Public Health and Preventive Medicine
Articles Information
Public Health and Preventive Medicine, Vol.1, No.3, Aug. 2015, Pub. Date: Jun. 24, 2015
Impact of Choir Singing in Elderly on Depression Symptoms and Voice Quality
Pages: 101-107 Views: 8287 Downloads: 2123
Authors
[01] Mauriceia Cassol, Department of Speech and Audiology, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
[02] Angelo Jose Goncalves Bos, Graduate Program on Biomedical Gerontology, Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Abstract
Purpose: The purpose of this study is to verify possible changes in depression and vocal quality in older-adults who engaged in a two-year choir singing activity. Methods: This study has a longitudinal and experimental design. The study group consisted of older-adults, 8 males and 36 females, ranging from 60 to 80 years of age, with an average of 67 years. Depression symptoms and voice quality were measured on each of the four evaluations: at the beginning of their participation in a choir singing activity (baseline) and three other evaluations: after 8 months, after 3 months (intermission), and 21 months. Depressive symptoms were questioned using the Yesavage Geriatric Depression Scale (GDS) and Vocal Quality (VQ) was measured using the GRBAS scale, two-way Analysis of Variance tested the statistical significance of the differences in GDS and VQ averages among the four evaluations. Pearson correlation coefficients assessed the association between changes in depression and changes in voice quality scores. Results: The mean GDS scores were 2.57, 1.30, 1.05, and 1.48, and the mean VQ were 2.18, 1.61, 1.59, and 1.11, respectively at baseline, after 8 months, after 3 months of intermission, and after 21 months. Depressive symptom reduction was significantly correlated to decrease in hoarseness but not to improvement in total vocal quality. Conclusions: Choir singing improves depressive symptoms and may play an important role in the treatment of emotional problems in the elderly, regardless of the vocal quality improvement. Choir participation should be encouraged to depressive elderly patients.
Keywords
Aging, Choir Singing, Voice Quality, Depression, Geriatrics
References
[01] Etter NM, Stemple JC, Howell DM. Defining the Lived Experience of Older Adults with Voice Disorders. Journal of Voice. 2013 Jan; 27(1):61–67.
[02] Johns M M, Arviso LC, Ramadan F. Challenges and opportunities in the management of the aging voice. Otolaryngol Head Neck Surg. 2011 Jul;145(1):1-6.
[03] Goy H, Fernandes DN., Pichora-Fuller MK, van Lieshout P. Normative Voice Data for Younger and Older Adults. Journal of Voice. 2013 Sep; 27 (5):545–555.
[04] Behlau M. Voice: The Book of the Specialist II. Rio de Janeiro: Revinter, 2008
[05] Ekmana M, Granströmb O, Omérovc S., Jacobb J., Landénd M.. The societal cost of depression: Evidence from 10,000 Swedish patients in psychiatric care. Journal of Affective Disorders. 2013 Sep; 150(3): 790–797
[06] Loerbroks A, Bosch JA, Mommersteeg PMC, Herr RM, Angerer P, Li J. The association of depression and angina pectoris across 47 countries: findings from the 2002 World Health Survey. Eur J Epidemiol. 2014; 29:507–515 Available in: http://dx.doi.org/10.1007/s10654-014-9926-z.
[07] Iliffe S, Kharicha K, Harari, D, Swift C, Gillmann G, Stuck AE. Heath risk appraisal in older people 2: the implications for clinicians and commissioners of isolation risk in older people. Br J Gen Pract. 2007; 57:277–82.
[08] Kawamura T, Shioiri T, Takahashi K, Ozdemir V, Someya T. Survival rate and causes of mortality in the elderly with depression: a 15-year prospective study of Japanese community sample, the Matsunoyama-Niigata suicide prevention project. J Investig Med. 2007; 55:106–14.
[09] Sobocki P, Ekmam M, Agren H, Krakau I, Runeson B, Martensson B, Jonsson B. Health-related quality of life measured with EQ-5D in patients treated for depression in primary care. Value Health. 2007; 10:153–60.
[10] Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007; 370:851–8.
[11] Gulmann NC, Lolk A. Depression in old age. Ugeskr Laeger. 2007;169:1462–5.
[12] Moreira RO, Marca KF, Appolinario JC, Coutinho WF. Increased waist circumference is associated with an increased prevalence of mood disorders and depressives symptoms in obese women. Eat Weight Disord. 2007; 12: 35–40.
[13] Gale N, Enright S, Reagon C, Lewis I, van Deursen R. A pilot investigation of quality of life and lung function following choral singing in cancer survivors and their careers. Ecancermedicalscience. 2012;6:261.
[14] Kreutz G, Bongard S, Rohrmann S, Hodapp V, Grebe D. Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state. J Behav Med. 2004; 27:623–35.
[15] Siupsinskiene N, Lycke H. Effects of vocal training on singing and speaking voice characteristics in vocally healthy adults and children based on choral and nonchoral data. J Voice. 2011 Jul;25(4): e177-89.
[16] Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS). In: Brink TL. Binghamton NY, eds. Clinical Gerontology. New York: Haworth Press; 1986:165–173.
[17] Hirano M. Clinical examination of voice. New York: Springer Verlag, 1981.
[18] Santos SB, Rodrigues SR, Gadenz CD, Anhaia TC, Spagnol PE, Cassol Ma. Verifying the effectiveness of using resonance tubes in voice therapy with elderly people. Audiol Commun Res. 2014; 19(1):81-7
[19] Wang CC, Chang MH, Jiang RS, Lai HC, Virgilio A, Wang CP, Wu SH; Liu SA; Liang KL. Laryngeal Electromyography-Guided Hyaluronic Acid Vocal Fold Injection for Unilateral Vocal Fold Paralysis - A Prospective Long-term Follow-up Outcome Report. JAMA Otolaryngol Head Neck Surg. 2015;141(3):264-271. Available in: http://dx.doi.org/10.1001/jamaoto.2014.3466
[20] Clift SM, Hancox G. The perceived benefits of singing: findings from preliminary surveys of a university college choral society. J R Soc Promot Health. 2001;121(4):248-56.
[21] Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The Impact of Professionally Conducted Cultural Programs on the Physical Health, Mental Health, and Social Functioning of Older Adults in 2 Year Results. Journal of Aging, Humanities and the Arts. 2007; 1:5–22.
[22] Skingley A, Martin A, Clift S. The Contribution of Community Singing Groups to the Well Being of Older People Participant Perspectives From the United Kingdom. Journal of Applied Gerontology, Published online before print March 23, 2015. [captured 2015 May 05]; 2015. Available in: http://dx.doi.org/10.1177/0733464815577141
[23] Hays T, Bright R, Minichiello R. The Contribution of Music to Positive Aging: A Review. Journal of Aging and Identity. 2002; 7:165–175.
[24] Bilton, T.; Viúde, A. E Sanchez, E. P. Fonoaudiologia. In: Gorzoni, M. L. & Rocha, S. M. Tratado de Geriatria e Gerontologia. Rio de Janeiro: Guanabara Koogan, 2002. p. 821
[25] Hara S, Miura H, Yamasaki K, Morisaki N, Osaka K. Relationship among Subjective Satisfaction with Verbal Communication, Dental Status, and Health-Related Quality of Life in Japanese Community-Residing Elderly Individuals. Advances in Applied Sociology. 2015; 5:32-39. Available in: http://dx.doi.org/10.4236/aasoci.2015.51004
[26] Li HC, Wang HH, Chou FH, Chen KM. The Effect of Music Therapy on Cognitive Functioning Among Older Adults: A Systematic Review and Meta-Analysis. JAMDA. 2015; 16:71-77. Available in: http://dx.doi.org/10.1016/j.jamda.2014.10.004
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.