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Depression and voice handicap in Parkinson disease.

Authors
 Mun Kyung Sunwoo  ;  Jin Yong Hong  ;  Ji E. Lee  ;  Hye Sun Lee  ;  Phil Hyu Lee  ;  Young H. Sohn 
Citation
 JOURNAL OF THE NEUROLOGICAL SCIENCES, Vol.346(1~2) : 112-115, 2014 
Journal Title
 JOURNAL OF THE NEUROLOGICAL SCIENCES 
ISSN
 0022-510X 
Issue Date
2014
MeSH
Aged ; Depression/diagnosis ; Depression/epidemiology* ; Dysphonia/diagnosis ; Dysphonia/epidemiology* ; Dysphonia/etiology* ; Female ; Humans ; Male ; Middle Aged ; Parkinson Disease/complications* ; Parkinson Disease/epidemiology ; Psychiatric Status Rating Scales ; PubMed/statistics & numerical data ; Sensitivity and Specificity ; Severity of Illness Index
Keywords
Depression ; Dysphonia ; Geriatric Depression Scale ; Parkinson disease ; Voice Handicap Index
Abstract
BACKGROUND: Dysphonia is common in Parkinson's disease (PD), but the mechanism underlying the development remains unclear. This study investigated possible clinical factors related to PD dysphonia. METHODS: Dysphonia severity was assessed in 147 non-demented patients with PD and 30 non-PD controls using the Voice Handicap Index (VHI)-10. A threshold of 12 VHI-10 score was used to define the presence of dysphonia. The severity of PD and depression was measured using the Unified Parkinson's Disease Rating Scale (UPDRS)-motor and the Geriatric Depression Scale (GDS). RESULTS: Dysphonia was observed in 52 patients (35.4%). Patients with dysphonia scored higher on the UPDRS and GDS scores compared with patients without dysphonia. Multivariate logistic regression analysis revealed that GDS was the only factor significantly associated with the presence of dysphonia. Non-PD controls did not show this association. CONCLUSIONS: The results support a high prevalence of dysphonia in patients with PD, and suggest that the presence of dysphonia is more closely related to depression than to the severity of PD.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022510X14005164
DOI
10.1016/j.jns.2014.08.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Sohn, Young Ho(손영호) ORCID logo https://orcid.org/0000-0001-6533-2610
Lee, Phil Hyu(이필휴) ORCID logo https://orcid.org/0000-0001-9931-8462
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
Hong, Jin Yong(홍진용)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138893
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