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Self-reported level of distress in the past week was reported on a scale from 0=no distress to 10=extreme distress 20 , and is considered a clinical variable

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Thickening of the vocal folds, chronic inflammation, and the development of lesions can result in lasting changes to pitch and tone

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All tobacco is addictive. Smokers buying into false advertisements for light cigarettes, that a light cigarette equaled a lower health risk, were soon proven wrong