Predictors of voice therapy efficacy in vocal cord dysfunction at a tertiary care center

Kumaresan, Talitha; Thomas, Melissa; Uppal, Priya A; Setzen, Sean; Brar, Simran; Yalamanchili, Anish; Panse, Drishti; Rodriguez, Rafael Cardona; Suarez, Bethzaida; Kayajian, Daniel; Mortensen, Melissa

doi:10.1016/j.amjoto.2023.103882

Cited by 5 publications

(5 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although evidence suggests that anxiety symptoms are common in patients with ILO, there are several factors that limit estimates of prevalence . Research has often involved relatively few participants and/or has relied on retrospective patient records .…”

Section: Introductionmentioning

confidence: 99%

“…In children and adolescents, retrospective studies have reported that from 16% to 33% of patients with ILO reported a past diagnosis of anxiety . In addition, as many as 10% of athletes with EILO experienced depression .…”

Section: Introductionmentioning

confidence: 99%

“…In children and adolescents, retrospective studies have reported that from 16% to 33% of patients with ILO reported a past diagnosis of anxiety. [24][25][26] In addition, as many as 10% of athletes with EILO experienced depression. 25 For example, when The Child and Adolescent Psychiatric Assessment was administered to 12 adolescents with ILO, 16 7 of 12 patients presented with some form of anxiety, and 4 presented with depression.…”

mentioning

confidence: 99%

“…Although evidence suggests that anxiety symptoms are common in patients with ILO, 27 there are several factors that limit estimates of prevalence. 16,17,19,24,26 Research has often involved relatively few participants and/or has relied on retrospective patient records. [24][25][26] Such studies may not accurately estimate the prevalence of behavioral health conditions, particularly when patients have not seen the appropriate professionals.…”

mentioning

confidence: 99%

“…16,17,19,24,26 Research has often involved relatively few participants and/or has relied on retrospective patient records. [24][25][26] Such studies may not accurately estimate the prevalence of behavioral health conditions, particularly when patients have not seen the appropriate professionals. In addition, national anxiety and depression rates in the US have increased in recent years, particularly in adolescents and young adults.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

Fujiki,

Thibeault

2024

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

ImportancePatients with induced laryngeal obstruction (ILO) present with a variety of behavioral health profiles. Identifying these profiles is crucial in that behavioral health conditions may affect treatment duration and outcomes.ObjectiveTo characterize the prevalence of anxiety, depression, posttraumatic stress disorder (PTSD), and physical somatic symptoms in adult and pediatric patients with ILO and determine the factors associated with anxiety, depression, PTSD, and physical somatic symptoms in patients with ILO?Design, Setting, and ParticipantsThis cross-sectional study included a nonprobability sample of 83 adult and 81 pediatric patients diagnosed with ILO at outpatient adult and pediatric otolaryngology clinics between 2021 and 2023. Exclusion criteria included a comorbid respiratory diagnosis other than asthma, head or neck cancer, or neurological impairments. Recruitment took place between September 2021 and March 2023. The analyses were run in January 2024.Main Outcome MeasuresPatients were prospectively screened for anxiety, depression, PTSD, and somatic physical symptoms. In addition, any past behavioral health diagnoses were extracted from the medical record. Comorbidities, ILO symptoms triggers, and onset details were gathered from ILO evaluations. Adult patients completed the Screen for Adult Anxiety Related Disorders (SCAARED), depression (Patient Health Questionnaire [PHQ]-9), and somatic physical symptoms portions of the Patient Health Questionnaires (PHQ-15), and the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (PCL-5). Pediatric patients completed the Screen for Child Anxiety Related Disorders (SCARED), depression (PHQ-9A) and somatic physical symptoms portions of the Patient Health Questionnaires for Adolescents (PHQ-15A), and the UCLA PTSD Reaction Index brief screeners.ResultsEighty-three adult patients participated in this study (mean [SD] age, 45.8 [14.3] years; 64 female, 19 male). Eighty-one pediatric patients participated (mean [SD] age, 13.83 [2.55] years; 67 female, 14 male). Adult and pediatric patients with ILO screened positive for elevated rates of anxiety (53 adults [63%]; 49 children [60%]), depression (27 adults [32%]; 25 children [30%]), and PTSD (29 adults [34%]; 13 children [16%]). Most of the patients with anxiety and depression symptoms were formally diagnosed prior to ILO evaluation, with rates of previously diagnosed anxiety, depression, and PTSD also above published norms. Adults were twice as likely as children to present with PTSD (odds ratio, 2.1; 95% CI, 0.05-4.48). Elevated rates of physical somatic symptoms were also evident, with 38 adults (45%) and 32 children (39%) scoring in the moderate to severe range.Conclusions and RelevanceThis study found high rates of adult and pediatric patients with ILO screened positive for anxiety, depression, and PTSD symptoms. Future work should investigate how behavioral health and ILO treatments can best be coordinated to maximize treatment outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

Fujiki,

Thibeault

2024

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

Examining therapy duration in adults with induced laryngeal obstruction (ILO)

Fujiki,

Thibeault

2024

American Journal of Otolaryngology

View full text Add to dashboard Cite

Effects of Exercise-Induced Laryngeal Obstruction in Adolescents: A Qualitative Study

Fujiki,

Johnson,

Fujiki

et al. 2024

Am J Speech Lang Pathol

View full text Add to dashboard Cite

Purpose: The purpose of this study was to examine the influence of exercise-induced laryngeal obstruction (EILO) on adolescents. Method: Twenty patients (< 17 years) diagnosed with EILO participated in this study. Patients completed semistructured interviews examining their experience with the health care system, treatment, and the effects of EILO symptoms on quality of life. Interviews were analyzed using a combination of directed and conventional content analyses. Researchers identified seven overarching themes either prior to or during analysis, and 24 subthemes were inductively identified from patient interviews using open, axial, and selective coding. Results: On average, patients went 1.9 years between symptom onset and EILO diagnosis. Patients described symptom onset as frightening and confusing. Even after initially reporting symptoms to a medical provider, patients went an average of 10.5 months before diagnosis. Patients perceived that delays in diagnosis prevented efficient management and allowed symptoms to escalate. Patients reported that EILO detrimentally influenced athletic performance, forcing them to pace themselves or cease participation altogether. Social and academic effects of EILO included missed classes, difficulty in physical education courses, and resentment from teammates if athletic performance declined. Both athletes and nonathletes indicated that EILO elicited feelings of fear, frustration, dread, guilt, and embarrassment. Patients reported that therapy with a speech-language pathologist (SLP) effectively addressed symptoms; however, employing rescue breathing techniques was often more difficult than anticipated. Conclusions: Physical and emotional sequelae associated with EILO may have widespread influence on patient quality of life. Therapy with an SLP reportedly ameliorated EILO symptoms; however, patients indicated that delayed diagnosis allowed negative effects to intensify prior to treatment.

show abstract

Predictors of voice therapy efficacy in vocal cord dysfunction at a tertiary care center

Cited by 5 publications

References 22 publications

Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

Examining therapy duration in adults with induced laryngeal obstruction (ILO)

Effects of Exercise-Induced Laryngeal Obstruction in Adolescents: A Qualitative Study

Contact Info

Product

Resources

About