Colombian College Professors Work-Related Health: Associations Between Stress and Voice Acoustics Parameters
Salud laboral de profesores universitarios colombianos: asociaciones entre estrés y parámetros acústicos de la voz
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Introduction. Teachers have a high risk of developing voice disorders and high-stress levels due to their working conditions. Moreover, stress causes changes at a physiological level in different systems such as the cardiac, gastrointestinal, and respiratory systems. In the latter, the rate of airflow is increased producing significant changes in the acoustic parameters of the voice.
Methods. An exploratory, correlational, longitudinal study was conducted to investigate the association between perceived stress and three acoustic parameters related to voice perturbation and harmonicity (jitter, shimmer, and harmonics-to-noise ratio) among college professors. The study also aimed to explore potential changes in this association over the follow-up period. Twenty-four college professors participated in the study. Participants completed a questionnaire that gathered information on socio-demographic characteristics, working conditions, and stress perception. Voice samples were collected from each participant and subjected to acoustic analysis using Praat software. To examine the associations between stress levels and the acoustic parameters, generalized linear models (GLM) with a gamma distribution were employed.
Results. We found that professors with low stress levels had increased jitter and shimmer values; whereas participants with moderate and high stress levels had increased harmonics-to-noise ratio values compared to those with a lower stress level.
Conclusions. Stress has an important effect on voice perturbation and harmonicity parameters. These results justify the design of interdisciplinary workplace interventions for voice disorders among teachers that include activities on stress management.
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- Vertanen-Greis H, Löyttyniemi E, Uitti J. Voice disorders are associated with stress among teachers: A cross-sectional study in Finland. J Voice [Internet]. 2020;34(3):488.e1-488.e8. doi: https://doi.org/10.1016/j.jvoice.2018.08.021
- Sataloff RT. Voice Science. 2nd ed. San Diego: Plural Publishing, Inc.; 2017. 347 p.
- Stemple JC, Roy N, Klaben BK. Clinical Voice Pathology: Theory and Management. 6th ed. San Diego: Plural Publishing, Inc.; 2018. 540 p.
- Desjardins M, Bonilha HS. The Impact of Respiratory Exercises on Voice Outcomes: A Systematic Review of the Literature. J Voice [Internet]. 2020;34(4):648.e1-648.e39. doi: https://doi.org/10.1016/j.jvoice.2019.01.011
- Cobeta I, Núñez F, Fernández S. Patología de la voz. Valencia: Marge Médica Books; 2013. 625 p.
- Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol [Internet]. 2018;27(3):887-905. doi: https://doi.org/10.1044/2018_AJSLP-17-0009
- Chrousos GP, Gold PW. The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA [Internet]. 1992;267(9):1244-52. doi: https://doi.org/10.1001/jama.267.9.1244
- Naranjo Pereira ML. Una revisión teórica sobre el estrés y algunos aspectos relevantes de éste en el ámbito educativo. Rev Educación [Internet]. 2009;33(2):171-90. doi: https://doi.org/10.15517/revedu.v33i2.511
- Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation [Internet]. 1999;99(16):2192-217. doi: https://doi.org/10.1161/01.CIR.99.16.2192
- American Psychological Association (APA) [Internet]. Worcester: APA; c2024. Stress effects on the body; 2018 Nov 1 [updated 2023 Mar 8]; [about 5 screens]. Available from: https://www.apa.org/topics/stress/body
- Tilbrook AJ, Turner AI, Clarke IJ. Effects of stress on reproduction in non-rodent mammals: the role of glucocorticoids and sex differences. Rev Reprod [Internet]. 2000;5(2):105-13. doi: https://doi.org/10.1530/ror.0.0050105
- Brown-Grant K, Harris GW, Reichlin S. The effect of emotional and physical stress on thyroid activity in the rabbit. J Physiol [Internet]. 1954;126(1):29-40. doi: https://doi.org/10.1113/jphysiol.1954.sp005189
- Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI J [Internet]. 2017;16:1057-72. doi: https://doi.org/10.17179/excli2017-480
- Giddens CL, Barron KW, Byrd-Craven J, Clark KF, Winter AS. Vocal indices of stress: a review. J Voice [Internet]. 2013;27(3):390.e21-29. doi: https://doi.org/10.1016/j.jvoice.2012.12.010
- Giddens CL, Barron KW, Clark KF, Warde WD. Beta-adrenergic blockade and voice: a double-blind, placebo-controlled trial. J Voice [Internet]. 2010;24(4):477-89. doi: https://doi.org/10.1016/j.jvoice.2008.12.002
- Zhou G, Hansen JHL, Kaiser JF. Nonlinear feature-based classification of speech under stress. IEEE Transactions on Speech and Audio Processing [Internet]. 2001;9(3):201-16. doi: https://doi.org/10.1109/89.905995
- Zhang Z. The Physical Aspects of Vocal Health. Acoust Today [Internet]. 2021;17(3):60-8. doi: https://doi.org/10.1121/AT.2021.17.3.60
- Widjaja D, Orini M, Vlemincx E, Van Huffel S. Cardiorespiratory dynamic response to mental stress: a multivariate time-frequency analysis. Comput Math Methods Med [Internet]. 2013;2013:451857. doi: https://doi.org/10.1155/2013/451857
- Dworkin JP. Laryngitis: types, causes, and treatments. Otolaryngol Clin North Am [Internet]. 2008;41(2):419-36. doi: https://doi.org/10.1016/j.otc.2007.11.011
- Lima Neto JL, Fonseca ARB da, Tavares ELM, Gramuglia ACJ, Martins RHG. Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery. Int Arch Otorhinolaryngol [Internet]. 2023;27(1):e77-82. doi: https://doi.org/10.1055/s-0042-1743463
- Mendoza E, Carballo G. Acoustic analysis of induced vocal stress by means of cognitive workload tasks. J Voice [Internet]. 1998;12(3):263-73. doi: https://doi.org/10.1016/S0892-1997(98)80017-9
- Lin FC, Chen SH, Chen SC, Wang CT, Kuo YC. Correlation Between Acoustic Measurements and Self-Reported Voice Disorders Among Female Teachers. J Voice [Internet]. 2016;30(4):460-5. doi: https://doi.org/10.1016/j.jvoice.2015.05.013
- Rantala LM, Hakala SJ, Holmqvist S, Sala E. Connections Between Voice Ergonomic Risk Factors and Voice Symptoms, Voice Handicap, and Respiratory Tract Diseases. J Voice [Internet]. 2012;26(6):819.e13-819.e20. doi: https://doi.org/10.1016/j.jvoice.2012.06.001
- Carrillo-Gonzalez A, Camargo-Mendoza M, Cantor-Cutiva LC. Relationship Between Sleep Quality and Stress with Voice Functioning among College Professors: A Systematic Review and Meta-analysis. J Voice [Internet]. 2021;35(3):499.e13-499.e21. doi: https://doi.org/10.1016/j.jvoice.2019.11.001
- Calvache C, Rincón-Pinilla MP, Cantor-Cutiva LC. Work-Related Vocal Challenges of Online Teaching: A Study of Female College Professors. J Voice [Internet]. Forthcoming 2023 Aug 1. doi: https://doi.org/10.1016/j.jvoice.2023.04.011
- Kıncal İ, Irklı FA. Vocal Fatigue and Its Relationship with Vocal Hygiene and Work-Related Factors in Professional and Nonprofessional Voice Users: A Multiple Linear Regression Model Study. J Voice [Internet]. Forthcoming 2024 May 24. doi: https://doi.org/10.1016/j.jvoice.2024.05.001
- Walia P, Tulsi PK. Emotional intelligence and occupational stress of college teachers. Journal of Organisation and Human Behaviour [Internet]. 2014;3(1):33-9. Available from: http://www.publishingindia.com/johb/48/emotional-intelligence-and-occupational-stress-of-college-teachers/293/2162/
- Durán Urón AE, Jimeno Martínez MG, Rodríguez Barraza DS, Meléndez Serrano AI, Palacios Alvarado W, Mendoza Cáceres DA. Condiciones acústicas en las aulas de clase: Una revisión de la literatura. Investigación e Innovación en Ingenierías [Internet]. 2021;9(2):79-90. doi: https://doi.org/10.17081/invinno.9.2.4908
- Kooijman PGC, de Jong FICRS, Thomas G, Huinck W, Donders R, Graamans K, et al. Risk factors for voice problems in teachers. Folia Phoniatr Logop [Internet]. 2006;58(3):159-74. doi: https://doi.org/10.1159/000091730
- Vertanen-Greis H, Löyttyniemi E, Uitti J. Voice Disorders are Associated with Stress Among Teachers: A Cross-Sectional Study in Finland. J Voice [Internet]. 2020;34(3):488.e1-488.e8. doi: https://doi.org/10.1016/j.jvoice.2018.08.021
- Cantor-Cutiva LC, Dalmasso M del C, Malebrán Bezerra de Mello MC. Association between voice symptoms and college professors home working conditions during online classes in times of COVID-19 pandemic. Rev Investig Innov Cienc Salud [Internet]. 2022;4(1):62-72. doi: https://doi.org/10.46634/riics.124
- Cantor-Cutiva LC. Relationship Between Room Acoustics with Voice Symptoms and Voice-Related Quality of Life Among Colombian School and College Teachers During Online Classes in Times of COVID-19 Pandemic. J Voice [Internet]. 2024;38(5):1115-9. doi: https://doi.org/10.1016/j.jvoice.2022.03.008
- Besser A, Lotem S, Zeigler-Hill V. Psychological stress and vocal symptoms among university professors in Israel: Implications of the shift to online synchronous teaching during the COVID-19 pandemic. J Voice [Internet]. 2022;36(2):291.e9-291.e16. doi: https://doi.org/10.1016/j.jvoice.2020.05.028
- Van Puyvelde M, Neyt X, McGlone F, Pattyn N. Voice Stress Analysis: A New Framework for Voice and Effort in Human Performance. Front Psychol [Internet]. 2018;9. doi: https://doi.org/10.3389/fpsyg.2018.01994
- Sondhi S, Khan M, Vijay R, Salhan AK, Chouhan S. Acoustic analysis of speech under stress. Int J Bioinform Res Appl [Internet]. 2015;11(5):417-32. doi: https://doi.org/10.1504/IJBRA.2015.071942
- Van Lierde K, Van Heule S, De Ley S, Mertens E, Claeys S. Effect of psychological stress on female vocal quality. A multiparameter approach. Folia Phoniatr Logop [Internet]. 2009;61(2):105-11. doi: https://doi.org/10.1159/000209273
- Kappen M, van der Donckt J, Vanhollebeke G, Allaert J, Degraeve V, Madhu N, et al. Acoustic speech features in social comparison: how stress impacts the way you sound. Sci Rep [Internet]. 2022;12(1):22022. doi: https://doi.org/10.1038/s41598-022-26375-9
- Mongia PK, Sharma RK. Estimation and Statistical Analysis of Human Voice Parameters to Investigate the Influence of Psychological Stress and to Determine the Vocal Tract Transfer Function of an Individual. Journal of Computer Networks and Communications [Internet]. 2014;2014:290147. doi: https://doi.org/10.1155/2014/290147
- Ferrand CT. Harmonics-to-noise ratio: an index of vocal aging. J Voice [Internet]. 2002;16(4):480-7. doi: https://doi.org/10.1016/S0892-1997(02)00123-6
- Sliwinska-Kowalska M, Niebudek-Bogusz E, Fiszer M, Los-Spychalska T, Kotylo P, Sznurowska-Przygocka B, et al. The prevalence and risk factors for occupational voice disorders in teachers. Folia Phoniatr Logop [Internet]. 2006;58(2):85-101. doi: https://doi.org/10.1159/000089610
- Sampieri RH, Collado CF, Lucio PB. Metodología de la investigación. 6th ed. México City: McGraw-Hill Education; 2014. 600 p.
- Angelillo M, Di Maio G, Costa G, Angelillo N, Barillari U. Prevalence of occupational voice disorders in teachers. J Prev Med Hyg [Internet]. 2009;50(1):26-32. doi: https://doi.org/10.15167/2421-4248/jpmh2009.50.1.152
- Chen SH, Chiang SC, Chung YM, Hsiao LC, Hsiao TY. Risk factors and effects of voice problems for teachers. J Voice [Internet]. 2010;24(2):183-92. doi: https://doi.org/10.1016/j.jvoice.2008.07.008
- Elo AL, Leppänen A, Jahkola A. Validity of a single-item measure of stress symptoms. Scand J Work Environ Health [Internet]. 2003;29(6):444-51. doi: https://doi.org/10.5271/sjweh.752
- Carrillo-González A. Caracterización de la relación sueño y estrés con el funcionamiento vocal en docentes universitarios [master's tesis]. Bogotá: Universidad Nacional de Colombia; 2020. 131 p. Available from: https://repositorio.unal.edu.co/handle/unal/79154
- Rincón-Pinilla MP, Carrillo-González A, Cantor-Cutiva LC. Effect of Sleep Quality and Duration on Jitter, Shimmer, and Harmonics-to-Noise Ratio among Colombian University Professors. Rev Chil Fonoaudiol [Internet]. 2023;22(1):1-10. doi: https://doi.org/10.5354/0719-4692.2023.66884
- Wilder L. 2 - Articulatory and Acoustic Characteristics of Speech Sounds. In: Massaro DW, editor. Understanding Language. An Information-Processing Analysis of Speech Perception, Reading, and Psycholinguistics [Internet]: New York: Academic Press; 1975. p. 31-76. doi: https://doi.org/10.1016/B978-0-12-478350-8.50007-6
- Švec JG, Granqvist S. Tutorial and Guidelines on Measurement of Sound Pressure Level in Voice and Speech. J Speech Lang Hear Res [Internet]. 2018;61(3):441-61. doi: https://doi.org/10.1044/2017_JSLHR-S-17-0095
- Brockmann-Bauser M, Beyer D, Bohlender JE. Clinical relevance of speaking voice intensity effects on acoustic jitter and shimmer in children between 5;0 and 9;11 years. Int J Pediatr Otorhinolaryngol [Internet]. 2014;78(12):2121-6. doi: https://doi.org/10.1016/j.ijporl.2014.09.020
- Lathadevi HT, Guggarigoudar SP. Objective Acoustic Analysis and Comparison of Normal and Abnormal Voices. Journal of Clinical and Diagnostic Research. 2018;12(12):MC01-4. doi: https://doi.org/10.7860/JCDR/2018/36782.12310
- Watts CR, Awan SN. Laryngeal Function and Voice Disorders. Basic Science to Clinical Practice. 1st ed. New York: Thieme; 2019. 302 p.
- Brockmann M, Storck C, Carding PN, Drinnan MJ. Voice loudness and gender effects on jitter and shimmer in healthy adults. J Speech Lang Hear Res [Internet]. 2008;51(5):1152-60. doi: https://doi.org/10.1044/1092-4388(2008/06-0208)
- Kirchhübel C, Howard DM, Stedmon AW. Acoustic Correlates of Speech when Under Stress: Research, Methods and Future Directions. IJSLL [Internet]. 2011;18(1):75-98. doi: https://doi.org/10.1558/ijsll.v18i1.75
- Kappen M, Hoorelbeke K, Madhu N, Demuynck K, Vanderhasselt MA. Speech as an indicator for psychosocial stress: A network analytic approach. Beh Res Methods [Internet]. 2022;54(2):910-21. doi: https://doi.org/10.3758/s13428-021-01670-x
- Soares MB, Mafra SCT, de Faria ER. Factors associated with perceived stress among professors at a federal public university. Rev Bras Med Trab [Internet]. 2019;17(1):90-8. doi: https://doi.org/10.5327/Z1679443520190280
- Flaten MA, Al’absi M. Neuroscience of Pain, Stress, and Emotion. Psychological and Clinical Implications. Amsterdam: Elsevier; 2016. 312 p. doi: https://doi.org/10.1016/C2013-0-16065-5
- Teixeira JP, Oliveira C, Lopes C. Vocal Acoustic Analysis – Jitter, Shimmer and HNR Parameters. Procedia Technology [Internet]. 2013;9:1112-22. doi: https://doi.org/10.1016/j.protcy.2013.12.124
- Behlau M, Moreti F, Pecoraro G, Behlau M, Moreti F, Pecoraro G. Customized Vocal Conditioning for Singing Professional Voice Users – Case Report. Rev CEFAC [Internet]. 2014;16(5):1713-22. doi: https://doi.org/10.1590/1982-021620147113
- Teixeira JP, Fernandes PO. Jitter, Shimmer and HNR Classification within Gender, Tones and Vowels in Healthy Voices. Procedia Technology [Internet]. 2014;16:1228-37. doi: https://doi.org/10.1016/j.protcy.2014.10.138
- Boersma P. Accurate short-term analysis of the fundamental frequency and the harmonics-to-noise ratio of a sampled sound. Proceedings of the Institute of Phonetic Sciences [Internet]. 1993;(17):97-110. Available from: https://www.fon.hum.uva.nl/archive/1993/1993-ifaproc17-Boersma.pdf
- Teixeira JP, Fernandes PO. Acoustic Analysis of Vocal Dysphonia. Procedia Computer Science [Internet]. 2015;64:466-73. doi: https://doi.org/10.1016/j.procs.2015.08.544
- Higgins MB, Netsell R, Schulte L. Vowel-related differences in laryngeal articulatory and phonatory function. J Speech Lang Hear Res [Internet]. 1998;41(4):712-24. doi: https://doi.org/10.1044/jslhr.4104.712
- Vertanen-Greis H, Löyttyniemi E, Uitti J, Putus T. The interaction between voice disorders and stress for work ability of teachers. Logoped Phoniatr Vocol [Internet]. 2022;49(1):11-6. doi: https://doi.org/10.1080/14015439.2022.2085787
- Hunter EJ, Banks RE. Gender Differences in the Reporting of Vocal Fatigue in Teachers as Quantified by the Vocal Fatigue Index. Ann Otol Rhinol Laryngol [Internet]. 2017;126(12):813-8. doi: https://doi.org/10.1177/0003489417738788