Voice-related quality of life and emotional symptoms before and after thyroidectomy

To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy. Observational, longitudinal, prospective, and quantitative study. Twenty patients participated in the study, with a mean age of 54 years, who underwent thyroidectomy, laryngeal visual examinatio...

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Published inCoDAS (São Paulo) Vol. 34; no. 4; p. e20210118
Main Authors Oliveira, Gustavo Batista de, Oliveira, Thais Jejesky de, Santos, Marco Homero de Sá, Rocha, Ricardo Mai, Guimarães, Michelle Ferreira, Azevedo, Elma Heitmann Mares
Format Journal Article
LanguagePortuguese
English
Published Brazil Sociedade Brasileira de Fonoaudiologia 01.01.2022
Subjects
Female
Humans
Middle Aged
Original
Prospective Studies
Quality of Life
Thyroidectomy - adverse effects
Voice Disorders - diagnosis
Voice Disorders - etiology
Voice Quality
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Summary:To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy. Observational, longitudinal, prospective, and quantitative study. Twenty patients participated in the study, with a mean age of 54 years, who underwent thyroidectomy, laryngeal visual examination, and the Voice-Related Quality of Life and Hospital Anxiety and Depression Scale questionnaires at different times: preoperative, 1 week and 3 months post-thyroidectomy, with a higher prevalence of females (85%; n=17) and partial thyroidectomy (70%; n=14). There was no statistical difference in voice quality of life between the moments, but lower preoperative scores were observed, especially in the physical domain. We observed a slight trace of anxiety in the preoperative period, with a reduction after 1 week and an increase after 3 months. There was a moderate negative correlation between the physical domain of QVV and the anxiety subscale and the total HADS score after 1 week and between the total domain of QVV with the total HADS score after 1 week, weak negative correlation between the total domain of QVV and the HADS anxiety subscale after 1 week and the total HADS score after 3 months. The patients evaluated in this study self-perceived their voice-related quality of life as positive. Mild anxiety traits were identified, with a reduction after one week postoperatively and an increase after three months. The self-perception of better voice-related quality of life in the postoperative period is weakly related to the reduction of anxiety levels.
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Author contributions: GBO and TJO were responsible for the collection, tabulation, and interpretation of the data; MOSS and RMR were responsible for the referral of the patients and realization of the laryngeal examination; MFG was responsible for the interpretation of the data and writing of the article; EHMA was responsible for the conception, study design, guidance, and final revision of the article.
Conflict of interests: nothing to declare.
ISSN:2317-1782
DOI:10.1590/2317-1782/20212021118