Journal of Fluency Disorders最新文献

A descriptive phenomenological exploration of how people who stutter experience the U.S. labor force 对口吃者如何体验美国劳动力的描述性现象学探索

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-06-01 Epub Date: 2026-02-05 DOI: 10.1016/j.jfludis.2026.106201

Cody W. Dew, Rodney M. Gabel

Purpose

Stuttering can lead to negative workplace experiences; however, there remain gaps in understanding the breadth of experiences people who stutter have throughout key stages of labor force participation (e.g., applying and interviewing, beginning a new job, maintaining a position, establishing professional relationships, and seeking promotion). The current study bridges this gap by exploring the experiences of people who stutter when participating in the U.S. labor force.

Method

This study utilized a descriptive phenomenological approach to explore the essential experiences of adults who stutter throughout labor force participation. Ten adult participants who stutter currently employed in the U.S. labor force were recruited and engaged in semi-structured interviews about their personal experiences. Transcript data were thematically analyzed to develop themes and subthemes reflecting prevalent experiences.

Results

Four themes emerged that characterized participants’ experiences throughout labor force participation, highlighting the central role of internal experiences alongside supportive, ambiguous, and exclusionary workplace actions. Internal experiences were described by participants as having the greatest influence on the quality of working life. Adverse workplace actions, while widely recognized, were described as occurring less frequently than supportive or ambiguous experiences.

Conclusion

Findings describe participants’ labor force experiences as shaped not only by workplace actions, but also by their internal experiences in response to those actions.

口吃会导致负面的工作经历；然而，在了解口吃者在劳动力参与的关键阶段（例如，申请和面试，开始一份新工作，维持一个职位，建立专业关系和寻求晋升）的经历广度方面，仍然存在差距。目前的研究通过探索参加美国劳动力时口吃的人的经历来弥补这一差距。方法本研究采用描述现象学方法探讨口吃成人在劳动力参与过程中的基本经历。研究人员招募了10名目前在美国就业的口吃成年人，并对他们的个人经历进行了半结构化的采访。对记录数据进行主题分析，以形成反映普遍经验的主题和次级主题。结果在整个劳动力参与过程中出现了四个主题，突出了内部体验与支持性、模糊性和排他性工作场所行为的核心作用。参与者认为内部体验对工作生活质量的影响最大。工作场所的不良行为虽然得到了广泛认可，但被描述为比支持性或模棱两可的经历发生得更少。研究结果描述了参与者的劳动力经历不仅受到工作场所行为的影响，而且受到他们对这些行为的回应的内部体验的影响。

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引用次数: 0

Spontaneous and internet-informed parent responses to early stuttering 父母对早期口吃的自发反应和网络信息

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-06-01 Epub Date: 2026-02-01 DOI: 10.1016/j.jfludis.2026.106199

Georgina Johnson , Rosalee Shenker , Gissella Santayana , Mark Onslow

Purpose

Understanding initial parent responses to early stuttering provides a foundation to build a strong therapeutic alliance, and promotes shared decision-making during intervention, allowing for tailored education and support. In a digital age where health-related decision-making often begins with an internet search, it is important to understand how it might influence their initial responses. Therefore, this study explored how access to internet-based information may influence parent responses to childhood stuttering onset. This helps clinicians to understand knowledge and beliefs parents may bring to initial clinical consultations.

Method

Participants were parents of 2–4-year-olds who did not stutter, and who had no prior experience of stuttering. They were given information about early stuttering and shown five video clips depicting varying degrees of stuttering severity in preschool-age children. They were asked to reflect on five actions they would take if their child began to stutter. These actions were guided by either internet searches or relied on intuition alone. A reflexive thematic analysis was used to examine and interpret patterns in these parent responses.

Conclusions

Compared to parents in the spontaneous response group, internet-informed parents more frequently described self-modification, with adjustments to their own speech and a “wait-and-see” approach. In contrast, spontaneous parent responses more often described speech-focused strategies directed at the child. Results provide insights that inform speech-language pathology practices by helping clinicians (a) align treatment planning with parent perspectives, (b) correct misinformation, and (c) foster stronger therapeutic alliances from the outset.

目的了解父母对早期口吃的最初反应，为建立强大的治疗联盟提供了基础，并促进了干预过程中的共同决策，从而实现了量身定制的教育和支持。在数字时代，与健康相关的决策往往是从互联网搜索开始的，了解它可能如何影响他们的最初反应是很重要的。因此，本研究探讨了互联网信息的获取如何影响父母对儿童口吃的反应。这有助于临床医生了解父母在初次临床咨询时可能带来的知识和信念。研究对象为2 - 4岁孩子的父母，他们没有口吃，之前没有口吃的经历。研究人员向他们提供了有关早期口吃的信息，并向他们播放了五个视频片段，这些视频片段描绘了学龄前儿童不同程度的口吃严重程度。他们被要求思考如果他们的孩子开始口吃，他们会采取的五种行动。这些行动要么是由互联网搜索引导的，要么仅仅依靠直觉。反身性主题分析用于检查和解释这些父母反应的模式。结论：与自发反应组的父母相比，使用互联网的父母更频繁地描述自我修正，调整自己的语言，采取“观望”的态度。相比之下，自发的父母反应更多地描述了针对孩子的言语策略。结果通过帮助临床医生(a)将治疗计划与父母的观点结合起来，(b)纠正错误信息，以及(c)从一开始就培养更强大的治疗联盟，为言语语言病理学实践提供了见解。

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引用次数: 0

An investigation of the effectiveness of bihemispheric tDCS on speech fluency in individuals with stuttering 双脑tDCS对口吃患者言语流畅性的影响研究

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-06-01 Epub Date: 2026-02-09 DOI: 10.1016/j.jfludis.2026.106202

Feyzanur Ocak , Çağdaş Karsan , Talat Bulut

Stuttering is a neurodevelopmental disorder that causes frequent disruptions in speech flow and affects individuals’ lives in many aspects. Recent research on the effectiveness of neuromodulation interventions in stuttering suggests that transcranial direct current stimulation (tDCS) can potentially reduce stuttering symptoms, although it is not clear what the optimal stimulation parameters are, and which specific outcomes benefit from tDCS. 36 individuals with stuttering (32 males, 4 females) completed a randomized, double-blind, sham controlled study. Nineteen participants received 1 mA stimulation for 20 min daily while temporarily achieving speech fluency with metronome-timed speech, while the remaining seventeen participants received the same fluency intervention coupled with sham stimulation. tDCS was delivered with a bihemispheric montage: anodal left inferior frontal gyrus and cathodal right inferior frontal gyrus. Both groups received the interventions for a period of 5 consecutive days. Fluency was assessed while reading and while speaking at baseline, at the end of the 5-day intervention, on each day of the intervention (before and after stimulation), and 1 week after the end of the intervention. Primary and secondary analyses showed no sustained tDCS advantage over sham for percentage of syllables stuttered (%SS) in reading or speaking, or the SSI-4 and OASES subdomains at the end of treatment or at 1-week follow-up. Exploratory within-day analyses, indicated session-bound tDCS benefits for %SS in both reading and speaking. These findings provide limited evidence that tDCS can enhance fluency in the short term, while also underscoring the need for further research to explore its potential long-term benefits.

口吃是一种神经发育障碍，它会导致频繁的言语中断，并在许多方面影响个人的生活。最近关于神经调节干预在口吃中的有效性的研究表明，经颅直流电刺激（tDCS）可以潜在地减轻口吃症状，尽管尚不清楚最佳刺激参数是什么，以及tDCS对哪些具体结果有益。36名口吃患者（32名男性，4名女性）完成了一项随机、双盲、假对照研究。19名参与者每天接受1次 mA刺激，持续20 分钟，同时使用节拍器定时语音暂时达到语言流畅性，而其余17名参与者接受同样的流畅性干预，同时进行假刺激。tDCS采用双脑蒙太奇：左侧额下回阳极和右侧额下回阴极。两组均连续5天接受干预。在基线、5天干预结束时、干预的每一天（刺激之前和之后）以及干预结束后1周，评估阅读和说话时的流利程度。主要和次要分析显示，在治疗结束或1周随访时，tDCS在阅读或说话的音节口吃百分比（%SS）或si -4和OASES子域方面没有持续的优势。探索性日内分析表明，会话绑定tDCS对%SS的阅读和口语都有好处。这些发现提供了有限的证据，证明tDCS可以在短期内提高流利性，同时也强调了进一步研究以探索其潜在的长期效益的必要性。

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引用次数: 0

Investigating Saudi secondary school teachers’ knowledge of stuttering and experiences with adolescents who stutter 调查沙特中学教师对口吃的知识和对青少年口吃的经验。

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.jfludis.2026.106193

Einas Alharbi , Sally Hewat , Joanne Walters , Vera Tse , Rachael Unicomb

Purpose

While numerous studies have evaluated primary school teachers’ understanding of stuttering, the knowledge of secondary school teachers, particularly in Saudi Arabia, remains underexplored. This descriptive cross-sectional survey study aimed to assess the knowledge and experiences of Saudi Arabian secondary school teachers who were currently working with, or had previously worked with, adolescents who stutter.

Method:

A total of 90 Saudi Arabian secondary school teachers participated in an online survey divided into three sections. Section one collected participant demographic information. In the second section, the Arabic version of the Alabama Stuttering Knowledge Test was used to evaluate secondary school teachers’ knowledge of stuttering. The third section, developed through a review of relevant literature, explored secondary school teachers’ experience working with adolescents who stutter.

Results

The overall mean knowledge score was 13.73. Most participants expressed high confidence in their abilities to work with and support adolescents who stutter. Most participants did not believe that having adolescents who stutter in their classrooms affected their teaching style or their interactions with them. Participants utilised diverse approaches to promote inclusiveness in the classroom and support adolescents who stutter. Furthermore, most participants frequently rated the effectiveness of various strategies for managing stuttering in the classroom as “very effective”.

Conclusion

Saudi Arabian secondary school teachers hold misconceptions about the causes of stuttering and lack collaboration with speech-language pathologists. This indicates a need for targeted training programmes to expand their knowledge and equip them with effective approaches to support adolescents who stutter in educational settings.

目的：虽然有许多研究评估了小学教师对口吃的理解，但中学教师的知识，特别是在沙特阿拉伯，仍未得到充分探索。这项描述性横断面调查研究旨在评估沙特阿拉伯中学教师的知识和经验，这些教师目前正在或曾经与口吃青少年一起工作。方法：共有90名沙特阿拉伯中学教师参与了一项分为三个部分的在线调查。第一部分收集了参与者的人口统计信息。第二部分采用阿拉伯文版《阿拉巴马州口吃知识测验》对中学教师的口吃知识进行测评。第三部分，通过对相关文献的回顾，探讨中学教师在处理口吃青少年方面的经验。结果：总体平均知识得分为13.73分。大多数参与者对自己帮助和支持口吃青少年的能力表示高度自信。大多数参与者不相信在课堂上有口吃的青少年会影响他们的教学风格或与他们的互动。与会者采用多种方法促进课堂包容性，并为口吃的青少年提供支持。此外，大多数参与者经常将课堂上管理口吃的各种策略的有效性评为“非常有效”。结论：沙特阿拉伯中学教师对口吃的病因存在误解，缺乏与语言病理学家的合作。这表明需要有针对性的培训方案，以扩大他们的知识，并使他们掌握有效的方法，以支持在教育环境中口吃的青少年。

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引用次数: 0

Exploring the personal impact of cluttering: A scoping review of current evidence 探索杂乱的个人影响：当前证据的范围审查

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2026-01-28 DOI: 10.1016/j.jfludis.2026.106197

Sue Garrett , Angela Ballantyne , Tehmina Gladman , Michelle Swift

Introduction

Cluttering is a speech fluency disorder that is frequently undiagnosed or misdiagnosed. While existing research has focused mainly on diagnosis and treatment, little attention has been given to its impact on individuals. This scoping review aimed to present the available evidence on the personal impacts of cluttering.

Inclusion Criteria

Studies were included if they involved individuals with cluttering or caregivers of children with cluttering. The review focused on broad impacts across all cultures and locations. Grey literature, particularly in the form of podcasts, was emphasised.

Methods

Searches were conducted in Medline, CINAHL, Embase, ERIC, Web of Science, Scopus, and Google (for podcast series) between June and October 2024. Abstracts and full texts were screened by two reviewers, with a third checking a subset. Data extraction followed a deductive framework (Physical, Cognitive, Psychological, Communication, Social, Work, Education), with inductive analysis used to identify final themes and subthemes.

Results

Of 174 titles retrieved, 128 were reviewed after removing duplicates. Following full-text screening, 27 records were included - 17 of which were podcasts. People with cluttering face a mix of physical, cognitive, and psychological challenges that affect communication and social interactions. Many fear speaking, avoid communication, experience social isolation and have a negative self-perception. In education and work, cluttering can hinder participation, performance, and career progression.

Conclusion

Cluttering affects many aspects of life. Speech Language Pathologists must address these broader impacts and help to foster supportive educational and home environments to improve outcomes.

杂乱是一种经常未被诊断或误诊的语言流利障碍。虽然现有的研究主要集中在诊断和治疗上，但很少注意到它对个人的影响。这个范围审查的目的是提出现有的证据对个人影响的杂乱。纳入标准如果研究涉及杂乱的个体或杂乱儿童的照料者，则纳入研究。审查的重点是对所有文化和地区的广泛影响。灰色文学，尤其是播客的形式，得到了强调。方法于2024年6月至10月在Medline、CINAHL、Embase、ERIC、Web of Science、Scopus和谷歌（用于播客系列）中进行检索。摘要和全文由两位审稿人筛选，第三位审稿人检查一个子集。数据提取遵循演绎框架（身体、认知、心理、沟通、社会、工作、教育），归纳分析用于确定最终主题和次主题。结果174篇文献中，128篇文献在删除重复文献后进行了复核。在全文筛选之后，收录了27条记录，其中17条是播客。杂乱的人面临着身体、认知和心理上的各种挑战，这些挑战会影响沟通和社会互动。许多人害怕说话，避免交流，经历社会孤立，并有消极的自我认知。在教育和工作中，杂乱会阻碍参与、表现和职业发展。结论杂乱影响生活的许多方面。语言病理学家必须解决这些更广泛的影响，并帮助培养支持性的教育和家庭环境，以改善结果。

{"title":"Exploring the personal impact of cluttering: A scoping review of current evidence","authors":"Sue Garrett , Angela Ballantyne , Tehmina Gladman , Michelle Swift","doi":"10.1016/j.jfludis.2026.106197","DOIUrl":"10.1016/j.jfludis.2026.106197","url":null,"abstract":"<div><h3>Introduction</h3><div>Cluttering is a speech fluency disorder that is frequently undiagnosed or misdiagnosed. While existing research has focused mainly on diagnosis and treatment, little attention has been given to its impact on individuals. This scoping review aimed to present the available evidence on the personal impacts of cluttering.</div></div><div><h3>Inclusion Criteria</h3><div>Studies were included if they involved individuals with cluttering or caregivers of children with cluttering. The review focused on broad impacts across all cultures and locations. Grey literature, particularly in the form of podcasts, was emphasised.</div></div><div><h3>Methods</h3><div>Searches were conducted in Medline, CINAHL, Embase, ERIC, Web of Science, Scopus, and Google (for podcast series) between June and October 2024. Abstracts and full texts were screened by two reviewers, with a third checking a subset. Data extraction followed a deductive framework (Physical, Cognitive, Psychological, Communication, Social, Work, Education), with inductive analysis used to identify final themes and subthemes.</div></div><div><h3>Results</h3><div>Of 174 titles retrieved, 128 were reviewed after removing duplicates. Following full-text screening, 27 records were included - 17 of which were podcasts. People with cluttering face a mix of physical, cognitive, and psychological challenges that affect communication and social interactions. Many fear speaking, avoid communication, experience social isolation and have a negative self-perception. In education and work, cluttering can hinder participation, performance, and career progression.</div></div><div><h3>Conclusion</h3><div>Cluttering affects many aspects of life. Speech Language Pathologists must address these broader impacts and help to foster supportive educational and home environments to improve outcomes.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"87 ","pages":"Article 106197"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A professional perspective on EBP in stuttering: How far have we come in 20 years? 从专业角度看口吃患者的EBP: 20年来我们取得了多大进展？

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1016/j.jfludis.2025.106171

Nan Bernstein Ratner , Shelley B. Brundage

This article reviews a critique by Bernstein Ratner (2005) to identify progress made in applying EBP to stuttering intervention and areas in which less progress has been observed. Among indices of progress are plentiful basic science and therapy outcomes reports, broader views of effectiveness, and increased representation of people who stutter in program development and evaluation. Among concerns we discuss are: (1) continued disconnects between basic science to understand the nature of stuttering and the therapies we employ with our clients; (2) a need for better understanding of causal mechanisms and mediators of change in stuttering interventions; and (3) specific challenges that make it difficult to know if therapies for early stuttering work significantly better than spontaneous recovery. We also discuss the (4) merits of broadening goals for preschool-aged children and their families; and (5) discuss potential negative ramifications of weakly supported interventions and recommendations for children whose stuttering persists past preschool. We conclude with a section on (6) important questions and populations that we believe remain under- investigated.

本文回顾了Bernstein Ratner（2005）的一篇评论，以确定将EBP应用于口吃干预的进展以及进展较少的领域。进步的指标包括大量的基础科学和治疗结果报告，更广泛的有效性观点，以及在项目开发和评估中口吃者的代表性增加。我们讨论的问题包括：(1)理解口吃本质的基础科学与我们对客户使用的治疗方法之间的持续脱节；(2)需要更好地了解口吃干预措施变化的因果机制和中介因素；(3)具体的挑战使得很难知道早期口吃治疗是否比自然恢复效果更好。我们还讨论了(4)扩大学龄前儿童及其家庭目标的优点；(5)讨论弱支持的干预措施和建议对学龄前儿童口吃的潜在负面影响。我们以(6)重要的问题和我们认为仍有待调查的人群的部分结束。

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引用次数: 0

Development of a stand-alone eHealth treatment: iCamperdown 独立电子健康治疗的发展：iCamperdown

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.jfludis.2025.106189

Constance Alateras , Susan O’Brian , Mark Onslow , Anna Hearne , Brenda Carey , Ross Menzies , Ann Packman , Robyn Lowe

Purpose

eHealth treatments have been developed for a range of conditions. They provide an accessible, cost-effective, and convenient model for clients and families to access treatment. The aim of this paper is to provide details and results of user testing of an eHealth speech treatment for adults who stutter: iCamperdown.

Method

An iterative user-testing process was conducted using a think-aloud method and structured questionnaires. End users were adults who stutter and speech-language pathologists (SLPs).

Results

Based on user feedback, the program underwent several modifications. Changes made to the program included functional enhancements. These include automatic activation of audio instructions on each page to improve navigation, aesthetic modifications to improve acceptability such as rearranging of information, changes to instructions provided to users to improve clarity, and enhancing the quality of audio recordings to increase efficiency.

Conclusion

The iCamperdown program is now ready to be evaluated with a Phase I clinical trial, focussing on evaluating safety, compliance, and preliminary outcomes. Further clinical trialing could investigate baseline predictors and treatment moderators to identify which individuals are most likely to benefit from the program. iCamperdown has advantages and disadvantages, which we explore. We explore the prospect of automating iCamperdown with advanced machine learning techniques. Potentially, the iCamperdown Program for stuttering reduction, with translation into other world languages besides English, could be a transformative change to SLP practices internationally.

目的针对一系列疾病已经开发出保健治疗方法。它们为客户和家庭提供了一种可获得、具有成本效益和方便的治疗模式。这篇论文的目的是提供电子健康治疗成人口吃的细节和结果。方法采用有声思考法和结构化问卷进行迭代用户测试过程。最终用户是口吃的成年人和语言病理学家（slp）。基于用户反馈，程序进行了几次修改。对程序所做的更改包括功能增强。这些措施包括在每个页面上自动激活音频指令以改进导航，对美学进行修改以提高可接受性，如重新排列信息，更改提供给用户的指令以提高清晰度，以及提高音频记录的质量以提高效率。iCamperdown项目现在已经准备好进行I期临床试验，重点是评估安全性、依从性和初步结果。进一步的临床试验可以调查基线预测因子和治疗调节因子，以确定哪些个体最有可能从该计划中受益。我们将探讨iCamperdown的优点和缺点。我们探索了用先进的机器学习技术自动化iCamperdown的前景。iCamperdown减少口吃的项目，通过翻译成英语以外的其他世界语言，可能会对国际上的口吃实践产生革命性的变化。

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引用次数: 0

Concurrent cognitive load and lexical-semantic similarity judgments for action verbs and object nouns in Persian-speaking adults who stutter 波斯语口吃成人动作动词和客体名词的并发认知负荷和词汇语义相似性判断

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jfludis.2025.106176

Tabassom Azimi , Zahra Sadat Ghoreishi , Reza Nilipour , Morteza Farazi , Akram Ahmadi , Pedram Aliniaye Asli

Purpose

This study examined whether lexical-semantic processing of action verbs versus object nouns is differentially affected by concurrent cognitive load in Persian-speaking adults who stutter (AWS), compared with adults who do not stutter (AWNS), using a dual-task paradigm.

Methods

Twenty-nine AWS and 29 matched AWNS performed a Semantic Similarity Judgment Task (SSJT) while simultaneously completing a tone-decision task. Tones were presented at short or long stimulus onset asynchronies (SOAs) relative to SSJT onset. SSJT stimuli included action verbs and non-action nouns. Reaction times (RTs) and accuracy were recorded.

Results

AWS exhibited slower overall RTs than AWNS (p = .04). A significant Group × Task interaction (p = .03) and Group × Task × SOA interaction (p = .04) revealed greater dual-task costs for AWS on the tone task, particularly under high cognitive load. Moreover, a significant group difference in SSJT RTs was observed (p = .03), especially for action verbs at short SOA (p = .04).

Conclusion

These findings indicate that AWS are more susceptible to interference from concurrent cognitive demands and may require greater attentional resources for processing action verbs. This highlights the role of cognitive-linguistic interactions in stuttering and the potential influence of cognitive load on speech fluency.

目的本研究采用双任务范式，考察波斯语口吃成人（AWS）与非口吃成人（AWNS）并发认知负荷对动作动词和客体名词词汇语义加工的影响。方法29个匹配的网络语音助手和29个匹配的网络语音助手在完成语调判断任务的同时执行语义相似性判断任务。音调呈现在短刺激或长刺激启动异步（soa）相对于SSJT启动。SSJT刺激包括动作动词和非动作名词。记录反应时间（RTs）和准确度。结果saws的总RTs比AWNS慢（p = .04）。组× 任务交互（p = .03）和组× 任务× SOA交互（p = .04）显示AWS在音调任务上的双任务成本更高，特别是在高认知负荷下。此外，SSJT RTs组间差异显著（p = ）。03)，特别是对于短SOA中的动作动词（p = .04）。结论脑动功能更容易受到并发认知需求的干扰，可能需要更多的注意资源来处理动作动词。这凸显了认知-语言相互作用在口吃中的作用，以及认知负荷对言语流畅性的潜在影响。

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引用次数: 0

Differential impacts of stuttering and stressful life events on the well-being of children: A comparative analysis 口吃和压力生活事件对儿童幸福感的不同影响：比较分析

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.jfludis.2026.106196

Molly M. Jacobs , Charles Ellis Jr. , Patrick M. Briley

Purpose

The purpose of this study was to expand upon contributors to negatively impacted well-being among children who stutter (CWS) by examining the outcomes of the Strengths and Difficulties Questionnaire (SDQ) and determining the influence of stuttering and stressful life events in children on negatively impacted well-being.

Method

Data from 6122 children aged 3–17 years in the 2022 National Health Interview Survey (NHIS) included parent-reported stuttering in the past 12 months, prior experiences of eight stressful life events (SLEs), and a 25-item Strengths and Difficulties Questionnaire (SDQ). Structural equation modeling (SEM) was used to determine if well-being was mediated by SLEs among CWS testing the hypothesis that SLEs exacerbate the negative influence of stuttering on well-being.

Results

Average SDQ total scores were higher for CWS compared to children who do not stutter (CWNS). CWS also had higher average SDQ subscale scores as well. After controlling for baseline differences, CWS had significantly higher SDQ total and subscale scores. With each additional SLE, the SDQ total and subscale scores increased as well, but interaction terms showed that the impact of SLEs did not differ between CWS and CWNS. Mediation analysis supported these findings indicating that less than 10 % of the direct effect of stuttering on well-being was mediated by SLEs.

Conclusions

Using the SDQ as a measure of well-being, this study showed that CWS experienced significantly more difficulties relative to CWNS and that these differences were not mediated by SLEs.

目的本研究的目的是通过检查口吃儿童的优势和困难问卷（SDQ）的结果，确定口吃和压力生活事件对负面影响的影响，以扩大口吃儿童（CWS）负面影响幸福感的因素。方法对6122名3-17岁儿童进行调查（NHIS），包括过去12个月父母报告的口吃、8项压力性生活事件（SLEs）经历和25项优势与困难问卷（SDQ）。本研究采用结构方程模型（SEM）对口吃儿童的幸福感进行了研究，验证了口吃对幸福感的负面影响加剧的假设。结果口吃儿童的平均SDQ总分高于非口吃儿童。CWS患者的平均SDQ分量表得分也较高。在控制了基线差异后，CWS的SDQ总分和分量表得分显著较高。每增加一个SLE， SDQ总分和子量表得分也会增加，但相互作用项显示SLE的影响在CWS和CWNS之间没有差异。中介分析支持这些发现，表明不到10% %的口吃对幸福感的直接影响是由特殊语言障碍介导的。使用SDQ作为幸福感的衡量标准，本研究表明，CWS相对于CWNS经历了更多的困难，这些差异不是由SLEs介导的。

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引用次数: 0

Stuttering and neurodiversity: A question of ableism or anti-ableism? One central premise: The person who stutters 口吃和神经多样性：残疾歧视还是反残疾歧视的问题？一个中心前提是：口吃的人。

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2026-03-01 Epub Date: 2025-12-12 DOI: 10.1016/j.jfludis.2025.106188

Martine Vanryckeghem

Purpose

The purpose of this position statement is to lay the foundation for an open-minded discourse by embracing neurodiversity in assessment and treatment of the person who stutters and to bring attention to the central premise: the person who stutters.

Method

A reflection on recent publications and conference presentations that discuss an unnuanced and narrow-minded ableist versus anti-ableist approach to the assessment and treatment of people who stutter. Many of those are not data-bound and lead to confusion and a perception of professional failure, certainly among junior speech-language pathologists.

Conclusions

This is an appeal for a discussion of what is being portrayed as opposing approaches to the clinical management of people who stutter. Starting with a solid operational definition, an open-minded discourse needs to take place aiming for a balanced, client-centered approach that respects the aspiration of the individual who stutters and supports their self-defined goals. This is an appeal to reclaim the middle ground where acceptance and change are not mutually exclusive, and therapeutic practice is guided by autonomy, inclusivity, and shared decision-making.

目的：本立场声明的目的是通过在口吃者的评估和治疗中采用神经多样性，为一种开放的话语奠定基础，并引起人们对中心前提的关注：口吃者。方法：对最近的出版物和会议报告进行反思，这些出版物和会议报告讨论了评估和治疗口吃者的不细致和狭隘的残疾主义者与反残疾主义者的方法。其中许多都没有数据约束，导致混乱和专业失败的感觉，尤其是在初级语言病理学家中。结论：这是一个呼吁讨论什么是被描绘为对立的方法来临床管理口吃的人。从一个可靠的操作定义开始，需要进行一个开放的讨论，以一种平衡的、以客户为中心的方法为目标，尊重口吃者的愿望，并支持他们自己定义的目标。这是一种重新寻求中间立场的呼吁，在中间立场上，接受和改变不是相互排斥的，治疗实践是由自主、包容和共同决策指导的。

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