Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Jul-Aug;76(4):469-77.
doi: 10.1590/S1808-86942010000400011.

Laryngeal and vocal analysis in bulimic patients

[Article in English, Portuguese]
Cynthia P Ferreira  1 , Ana Cristina Côrtes Gama, Marco Aurélio Rocha Santos, Mariana Oliveira Maia
Affiliations

Laryngeal and vocal analysis in bulimic patients

[Article in English, Portuguese]
Cynthia P Ferreira et al. Braz J Otorhinolaryngol. 2010 Jul-Aug.

Abstract

Bulimia is an eating disorder classified as a mental disorder according to DSM-IV.

Aims: The aim of the study was to evaluate vocal and laryngeal abnormalities in patients with bulimia compared to a control group.

Materials & methods: Study control group. Twenty-two women were evaluated, with an age range of 18 to 34 years old. Eleven diagnosed with purging bulimia and 11 in the control group. Both groups underwent an otolaryngological, perception and acoustic evaluation. The statistic analysis was done through a chi-square test and a Kruskall-Wallis non-parametric test, considering 5% as significance level.

Results: The bulimic group presented a higher prevalence of laryngeal abnormalities compared to the control group (p=0.000). The group with bulimia had higher GRBSI values (p=0.000) and A (p=0.022) of the GRBASI scale. The results of vocal acoustics analysis of the jitter, shimmer, PPQ and APQ were higher in the bulimic group (p=0.033). No statistical significance difference in the fundamental frequency and NHR were found between both groups.

Conclusion: the bulimic patients in this study presented more laryngeal, acoustics and perception evaluation disorders when compared to a control group.

PubMed Disclaimer

References

    1. American Psychiatric Association . Manual Diagnóstico e Estatístico de transtornos Mentais (DSM-IV) 4ed. Artes Médicas; Porto Alegre: 1995. p. 830.
    1. Morrison MD, Morris BD. Dysphonia and Bulimia: vomiting laryngeal injury. J Voice. 1990;41:76–80.
    1. Rothstein SG, Rothstein JM. Bulimia: the otolaryngology head and neck perspective. Ear Nose Throat J. 1992;71(2):78–80. - PubMed
    1. Rothstein SC. Reflux and vocal disorders in singers with bulimia. J Voice. 1998;12:89–90. - PubMed
    1. Ferreira CP, Gama ACC, Cunha CF, Rocha MAS. Disfonia e bulimia: avaliação dos sintomas e sinais vocais e laríngeos. Rev Soc Bras Fonoaudiol. 2009;14(2):177–185.