Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Oct 19, 2026; 16(10): 121582
Published online Oct 19, 2026. doi: 10.5498/wjp.121582
Published online Oct 19, 2026. doi: 10.5498/wjp.121582
Acceptance and commitment therapy and systematic voice training effects on children voice function recurrence and anxiety
Wen He, Department of Otolaryngology, Anhui Provincial Children’s Hospital, Hefei 230000, Anhui Province, China
Dong Li, Department of Otolaryngology, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430010, Hubei Province, China
Li Zhou, Department of Otolaryngology, The First Affiliated Hospital of Naval Medical Uni
Co-first authors: Wen He and Dong Li.
Author contributions: He W and Li D contributed to research design, data collection, data analysis, paper writing, funding application, ethical review, copyright and licensing, and follow-up as co-first authors; Zhou L was responsible for reviewing and editing, communication coordination; all authors have read and approve the final manuscript.
AI contribution statement: We didn’t use AI to write this manuscript. The high AI score likely comes from using translation software (e.g., DeepL) to improve the English. That can accidentally make the text read like AI. All text is human-written.
Institutional review board statement: The research was reviewed and approved by the Medical Ethics Committee of Anhui Provincial Children’s Hospital.
Clinical trial registration statement: This study has not yet been registered with clinical trials.
Informed consent statement: All participants provided informed consent.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No other data available.
Corresponding author: Li Zhou, Associate Faculty, Department of Otolaryngology, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai 200433, China. 18918253626@163.com
Received: April 24, 2026
Revised: May 26, 2026
Accepted: June 23, 2026
Published online: October 19, 2026
Processing time: 168 Days and 23.6 Hours
Revised: May 26, 2026
Accepted: June 23, 2026
Published online: October 19, 2026
Processing time: 168 Days and 23.6 Hours
Core Tip
Core Tip: Combining acceptance and commitment therapy with systematic voice training significantly improves voice function, reduces anxiety, and lowers the recurrence rate of hoarseness in children with vocal fold nodules compared to voice training alone. The integrated approach addresses both physiological and psychological factors, enhancing treatment adherence and long-term outcomes.