{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:44:36Z","timestamp":1780983876211,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,1,7]],"date-time":"2016-01-07T00:00:00Z","timestamp":1452124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2016,2]]},"abstract":"Objective<\/jats:title>To evaluate diagnostic performance of the emotional domain of the VoiSS<\/jats:styled-content> questionnaire compared with the Hospital Anxiety and Depression Scale (HADS<\/jats:styled-content>).<\/jats:p><\/jats:sec>Design<\/jats:title>Cross\u2010sectional questionnaire study.<\/jats:p><\/jats:sec>Setting<\/jats:title>Tertiary referral centre voice clinic.<\/jats:p><\/jats:sec>Participants<\/jats:title>210 consecutive voice clinic patients.<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>Screening with VoiSS<\/jats:styled-content> and HADS<\/jats:styled-content> questionnaires. Paired comparison, correlation, multinomial logistic regression and receiver\u2010operating characteristic (ROC<\/jats:styled-content>) curve analysis.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 177 returned complete data sets. Ninety\u2010six patients (54.2%) had functional dysphonia, and 81 (45.8%) had organic laryngeal disorders. Mean total VoiSS<\/jats:styled-content> score\u00a0=\u00a039.7\/120 (standard deviation (sd<\/jats:sc>) 22.2). Mean emotional VoiSS<\/jats:styled-content> subscale\u00a0=\u00a07.6\/22 (sd<\/jats:sc> 7.5). Mean HADS<\/jats:styled-content> anxiety\u00a0=\u00a06.5\/21 (sd<\/jats:sc> 5.2) and depression mean\u00a0=\u00a07.1\/21 (sd<\/jats:sc> 4.8). There were 35 (20%) borderline anxiety and\/or depression scores and 30 (17%) scores considered positive for \u2018caseness\u2019. There was strong correlation between emotional VoiSS<\/jats:styled-content> and HADS<\/jats:styled-content> anxiety (Spearman's Rho\u00a0=\u00a00.68, P<\/jats:italic>\u00a0<\u00a00.001) and HADS<\/jats:styled-content> depression (Spearman's Rho\u00a0=\u00a00.62, P<\/jats:italic>\u00a0<\u00a00.001). ROC<\/jats:styled-content> curve analysis exhibited significant association between emotional VoiSS<\/jats:styled-content> and HADS<\/jats:styled-content> \u2018caseness\u2019 (area under curve\u00a0=\u00a00.88). In addition, functional dysphonia patients had lower mean VoiSS<\/jats:styled-content> and HADS<\/jats:styled-content> scores than patients with\u00a0identifiable laryngeal abnormalities.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The VoiSS<\/jats:styled-content> emotional subscale strongly correlates with HADS<\/jats:styled-content> anxiety and depression scores and could be used as a measure of psychological distress. This could allow targeted psychological strategies, without additional psychometric questionnaires. Functional dysphonia has less association with psychological distress than certain organic laryngological disorders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12459","type":"journal-article","created":{"date-parts":[[2015,5,14]],"date-time":"2015-05-14T07:03:37Z","timestamp":1431587017000},"page":"2-7","source":"Crossref","is-referenced-by-count":19,"title":["Pragmatic detection of anxiety and depression in a prospective cohort of voice outpatient clinic attenders"],"prefix":"10.1111","volume":"41","author":[{"given":"J.","family":"Montgomery","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck surgery Glasgow Royal Infirmary Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Hendry","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck surgery Glasgow Royal Infirmary Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.A.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Freeman Hospital University of Newcastle Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.J.","family":"Deary","sequence":"additional","affiliation":[{"name":"MRC Centre for Cognitive Ageing and Cognitive Epidemiology Department of Psychology University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck surgery Glasgow Royal Infirmary Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,1,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(99)00026-4"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2009.06.008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00469-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0307-7772.2004.00775.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107007839"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200409000-00009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109005398"},{"key":"e_1_2_8_9_1","unstructured":"FoleyT.(2013)Bridging the Gap: The financial case for a reasonable rebalancing of health and care resources. 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