pressure level. J Speech Lang Hear Res 40:595–614
Stathopoulos ET, Huber JE, Sussman JE (2011) Changes in acoustic characteristics of the voice across the life span: measures from individuals 4–93 years of age. J Speech Lang Hear Res 54:1011–1021
Steffens DC, Fisher GG, Langa KM et al (2009) Prevalence of depression among older Americans: the aging, demographics and memory study. Int Psychogeriatr 21:879–888
Teles-Magalhães LC, Pegoraro-Krook MI, Pegoraro R (2000) Study of the elderly females’ voice by phonetography. J Voice 14:310–321
Torre P, Barlow JA (2009) Age-related changes in acoustic characteristics of adult speech. J Commun Disord 42:324–333
Uhlmann RF, Larson EB (1991) Effect of education on the mini-mental state examination as a screening test for dementia. J Am Geriatr Soc 39:876–880
Verdonck-de Leeuw IM, Mahieu HF (2004) Vocal aging and the impact on daily life: a longitudinal study. J Voice 18:193–202
Wassertheil-Smoller S, Arredondo EM, Cai J et al (2014) Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: results from the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol 24:822–830. doi:10.1016/j.annepidem.2014.09.003
Watson D, Suls J, Haig J (2002) Global self-esteem in relation to structural models of personality and affectivity. J Pers Soc Psychol 83:185–197
Watts CR, Ronshaugen R, Saenz D (2015) The effect of age and vocal task on cepstral/spectral measures of vocal function in adult males. Clin Linguist Phon 00:1–9 doi: 10.3109/02699206.2015.1005673
Wegener I, Geiser F, Alfter S et al (2015) Changes of explicitly and implicitly measured self-esteem in the treatment of major depression: evidence for implicit self-esteem compensation. Compr Psychiatry 58:57–67. doi:10.1016/j.comppsych.2014.12.001
Whitehead RL, Whitehead BH (1985) Acoustic characteristics of vocal tension/harshness in the speech of the hearing impaired. J Commun Disord 18:351–361. doi:10.1016/0021-9924(85)90025-5
Wilcox KA, Horii Y (1980) Age and changes in vocal jitter. J Gerontol 35:194–198
Williams ED, Tillin T, Richards M, et al. (2015) Depressive symptoms are doubled in older British South Asian and Black Caribbean people compared with Europeans: associations with excess co-morbidity and socioeconomic disadvantage. Psychol Med 1–11. doi: 10.1017/S0033291714002967
Winkworth AL, Davis PJ, Ellis E, Adams RD (1994) Variability and consistency in speech breathing during reading: lung volumes, speech intensity, and linguistic factors. J Speech Hear Res 37:535–556
Wolfe V, Martin D (1997) Acoustic correlates of dysphonia: type and severity. J Commun Disord 30:403–416
Wu Z, Schimmele CM, Chappell NL (2012) Aging and late-life depression. J Aging Health 24:3–28
Ximenes Filho JA, Tsuji DH, do Nascimento PHS, Sennes LU (2003) Histologic changes in human vocal folds correlated with aging: a histomorphometric study. Ann Otol Rhinol Laryngol 112:894–898
Yanagihara N (1967) Significance of harmonics changes and noise components in hoarseness. J Speech, Lang Hear Res 10:531–541
Yiu E, Worrall L, Longland J, Mitchell C (2000) Analysing vocal quality of connected speech using Kay’s computerized speech lab: a preliminary finding. Clin Linguist Phon 14:295–305
Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale (HADS). Acta Psychiatr Scand 67:361–370. doi:10.1016/S0016-5085(01)83173-5
Zraick RI, Marshall W, Smith-Olinde L, Montague JC (2004) The effect of task on determination of habitual loudness. J Voice 18:176–182
Zraick RI, Birdwell KY, Smith-Olinde L (2005) The effect of speaking sample duration on determination of habitual pitch. J Voice 19:197–201
Zraick RI, Kempster GB, Connor NP et al (2011) Establishing validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Am J Speech Lang Pathol Am Speech Lang Hear Assoc 20:14–22
Acknowledgments
The authors thank all the participants. This study was supported by grants from the “Fonds de la Recherche du Québec Société-Culture” (FRQ-SC) and the “Fonds de la Recherche du Québec en Santé” (FRQS) to P.T. and from a graduate scholarship from the Natural Sciences and Engineering Research Council of Canada (NSERC) to C.L.L. P.T. and M.J.G. hold Career Awards from the “Fonds de Recherche du Québec – Santé” (FRQS).
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Lortie, C.L., Thibeault, M., Guitton, M.J. et al. Effects of age on the amplitude, frequency and perceived quality of voice. AGE 37, 117 (2015). https://doi.org/10.1007/s11357-015-9854-1
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DOI: https://doi.org/10.1007/s11357-015-9854-1