Self-Reported Stress, Trauma, and Prevalence of Laryngoresponders in the General Population.

Introduction: It has been proposed that some individuals are “laryngoresponders” (LRs) in that their stress manifests in the laryngeal region and laryngeal functions (e.g., voice and breathing). Preliminary data support the notion that LRs might differ from nonlaryngoresponders (NLRs) in their self-...

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Published in:Journal of Speech, Language & Hearing Research Vol. 66; no. 7; pp. 2230 - 2246
Main Authors: Helou, Leah B., Welch, Brett, Hoch, Sarah, Gartner-Schmidt, Jackie
Format: Article
Published: American Speech-Language-Hearing Association Jul2023
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Online Access:View this record in EBSCOhost
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      dt: Jul2023
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00669
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        atl: Self-Reported Stress, Trauma, and Prevalence of Laryngoresponders in the General Population.
      aug:
        au:
          Helou, Leah B.
          Welch, Brett
          Hoch, Sarah
          Gartner-Schmidt, Jackie
        affil:
          Department of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, PA.
          Department of Otolaryngology, Heersink School of Medicine, The University of Alabama at Birmingham.
          Department of Speech-Language Pathology, College of Health and Wellness, Carlow University, Pittsburgh, PA.
      su:
        Pennsylvania
        Population
        Intersex people
        Self-evaluation
        Psychological stress
        Injury complications
        Statistical power analysis
        Statistics
        Confidence intervals
        Regression analysis
        Risk assessment
        Comparative studies
        Surveys
        Laryngeal diseases
        Descriptive statistics
        Questionnaires
        Data analysis
        Data analysis software
        Voice disorders
      sug:
        subj:
          Population
          Intersex people
          Self-evaluation
          Psychological stress
          Pennsylvania
          Injury complications
          Statistical power analysis
          Statistics
          Confidence intervals
          Regression analysis
          Risk assessment
          Comparative studies
          Surveys
          Laryngeal diseases
          Descriptive statistics
          Questionnaires
          Data analysis
          Data analysis software
          Voice disorders
      ab: Introduction: It has been proposed that some individuals are “laryngoresponders” (LRs) in that their stress manifests in the laryngeal region and laryngeal functions (e.g., voice and breathing). Preliminary data support the notion that LRs might differ from nonlaryngoresponders (NLRs) in their self-reported past trauma and recent stress. The purpose of this study was to establish the point prevalence of self-identified LRs in the general population. Method: Using a web-based questionnaire, participants reported up to 13 stressvulnerable bodily regions and described symptom nature and severity for each region. At the end of the questionnaire, they were explicitly prompted to report whether their laryngeal region or its functions were affected by stress. Participants were categorized a posteriori as Unprompted LRs, Prompted LRs, Inconsistent LRs, or NLRs. We compared LR and NLR groups on the Perceived Stress Scale (PSS-10) and the Childhood Trauma Questionnaire (CTQ-SF). We also redistributed the survey to a subset of participants to establish grouping reliability. Results: A total of 1,217 adults responded to the survey, and 995 provided complete data sets. Of those, 15.7% were classified as Unprompted LRs, 26.7% as Prompted LRs, 3% as Inconsistent LRs, and 54.6% as NLRs. Unprompted LRs demonstrated significantly higher/worse PSS-10 and CTQ-SF scores than all other groups. Reliability of LR classification was moderate upon follow-up, κ = .62, 95% confidence interval [0.47, 0.77]. Conclusions: Unprompted LRs described their symptoms in ways that were indistinguishable from patients with functional voice disorders (e.g., throat clenches, voice gets tired easily, lose my voice, voice gets hoarse). The method of self-report solicitation impacted the resulting response. Specifically, the report of larynx-related symptoms differed substantially depending on whether or not the participants were directly prompted to consider the larynx and its related functions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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