The Influence of Personality on Vocal Behavior in Singers with Phonotrauma

人格对声音创伤歌手声音行为的影响

• 批准号: 10371003
• 负责人: Laura Elizabeth Toles
• 金额: $ 0.25万
• 依托单位: MGH INSTITUTE OF HEALTH PROFESSIONS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-22 至 2021-08-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10371003
• 关键词: Activities of Daily Living; Ambulatory Monitoring; Behavior; Charge; Chronic; Clinic; Development; Diagnosis; Disease; Dose; Etiology; Functional disorder; Goals; Impulsivity; Individual; Knowledge; Link; Logistic Regressions; Matched Group; Measures; Monitor; Neurotic Disorders; Nodule; Occupations; Participant; Patients; Personality; Personality Traits; Personality inventories; Prevention; Risk; Speech; Surveys; Testing; Tissues; Trauma; Vocal Cord Nodule; Voice; Voice Disorders; Work; base; career; clinical practice; improved; social; teacher; theories; tissue trauma; trait; vocal cord

Abstract Singers are known to be at an increased risk of developing voice disorders and often represent a large percentage of patients who are seen at voice clinics. One of the most common disorders seen in singers is vocal fold nodules that result from chronic trauma to vocal fold tissue, referred to as phonotrauma or phonotraumatic vocal hyperfunction (PVH). While PVH in singers is thought do be due to the simple increase in vocal demands associated with singing, it continues to be unclear why some singers develop PVH though others do not. One factor that has been shown to be more highly associated with hyperfunctional voice disorders is personality, as described in the “Trait Theory of Voice Disorders.” Testing of this theory has provided empirical evidence that those with PVH score significantly higher on measures of extraversion, neuroticism, and impulsivity than individuals with healthy voices. Unfortunately, there is a paucity of information about whether personality relates to PVH in a similar way to singers. We hypothesize that singers with PVH will score significantly higher on personality measures related to extraversion, neuroticism, and impulsivity than singers without PVH. Additionally, information is also lacking about whether personality traits correlate with daily vocal behaviors. PVH in singers is often assumed to be the sole result of how the voice is used when singing. Our preliminary work using an ambulatory voice monitor and an automated singing classifier has shown a larger number of significant differences between singers with PVH and normal controls during speaking than during singing across a full week of monitoring. We expect that personality measures related to extraversion, neuroticism, and impulsivity will be significantly correlated with ambulatory measures that reflect the amount and type of daily voice use or vocal load, specifically in speech. We hypothesize that these relationships will be stronger in singers with PVH compared to healthy singers. The goal of the proposed project is to determine if certain personality traits are significantly related to the presence of PVH in singers and/or to the daily vocal behaviors that could contribute to the etiology and pathophysiology of phonotrauma in singers. We will administer a multidimensional personality inventory to singers diagnosed with PVH and vocally healthy matched-singers. We will compare each trait scale for singers with PVH and healthy singers using a t- test and then determine which traits are more predictive of patient status using a stepwise binary logistic regression. Each participant will also be monitored for one typical week using an ambulatory voice monitor. Relationships between personality traits scales and voice-related parameters will be conducted using Pearson's r correlations, and linear multiple regression will be used to determine which traits are the most predictive of vocal behavior. The new knowledge produced by this project could be used to aid in improving the prevention, diagnosis and treatment of vocal nodules in singers, particularly with respect to predicting which singers are at a greater risk for developing vocal fold nodules, and in targeting specific daily vocal behaviors during treatment. Laura Toles

抽象的 众所周知，歌手患有语音障碍的风险增加，并且通常代表大型 在语音诊所看到的患者百分比。歌手中最常见的疾病之一是 由慢性创伤到声带组织产生的声带结节，称为Phonotrauma或 Phonotraumatic声乐超功能（PVH）。虽然歌手中的PVH确实是由于简单的增加 在与唱歌相关的声音需求中，尚不清楚为什么有些歌手会发展PVH 其他人没有。已证明与功能高功能更高度相关的一个因素 疾病是个性，如“语音障碍特征理论”中所述。对该理论的测试具有 提供了经验证据，表明PVH的人在外向的措施上得分明显更高， 神经质和冲动性比具有健康声音的人。不幸的是，信息很少 关于人格是否与歌手类似的方式与PVH相关。我们假设有PVH的歌手将 与外向性，神经质和冲动相关的人格措施的得分明显高于 没有PVH的歌手。此外，还缺乏有关人格特征是否与之相关的信息 每日的人声行为。通常认为歌手中的PVH是当唯一的唯一结果 歌唱。我们使用卧床语音监视器和自动唱歌分类器的初步工作 在具有PVH和正常对照的歌手之间显示出更大的显着差异 讲话比在整整一周的监控过程中唱歌。我们期望与 外向性，神经质和冲动性将与反映的门诊措施显着相关 每日语音使用或人声负载的数量和类型，特别是在语音中。我们假设这些 与健康歌手相比，PVH的歌手的关系将更牢固。提议的目标 项目是确定某些人格特征是否与歌手中PVH的存在显着相关 和/或对可能有助于Phonotrauma病因和病理生物生物学的日常发声行为 歌手。我们将向被诊断为PVH和声音的歌手管理多维个性清单 健康的搭配者。我们将使用T-与PVH和健康的歌手进行比较的每个特质量表 测试然后使用逐步二进制逻辑确定哪些特征更可预测患者状态 回归。每个参与者还将使用卧床语音监视器在一个典型的一周内进行监视。 人格特质量表与语音相关参数之间的关系将使用 Pearson的R相关性和线性多重回归将用于确定哪些特征最多 预测人声行为。该项目产生的新知识可用于帮助改善 预防，诊断和治疗歌手中的声乐结节，特别是在预测哪些 歌手有发展声带结节的风险，并针对特定的日常声乐行为有 治疗期间。 劳拉·托尔斯（Laura Toles）