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In recent years, there have been cases of dysphonia in which symptoms were not seen in the examination room or in voice therapy settings. Speaking difficulty in these cases occurs only in specific situations, making a diagnosis and treatment difficult. Two types of questionnaires are administered to these patients. One is a questionnaire concerning the degree of fear and difficulty speaking that arises in daily life situations, while the other is a questionnaire that evaluates the level of attention, effort, and avoidance when speaking. The results obtained from these questionnaires are then shared with the patients, with treatments provided to alleviate the above issues. As a result of this treatment being performed on eight patients, the fear of speaking and dysphonia were improved in all cases according to the situational questionnaire. The degrees of attention, ingenuity, and avoidance decreased in all cases. This questionnaire approach to dysphonia that appears in specific situations was useful in all eight cases.
Inoue et al. (Sat,) studied this question.