Psychological profile of dysfunctional dysphonia

Psychological profile of dysfunctional dysphonia - ACTA...

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467 ACTA OTORHINOLARYNGOL ITAL 23, 467-473, 2003 Psychological profile of dysfunctional dysphonia Il profilo psicologico del paziente affetto da disfonia disfunzionale M. LAURIELLO 1 , K. COZZA, A. ROSSI 1 , L. DI RIENZO 2 , G. COEN TIRELLI 2 Department of Experimental Medicine, University of L’Aquila; 1 San Raffaele H. Research, Rome; 2 ENT Unit, S. Eugenio Hospital, Rome, Italy Key words Dysphonia • Dysfunctional dysphonia • Diagnosis • Mood disorders Parole chiave Disfonia • Disfonia disfunzionale • Diagnosi • Disordini dell’umore Summary A high degree of emotional maladjustment can be detected in dysfunctional dysphonia. In these patients, it is not rare to observe an immediate resolution of the phoniatric disorder, but it is equally as common to identify a significant rate of recurrence ( > 10%) in the short and long term. This phenom- enon may be due to poor adaptive ability in the presence of mood disorders. Aims of this study were: a. selection of a suit- able instrument to identify “minor” and “major” symptoms of psychiatric nature in dysphonic subjects; b. evaluation of pro- file of mood disorders in dysfunctional dysphonic adults. Hop- kins Symptom Check List 90 was chosen. This is a scale of self-evaluation, adapted in Italian, complete (9 dimensions) and easy to use. It is employed to evaluate the following dimensions: somatization, obsessive compulsive, interper- sonal sensitivity, depression, anxiety, hostility, phobic anxi- ety, paranoid ideation, psychoticism, sleep disorders. Three groups were studied: group 1: 40 patients (36 female, 4 male; aged 18-62 years, mean 42) with dysfunctional dysphonia; group 2: 20 patients (18 female, 2 male; aged 19-61 years, mean 43) with ENT disorders; group 3: 20 subjects (18 female, 2 male; aged 18-62 years, mean 42.2) as controls. In the statistical analysis, a one-way variance between the three groups and a post-hoc analysis using Schiffé test (level of sig- nificance 0.05) were carried out. Results showed significant differences between group 1 and groups 2 and 3 as far as con- cerns anxiety, phobia, obsessive-compulsive, interpersonal sensitivity and somatization variables. A significant difference was found only between groups 1 and 3 as far as concerns the variables: sleep disorders, depression and paranoid ideation. No significant difference emerged between the groups regard- ing psychoticism and anger/hostility dimensions. The present study identified a definite profile of minor personality disor- ders, of an anxious nature, with evidence of somatization, interpersonal sensitivity and obsessive-compulsive type traits, significantly prevailing in dysfunctional dysphonic subjects. Symptom Check List-90 has, therefore, proven to be an ade-
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This note was uploaded on 06/30/2010 for the course SOCIOLOGY 980:001 taught by Professor Chananie-hill during the Spring '10 term at UNI.

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Psychological profile of dysfunctional dysphonia - ACTA...

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