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The voice is a reflection of our identity. In the case of transgender women, there may be a gap between perceived male voice and female appearance. Indeed, hormonal treatment in transgender women has no effect on the voice quality. This gap can have negative consequences on everyday life in banal situations such as telephonic contact leading to limited use of phone calls and social isolation.
Differences between female and male voices seem to be socially determined and do not depend directly on sexual dimorphism of the phonatory organs.
Speech therapy might thus be indicated as a vocal support for transgender women.
Only few studies have examined the impact of perceived voice on the quality of life of transgender women.
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| Measure | Description | Time Frame |
|---|---|---|
| To measure the perceptions of transgender women regarding their voice | Transsexual voice questionnaire Male-to-Female Transsexuals (Dacakis G et al J Voice, 2017): the questionnaire evaluates voice perception in 6 domains: 1 / effect of voice on ease of social interactions, 2 / effect of voice on emotions; 3 / relationship between voice and gender identity, 4 / effort and concentration required to produce voice; 5 / physical aspects of voice production; 6 / pitch. The questionnaire has 30 items. The subject indicates on a 4-point Likert scale ranging from "never or rarely" to "often enough or all the time", the frequency with which he usually feels the symptoms listed. The score is calculated from a minimum of 30 points to a maximum of 120 points | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| generic quality of life: physical functioning, limitations due to physical state, pain, mental health, limitations due to mental state, social health, vitality and global health | Questionnaire (Short form 36 health survey) The SF-36 is a generic quality of life self-questionnaire with 36 items grouped in 8 dimensions (physical functioning, limitations due to physical state, pain, mental health, limitations due to mental state, social health, vitality and global health). For each dimension a quality of life score is calculated and normalized between 0 (worst possible QoL) and 100 (best QoL possible). |
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Inclusion Criteria:
Exclusion Criteria:
-Refusal or incapacity to be involved in the study
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Participation to the study will be proposed consecutively to all subjects, fulfilling inclusion criteria, attending in-office follow-up visit for gender dysphoria in the Department of Endocrinology, Diabetology and Nutrition of the University Hospital of Nancy
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Nancy | Vandœuvre-lès-Nancy | 54511 | France |
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| ID | Term |
|---|---|
| D003147 | Communication Disorders |
| D000068116 | Gender Dysphoria |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| 1 year |
| Anxiety: State-Trait Anxiety Inventory, STAI-Y |
| 1 year |
| Self-esteem : Physical self inventory, 25 items (PSI-25) |
the perceived physical value scale, and at the subdomain level, 4 subscales: the fitness, athletic competence, physical appearance and strength. It has 25 items
| 1 year |
| Depression: Center for Epidemiologic Studies Depression Scale, CES-D | • The CES-D assesses the frequency and severity of depressive symptoms presented by the general population. The questionnaire has 20 items.
| 1 year |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D020018 | Sexual Dysfunctions, Psychological |