Skip to main content

Impact of voice disorders and microlaryngeal surgery on psychological profiles of Arabic-speaking professional and nonprofessional voice users



Voice disorders that impair normal social communication may cause subsequent emotional distress and are significantly associated with greater risk of anxiety and depression. The occurrence of vocal symptoms and voice disorders in professions where voice is an essential tool may cause stress and anxiety to the professionals suffering from them. Voice disorders in professionals have a major psychoemotional and social impact because they can threaten, shorten, or even end teachers’ and singers’ careers.

Aim of the work

Psychological impact of various voice disorders of professional and nonprofessional voice users has not yet been adequately studied according to the authors’ knowledge in the Egyptian population. It is therefore of great importance to shed light on the psychological impact of voice disorders on patients in an attempt to improve the quality of life of those patients.

Patients and methods

During the period of 6 months from June 2014 to December 2014, 40 patients were included prospectively in this work.

Results and conclusion

Professional voice users are more susceptible to psychological diseases than nonprofessional voice users. The degree of improvement postoperatively in professional voice users was statistically significant in all assessments of this study when compared with the nonprofessional voice users except in self-confidence and worth (Rosenberg self-esteem test). The best degree of improvement postoperatively was detected in the professional voice physically according to Jacobson scoring guidelines. There was a moderate relation between dysphonia and anxiety and depression according to the Voice Handicap Index and Kessler psychological distress scale results in this study.


  1. 1

    Nerurkar NK, Kirtane MV, Bhattacharyya AK. Special considerations for the professional voice users. Laryngol Otorhinolaryngol Head Neck Surg 2014; 36:324.

    Google Scholar 

  2. 2

    Rosen CA, Murry T. Voice Handicap Index in singers. J Voice 2000; 14:370–377.

    CAS  Article  Google Scholar 

  3. 3

    Chen SH, Chiang SC, Chung YM, Hsiao LC, Hsiao TY. Risk factors and effects of voice problems for teachers. J Voice 2010; 24:183–190.

    Article  Google Scholar 

  4. 4

    Dietrich M, Verdolini-Abbott K, Gartner-Schmidt J, Rosen CA. The frequency of perceived stress, anxiety, and depression in patients with common pathologies affecting voice. J Voice 2008; 22:472–488.

    Article  Google Scholar 

  5. 5

    Franco RA, Andrus JG. Common diagnoses and treatments in professional voice users. Otolaryngol Clin North Am 2007; 40:1025–1061.

    Article  Google Scholar 

  6. 6

    Cipriani NA, Martin DE, Corey JP, Portugal L, Caballero N, Lester R, et al. The clinicopathologic spectrum of benign mass lesions of the vocal fold due to vocal abuse. Int J Surg Pathol 2011; 19:583–587.

    Article  Google Scholar 

  7. 7

    Aronson AE. Clinical voice disorders. 3rd ed. Stuttgart, New York: Georg Thieme Verlag; 1990.

    Google Scholar 

  8. 8

    Roy N, Bless DM, Heisey D. Personality and voice disorders: a multi trait-multi disorder analysis. J Voice 2000; 4:521–548.

    Article  Google Scholar 

  9. 9

    Wellens W, Van Opstal M. Performance stress in professional voice users. Occupational voice - care and cure. The Hague: Kugler Publications; 2001. 81–100.

    Google Scholar 

  10. 10

    Rosen DC, Heuer RJ, Levy SH, Sataloff RT. Psychological aspects of voice disorders. Vocal health and pedagogy: science and assessment. Vol II. San Diego, CA: Plural Publishing; 2006. 159–186

    Google Scholar 

  11. 11

    Ma EPP, Yiu EML. Voice activity and participation profile: assessing the impact of voice disorders in daily activities. J Speech Lang Hear Res 2004; 44:511–524.

    Article  Google Scholar 

  12. 12

    Kooijman PG, De Jong FI, Thomas G, Huinck W, Donders R, Graamans K, Schutte HK. Risk factors for voice problems in teachers. Folia Phoniatr Logop 2006; 58:159–174.

    CAS  Article  Google Scholar 

  13. 13

    Seifert E, Kollbrunner J. An update in thinking about nonorganic voice disorders. Arch Otol Head Neck Surg 2006; 132:1128–1132.

    Article  Google Scholar 

  14. 14

    Plank C, Schneider S, Eysholdt U, Schutzenberger A, Rosanowski F. Voice and health-related quality of life in the elderly. J Voice 2011; 25:265–268.

    Article  Google Scholar 

  15. 15

    Spina AL, Maunsell R, Sandalo K, Gusmao R, Crespo A. Correlation between voice and life quality and occupation. Braz J Otorhinolaryngol 2009; 75:275–279.

    Article  Google Scholar 

  16. 16

    Elam JC, Ishman SL, Dunbar KB, Clarke JO, Gourin CG. The relationship between depressive symptoms and Voice Handicap Index scores in laryngopharyngeal reflux. Laryngoscope 2010; 120:1900–1903.

    Article  Google Scholar 

  17. 17

    Kessler RC, Andrews G,Colpe LJ, Hiripi E, Mroczek DK, Normand SL,et al. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychol Med 2002; 32:959–976.

    CAS  Article  Google Scholar 

  18. 18

    Baillie AJ. Predictive gender and education bias in Kessler’s psychological distress Scale (K10). Soc Psychiatry Psychiatr Epidemiol 2005; 40:743–748.

    Article  Google Scholar 

  19. 19

    Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.

    Book  Google Scholar 

  20. 20

    Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Uchmann L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques: guidelines elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol 2001; 258:77–82.

    CAS  Article  Google Scholar 

  21. 21

    Sethi A, Datta R, Mishra AK, Singh SP, Sangwan P. J Laryngol Voice 2012; 2.

    Google Scholar 

  22. 22

    Hsiung MW, Pai L, Wang HW. Correlation between voice handicap index and voice laboratory measures in dysphonic patients. Eur Arch Oto-Rhino-Laryngol 2002; 259:97–99.

    CAS  Article  Google Scholar 

  23. 23

    Neibudek-Bogusz E, Woznicka E, Zamslowska-Szmykte E, Sliwinska-Kowalska M. Correlation between acoustic parameters and voice handicap index in dysphonic teachers. Folia Phoniatr Logop 2010; 62:55–60.

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Ayatallah Sheikhany.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Sheikhany, A., Atef, A., Refaat, O. et al. Impact of voice disorders and microlaryngeal surgery on psychological profiles of Arabic-speaking professional and nonprofessional voice users. Egypt J Otolaryngol 35, 182–188 (2019).

Download citation


  • dysphonia
  • nonprofessional
  • professional
  • psychological
  • Voice Handicap Index