[Satisfaction of dysphonic patients with psychosomatic assessment and intervention]

HNO. 2009 Sep;57(9):902-9. doi: 10.1007/s00106-009-1949-5.
[Article in German]

Abstract

Background: Comorbid physical and psychological complaints are more common in patients with dysphonia than in the general population. In a prospective randomized study the effects of structured psychosomatic diagnostics and verbal intervention on the satisfaction of patients with dysphonia were investigated.

Materials and methods: A total of 54 dysphonic patients (33 women, 21 men, age 51.1+/-16.4 years) with dysphonia (organic n=36, functional n=18) were examined and their subjective experiences were collected by the following psychometric questionnaires: voice-related quality of life (VRQOL), hospital anxiety and depression scale (HADS-D) and the "Giessener Beschwerdebogen" (Giessen questionnaire on physical complaints GBB). Patients were randomized into 2 groups: group 1 (n=27) filled in the questionnaires and the answers were reviewed within the medical consultation. This was followed by an interview on patient satisfaction. In the control group 2 (n=27) a medical examination and consultation were carried out and then questioned on patient satisfaction. The psychometric questionnaires were completed by the patients shortly before leaving the department.

Results: The study group 1 was significantly more satisfied than group 2 on different statistic levels according to the items compared.

Conclusions: Patients suffering from dysphonia are positively influenced with respect to patient satisfaction by a structured psychosomatic diagnostic and intervention.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Dysphonia / diagnosis
  • Dysphonia / psychology*
  • Dysphonia / therapy*
  • Female
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care / methods*
  • Patient Satisfaction*
  • Psychometrics / methods*
  • Quality of Life*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Surveys and Questionnaires*
  • Treatment Outcome
  • Young Adult