Anxiety and depression in patients with vocal fold nodules, edema and polyps

• Published in: European archives of oto-rhino-laryngology Vol. 277; no. 9; pp. 2493 - 2500
• Main Authors: Maksimovic, Jadranka M., Vukasinovic, Milan M., Vlajinac, Hristina D., Jotic, Ana D., Milovanovic, Maja S., Ivanov, Sergey Y., Maksimovic, Milos Z., Milovanovic, Jovica P.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-09-2020
• Subjects: Anxiety - epidemiology; Anxiety - etiology; Depression - epidemiology; Depression - etiology; Edema - epidemiology; Edema - etiology; Head and Neck Surgery; Humans; Laryngeal Diseases - complications; Laryngeal Diseases - epidemiology; Laryngeal Diseases - pathology; Laryngology; Medicine; Medicine & Public Health; Neurosurgery; Otorhinolaryngology; Polyps - complications; Polyps - epidemiology; Polyps - pathology; Vocal Cords - pathology; Voice disorders; Depression; Voice handicap index; Anxiety; Quality of life
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-020-06001-y

Purpose
To compare the prevalence and severity of depression and anxiety among patients with vocal fold (VF) nodules, polyps and edema. At the same time the aim was to analyse association between severity of distress and the level of vocal handicap as well as to identify other factors related to severity of depression and anxiety in these patients.
Methods
To all participants were given five questionnaires: (1) questionnaire on socio-demographic and some other characteristics of patient; (2) Beck's Depression Inventory (BDI); (3) State–Trait Anxiety Inventory (STAI) 1 (State Anxiety); (4) STAI 2 (Trait Anxiety); and (5) Voice Handicap Index (VHI)-10.
Results
A total of 205 patients were included in this study. Mild-to-severe depression, according to BDI was present in 79 (38.6%) patients. Mild-to-severe state anxiety and trait anxiety were present in 199 (97.1%) and 200 (97.6%) patients, respectively. Only 10 patients had VHI-10 score ≤ 11. Multivariate analyses showed that there were no significant differences in the level of depression and anxiety between patients with VF nodules, polyps and edema. The VHI-10 score was significantly higher in patients with VF edema in comparison with VF nodule patients (
p
 = 0.001), as well as in comparison with VF polyp patients (
p
 = 0.001).
Conclusion
The present study identified a high prevalence of psychological and vocal distress among patients with vocal disorders. Severity of depression and anxiety did not differ between patients with VF nodules, polyps and edema, and it was not related to the level of vocal handicap.