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No4(4) 2021

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DOI 10.37219/2528-8253-2021-4-47
Sinaiko IO, Troyan VI, Lobova OV, Kryshtal VM
Impact of subclinical mental disorders of voice function and quality of life in voice-speaking professions during the COVID-2019 pandemic 
Sinaiko Iryna O.
Zaporizhia State Medical University, Ukraine
Associate Professor of the Department of Otorhinolaryngology
MD, PhD
E-mail: irasinaiko@gmail.com
ORCID ID: 0000-0002-3714-0088

Troyan Vasyl I.
Zaporizhzhia State Medical University, Ukraine
Head of the Department of Otorhinolaryngology
MD, PhD, DSc
E-mail: troyan1946@gmail.com
ORCID ID: 0000-0003-2918-4547

Lobova Elena V.
Zaporizhia State Medical University, Ukraine
Associate Professor of the Department of Otorhinolaryngology
MD, PhD
E-mail: troyan_@ukr.net
ORCID ID: 0000-0003-4252-8690

Kryshtal Veronica M.
Zaporizhia State Medical University, Ukraine
Department of Otorhinolaryngology
Senior Assistant
E-mail: nkrushtal@gmail.com
ORCIDID: 0000-0002-3836-514X

Abstract

Objective: To investigate the risk of mental distress during the COVID-19 pandemic in individuals of the voice-speech professions and the possibility of its impact on voice function and quality of life.
Materials and Methods: The study involved 33 people of voice-speech professions who were treated at the University Clinic of Zaporizhzhia State Medical University in 2020. The presence of mental disorders was determined by questionnaires using the hospital anxiety and depression scale (HADS). The patients were divided into 2 groups, depending on the absence and presence of significantly expressed symptoms. A specialized phoniatric examination using functional loads (measuring the time of maximum phonation (PMF), perceptual assessment of the voice according to the GRBAS scale), videostroboscopy of the larynx were carried out. The assessment of the mental impact of voice disorders on the quality of life was carried out according to the Voice Handicap Index (VHI) questionnaire.
The statistical significance of the comparative indicators and the connection of their changes were established using the Spearman's rank correlation coefficient.
Results: It was found that among the surveyed 33 people, 22 patients (group 1) had subclinical anxiety and depression, and 11 (group 2) had no significant symptoms. Patients with subclinically severe mental disorders (n = 22) showed a significant increase in the emotional indicator by 85.37% (p≤0.01). A high positive relationship was found between subclinical levels of anxiety and depression and disturbances in the phonatory cycle of the larynx.
When conducting a Spearman correlation analysis between the data of perceptual assessment of the voice according to the GRBAS system, data of video stroboscopy of the larynx, indicators of anxiety and depression, and the results of the VHI questionnaire, a positive relationship of a high degree was established between the level of anxiety and vibratory insufficiency of the vocal folds (rs=0.95; p≤0.05), negative with the Navy (rs=-0.59; p≤0.05), as well as physical (rs=0.75; p≤0.05) and emotional (rs=0.79; p≤0.05) components of average quality of life. The data obtained indicate a significant effect of subclinical disorders of the mental state on impaired voice function and the emotional component of the quality of life in persons of vocal-speech professions.
Conclusions: Screening of mental health in persons of voice-speech professions together with a baseline assessment of voice function and quality of life are important steps for monitoring potential voice disorders and the formation of risk groups in order to carry out preventive and therapeutic measures for voice disorders.

Keywords

voice disorders, anxiety and depression, perceptual voice assessment, stroboscopy, quality of life.


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