1989 Volume 12 Issue 4 Pages 4_9-4_14
With 40 laryngectomees, psychological condition due to phonatory dysfunction was evaluated with 3 kind of psychological test (Manifest Anxiety Scala; MAS, Cornell Medical Index; CMI, Yatabe-Guilford test; Y-G test) and a general questionnaire concerning their performance status.
From these results, the relationship between their individual background and psychological status was investigated.
results were as follows;
1. As present fear, they complained of phonatory dysfunction, reccurrence of the disease, associated symptoms (hicupp or stricture of tracheostomy) and impossibility of return to office. In these problems, the most important problem was phonatory dysfunction.
2. Most important uneasiness in patients followed less than 1 year after surgery was impossibility of return to office. Laryngectomees being able to speak well with substitute phonation had no particular uneasiness.
3. Reccurrent fear of the disease was manifest in the patients with high level anxiety of MAS.
4. The group with high level anxiety of MAS was included in patients diagnosed of neurotic tendency by CMI, in patients with emortional unstable and social unadaptation by Y-G test, and in patient had a short postoperative term (less than 1 year).
