Exploring Mental Health in a Pediatric Paradoxical Vocal Fold Motion Sample Using Patient‐Reported Outcomes

Abstract

AbstractObjectiveParadoxical vocal fold motion (PVFM) is characterized by inappropriate adduction of vocal folds during inspiration causing dyspnea. While anxiety is suspected to be a predisposing factor, incidence has been understudied.Study DesignsRetrospective review.SettingMultidisciplinary PVFM hospital clinic.MethodsWe used patient‐reported outcome measures to examine anxiety and depression in consecutive patients aged 10 to 17 years using Pediatric SFv1.1 Anxiety 8b and Level 2‐Depression inventories (parents completed proxy forms). T‐scores were classified as normal (none to slight <55) or elevated (mild 55‐59.9, moderate 60‐69.9, severe >70).ResultsTwenty‐three pediatric patients and 20 parents completed surveys. Mean age was 13.74 years. For anxiety, 69.6% of patients and 40% of parents identified elevated levels. For depression, 30.4% of patients and 15% of parents identified elevated levels. Therapy need for the sample was 65.2% (34.8% active in services and 30.4% referred). Child anxiety scores were significantly higher in the therapy need group, U = 17, P = .004.ConclusionThis study of adolescents with PVFM confirmed elevated anxiety and depression scores in 2/3 of the participants. Anxiety likely precedes diagnosis and is a predisposing factor. Referral for individualized intervention targeting anxiety and depression is indicated.