Relação epidemiológica da voz com a saúde mental dos professores

Abstract

This thesis aims to relate the teacher's voice with his/her mental health. The baseline sample consists of 575 elementary school teachers of schools in the urban and rural area of Pelotas city. The second stage of the research, which was conducted three years after the initial study, had a total of 469 teachers who were recaptured and answered a self-administered structured questionnaire containing questions about sociodemographic, environmental, behavioral data, emotional factors and vocal of the teachers. Vocal Disadvantage Index (VDI), Profile of vocal behavior, and Self-Reporting Questionnaire (SRQ-20) were used as data collection instruments, all of them have cutoffs set for the Brazilian population. Besides that, the module A of Mini Internacional Neuropsychiatric Interview (MINI) was used to verify the Current Depressive Episode according ICD-10 criteria. This work consists of four articles. The first article is a cross-sectional study with 575 teachers about the relationship of behavioral dysphonia with vocal behavior and depression. The second one, with longitudinal design, had as an outcome sample 299 participants. The purpose of this article was to show the incidence of perceived vocal disorder and associated factors. The third one, consisted of a longitudinal study with a sample of 265 participants, showed the incidence of common mental disorders and associated factors. The fourth article, also a longitudinal study, had 152 participants, who presented chronic voice disorders with associated factors. Results of this thesis show teachers with higher occurrence of vocal and emotional problems, which indicate causal intercorrelation and perceived vocal disorders.