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Objectives: The association between vocal communication and personality was studied in 82 female voice patients with a mean age of the 39.3 years (range 1865 years). Study design: The relation between type-D personality (Type-D Scale-16), psychosomatic symptoms (Symptom Check List90) and the biopsychosocial impact of the voice problem (Voice Handicap Index) was assessed. Results: The findings indicate that type-D voice patients are relatively more handicapped by their voice problem, predominantly in the emotional domain, and have a relatively higher level of psychosomatic symptoms compared to non-type-D patients. Conclusions: Apparently, the well-being of females with a voice problem is more at risk in type-D than in non-type-D personalities. These results lead to the suspicion that voice patients with a type-D personality are especially at risk because they are prone to be involved in a circular negatively reinforcing process. This process influences the vocal problem in such a way that a detrimental course of vocal communication possibly occurs. © 2010 Informa Healthcare. ispartof: Audiological Medicine vol:8 issue:4 pages:179-183 status: published |