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AGE

, 37:117 | Cite as

Effects of age on the amplitude, frequency and perceived quality of voice

  • Catherine L. Lortie
  • Mélanie Thibeault
  • Matthieu J. Guitton
  • Pascale TremblayEmail author
Article

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.

Keywords

Voice Aging Amplitude control Frequency control Connected speech Self-assessment 

Notes

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).

Compliance with ethical standards

Conflict of interest

All authors report no conflict of interest and no constraints on publishing.

References

  1. 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 Google Scholar
  2. Awan SN (2011) The effect of smoking on the dysphonia severity index in females. Folia Phoniatr Logop 63:65–71. doi: 10.1159/000316142 PubMedCrossRefGoogle Scholar
  3. Baken RJ (1987) Clinical measurement of speech and voice. College-Hill Press, BostonGoogle Scholar
  4. Baken RJ (2005) The aged voice: a new hypothesis. J Voice 19:317–325PubMedCrossRefGoogle Scholar
  5. Baker KK, Ramig LO, Sapir S et al (2001) Control of vocal loudness in young and old adults. J Speech Lang Hear Res 44:297–305PubMedCrossRefGoogle Scholar
  6. Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182PubMedCrossRefGoogle Scholar
  7. 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 Google Scholar
  8. 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 PubMedCrossRefGoogle Scholar
  9. 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 PubMedCrossRefGoogle Scholar
  10. 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 259:197–204PubMedGoogle Scholar
  11. Bloch I, Behrman A (2001) Quantitative analysis of videostroboscopic images in presbylarynges. Laryngoscope 111:2022–2027PubMedCrossRefGoogle Scholar
  12. Boersma P, Weenink D (2012) Praat: doing phonetics by computer. University of Amsterdam, AmsterdamGoogle Scholar
  13. Bohnenkamp TA, Andrews M, Shrivastav R, Summers A (2002) Changes in children’s voices: the effect of cognitive cues. J Voice 16:530–543PubMedCrossRefGoogle Scholar
  14. 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 118:300–306PubMedCrossRefGoogle Scholar
  15. Brown WS, Morris RJ, Michel JF (1989) Vocal jitter in young adult and aged female voices. J Voice 3:113–119CrossRefGoogle Scholar
  16. Carding P, Carlson E, Epstein R et al (2000) Formal perceptual evaluation of voice quality in the United Kingdom. Logoped Phoniatr Vocol 25:133–138PubMedCrossRefGoogle Scholar
  17. 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 25:411–419PubMedCrossRefGoogle Scholar
  18. 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 PubMedCrossRefGoogle Scholar
  19. Darrigrand B, Mazaux JM (2000) L’Échelle de communication verbale de Bordeaux (E.C.V.B.). Ortho Édit, IsberguesGoogle Scholar
  20. De Maddalena H (2002) The influence of early speech rehabilitation with voice prostheses on the psychological state of laryngectomized patients. Eur Arch Otorhinolaryngol 259:48–52PubMedCrossRefGoogle Scholar
  21. 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 CrossRefGoogle Scholar
  22. Decoster W, Debruyne F (1997) The ageing voice: changes in fundamental frequency, waveform stability and spectrum. Acta Otorhinolaryngol Belg 51:105–112PubMedGoogle Scholar
  23. Dehqan A, Scherer RC, Dashti G et al (2013) The effects of aging on acoustic parameters of voice. Folia Phoniatr Logop 64:265–270CrossRefGoogle Scholar
  24. 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 117:219–224Google Scholar
  25. Devins GM, Stam HJ, Koopmans JP (1994) Psychosomal impact of laryngectomy mediated by perceived stigma and illness intrusiveness. Can J Psychiatry 39:608–616PubMedGoogle Scholar
  26. Eskenazi L, Childers DG, Hicks DM (1990) Acoustic correlates of vocal quality. J Speech Hear Res 33:298–306PubMedCrossRefGoogle Scholar
  27. Etter NM, Stemple JC, Howell DM (2013) Defining the lived experience of older adults with voice disorders. J Voice 27:61–67PubMedCrossRefGoogle Scholar
  28. Ferrand CT (2002) Harmonics-to-noise ratio: an index of vocal aging. J Voice 16:480–487PubMedCrossRefGoogle Scholar
  29. 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 12:189–198PubMedCrossRefGoogle Scholar
  30. 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 PubMedCrossRefGoogle Scholar
  31. Fourcin A (2009) Aspects of voice irregularity measurement in connected speech. Folia Phoniatr Logop 61:126–136. doi: 10.1159/000219948 PubMedCrossRefGoogle Scholar
  32. Fourcin A, Abberton E (2008) Hearing and phonetic criteria in voice measurement: clinical applications. Logoped Phoniatr Vocol 33:35–48. doi: 10.1080/14015430701251574 PubMedCrossRefGoogle Scholar
  33. Fox KR (2000) The effects of exercise on self perceptions and self-esteem. Int J Sport Psychol 31:228–240Google Scholar
  34. Fraile R, Godino-Llorente JI (2014) Cepstral peak prominence: a comprehensive analysis. Biomed Signal Process Control 14:42–54CrossRefGoogle Scholar
  35. 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 PubMedGoogle Scholar
  36. 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 PubMedCrossRefGoogle Scholar
  37. Gramming P, Sundberg J, Ternström S et al (1988) Relationship between changes in voice pitch and loudness. J Voice 2:118–126CrossRefGoogle Scholar
  38. 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 PubMedCrossRefGoogle Scholar
  39. 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 130:875–879PubMedCrossRefGoogle Scholar
  40. Harnsberger JD, Shrivastav R, Brown WS et al (2008) Speaking rate and fundamental frequency as speech cues to perceived age. J Voice 22:58–69PubMedCrossRefGoogle Scholar
  41. Hayes AF, Preacher KJ (2013) Statistical mediation analysis with a multicategorical independent variable. Br J Math Stat Psychol 67:451–470PubMedCrossRefGoogle Scholar
  42. Heman-Ackah YD, Heuer RJ, Michael DD et al (2003) Cepstral peak prominence: a more reliable measure of dysphonia. Ann Otol Rhinol Laryngol 112:324–333PubMedCrossRefGoogle Scholar
  43. Hoit JD, Hixon TJ (1987) Age and speech breathing. J Speech Hear Res 30:351–366PubMedCrossRefGoogle Scholar
  44. Hoit JD, Hixon TJ, Altman ME, Morgan WJ (1989) Speech breathing in women. J Speech Hear Res 32:353–365PubMedCrossRefGoogle Scholar
  45. Hollien H, Hollien PA, de Jong G (1997) Effects of three parameters on speaking fundamental frequency. J Acoust Soc Am 102:2984–2992PubMedCrossRefGoogle Scholar
  46. Honjo I, Isshiki N (1980) Laryngoscopic and voice characteristics of aged persons. Arch Otolaryngol 106:149–150PubMedCrossRefGoogle Scholar
  47. Huber JE, Spruill J (2008) Age-related changes to speech breathing with increased vocal loudness. J Speech Lang Hear Res 51:651–668PubMedPubMedCentralCrossRefGoogle Scholar
  48. 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 CrossRefGoogle Scholar
  49. 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 PubMedPubMedCentralCrossRefGoogle Scholar
  50. Jacobson BH, Johnson A, Grywalski C et al (1997) The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 6:66–69CrossRefGoogle Scholar
  51. Kendall K (2007) Presbyphonia: a review. Curr Opin Otolaryngol Head Neck Surg 15:137–140. doi: 10.1097/MOO.0b013e328166794f PubMedCrossRefGoogle Scholar
  52. 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 PubMedCrossRefGoogle Scholar
  53. 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 62:593–602PubMedCrossRefGoogle Scholar
  54. Kreul EJ (1972) Neuromuscular control examination (NMC) for Parkinsonism: vowel prolongations and diadochokinetic and reading rates. J Speech Hear Res 15:72–83PubMedCrossRefGoogle Scholar
  55. La voix (2006) La voix - Ses troubles chez les enseignants. Inserm, ParisGoogle Scholar
  56. 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 38:219–231PubMedPubMedCentralCrossRefGoogle Scholar
  57. 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 36:357–365PubMedCrossRefGoogle Scholar
  58. Linville SE (1996) The sound of senescence. J Voice 10:190–200PubMedCrossRefGoogle Scholar
  59. Linville SE, Fisher HB (1985) Acoustic characteristics of perceived versus actual vocal age in controlled phonation by adult females. J Acoust Soc Am 78:40–48PubMedCrossRefGoogle Scholar
  60. Ma EPM, Love AL (2010) Electroglottographic evaluation of Age and gender effects during sustained phonation and connected speech. J Voice 24:146–152PubMedCrossRefGoogle Scholar
  61. MacKinnon DP, Fairchild AJ, Fritz MS (2007) Mediation analysis. Annu Rev Psychol 58:593–614PubMedPubMedCentralCrossRefGoogle Scholar
  62. 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 PubMedGoogle Scholar
  63. 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 24:540–555PubMedCrossRefGoogle Scholar
  64. Maslan J, Leng X, Rees C et al (2011) Maximum phonation time in healthy older adults. J Voice 25:709–713PubMedPubMedCentralCrossRefGoogle Scholar
  65. 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
  66. Morris RJ, Brown WS (1994) Age-related differences in speech intensity among adult females. Folia Phoniatr Logop 46:64–69PubMedCrossRefGoogle Scholar
  67. 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 39:149–155PubMedCrossRefGoogle Scholar
  68. Nalbadian M, Nikolaou A, Nikolaidis V et al (2001) Factors influencing quality of life in laryngectomized patients. Eur Arch Otorhinolaryngol 258:336–340PubMedCrossRefGoogle Scholar
  69. Orlikoff RF (1990) The relationship of age and cardiovascular health to certain acoustic characteristics of male voices. J Speech Hear Res 33:450–457PubMedCrossRefGoogle Scholar
  70. Orth U, Robins RW (2013) Understanding the link between Low self-esteem and depression. Curr Dir Psychol Sci 22:455–460CrossRefGoogle Scholar
  71. 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 PubMedCrossRefGoogle Scholar
  72. Pontes P, Brasolotto A, Behlau M (2005) Glottic characteristics and voice complaint in the elderly. J Voice 19:84–94PubMedCrossRefGoogle Scholar
  73. Pontes P, Yamasaki R, Behlau M (2006) Morphological and functional aspects of the senile larynx. Folia Phoniatr Logop 58:151–158PubMedCrossRefGoogle Scholar
  74. Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40:879–891PubMedCrossRefGoogle Scholar
  75. Preacher KJ, Rucker DD, Hayes AF (2007) Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res 42:185–227CrossRefGoogle Scholar
  76. Ptacek PHP, Sander EKE, Maloney WH, Jackson CCR (1966) Phonatory and related changes with advanced age. J Speech, Lang Hear Res 9:353–361CrossRefGoogle Scholar
  77. 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 38:26–32PubMedCrossRefGoogle Scholar
  78. Ramig LO, Gray S, Baker K et al (2001) The aging voice: a review, treatment data and familial and genetic perspectives. Folia Phoniatr Logop 53:252–265PubMedCrossRefGoogle Scholar
  79. Revis J, Giovanni A, Wuyts F, Triglia JM (1999) Comparison of different voice samples for perceptual analysis. Folia Phoniatr Logop 51:108–116PubMedCrossRefGoogle Scholar
  80. 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 PubMedPubMedCentralCrossRefGoogle Scholar
  81. Riketta M (2004) Does social desirability inflate the correlation between self-esteem and anxiety? Psychol Rep 94:1232–1234PubMedGoogle Scholar
  82. 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 18:840–847PubMedCrossRefGoogle Scholar
  83. 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 PubMedCrossRefGoogle Scholar
  84. Sapienza CM, Stathopoulos ET (1995) Speech task effects on acoustic and aerodynamic measures of women with vocal nodules. J Voice 9:413–418PubMedCrossRefGoogle Scholar
  85. 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 PubMedCrossRefGoogle Scholar
  86. 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 PubMedCrossRefGoogle Scholar
  87. Sauder C, Roy N, Tanner K et al (2010) Vocal function exercises for presbylaryngis: a multidimensional assessment of treatment outcomes. Ann Otol Rhinol Laryngol 119:460–467PubMedCrossRefGoogle Scholar
  88. Shrout PE, Bolger N (2002) Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods 7:422–445PubMedCrossRefGoogle Scholar
  89. 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 24:151–158PubMedCrossRefGoogle Scholar
  90. Solomon NP, Garlitz SJ, Milbrath RL (2000) Respiratory and laryngeal contributions to maximum phonation duration. J Voice 14:331–340Google Scholar
  91. Sowislo JF, Orth U (2012) Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull 139:213–240PubMedCrossRefGoogle Scholar
  92. Sperry EE, Klich RJ (1992) Speech breathing in senescent and younger women during oral reading. J Speech Hear Res 35:1246–1255PubMedCrossRefGoogle Scholar
  93. Stathopoulos ET, Sapienza CM (1997) Developmental changes in laryngeal and respiratory function with variations in sound pressure level. J Speech Lang Hear Res 40:595–614PubMedCrossRefGoogle Scholar
  94. 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 54:1011–1021PubMedCrossRefGoogle Scholar
  95. Steffens DC, Fisher GG, Langa KM et al (2009) Prevalence of depression among older Americans: the aging, demographics and memory study. Int Psychogeriatr 21:879–888PubMedPubMedCentralCrossRefGoogle Scholar
  96. Teles-Magalhães LC, Pegoraro-Krook MI, Pegoraro R (2000) Study of the elderly females’ voice by phonetography. J Voice 14:310–321PubMedCrossRefGoogle Scholar
  97. Torre P, Barlow JA (2009) Age-related changes in acoustic characteristics of adult speech. J Commun Disord 42:324–333PubMedCrossRefGoogle Scholar
  98. Uhlmann RF, Larson EB (1991) Effect of education on the mini-mental state examination as a screening test for dementia. J Am Geriatr Soc 39:876–880PubMedCrossRefGoogle Scholar
  99. Verdonck-de Leeuw IM, Mahieu HF (2004) Vocal aging and the impact on daily life: a longitudinal study. J Voice 18:193–202PubMedCrossRefGoogle Scholar
  100. 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 PubMedPubMedCentralCrossRefGoogle Scholar
  101. Watson D, Suls J, Haig J (2002) Global self-esteem in relation to structural models of personality and affectivity. J Pers Soc Psychol 83:185–197PubMedCrossRefGoogle Scholar
  102. 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
  103. 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 PubMedCrossRefGoogle Scholar
  104. 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 PubMedCrossRefGoogle Scholar
  105. Wilcox KA, Horii Y (1980) Age and changes in vocal jitter. J Gerontol 35:194–198PubMedCrossRefGoogle Scholar
  106. 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
  107. 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 37:535–556PubMedCrossRefGoogle Scholar
  108. Wolfe V, Martin D (1997) Acoustic correlates of dysphonia: type and severity. J Commun Disord 30:403–416PubMedCrossRefGoogle Scholar
  109. Wu Z, Schimmele CM, Chappell NL (2012) Aging and late-life depression. J Aging Health 24:3–28PubMedCrossRefGoogle Scholar
  110. 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 112:894–898PubMedCrossRefGoogle Scholar
  111. Yanagihara N (1967) Significance of harmonics changes and noise components in hoarseness. J Speech, Lang Hear Res 10:531–541Google Scholar
  112. 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 14:295–305CrossRefGoogle Scholar
  113. 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 PubMedCrossRefGoogle Scholar
  114. Zraick RI, Marshall W, Smith-Olinde L, Montague JC (2004) The effect of task on determination of habitual loudness. J Voice 18:176–182PubMedCrossRefGoogle Scholar
  115. Zraick RI, Birdwell KY, Smith-Olinde L (2005) The effect of speaking sample duration on determination of habitual pitch. J Voice 19:197–201PubMedCrossRefGoogle Scholar
  116. 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 20:14–22CrossRefGoogle Scholar

Copyright information

© American Aging Association 2015

Authors and Affiliations

  • Catherine L. Lortie
    • 1
    • 2
    • 3
  • Mélanie Thibeault
    • 4
  • Matthieu J. Guitton
    • 2
    • 3
  • Pascale Tremblay
    • 1
    • 3
    Email author
  1. 1.Département de RéadaptationUniversité LavalQuebec CityCanada
  2. 2.Département d’ophtalmologie et ORL - chirurgie cervico-facialeUniversité LavalQuebec CityCanada
  3. 3.Centre de Recherche de l’Institut Universitaire en Santé Mentale de Québec (CRIUSMQ)Quebec CityCanada
  4. 4.Nuance Communications, Inc.MontréalCanada

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