{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T16:35:48Z","timestamp":1793723748697,"version":"4.6.1"},"reference-count":27,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2025,5]]},"DOI":"10.1016\/j.jvoice.2022.12.004","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T13:25:16Z","timestamp":1674048316000},"page":"853.e21-853.e31","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence of Dysphonia in Metal Singers and the Impact of Vocal Education: A Subjective Analysis"],"prefix":"10.1016","volume":"39","author":[{"given":"Carmen","family":"Unterhofer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Marscheider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Auer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Jeleff-W\u00f6lfler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Graf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2022.12.004_bib0001","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1016\/j.jvoice.2017.02.010","article-title":"Prevalence of voice disorders in singer: systematic review and meta-analysis","volume":"31","author":"Pestana","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0002","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1097\/01.mlg.0000179174.32345.41","article-title":"Voice disorders in the general population: prevalence, risk factors, and occupational impact","volume":"115","author":"Roy","year":"2005","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0003","series-title":"The Impact of Vocal Load on the Vocal Function of Professional Music Theatre Singers","author":"Phyland","year":"2014"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0004","doi-asserted-by":"crossref","first-page":"14","DOI":"10.14748\/orl.v12i1.6845","article-title":"Voice disorders and prevalence in opera singers, Tirana","volume":"12","author":"Klodiana","year":"2016","journal-title":"Int Bullet Otorhinolaryngol"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0005","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S0892-1997(05)80113-4","article-title":"Vocal attrition in voice students: survey findings","volume":"7","author":"Sapir","year":"1993","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0006","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.otohns.2007.12.041","article-title":"Factors associated with perception of singing voice handicap","volume":"138","author":"Cohen","year":"2008","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0007","first-page":"e31","article-title":"Perspectives on the impact on vocal function of heavy vocal load among working professional music theater performers","volume":"390","author":"Phyland","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0008","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jvoice.2017.09.002","article-title":"The impact of vocal and laryngeal pathologies among professional singer: a meta-analysis","volume":"33","author":"Kwok","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0009","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0892-1997(02)00075-9","article-title":"Strobovideolaryngoscopic findings in singing teachers","volume":"16","author":"Heman-Ackah","year":"2002","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0010","series-title":"Hardcore, punk, and other junk: Aggressive sounds in contemporary music","first-page":"51","article-title":"By demons be driven? Scanning \u201cmonstrous\u201d voices","author":"Erbe","year":"2014"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0011","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2017.12.020","volume":"34","author":"Aaen","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0012","series-title":"NAG\/DAGA International Conference on Acoustics","article-title":"Voice production in death metal singer","author":"Eckers","year":"2009"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0013","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2018.04.022","article-title":"Aerodynamic characteristics of growl voice and reinforced falsetto in metal singing","volume":"33","author":"Guzman","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0014","doi-asserted-by":"crossref","DOI":"10.1117\/12.2256475","article-title":"High speed digital phonoscopy of selected extreme vocalization (Conference Presentation)","author":"Izdebski","year":"2017","journal-title":"Optical Imaging, Therapeutics, and Advanced Technology in Head and Neck Surgery and Otolaryngology"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0015","article-title":"Female extreme singing","volume":"8:307\u2013314","author":"Lorenzo","year":"2016","journal-title":"Phoniatr. Acoust Aesthet Featur"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0016","series-title":"Proceedings of the International Symposium on Musical Acoustics","article-title":"Growl voice in ethnic and pop styles","author":"Sakakibara","year":"2004"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0017","doi-asserted-by":"crossref","first-page":"2796","DOI":"10.1121\/1.421844","article-title":"Deliberate use of distortion in singing","volume":"103","author":"Titze","year":"1998","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0018","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0892-1997(05)80163-8","article-title":"Vocal mechanics in untrained professional singer","volume":"5","author":"Teachey","year":"1991","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0019","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/MOO.0b013e32832af11b","article-title":"Acoustics of the trained versus untrained singing voice","volume":"17","author":"Howard","year":"2009","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0020","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.jvoice.2009.04.001","article-title":"A comparison of trained and untrained vocalists on the Dysphonia Severity Index","volume":"24","author":"Awan","year":"2010","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0021","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.jvoice.2019.03.004","article-title":"The effectiveness of vocal hygiene education for decreasing at-risk vocal behaviors in vocal performers","volume":"34","author":"Pomaville","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0022","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/S0892-1997(00)80095-8","article-title":"The effects of preventive vocal hygiene education on the vocal hygiene habits and perceptual vocal characteristics of training singer","volume":"14","author":"Broaddus-Lawrence","year":"2000","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0023","series-title":"Klassifikation der Werte des VHI-12 nach Schweregraden. 24","author":"Gonnermann","year":"2007"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0024","first-page":"61:699","article-title":"Validierung des Singing Voice Handicap Index in der deutschen Fassung","author":"Lorenz","year":"2013","journal-title":"HNO"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0025","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1177\/000348940711600602","article-title":"Creation and validation of the Singing Voice Handicap Index","volume":"116","author":"Cohen","year":"2007","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0026","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.jvoice.2012.01.002","article-title":"Prevalence of abnormal laryngeal findings in healthy singing teachers","volume":"26","author":"Sataloff","year":"2012","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.12.004_bib0027","series-title":"SoSci Survey, professionelle Onlinebefragung [Internet]","year":"2022"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199722003952?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199722003952?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T19:49:13Z","timestamp":1775072953000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199722003952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["S0892199722003952"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2022.12.004","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence of Dysphonia in Metal Singers and the Impact of Vocal Education: A Subjective Analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2022.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}