Pragmatic detection of XXXX and @entity308 in a prospective cohort of voice outpatient clinic attenders.

@entity1 @entity308 @entity9257 @entity458 @entity7364 @entity148 @entity347
OBJECTIVE: To evaluate diagnostic performance of the emotional domain of the VoiSS questionnaire compared with the Hospital Anxiety and @entity308 Scale (HADS). DESIGN: Cross sectional questionnaire study. SETTING: Tertiary referral centre voice clinic. @entity1 : 210 consecutive voice clinic @entity1 . MAIN OUTCOME MEASURES: Screening with VoiSS and HADS questionnaires. Paired comparison, correlation, multinomial logistic regression and receiver operating characteristic (ROC) curve analysis. RESULTS: 177 returned complete datasets. 96 @entity1 (54.2%) had functional @entity7364 and 81(45.8%) had @entity347 . Mean total VoiSS score =39.7/120 (standard deviation (SD) 22.2). Mean emotional VoiSS subscale =7.6/22 (SD 7.5). Mean HAD @entity148 =6.5/21 (SD 5.2) and @entity308 mean =7.1/21 (SD 4.8). There were 35 (20%) borderline @entity308 scores and 30 (17%) scores considered positive for "caseness". There was strong correlation between emotional VoiSS and HADS @entity148 (Spearman's Rho= 0.68, p < .001) and @entity308 (Spearman's Rho= 0.62, p < .001). ROC curve analysis exhibited significant association between emotional VoiSS and HADS "caseness" (area under curve =0.88). In addition functional @entity7364 @entity1 had lower mean VoiSS and HADS scores than @entity1 with  identifiable @entity9257 . CONCLUSION: The VoiSS emotional subscale strongly correlates with HADS @entity148 and @entity308 scores and could be used as a measure of @entity458 . This could allow targeted psychological strategies, without additional psychometric questionnaires. @entity7364 has less association with @entity458 than certain organic laryngological disorders. This article is protected by copyright. All rights reserved.
