From dysphonia to dysphoria: Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire

Dreary, Ian J., Wilson, Janet A., Carding, Paul N., MacKenzie, Kenneth. and Watson, Roger (2010) From dysphonia to dysphoria: Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research, 68 1: 67-71. doi:10.1016/j.jpsychores.2009.06.008

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Author Dreary, Ian J.
Wilson, Janet A.
Carding, Paul N.
MacKenzie, Kenneth.
Watson, Roger
Title From dysphonia to dysphoria: Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Journal name Journal of Psychosomatic Research   Check publisher's open access policy
ISSN 0022-3999
Publication date 2010-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.jpsychores.2009.06.008
Volume 68
Issue 1
Start page 67
End page 71
Total pages 5
Editor Dr Colin M Shapiro
Dr F Creed
Place of publication Philadelphia, P A, United States
Publisher Elsevier
Collection year 2011
Language eng
Subject C1
920210 Nursing
970117 Expanding Knowledge in Psychology and Cognitive Sciences
111099 Nursing not elsewhere classified
170199 Psychology not elsewhere classified
Abstract Symptoms of hoarseness (dysphonia) are common and often associated with psychological distress. The Voice Symptom Scale (VoiSS) is a 30-item self-completed questionnaire concerning voice and throat symptoms. Psychometric and clinical studies on the VoiSS show that it has good reliability and validity, and a clear factorial structure. The present article presents a further advance in voice measurement from the patient's point of view. To date, there has been no examination of whether voice-related symptoms form a hierarchy; that is, whether people who suffer voice problems progress through a reliable set of problems from mild to severe. To address this question, the technique of Mokken scaling was applied to the VoiSS in 480 patients with dysphonia. A strong and reliable Mokken scale—a symptom hierarchy—was found, which included 17 of the 30 items. This new information on dysphonia shows that voice symptoms progress from voice-oriented difficulties, through practical problems, to disturbances of social relationships and mood (dysphoria). The results add information about the structured phenomenology of voice problems, further establish the relationship between voice impairment and psychosocial impairment, and suggest practical applications in the assessment of dysphonic voices. © 2010 Elsevier Inc. All rights reserved.
Keyword Dysphonia
Mokken scaling
Voice System Scale
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 30 September 2009.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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