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Prevalence, etiology and treatment of psychogenic aphonia in children: A case report

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Prevalence, etiology and treatment of psychogenic aphonia in children: A case report

Mirjana Petrović-Lazić Orcid logo ,
Mirjana Petrović-Lazić
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Ivana Ilić-Savić
Ivana Ilić-Savić
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Published: 01.12.2020.

Volume 50, Issue 3 (2021)

pp. 7-11;

https://doi.org/10.5937/pramed2104007p

Abstract

Introduction. Emotions are one of the most important psychological processes, with a decisive influence on a person's voice. Faced with the great challenges and changes that primary and secondary socialization agents impose in the process of growing up, children consequently experience a spectrum of various unpleasant feelings: anxiety, fear, anger, frustration and sadness. Due to the fast-paced lifestyle, it often happens that the child ignores unpleasant feelings, which further worsens the condition in which he finds himself. Among other conditions, psychogenic aphonia in children has become more frequent in recent years. The current case report aims to determine the frequency of psychogenic aphonia in children, to identify the most common causes that lead to psychogenic aphonia and highlight the methods of vocal treatment that give the best results during rehabilitation. Case report. The current paper presents the results collected in a two-year period at the Clinic for Ear, Throat and Nose of the Clinical Hospital Center "Zvezdara". In the period from March 2017 to May 2019, psychogenic aphonia was diagnosed in 31 patients, which is an evident increase compared to the previous ten-year period in which psychogenic aphonia was diagnosed in 38 younger patients. Analyzing heteroanamnestic data obtained from parents, the most common answer about the cause of psychogenic aphonia is dissatisfaction with school success. After successful diagnostics by an otorhinolaryngologist, psychiatrist and vocal pathologist, in the process of rehabilitation of psychogenic aphonia, methods of digital manipulation of the larynx, methods of restoring the voice with cough reflex and methods of turning out the feedback system were applied. In this particular case, the method of digital manipulation of the larynx gave the best results. Conclusion. Optimal evaluation of patients with voice disorders requires the joint efforts of experts from different disciplines. Having in mind the tendency of recurrence of psychogenic aphonia, these findings suggest that the integration of the interventions of a vocal pathologist and a psychiatrist could give effective results in the process of rehabilitation voice.

References

1.
Petrović-Lazić M, Kosanović R. Vokalna rehabilitacija glasa. 2008.
2.
Kreiman J, Sidtis D. Foundations of Voice Studies. 2011.
3.
Chen-Hafteck L, Mang E. Music and Language in Early Childhood Development and Learning. The Oxford Handbook of Music Education, Volume 1. 2012. p. 260–78.
4.
Monti E, Kidd DC, Carroll LM, Castano E. What’s in a singer’s voice: The effect of attachment, emotions and trauma. Vol. 14. 2016. p. 1–11.
5.
Austin D. The theory and practice of vocal psychotherapy: songs of the self. 2008.
6.
Monti E, Sidtis DVL. Can childhood trauma impact the adult voice through the brain? Vol. 3, Journal of Interdisciplinary Voice Studies. 2018. p. 45–59.
7.
Cacioppo JT, Tassinary LG, Berntson GG. Handbook of psychophysiology. 2007.
8.
Butcher P, Elias A, Cavalli L. Understanding and treating psychogenic voice disorders: a cognitive behavioral framework. 2007.
9.
Baykara S. A Case: Conversion Disorder with Aphonia and Pseudohypoacusis of a Male Patient. Journal of Mood Disorders. 2017. p. 1.
10.
Antón Almero M, Doménech Máñez I, Ferrer Ramírez MJ, Solavera R, Reig Montaner E, Faubel Serra M. Dysphonia in Children. Descriptive Analysis of the Factors Involved, Clinical Parameters and Impact on Quality of Life. Vol. 72, Acta Otorrinolaringologica (English Edition). 2021. p. 80–4.
11.
D’Andrea W, Ford J, Stolbach B, Spinazzola J, van der Kolk BA. Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. Vol. 82, American Journal of Orthopsychiatry. p. 187–200.
12.
Monti E, D’Andrea W, Freed S, Kidd DC, Feuer S, Carroll LM, et al. Does Self-Reported Childhood Trauma Relate to Vocal Acoustic Measures? Preliminary Findings at Trauma Recall. Vol. 45, Journal of Nonverbal Behavior. 2021. p. 389–408.
13.
D’Andrea W, Sharma R, Zelechoski AD, Spinazzola J. Physical Health Problems After Single Trauma Exposure. Vol. 17, Journal of the American Psychiatric Nurses Association. 2011. p. 378–92.
14.
DePierro J, D’Andrea W, Pole N. Attention biases in female survivors of chronic interpersonal violence: relationship to trauma-related symptoms and physiology. Vol. 4, European Journal of Psychotraumatology. 2013.
15.
Kuo JR, Goldin PR, Werner K, Heimberg RG, Gross JJ. Childhood trauma and current psychological functioning in adults with social anxiety disorder. Vol. 25, Journal of Anxiety Disorders. 2011. p. 467–73.
16.
Siupsinskiene N, Razbadauskas A, Dubosas L. Psychological Distress in Patients with Benign Voice Disorders. Vol. 63, Folia Phoniatrica et Logopaedica. 2011. p. 281–8.
17.
Hovens JGFM, Wiersma JE, Giltay EJ, Van Oppen P, Spinhoven P, Penninx BWJH, et al. Childhood life events and childhood trauma in adult patients with depressive, anxiety and comorbid disorders vs. controls. Vol. 122, Acta Psychiatrica Scandinavica. 2010. p. 66–74.
18.
Laukka P, Linnman C, Åhs F, Pissiota A, Frans Ö, Faria V, et al. In a Nervous Voice: Acoustic Analysis and Perception of Anxiety in Social Phobics’ Speech. Vol. 32, Journal of Nonverbal Behavior. 2008. p. 195–214.
19.
Bevans K, Cerbone A, Overstreet S. Relations between recurrent trauma exposure and recent life stress and salivary cortisol among children. Vol. 20, Development and Psychopathology. 2008. p. 257–72.
20.
Nemr K, Simões-Zenari M, Marques SF, Cortez JP, Silva AL da. Disfonia psicogênica associada a outras doenças: desafio para o tratamento fonoaudiológico. Vol. 22, Pró-Fono Revista de Atualização Científica. 2010. p. 359–62.
21.
Giddens CL, Barron KW, Byrd-Craven J, Clark KF, Winter AS. Vocal Indices of Stress: A Review. Vol. 27, Journal of Voice. 2013. p. 390.e21-390.e29.
22.
Maqsood N, Akram B, Luqman N, Amin R. CONVERSION DISORDER; Vol. 21, The Professional Medical Journal. p. 489–94.

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