Journal of Fluency Disorders最新文献_第4页

EEG responses to auditory cues during speech preparation predict stuttering severity and intervention outcome 在言语准备阶段对听觉线索的脑电图反应预测口吃严重程度和干预结果

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

Journal of Fluency Disorders

Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.jfludis.2025.106163

Mónica Filipa Rocha , Jaqueline Carmona , João Mendonça Correia

Stuttering is a variable speech disorder whose brain mechanisms remain unknown. Sensorimotor brain circuits, critical in motor-speech control, including the prediction and monitoring of speech consequences, have been linked to the disorder. Despite considerable advances, it remains unclear whether auditory neural circuits relate to stuttering severity, and whether interventions to persons who stutter can induce underlying brain changes. We employed electroencephalography (EEG), in a group of persons who stutter (PWS), in combination with auditory probes to tap onto the relevance of auditory cortical regions in stuttering severity. Participants produced flexible speech (i.e., describing pictures) and non-flexible speech (i.e., reading syllables), following an auditory cue. More pronounced P200 auditory evoked potentials in response to the auditory cues were observed in participants with more severe stuttering, mainly in the picture task. Interestingly, while speech therapy intervention led to a reduction (albeit non-significant) of the P200 potential, this reduction was marginally correlated to speech fluency improvements. Moreover, EEG response patterns discriminative of cue tone frequency (400 Hz versus 800 Hz) were also predictive of stuttering severity, suggesting the involvement of fine-grained auditory cortical processing in speech preparation and stuttering. Overall, this study confirms a relationship between auditory processing of external sounds and the mechanisms of stuttering during the preparation to speak and highlights the advantage of a picture description task to investigate the relationship between auditory evoked potentials and stuttering severity under relatively ecological conditions.

口吃是一种可变的语言障碍，其大脑机制尚不清楚。感觉运动脑回路是运动-语言控制的关键，包括对语言后果的预测和监测，与这种疾病有关。尽管取得了相当大的进步，但听觉神经回路是否与口吃的严重程度有关，以及对口吃者的干预是否会引起潜在的大脑变化，仍不清楚。我们采用脑电图（EEG），在一组口吃（PWS）的人，结合听觉探针来挖掘听觉皮层区域在口吃严重程度的相关性。参与者根据听觉提示发出灵活的语言（如描述图片）和非灵活的语言（如阅读音节）。重度口吃者的P200听觉诱发电位对听觉线索的反应更为明显，主要表现在图片任务中。有趣的是，虽然言语治疗干预导致P200电位的降低（尽管不显著），但这种降低与语言流畅性的提高有轻微的相关性。此外，区分提示音频率（400 Hz vs 800 Hz）的脑电图反应模式也能预测口吃的严重程度，这表明细粒度听觉皮层加工参与了言语准备和口吃。综上所述，本研究证实了外部声音的听觉加工与言语准备过程中口吃的机制之间的关系，并强调了在相对生态条件下，使用图片描述任务来研究听觉诱发电位与口吃严重程度之间的关系的优势。

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引用次数: 0

Efficacy of a parent-child program for 3- to 6-year-old children with stuttering: A retrospective controlled wait-list group pilot study 亲子项目对3- 6岁口吃儿童的疗效：一项回顾性对照等候名单小组试点研究

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

Journal of Fluency Disorders

Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.jfludis.2025.106167

Nicole E. Neef , Imke Niemann , Anna Merkel , Kristina Anders , Katja Hente , Johanna Margarete Joisten , Alexander Wolff von Gudenberg , Christian H. Riedel

We evaluated the efficacy of Frankini, a 12-month early parent-child intervention that combines online parent counseling with hybrid speech restructuring to reduce stuttering severity and promote fluency-supportive interaction. This retrospective, nonrandomized pilot trial included cases enrolled between September 2019 and November 2023. For analysis, only participants who completed Module 1 (indirect parental training) and Module 2 (the first hybrid speech restructuring module) were included. A total of 51 cases met all inclusion criteria, and 30 of these completed all three modules. To simulate a wait-list-controlled design, eligible participants were divided into early and delayed groups using median split. The early group completed Module 2 nine months after baseline, the delayed group twelve months after baseline. Groups were matched on key characteristics and differed only in the timing of the first direct intervention. Blinded raters assessed stuttering severity. Primary outcomes included the Stuttering Severity Index, parental severity rating, and a 10-item parent report. At 9 months, the early group showed reduced stuttering severity, while the delayed group showed no change (mean difference = −8.33 95 %CI [−12.98, −3.68], p < 0.001, with d = −1.14). By 12 months, both groups improved, and group difference were no longer significant (mean difference = −3.37 95 %CI [−8.23, 1.50], p = 0.168 and d = −0.48). Parental ratings mirrored these outcomes showing consistent improvement after each module. Speech restructuring significantly improved speech fluency and parent counseling enhanced parents' confidence, supporting the value of initiating treatment before age 6; however, follow-up is needed to assess long-term effects.

Trial Registration: DRKS00034731.

我们评估了Frankini的有效性，这是一项为期12个月的早期亲子干预，将在线家长咨询与混合语言重组相结合，以减少口吃的严重程度，促进流利性支持互动。这项回顾性、非随机的试点试验纳入了2019年9月至2023年11月期间登记的病例。为了进行分析，只包括完成模块1（间接父母培训）和模块2（第一个混合语音重组模块）的参与者。共有51例病例符合所有纳入标准，其中30例完成了所有三个模块。为了模拟等候名单控制设计，采用中位数分割法将符合条件的参与者分为早期组和延迟组。早期组在基线后9个月完成模块2，延迟组在基线后12个月完成模块2。各组在关键特征上相匹配，仅在第一次直接干预的时间上有所不同。盲法评分者评估口吃的严重程度。主要结果包括口吃严重程度指数、父母严重程度评分和一份包含10项内容的父母报告。9个月时，早期组出现口吃严重程度降低，而延迟组无变化（平均差异= - 8.33 95 %CI [- 12.98, - 3.68], p <； 0.001,d = - 1.14）。12个月后，两组均有所改善，组间差异不再显著（平均差异= - 3.37 95 %CI [- 8.23, 1.50], p = 0.168,d = - 0.48）。家长的评分反映了这些结果，在每个模块之后都显示出持续的改善。言语重组显著提高了言语流畅性，家长咨询增强了家长信心，支持6岁前开始治疗的价值；然而，需要随访来评估长期效果。试验注册：DRKS00034731。

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引用次数: 0

Psychometric evaluation of the Simplified Chinese translation of the Overall Assessment of the Speaker’s Experience of Stuttering-Adult 《结巴成人说话者体验综合评价》简体汉译本的心理测量学评价。

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

Journal of Fluency Disorders

Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1016/j.jfludis.2025.106170

Yan Ma , Ran An , Jia Bin , Chenjia Liu , Ying-Chiao Tsao , J. Scott Yaruss

Purpose

This study aimed to evaluate the psychometric properties of the Simplified Chinese translation of the Overall Assessment of the Speaker’s Experience of Stuttering–Adult (OASES-A-SC), a comprehensive self-report tool designed to measure the impact of stuttering on adults.

Methods

The OASES-A-SC was administered online to 346 Chinese adults who self-identified as people who stutter. Psychometric analyses included test-retest reliability, internal consistency, item-level analysis, and evaluation of content and construct validity based on participant feedback.

Results

The OASES-A-SC demonstrated excellent test–retest reliability (intraclass correlation coefficients >.92) and high internal consistency (Cronbach’s α =.86–.98). Item-level analysis revealed more ceiling effects and fewer floor effects as compared with the data collected in other countries, reflecting more negative stuttering experiences. Feedback from participants supported the content and construct validity of the instrument, highlighting its cultural relevance and comprehensiveness in capturing the lived experience of adults who stutter in China.

Conclusion

The OASES-A-SC is a reliable and valid tool for assessing the overall experience of stuttering among adults in China. The elevated impact ratings and response patterns of the data suggest a more severe psychosocial burden of stuttering in this population, underlining the need for culturally informed clinical approaches and broader public education efforts in China.

目的：本研究旨在评估《成人口吃者说话体验总体评估》（OASES-A-SC）的简体中文译本的心理测量学特征，OASES-A-SC是一种衡量成人口吃影响的综合自我报告工具。方法：对346名自认为口吃者的中国成年人进行在线问卷调查。心理测量分析包括重测信度、内部一致性、项目水平分析以及基于参与者反馈的内容和结构效度评估。结果：oasas - a - sc具有良好的重测信度（类内相关系数bb0.92）和较高的内部一致性（Cronbach’s α = 0.86 ~ 0.98）。项目层面的分析显示，与其他国家收集的数据相比，天花板效应更多，地板效应更少，反映了更多的负面口吃经历。参与者的反馈支持了该工具的内容和结构效度，强调了其在捕捉中国口吃成年人生活经验方面的文化相关性和全面性。结论：OASES-A-SC是评估中国成人口吃总体经历的可靠有效的工具。这些数据的影响评分和反应模式的提高表明，口吃在这一人群中有更严重的社会心理负担，强调了中国需要有文化背景的临床方法和更广泛的公共教育努力。

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引用次数: 0

Speech dysfluency variations across menstrual phases in adult women who stutter: A single-subject study 成年口吃女性月经期言语不流畅的变化：一项单主题研究

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

Journal of Fluency Disorders

Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.jfludis.2025.106166

Hiwa Mohammadi , Leila Solouki , Maryam Fayazfar , Behzad Mahaki , Homa Badri

Background

There has been a significant paucity of data on the variability of stuttering severity across the biological rhythms associated with sex steroid hormones. The menstrual cycle, a prominent infradian rhythm, provides a unique and naturalistic environment to investigate the impact of fluctuating sex steroid hormones on the severity of stuttering.

Methods

A withdrawal/reversal A₁B₁C₁A₂B₂C₂ single-subject design was employed, involving multiple daily assessments of stuttering severity across two consecutive menstrual cycles in adult women who stutter. Five adult women with confirmed developmental stuttering, regular menstrual cycles, and verified ovulation participated in the study. Participants self-rated their stuttering severity daily using a 10-point severity rating scale. Data were analyzed through a combination of visual analysis and effect size calculations.

Results

An increase in self-reported stuttering severity was observed during the follicular phase compared to the preceding menstrual phase. Furthermore, stuttering severity decreased during the luteal phase relative to the preceding follicular phase. These patterns were replicated in most participants; however, replication was not uniform, and some individual cycles showed variability.

Conclusion

These findings indicate that the follicular phase is associated with increased self-reported stuttering severity in women who stutter, suggesting the influence of menstrual cycle phases on stuttering dynamics.

背景：在与性类固醇激素相关的生物节律中，口吃严重程度的可变性数据非常缺乏。月经周期是一个重要的昼夜节律，为研究性类固醇激素波动对口吃严重程度的影响提供了一个独特而自然的环境。方法采用A₁B₁C₁A₂B₂C₂单受试者设计，对成年口吃女性连续两个月经周期的口吃严重程度进行多次每日评估。5名成年女性被确诊为发育性口吃，月经周期正常，并确认排卵。参与者每天使用10分制的口吃严重程度量表对自己的口吃严重程度进行自我评估。通过可视化分析和效应量计算相结合的方法分析数据。结果在卵泡期与前月经期相比，自我报告的口吃严重程度有所增加。此外，相对于前卵泡期，在黄体期口吃严重程度降低。这些模式在大多数参与者身上得到了重复；然而，复制并不均匀，个别周期表现出可变性。结论这些研究结果表明，卵泡期与口吃女性自述的口吃严重程度增加有关，提示月经周期对口吃动态的影响。

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引用次数: 0

Uh and um production: Persistent filled pause characteristics in English school-age children with a late-talking history 嗯和嗯产生：有晚说话史的英语学龄儿童的持续填充停顿特征。

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

Journal of Fluency Disorders

Pub Date : 2025-12-01 Epub Date: 2025-11-14 DOI: 10.1016/j.jfludis.2025.106173

Yanting Sun , Hongwei Ding

Purpose

This study examined filled pause usage in 5-year-old English-speaking children with a history of late talking who had received intervention, compared to typically developing peers, revealing persistent distributional, temporal, and acoustic differences in filled pause usage despite intervention.

Methods

We analysed spontaneous speech samples from 73 children (36 with a late-talking history and 37 typical) using CHILDES Clinical English Ellis Weismer Corpus, focusing on filled pauses ‘um’ and ‘uh’. Filled pauses were categorised by turn-taking position and inter-pausal units, with frequency and lexical choice (uh-rate, um-rate, um-ratio) examined. Duration differences across conversational stages were also assessed. Acoustic analysis visualised pitch contours, periodic energy, and power representations. Cross-correlation analyses explored their relationships in filled pauses.

Results

The distributional analysis revealed that children with a history of late talking produced more ‘um’ in turn-initial and turn-only positions, whilst typically developing children used more in turn-medial positions. Temporal characteristics showed that children who were previously late talkers exhibited longer ‘um’ durations across all conversational stages and slower speech rates. Acoustic analysis demonstrated that their filled pauses displayed consistently higher pitch values and showed distinct cross-correlation patterns, with delayed coordination between pitch and energy compared to typically developing peers, particularly in ‘um’ production.

Conclusion

Children with a late-talking history show increased turn-initial ‘um’ use, longer durations, elevated pitch, and delayed pitch-energy synchronisation, primarily indicating persistent prosodic and processing difficulties despite receiving language intervention.

目的：本研究考察了接受干预的5岁有晚说话史的英语儿童的填充停顿使用情况，并与正常发育的同龄人进行了比较，揭示了干预后填充停顿使用的持续分布、时间和声学差异。方法：我们使用CHILDES临床英语Ellis Weismer语料库对73名儿童（36名有晚说话史，37名正常）的自发语音样本进行分析，重点关注“um”和“uh”的填充停顿。填空停顿按轮流位置和停顿间单位进行分类，并检查了频率和词汇选择（uh-rate, um-rate, um-ratio）。还评估了不同会话阶段的持续时间差异。声学分析可视化的音高轮廓，周期能量和功率表示。交叉相关分析探讨了它们在填充停顿中的关系。结果：分布分析显示，有晚说话史的儿童在开始转动和只转动体位上使用“嗯”字较多，而正常发育的儿童在中间转动体位上使用“嗯”字较多。时间特征表明，以前晚说话的孩子在所有对话阶段都表现出更长的“嗯”持续时间和更慢的语速。声学分析表明，与典型的开发同伴相比，它们的填充暂停显示出一贯的高音高值，并显示出明显的相互关联模式，特别是在“um”生产中，音高和能量之间的协调延迟。结论：有晚说话史的儿童表现出更多的“嗯”的使用，持续时间更长，音调升高，音调能量同步延迟，主要表明尽管接受了语言干预，但仍存在持续的韵律和加工困难。

{"title":"Uh and um production: Persistent filled pause characteristics in English school-age children with a late-talking history","authors":"Yanting Sun , Hongwei Ding","doi":"10.1016/j.jfludis.2025.106173","DOIUrl":"10.1016/j.jfludis.2025.106173","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined filled pause usage in 5-year-old English-speaking children with a history of late talking who had received intervention, compared to typically developing peers, revealing persistent distributional, temporal, and acoustic differences in filled pause usage despite intervention.</div></div><div><h3>Methods</h3><div>We analysed spontaneous speech samples from 73 children (36 with a late-talking history and 37 typical) using CHILDES Clinical English Ellis Weismer Corpus, focusing on filled pauses ‘um’ and ‘uh’. Filled pauses were categorised by turn-taking position and inter-pausal units, with frequency and lexical choice (uh-rate, um-rate, um-ratio) examined. Duration differences across conversational stages were also assessed. Acoustic analysis visualised pitch contours, periodic energy, and power representations. Cross-correlation analyses explored their relationships in filled pauses.</div></div><div><h3>Results</h3><div>The distributional analysis revealed that children with a history of late talking produced more ‘um’ in turn-initial and turn-only positions, whilst typically developing children used more in turn-medial positions. Temporal characteristics showed that children who were previously late talkers exhibited longer ‘um’ durations across all conversational stages and slower speech rates. Acoustic analysis demonstrated that their filled pauses displayed consistently higher pitch values and showed distinct cross-correlation patterns, with delayed coordination between pitch and energy compared to typically developing peers, particularly in ‘um’ production.</div></div><div><h3>Conclusion</h3><div>Children with a late-talking history show increased turn-initial ‘um’ use, longer durations, elevated pitch, and delayed pitch-energy synchronisation, primarily indicating persistent prosodic and processing difficulties despite receiving language intervention.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"86 ","pages":"Article 106173"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558177","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

Cortical emotional reactivity, caregiver-reported emotional control, and stuttering frequency in young children 皮层情绪反应，照顾者报告的情绪控制和幼儿口吃频率

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

Journal of Fluency Disorders

Pub Date : 2025-09-01 Epub Date: 2025-06-19 DOI: 10.1016/j.jfludis.2025.106139

Hatun Zengin-Bolatkale , Alexandra P. Key , Robin M. Jones

Purpose

The present study aimed to determine whether cortical associates of emotional reactivity and caregiver-reported emotional control skills are associated with stuttered speech in young children who do (CWS) and do not stutter (CWNS).

Method

Twenty young CWS and 24 young CWNS passively viewed neutral and affective pictures while their event-related potentials (ERPs) were recorded. Children’s speech fluency was assessed during a free-play conversational speech sample before the ERP task. Participants’ caregivers completed the Behavior Rating Inventory of Executive Function (BRIEF).

Results

For CWS and CWNS, greater cortical reactivity to unpleasant pictures was associated with higher stuttering frequency. Parents of CWS rated their children poorer on the Emotional Control dimension of the BRIEF than parents of CWNS. However, the between-group difference on Emotional Control was no longer significant when group differences in expressive language scores were taken into account. Within-group analyses revealed that poorer Emotional Control scores were associated with higher stuttering frequency for CWS. Lastly, for CWS, poorer Emotional Control scores on BRIEF were associated with greater cortical reactivity to unpleasant pictures.

Conclusions

Overall, findings replicate those of previous studies that reported a significant association between stuttering and emotion-related behavioral and physiological measures. Further, this study extends past work and provides the first evidence that cortical measures of emotional reactivity are associated with stuttering frequency. Potential mechanisms that may explain the nature of the association between emotional processes and stuttering frequency are discussed but must await further study to be elucidated.

目的本研究旨在确定情绪反应和照顾者报告的情绪控制技能的皮质关联是否与幼儿口吃（CWS）和非口吃（CWNS）言语口吃有关。方法选取20例年轻脑卒中患者和24例年轻脑卒中患者被动观看中性和情感图片，记录他们的事件相关电位。在ERP任务之前，在自由游戏会话语音样本中评估儿童的语言流畅性。参与者的照顾者完成执行功能行为评定量表（BRIEF）。结果CWS和CWNS患者对不愉快画面的皮质反应性越强，口吃频率越高。在BRIEF的情绪控制维度上，有心理障碍的父母比无心理障碍的父母得分低。然而，当考虑到表达语言得分的组间差异时，情绪控制的组间差异不再显著。组内分析显示，较差的情绪控制得分与CWS患者较高的口吃频率相关。最后，对于CWS来说，BRIEF的情绪控制得分越低，大脑皮层对不愉快画面的反应就越强烈。总的来说，研究结果重复了先前的研究报告，即口吃与情绪相关的行为和生理指标之间存在显著关联。此外，这项研究扩展了过去的工作，并提供了第一个证据，证明情绪反应的皮层测量与口吃频率有关。讨论了可能解释情感过程和口吃频率之间联系本质的潜在机制，但必须等待进一步的研究来阐明。

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引用次数: 0

Polish adaptation of the Self-Stigma of Stuttering Scale: Scale development and analysis 口吃自我耻辱量表的波兰改编：量表开发与分析

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

Journal of Fluency Disorders

Pub Date : 2025-09-01 Epub Date: 2025-06-19 DOI: 10.1016/j.jfludis.2025.106138

Marta Wesierska , Natalia Świsłocka , Katarzyna Węsierska , Michael P. Boyle

Purpose

There is currently no available assessment of self-stigmatization for people who stutter in Polish, and previous research has identified a clear need for such a measure to be implemented in therapy settings. The aim of this study was to adapt the Self-Stigma of Stuttering Scale (4S) to Polish.

Method

The study recruited 108 Polish adults who stutter (48.1 % female, 51.9 % male), ranging in age from 18 to 67. Participants were mainly recruited via speech language pathologists (SLPs) and self-help group leaders. Participants completed the Polish translation of the 4S scale, as well as questions on general mental health welfare and life satisfaction, their own speech assessment, perceptions of difficulties associated with stuttering, and perceived level of support.

Results

The highest score of the Polish 4S was for stigma awareness. The overall scale and individual subscales were significantly correlated with each other and the scale showed good internal consistency. Mean scores were generally in line with Boyle’s (2015) scale evaluation results. Levels of internal consistency were comparable to those in Boyle (2015) and to other translations. The results show that a large proportion of participants were aware of the stigma associated with stuttering (reflected in 67.59 % of participants scoring above the theoretical midpoint on the Stigma Awareness Score) and a substantial proportion of participants applied highly negative stigmatizing attitudes to themselves personally (38.89 % of participants scored above the theoretical midpoint on the Stigma Application Score).

Conclusions

The study findings align with previous assessments and adaptations, suggesting the 4S can reliably be used in the Polish context. As the field of speech and language therapy in Poland is increasingly more concerned with the internal feelings and emotions of people who stutter rather than solely focusing on treatment of physical speech disruption, an assessment of self-stigma is an important addition to the speech-language pathologists’ toolkit.

目的目前还没有针对波兰语口吃者的自我污名化评估，而之前的研究已经明确了在治疗环境中实施这种措施的必要性。本研究的目的是调整口吃自我耻辱量表（4S）以适应波兰语。方法本研究招募了108名波兰口吃成年人（女性48.1% %，男性51.9% %），年龄从18岁到67岁不等。参与者主要通过言语语言病理学家（slp）和自助小组组长招募。参与者完成了4S量表的波兰语翻译，以及关于一般心理健康福利和生活满意度的问题，他们自己的语言评估，与口吃相关的困难的感知，以及感知到的支持水平。结果波兰学生的污名意识得分最高。总体量表与个体子量表之间存在显著的相关关系，量表具有良好的内部一致性。平均得分与Boyle（2015）量表评价结果基本一致。内部一致性水平与Boyle（2015）和其他翻译相当。结果表明，很大一部分参与者意识到与口吃相关的耻辱（67.59 %的参与者在耻辱意识得分上得分高于理论中点），相当一部分参与者对自己个人持高度消极的耻辱态度（38.89 %的参与者在耻辱应用得分上得分高于理论中点）。研究结果与先前的评估和调整一致，表明4S可以可靠地用于波兰语境。由于波兰的言语和语言治疗领域越来越关注口吃者的内在感受和情绪，而不仅仅是专注于身体言语障碍的治疗，对自我耻辱的评估是言语语言病理学家工具包的重要补充。

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引用次数: 0

Jordanian healthcare workers’ attitudes toward stuttering and people who stutter 约旦医护人员对口吃和口吃者的态度

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

Journal of Fluency Disorders

Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI: 10.1016/j.jfludis.2025.106125

Khalid G. Al-Shdifat , Shahed M. Fuda , Mahmoud T. Alwidyan

Background

Studies that have the attitudes of healthcare workers toward stuttering and people who stutter (PWS) in different parts of the world and in Jordan mainly focused on SLPs. However, no studies have examined Jordanian healthcare workers’ attitudes in general. Aim: This study explored the attitudes of Jordanian healthcare workers toward stuttering and PWS using the Public Opinion Survey of Human Attributes-Stuttering (POSHA-S) and compared them to each other and to people on the POSHA-S database, people from the same culture (i.e., Middle Eastern) and Jordan. Methods: 241 healthcare workers in Jordan were invited to answer the Arabic version of the POSHA-S online. They were divided into six groups, i.e., doctors, pharmacists, speech-language pathologists (SLPs), occupational and physical therapists (OTs and PTs), nurses, and other health professionals. ANOVA and post hoc tests were utilized to analyze the data. Results: The overall stuttering score for the whole sample of the study was relatively low compared to the POSHA-S database, but slightly positively higher than the scores of the general population from the same culture and Jordan. SLPs and OTs and PTs had the highest overall stuttering scores. Group mean differences were significant between SLPs and the other groups. Conclusions: Jordanian healthcare workers had low positive attitudes toward stuttering and PWS. SLPs’ higher positive attitudes than the rest of the healthcare workers might reflect their training and knowledge gained through working with PWS. However, there is still a need to raise awareness and knowledge about stuttering among all healthcare workers in Jordan.

背景：在世界不同地区和约旦，关于卫生保健工作者对口吃和口吃者（PWS）态度的研究主要集中在口吃者身上。然而，没有研究调查了约旦保健工作者的总体态度。目的：本研究利用人类属性-口吃公众意见调查（POSHA-S），探讨约旦医护人员对口吃和PWS的态度，并将其与他人以及POSHA-S数据库中的人、来自相同文化（即中东）和约旦的人进行比较。方法：邀请约旦241名卫生保健工作者在线回答阿拉伯语版POSHA-S。他们被分为六组，即医生、药剂师、言语语言病理学家、职业和物理治疗师、护士和其他卫生专业人员。采用方差分析和事后检验对数据进行分析。结果：与POSHA-S数据库相比，整个研究样本的总体口吃得分相对较低，但略高于来自相同文化和约旦的一般人群的得分。口吃者、口吃者和口吃者的口吃总分最高。slp组与其他组之间的组平均差异有统计学意义。结论：约旦医护人员对口吃和PWS的积极态度较低。特殊护理人员的积极态度高于其他医护人员，这可能反映了他们通过与特殊护理人员一起工作而获得的培训和知识。然而，仍有必要提高约旦所有卫生保健工作者对口吃的认识和知识。

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引用次数: 0

Measuring anticipation of stuttering: Validation and revision of the English Premonitory Awareness in Stuttering Scale (PAiS-R) 口吃预期的测量：口吃量表（PAiS-R）中英语前兆意识的验证与修订

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

Journal of Fluency Disorders

Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.1016/j.jfludis.2025.106142

Robert T. Bies , Michael P. Robb , Ai Leen Choo

Purpose

Anticipation of stuttering is experienced by nearly all adults who stutter (AWS). The Premonitory Awareness in Stuttering Scale (PAiS) is an existing tool validated in German and Turkish that measures the intensity of stuttering anticipation. The present study aimed to provide initial validation of the PAiS in English.

Method

A total of 78 AWS (47 males; M = 41.2 years) completed an online English version of the PAiS and rated their stuttering severity on a 9-point Likert scale. Two weeks later, 49 participants completed a retest. A range of psychometric analyses, including principal component analysis (PCA), were performed to assess reliability and structural validity.

Results

The PAiS demonstrated strong internal consistency and test-retest reliability in this initial validation. Item-level analyses and PCA identified weaknesses among four of the 12 scale items.

Conclusions

The English version of the PAiS demonstrated strong psychometric properties, particularly when reduced to eight items. The revised PAiS (PAiS-R) showed good initial reliability and structural validity for measuring anticipation of stuttering among English-speaking AWS. The PAiS-R holds promise as an assessment of anticipation, both clinically and in research settings, although further psychometric evaluation is warranted.

目的几乎所有的口吃成人（AWS）都经历过对口吃的预期。口吃前兆意识量表（PAiS）是一种现有的工具，在德语和土耳其语中得到验证，用于测量口吃预期的强度。本研究旨在初步验证英语的PAiS。方法78例AWS患者(男性47例；M = 41.2岁)完成了PAiS的在线英语版本，并以9分的李克特量表对他们的口吃严重程度进行了评分。两周后，49名参与者完成了重新测试。一系列的心理测量分析，包括主成分分析（PCA），进行了评估信度和结构效度。结果初步验证的PAiS具有较强的内部一致性和重测信度。项目水平分析和PCA确定了12个量表项目中的4个项目的弱点。结论：PAiS的英文版本表现出较强的心理测量特性，特别是当缩减到8个项目时。修订后的PAiS （PAiS- r）在测量说英语的英语教师口吃预期方面显示出良好的初始信度和结构效度。尽管进一步的心理测量评估是必要的，但PAiS-R在临床和研究环境中都有望作为预期的评估。

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引用次数: 0

Drug-induced stuttering: A case study 药物引起的口吃：个案研究

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

Journal of Fluency Disorders

Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1016/j.jfludis.2025.106124

Thales De Nardo , Elizabeth A. Minton

A 26-year-old female presented with an onset of severe stuttering four days after taking the medications Gabapentin and Lexapro. Gabapentin has been associated with acquired stuttering previously but, unlike previous cases, the stutter persisted for years after the discontinuation of the drug. Neurological and motor speech exams were normal aside from stuttering. The patient did not respond to fluency shaping strategies. Speech therapy focused on reducing secondary behaviors, affective, and cognitive aspects related to stuttering and was successful in improving cognitive, affective, quality of life, and stuttering severity measures. This case study supports the use of therapy procedures that focuses on factors beyond speech fluency in the treatment of acquired stuttering.

一名26岁女性在服用加巴喷丁和列沙普四天后出现严重口吃。加巴喷丁曾与获得性口吃有关，但与以往不同的是，这种口吃在停药后持续数年。除了口吃，神经学和运动语言检查都正常。患者对流利度塑造策略没有反应。言语治疗侧重于减少与口吃相关的继发行为、情感和认知方面，并在改善认知、情感、生活质量和口吃严重程度方面取得了成功。本案例研究支持在治疗获得性口吃时使用治疗程序，重点关注言语流利以外的因素。

引用次数: 0