A Multidisciplinary Approach to Vocal Cord Dysfunction: A Novel Pilot Study
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | 13 - 18 |
| Updated: | 4/2/2016 |
| Start Date: | August 2013 |
| End Date: | September 2014 |
Vocal Cord Dysfunction (VCD) is characterized by involuntary closure of the vocal cords
while inhaling. Children and adolescents with VCD may experience multiple symptoms,
including difficulty breathing, coughing, wheezing, neck tightness, and voice changes. There
is limited information on optimal management of VCD. In our proposed study, we will use
cognitive-behavioral therapy (CBT) techniques to change how patients respond to their VCD
symptoms. Measurements of airflow during breathing as well as symptom frequency and
intensity will be examined prior to and following a series of four therapy sessions with a
clinical psychologist that are focused on teaching patients strategies to decrease symptom
reactivity.
while inhaling. Children and adolescents with VCD may experience multiple symptoms,
including difficulty breathing, coughing, wheezing, neck tightness, and voice changes. There
is limited information on optimal management of VCD. In our proposed study, we will use
cognitive-behavioral therapy (CBT) techniques to change how patients respond to their VCD
symptoms. Measurements of airflow during breathing as well as symptom frequency and
intensity will be examined prior to and following a series of four therapy sessions with a
clinical psychologist that are focused on teaching patients strategies to decrease symptom
reactivity.
Inclusion Criteria:
- Adolescent patients presenting to West Virginia University, Charleston Division
Sub-specialty Clinic for Pediatric Pulmonology with a clinical diagnosis of vocal
cord dysfunction.
- Diagnosed with VCD within 12 months prior to study enrollment. between the ages of 13
and 18 years old.
- Currently symptomatic for VCD.
- Must have a baseline PFT to reference at the time of diagnosis. Additionally in
patients who were diagnosed with VCD 6 months or more prior to study enrollment,
current PFT results as part of routine care, are required.
- A parent or guardian must agree to participate in the four behavioral therapy
sessions with his or her child.
Exclusion Criteria:
- Severe psychiatric disorders (ex. psychosis, suicidal ideation)
- Developmental delay
- Previous speech therapy for the treatment of VCD.
- Currently receiving psychological counseling.
- In open Child Protective Services cases.
We found this trial at
1
site
Charleston, West Virginia 25302
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