경련성 발성장애 환자의 의사소통 태도 연구

Abstract

The purpose of the present study was to investigate the communication attitude for adductor spasmodic dysphonia(ADSD). Thirty seven ADSD female patients(mean age: 31.3 yrs) and thirty seven age-matched normal females(30.8 yrs), participated in the study. Each subject was asked to be interviewed and respond to the Korean Communication Attitude Scales(2002). The severity of tremor and breathiness was measured by 2 experienced speech-language pathologists using a visual analog cales(10㎝). The comparison of communication attitude was analyzed with an independent t-test and each item’s response between the 2 groups was analyzed with Fisher’s test. The major findings from this study were: (1) The total score of ADSD group was higher than normal group(p<.05) and the ADSD group had more negative communication attitude than the normal group. (2) Most of the items showed a significant difference between the 2 groups, and item 24 was especially the most prominent. (3) The adjusted total scores as a function of severity within the ADSD groups showed the severe ADSD group was significant highest(F = 4.571, p < .05). (4) The adjusted total scores as a function of the frequency of Botox injection did not show any difference(F = .568, p < .05). (5) Communication attitude after Botox injection treatment was changed to the decreased negative communication attitude than before the injection. Botox injection treatment is useful for the positive attitude of communication. But repeated injections, the breathy voice for the side-effect, the expectancy level of treatment effect, the maintenance period, and patients satisfaction all affect the long-term communication attitude of ADSD patients. Consequently, the evaluation of communication attitude is useful to prove the treatment efficacy for ADSD.