{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T22:29:15Z","timestamp":1793140155181,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2014,6,18]],"date-time":"2014-06-18T00:00:00Z","timestamp":1403049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examined voice, speech, and laryngeal characteristics in primary Sj\u00f6gren\u2019s syndrome (pSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Eleven patients (10 female, 1 male; mean [SD] age = 57 [14] years) from The University of Utah Division of Rheumatology provided connected speech and sustained vowel samples. Analyses included the Multi-Dimensional Voice Profile, the Analysis of Dysphonia in Speech and Voice, and dysphonia severity, speech clarity, and videolaryngostroboscopy ratings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Shimmer, amplitude perturbation quotient, and average fundamental frequency differed significantly from normative values ( P &lt; .01). Cepstral Spectral Index of Dysphonia values indicated mild-to-moderate dysphonia in connected speech (mean [SD] = 20.26 [8.36]) and sustained vowels (mean [SD] = 16.91 [11.08]). Ratings of dysphonia severity and speech clarity using 10-cm visual analog scales suggested mild-to-moderate dysphonia in connected speech (mean [SD] = 2.11 [1.72]) and sustained vowels (mean [SD] = 3.13 [2.20]) and mildly reduced speech clarity (mean [SD] = 1.46 [1.36]). Videolaryngostroboscopic ratings indicated mild-to-moderate dryness and mild reductions in overall laryngeal function. Voice Handicap Index scores indicated mild-to-moderate voice symptoms (mean [SD] = 43 [23]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Individuals with pSS may experience dysphonia and articulatory imprecision, typically in the mild-to-moderate range. These findings have implications for diagnostic and referral practices in pSS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489414538762","type":"journal-article","created":{"date-parts":[[2014,6,19]],"date-time":"2014-06-19T04:06:55Z","timestamp":1403150815000},"page":"778-785","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Voice, Speech, and Laryngeal Features of Primary Sj\u00f6gren\u2019s Syndrome"],"prefix":"10.1177","volume":"123","author":[{"given":"Amanda","family":"Heller","sequence":"first","affiliation":[{"name":"Department of Communication Sciences & Disorders, The University of Utah, Salt Lake City, Utah, USA"},{"name":"Voice Disorders Center, The University of Utah, Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Tanner","sequence":"additional","affiliation":[{"name":"Voice Disorders Center, The University of Utah, Salt Lake City, Utah, USA"},{"name":"Department of Communication Disorders, Brigham Young University, Provo, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences & Disorders, The University of Utah, Salt Lake City, Utah, USA"},{"name":"Voice Disorders Center, The University of Utah, Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn L.","family":"Nissen","sequence":"additional","affiliation":[{"name":"Department of Communication Disorders, Brigham Young University, Provo, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray M.","family":"Merrill","sequence":"additional","affiliation":[{"name":"Department of Health Science, Brigham Young University, Provo, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla 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