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Martínez-Cano A, de la Sacristana RFBG, Martín-Conty JL, Mordillo-Mateos L, Bernal-Jimenéz JJ, Polonio-López B, Martínez-Lorca M. Fundamental Frequency of the Voice in Schizophrenia and Its Value as a Biomarker of the Disease. J Voice 2024:S0892-1997(24)00394-1. [PMID: 39690086 DOI: 10.1016/j.jvoice.2024.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2024] [Revised: 11/02/2024] [Accepted: 11/05/2024] [Indexed: 12/19/2024]
Abstract
Recent research on schizophrenia seeks to identify objective biomarkers of the disease. The voice, and in particular the fundamental frequency (F0), could be one of them. METHODOLOGY We conducted a cross-sectional and descriptive study with a sample of 154 people. Of these, 46 were diagnosed with schizophrenia, 41 were at substance abuse, and 67 formed the control group, matched in variables of sex, age, and educational level, but without substance use compared with the high-risk group. RESULTS The biomechanical analyses of the voice indicated significant differences between the groups, differentiated by gender: in men (F = 5.316; P = 0.006) and in women (F = 4.13; P = 0.004). The greatest differences between groups were observed in the group of vulnerable individuals, with some stability of the F0 in people with schizophrenia. Furthermore, we found correlations between positive symptoms and decreased F0 (r = -0.353; P = 0.016). CONCLUSIONS Our study shows that schizophrenia is associated with decreased F0 in both men and women, and that medication could stabilize this decrease. These findings have important implications for the objective monitoring and diagnosis of schizophrenia.
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Affiliation(s)
- Alfonso Martínez-Cano
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Department of Medical Sciences, University of Castilla-La Mancha, Albacete 02071, Spain
| | - Roberto Fernández-Baillo Gallego de la Sacristana
- University of Alcalá de Henares, Madrid 28801, Spain; Department of Surgery, Medical and Social Sciences, Human Anatomy and Embryology, University Campus-C/19, Ctra. Madrid-Barcelona, Km 33.600, Alcalá de Henares 28805 Madrid, Spain
| | - Jose Luis Martín-Conty
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of de Castilla-La Mancha, Talavera de la Reina, 45600, Spain
| | - Laura Mordillo-Mateos
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of de Castilla-La Mancha, Talavera de la Reina, 45600, Spain
| | - Juan José Bernal-Jimenéz
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of de Castilla-La Mancha, Talavera de la Reina, 45600, Spain
| | - Begoña Polonio-López
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of de Castilla-La Mancha, Talavera de la Reina, 45600, Spain.
| | - Manuela Martínez-Lorca
- Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600, Spain; Department of Psychology, University of Castilla-La Mancha, Albacete 02071, Spain
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