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. Author manuscript; available in PMC: 2015 Nov 1.
Published in final edited form as: J Voice. 2014 Jun 12;28(6):753–761. doi: 10.1016/j.jvoice.2014.02.010

Table 5.

Qualitative analysis of answers to question, “What aspect(s) of your voice problem are most challenging?”

Thematic Category %
Reporting
Representative Items
Singing 22.1 Not being able to sing
Interfered with choir performances

People don’t hear/understand me/Impact on social interactions 16.3 People are unable to hear me when talking
Talking; socializing

Threat to occupational function 15.7 Not knowing if my voice can withstand a leading lady career
I need a voice at work for my income.

Hard To Talk/Talking 14.5 Not being able to talk normally.
In joining conversations I'm aware of sounding halting, with gaps in the flow of words.

Fatigue/strain/energy/effort 11.6 Fatigue from forcing voice out.
Getting tired after talking for a few minutes or so

Hoarse Voice 9.3 When I speak frequently, my voice goes hoarse.
Good one day, hoarse the next.

Other Emotions (Anger, frustration, disappointment, embarrassment) 8.7 Embarrassing…; frustrating at times!
Emotionally, it depresses me

Unclear prognosis, uncertainty, unpredictability 8.7 I never know what my voice is going to do.
Not knowing how to treat it and if it will require surgery

Communication 7.6 To communicate on a daily basis
Inability to communicate with others

Difficulty in background noise/large groups 7.0 Not being able to converse in large social settings or noisy places
Talking in crowded areas

Telephone 6.4 Talking on phone
Communicating on the phone

Loss of Function 6.4 I can't do what I used to do.
Not having the abilities I used to have.

Throat discomfort/pain 6.4 Burning sensation in my throat when I move/exercise
The scratchiness

Cough/throat-clearing 4.7 The choking cough
Have to clear throat often; needs water a lot to clear throat

Identity 4.7 I want to sound like myself
At worst, people don't know it's me

Other 4.7 Swelling
I will have a laryngospasm

Perception of Others 4.7 Makes people think I might be contagious
People thinking that if I can talk at all, that means my voice is fine

Breathing 4.1 Not getting full breath of air, thinking about breathing
I lose air in middle of my sentences so I stop to get more air

Worry/fear 4.1 Fear of something VERY wrong
Afraid it won't get better

Constant Problem 2.9 Chronic; almost life-long
The persistence of the symptoms