Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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A comparison of the perceptual-auditory voice quality evaluation (GRBAS) and voice-related quality of life (K-VRQOL) according to choir type of elderly women choir members

여성 노인 합창단원의 합창단 유형에 따른 청지각적 음성평가(GRBAS) 및 음성관련 삶의 질(K-VRQOL) 비교

  • Lee, Hyeonjung (Department of Music Therapy, Graduate School, Ewha Womans University) ;
  • Kang, Binna (Department of Music Therapy, Graduate School, Ewha Womans University) ;
  • Kim, Soo Ji (Music Therapy Major, Graduate School of Education, Ewha Womans University)
  • 이현정 (이화여자대학교 일반대학원 음악치료학과) ;
  • 강빈나 (이화여자대학교 일반대학원 음악치료학과) ;
  • 김수지 (이화여자대학교 교육대학원 음악치료교육전공)
  • Received : 2020.04.16
  • Accepted : 2020.05.28
  • Published : 2020.06.30
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Abstract

The purpose of this study is to compare voice characteristics and voice-related quality of life (K-VRQOL) of the elderly female choir members using perceptual-auditory voice quality evaluation (GRBAS) and K-VRQOL scales. The participants were 77 women over 60 years old who were actively engaged in the choir in either Seoul or Busan. There are two kinds of choirs that indicate different engagement levels: regular choir and church choir. The perceptual-auditory vocal quality evaluation was listened to by / a / vowels and were graded by experts using the GRBAS scale. As a result, when comparing the differences between groups, the elderly female participants of the regular choir showed higher satisfaction in speech using the subjective speech recognition level than the elderly female members who performed in the church choir. In addition, the analysis showed that the satisfaction level was high in the physical function area of the K-VRQOL scale. This study confirmed that choral activities could yield positive results not only in terms of improving voice function in old age, but also to improve the subjective perception level of voice use, thus suggesting the necessity of systematic music programs to improve voices that are aging.

본 연구의 목적은 음성의 청지각적 평가도구(GRBAS)와 음성관련 삶의 질(K-VRQOL) 척도를 통해 합창활동에 참여하는 여성 노인의 음성 특성과 음성관련 삶의 질을 비교하는 것이다. 연구 대상은 서울 및 부산 소재의 합창단에서 활동 중인 만 60세 이상의 여성 노인으로 총 77명이었다. 합창단은 참여 유형에 따라 합창단(Regular choir)과 찬양단(Church choir) 두 개의 집단으로 분류하였다. 청지각적 음성평가는 /a/ 모음을 발성하는 음성을 듣고 전문가가 청지각적 평가(GRBAS) 척도를 사용하여 평정하였다. 연구 결과, 합창활동 참여 유형에 따라 집단 간 차이를 비교했을 때 찬양단에서 활동하는 여성 노인에 비해 합창단에서 활동하는 여성 노인의 경우 주관적 음성 인식 수준에서 대화 시 음성 사용 만족도가 높은 것으로 나타났다. 또한, 음성관련 삶의 질(K-VRQOL) 척도의 신체 기능 영역에 해당하는 문항에서 만족도가 높은 것으로 분석되었다. 본 연구는 합창활동이 노년기 음성기능의 개선뿐 아니라 음성사용의 주관적 인식 수준을 향상시키는데 긍정적인 결과를 기대할 수 있을 것이라는 점을 확인하였으며, 노인 음성개선을 위한 체계적인 음악 중재 프로그램의 필요성을 시사하고 있다.

Keywords

References

  1. Bailey, B. A., & Davidson, J. W. (2003). Amateur group singing as a therapeutic instrument. Nordic Journal of Music Therapy, 12(1), 18-32. https://doi.org/10.1080/08098130309478070
  2. Bartolome, S. J. (2012). It’s like a whole bunch of me!: The perceived values and benefits of the Seattle girls’ choir experience. Journal of Research in Music Education, 60(4), 395-418. https://doi.org/10.1177/0022429412464054
  3. Boone, D. R., McFarlance, S. C., Von Berg, S. L., & Zraick, R. I. (2010). The voice and voice therapy (8th ed). Boston, MA: Allyn & Bacon.
  4. Cassol, M., & Bos, A. J. G. (2014). Vocal and depressive benefits of choral singing. PAJAR - Pan American Journal of Aging Research, 2(2), 40-43. https://doi.org/10.15448/2357-9641.2014.2.22035
  5. Chang, P. J., Wray, L., & Lin, Y. (2014). Social relationships, leisure activity, and health in older adults. Health Psychology, 33(6), 516-523. https://doi.org/10.1037/hea0000051
  6. Choi, J. S. (2019). A study on characteristics of the vocal cords for aging choir members (Master's thesis). Gwangju University, Gwangju, Korea.
  7. Chong, H. J., Kim, J. H., & Kim, S. J. (2014). The concept of arts-character education in arts education. The Journal of Educational Studies, 45(1), 53-72.
  8. Chung, Y. M. (2016). Effects of choral singing on improvement of vocal function and satisfaction among patients with Parkinson's disease (Master's thesis). Ewha Womans University, Seoul, Korea.
  9. D'haeseleer, E., Claeys, S., Bettens, K., Leemans, L., Van Calster, AS., Van Damme, N., Thijs, Z., … Van Lierde, K. (2017). The impact of a teaching or singing career on the female vocal quality at the mean age of 67 years: A pilot study. Journal of Voice, 31(4), 516.e19-516.e26.
  10. Elefant, C., Baker, F. A., Lotan, M., Lagessen, S. K., & Skeie, G. O. (2012). The effect of group music therapy on mood, speech, and singing in individuals with Parkinson's disease-a feasibility study. Journal of Music Therapy, 49(3), 278-302. https://doi.org/10.1093/jmt/49.3.278
  11. Etter, N. M., Hapner, E. R., Barkmeier-Kraemer, J. M., Gartner-Schmidt, J. L., Dressler, E. V., & Stemple, J. C. (2019). Aging voice index (AVI): Reliability and validity of a voice quality of life scale for older adults. Journal of Voice, 33(5), 807e7-807e12. https://doi.org/10.1016/j.jvoice.2018.04.006
  12. Gregory, N. D., Chandran, S., Lurie, D., & Sataloff, R. T. (2012). Voice disorders in the elderly. Journal of Voice, 26(2), 254-258. https://doi.org/10.1016/j.jvoice.2010.10.024
  13. Gu, M. K., & Sok, S. R. (2018). Influence of leisure activity participation between genders among Korean older adults, Journal of Gerontological Nursing, 44(11), 51-58. https://doi.org/10.3928/00989134-20181010-06
  14. Hamdan, A. L., Sataloff, R. T., & Hawksaw, M. J. (2019). Impact of aging on the voice. Laryngeal Manifestations of Systemic Diseases (pp. 49-52). San Diego, CA: Plural.
  15. Han, E. Y. (2015). Use of the structured singing activities to improve of the vocal quality and alleviate of the depression symptoms for clients with Parkinson's disease: Case studies (Master's thesis). Ewha Womans University, Seoul, Korea.
  16. Han, S. J. (2017). The relationship between self-perceived benefits from singing and quality of life in older adults aged over 75 years. Journal of Music and Human Behavior, 14(1), 63-84. https://doi.org/10.21187/jmhb.2017.14.1.063
  17. Hirano, M. (1981). Clinical examination of voice (pp. 81-84). New York, NY: Springer Verlag.
  18. Hong, H. J., & Kim, S. J. (2016). Vocal range of older adults in comparison with young adults depending on the presence of pitch cues. Journal of the Korea Contents Association, 16(4), 377-386. https://doi.org/10.5392/JKCA.2016.16.04.377
  19. Johnson, J. K., Stewart, A. L., Acree, M., Nápoles, A. M., Flatt, J. D., Max, W. B., & Gregorich, S. E. (2018). A community choir intervention to promote well-being among diverse older adults: Result from the community of voice trial. The Journals of Gerontology: Series B, 75(3), 549-559.
  20. Jun, H. U., & Kim, S. J. (2011). Effects of respiration and oral motor training based on musical elements and singing on voice of healthy elderly. Journal of the Korea Contents Association, 11(10), 380-387. https://doi.org/10.5392/JKCA.2011.11.10.380
  21. Kang, H. N., Kim, S. H., Yoo, J. Y. Kan, H., Ki, S., & Yoo, J. (2018). Voice hygiene habits and the characteristics of Korean Voice- Related Quality of Life (K-VRQOL) among classical singers. Phonetics and Speech Sciences, 10(3), 49-59. https://doi.org/10.13064/KSSS.2018.10.3.049
  22. Kendall, K. (2007). Presbyphonia: A review. Current Opinion in Otolaryngology & Head and Neck Surgery, 15(1), 137-140. https://doi.org/10.1097/MOO.0b013e328166794f
  23. Kim, E. H. (2019). Mixed study on the effects of intramural chorus competition on music attitude and flow experience of students in high school (Master's thesis). Ewha Womans University, Seoul, Korea.
  24. Kim, J. H. (2019). Therapeutic rationale for music therapy interventions with older adults: An analysis of the literature. Journal of Music and Human Behavior, 16(2), 53-77.
  25. Kim, J. O., Lim, S. E., Park, S. Y., Choi, S. H., Choi, J. N., & Choi, H. S. (2007). Validity and reliability of Korean version of handicap index and voice-related quality of life. Speech Science, 14(3), 111-125.
  26. Kim, S. J. (2014). A study on the effects of choral education on youth's emotion and character building (Master's thesis). Mokpo National University, Mokpo, Korea.
  27. Kim, S. T. (2010). The effects of voice therapy in age-related dysphonia. Phonetics and Speech Sciences, 2(2), 117-121.
  28. Kim, S. Y. (2019). The pitch characteristics of patients with Parkinson's disease during singing: Centered on Arirang (Master's thesis). Ewha Womans University, Seoul, Korea.
  29. Kim, Y. J. (2018). Singing to alleviate of the depression symptoms in the oldest-old women living at home: Case studies (Master's thesis). Ewha Womans University, Seoul, Korea.
  30. Korea Institute for Health and Social Affairs (2014). Survey on the actual condition of the elderly 2014. Sejong, Korea: Korea Institute for Health and Social Affairs.
  31. Lamont, A. (2012). Emotion, engagement and meaning in strong experiences of music performance. Psychology of Music, 40(5), 574-594. https://doi.org/10.1177/0305735612448510
  32. Lamont, A., Murray, M., Hale, R., & Wright-Bevans, K. (2017). Singing in later life: The anatomy of a community choir. Psychology of Music, 46(3), 424-439. https://doi.org/10.1177/0305735617715514
  33. Lee, E. A. (2014). The study on the actual utilization of music for the depression of the elderly people (Master's thesis). Ewha Womans University, Seoul, Korea.
  34. Lee, H. J. (2006). Age and sex difference in acoustic parameters of middle age and elderly adult voice (Master's thesis). Korea Nazarene University, Cheonan, Korea.
  35. Lee, S. J., Cho, Y. H., Song, J. Y., Lee, D. H., Kim, Y. J., & Kim, H. H. (2015). Aging effect on Korean female voice: Acoustic and perceptual examinations of breathiness. Folia Phoniatrica et Logopaedica, 67(6), 300-307. https://doi.org/10.1159/000445290
  36. Lee, S. Y. (2010). A comparative study on the perception of the successful aging between women and men. Gender and Culture, 3(1), 99-130.
  37. Lortie, C. L., Rivard, J., Thibeault, M., & Tremblay, P. (2017). The moderating effect of frequent singing on voice aging. Journal of Voice, 31(1), 112.e1-12. https://doi.org/10.1016/j.jvoice.2016.02.015
  38. Moon, S. Y., Park, J. W., & Yang, S. A. (2019). The effects of AOS (Alexander technique-oral motor and respiratory exercise-song psychotherapy) music intervention on the vocal hygiene and psychological wellbeing of the elderly. Korean Journal of Gerontological Social Welfare, 74(3), 65-91. https://doi.org/10.21194/kjgsw.74.3.201909.65
  39. Na, H. J. (2004). A study on the role of leisure of the elderly for upgrading of the quality of life. Journal of the Korea Gerontological Society, 24(1), 53-70.
  40. Park, S. Y., & Youn, G. H. (2019). A brief review of reminiscence Music Therapy for improving quality of life in old age. Korean Journal of Research in Gerontology, 28(2), 95-108. https://doi.org/10.25280/kjrg.28.2.4
  41. Prakup, B. (2012). Acoustic measures of the voices of older singers and nonsingers. Journal of Voice, 26(3), 341-350. https://doi.org/10.1016/j.jvoice.2011.05.007
  42. Rosa, M., & Behlau, M. (2017). Mapping of vocal risk in amateur choir. Journal of Voice, 31(1), 118.e1-11. https://doi.org/10.1016/j.jvoice.2016.03.002
  43. Ruud, E. (1997). Music and the quality of life. Nordic Journal of Music Therapy, 6(2), 86-97.
  44. Sobolewska, A., Claros, P., Pujol, C., Claros-Pujol, A., & Claros, A. (2019). Aspects of ageing on professional opera singer's voice - preliminary findings. Otolaryngologia Polska, 73(4), 29-34.
  45. Song, Y. K. (2012). Prevalence of voice disorders and characteristics of Korean voice handicap index in the elderly. Phonetics and Speech Sciences, 4(3), 151-159. https://doi.org/10.13064/KSSS.2012.4.3.151
  46. Song, Y. K., Jin, S. M., Sim, H. S., Kwon, K. H., Lee, K. C., & Lee, Y. B. (2000). The effect of voice disorders on quality of life (QOL) in the Korean. The Journal of the Korean Society of Logopedics and Phoniatrics, 11(1), 51-63.
  47. Tay, E. Y. L., Phyland, D. J., & Oates, J. (2012). The effect of vocal function exercises on the voices of aging community choral singers. Journal of Voice, 26(5), 672.e.19-672.e27.
  48. Unwin, M. M., Kenny, D. T., & Davis, P. J. (2002). The effect of group singing on mood. Psychology of Music, 30(2), 175-185. https://doi.org/10.1177/0305735602302004
  49. Verdonck-de Leeuw, I. M., & Mahiue, H. F. (2004). Vocal aging and the impact on daily life: A longitudinal study. Journal of Voice, 18(2), 193-202. https://doi.org/10.1016/j.jvoice.2003.10.002
  50. Yang, H. J. (2019). The benefits of choir singing recognized by the middle-aged and older male choir (Master's thesis). Ewha Womans University, Seoul, Korea.
  51. Yim, A. R., Kim, H. H., Kim, S. R., & Yoo, H. J. (2013). Review on age-related voice changes and quality of life. Journal of Rehabilitation Research, 17(1), 259-276.
  52. Yoon, H. J. (2015). A systematic review of the research on older adults leisure and suggestions for future research. Journal of Tourism & Leisure Research, 27(7), 169-186.