Journal of Fluency Disorders最新文献_第5页

Influence of mental health on sleep in children who stutter 心理健康对口吃儿童睡眠的影响

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

Journal of Fluency Disorders

Pub Date : 2025-07-04 DOI: 10.1016/j.jfludis.2025.106144

Sandra Merlo , Patrick M. Briley

Purpose

Previous studies have suggested that sleep problems are common among children who stutter (CWS). However, the influence of mental health concerns on the sleep of CWS has yet to be investigated.

Method

American data from the 2012 National Health Interview Survey were analyzed. The sample included 155 CWS and 8547 controls from 6 to 17 years of age. Parents/caregivers reported whether or not children frequently had depression, felt anxious/nervous/worried, or felt stressed in the past 12 months. In addition, parents/caregivers answered if children regularly had insomnia/trouble sleeping, excessive sleepiness during the day, or fatigue during the day in the past 12 months.

Results

Mental health concerns were prevalent among CWS, with 38.4 % having at least one concern, compared to 13.1 % of controls (p < .001). Sleep problems were also prevalent among CWS, with 28.0 % having at least one problem, compared to 11.4 % of controls (p < .001). The subgroup of CWS with at least one mental health concern was at greater odds of sleep problems (p < .001), with a large effect size, controlling for demographic, neurodevelopmental, and allergies/asthma variables.

Discussion

The bidirectional relationship between mental health concerns and sleep problems is discussed. Current population-based findings on sleep in CWS are integrated with those previously reported regarding neurodevelopmental disorders and allergies/asthma.

先前的研究表明，睡眠问题在口吃儿童中很常见。然而，心理健康问题对CWS患者睡眠的影响尚待研究。方法分析美国2012年全国健康访谈调查数据。样本包括155名CWS和8547名6 ~ 17岁的对照组。父母/看护人报告了孩子在过去12个月里是否经常抑郁、感到焦虑/紧张/担心或感到压力。此外，家长/看护人还回答了孩子在过去12个月里是否经常失眠/睡眠困难、白天过度困倦或白天疲劳。结果CWS患者普遍存在心理健康问题，38.4 %的患者至少有一种心理健康问题，而对照组的这一比例为13. % （p <； .001）。睡眠问题在慢性疾病患者中也很普遍，28.0 %的患者至少有一个睡眠问题，而对照组的这一比例为11.4% % （p <； .001）。至少有一种精神健康问题的CWS亚组出现睡眠问题的几率更大（p <； .001），在控制人口统计学、神经发育和过敏/哮喘变量的情况下，效应量很大。讨论心理健康问题与睡眠问题之间的双向关系。目前基于人群的CWS睡眠研究结果与先前关于神经发育障碍和过敏/哮喘的报道相结合。

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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 : 2025-07-03 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

Qualitative comparison of stuttering experiences in Chinese and Japanese higher education 中日两国高等教育中口吃经历的定性比较

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

Journal of Fluency Disorders

Pub Date : 2025-06-25 DOI: 10.1016/j.jfludis.2025.106136

Chengqi He , Kazunori Takeda , Yu-an Chen , Xinyi Yang , Jinfeng Huang , Mizuki Aoki , Shoko Miyamoto

Purpose

This qualitative study explored students’ stuttering experiences in Chinese and Japanese universities, highlighting and comparing the unique challenges faced by Chinese and Japanese students who stutter (SWS) in higher education settings.

Method

A total of 11 Chinese and 11 Japanese undergraduate SWS participants were involved in this study. Data were collected through semi-structured interviews grounded in the ICF model, focusing on the functional aspects of stuttering, personal and environmental factors, and student activities and participation in university life. Interviews were analyzed using reflexive thematic analysis with NVivo software to identify overarching themes and subthemes.

Results

Reflexive thematic analysis revealed five overarching themes: communication barriers, psychological experiences and coping strategies, public attitudes on campus, limitations of university support services, and expectations regarding university support. Both groups faced communication barriers across academic, social, and career development contexts. Regarding personal factors, both groups expressed negative emotional reactions, particularly challenges in accepting their stuttering. Both groups reported limited university support, with Chinese SWS seeking more specialized counseling, and Japanese SWS expressing a desire for increased awareness of stuttering.

Conclusion

This study highlights how cultural and societal norms shape the stuttering experiences of university students in China and Japan, which were often described in negative terms. These findings underscore the need for culturally responsive, individualized interventions that move beyond the simplistic 'individualism–collectivism' dichotomy and more effectively address the complex needs of SWS in East Asian contexts.

目的本定性研究探讨了中日两国大学学生的口吃经历，突出并比较了中日两国在高等教育中口吃学生所面临的独特挑战。方法共11名中国大学生和11名日本大学生参与本研究。数据是通过基于ICF模型的半结构化访谈收集的，重点关注口吃的功能方面、个人和环境因素、学生活动和大学生活的参与。使用NVivo软件对访谈进行反身性主题分析，以确定总体主题和次要主题。结果反思性主题分析揭示了五个总体主题：沟通障碍、心理体验和应对策略、公众对校园的态度、大学支持服务的局限性和对大学支持的期望。这两组人都面临着学术、社会和职业发展背景下的沟通障碍。在个人因素方面，两组人都表达了消极的情绪反应，特别是在接受自己的口吃方面遇到了挑战。两组都报告说大学的支持有限，中国的SWS寻求更专业的咨询，而日本的SWS表示希望提高对口吃的认识。本研究强调了文化和社会规范如何塑造中国和日本大学生的口吃经历，这些经历通常被描述为负面的。这些发现强调了对文化敏感的个性化干预的必要性，这种干预超越了简单的“个人主义-集体主义”二分法，更有效地解决了东亚背景下SWS的复杂需求。

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引用次数: 0

Investigating two phonological subtypes of stuttering in Japanese adults: A vowel–consonant perspective 调查日本成人口吃的两种语音亚型：元音-辅音视角

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

Journal of Fluency Disorders

Pub Date : 2025-06-25 DOI: 10.1016/j.jfludis.2025.106140

Gen Kusaka , Shogo Kajimura

Stuttering is influenced by various linguistic factors, one of which is whether a word begins with a vowel or a consonant. In many languages, including English, consonant-initial words are more likely to elicit stuttering, and individuals who stutter more frequently on vowel-initial words are relatively rare. However, in Japanese, individuals who tend to stutter more on vowel-initial words are frequently observed. This study aimed to clarify these inconsistencies by exploring whether subtypes exist among Japanese speakers who stutter, characterized by vowel- or consonant-oriented difficulty. Fifteen adults who self-identified as people who stutter each read 190 nonword stimuli controlled for word length and familiarity, rating their stuttering severity on a 4-point scale after each trial. A hierarchical cluster analysis of stuttering severity across 19 different word-initial sounds revealed two distinct clusters: one primarily prone to consonant-initial stuttering (Cluster C) and another prone to vowel-initial stuttering (Cluster V). Subsequently, a multilevel ordinal logistic regression model examined the effects of various phonological features. Nasal consonants were associated with reduced stuttering severity in both clusters, whereas features such as consonantal and glottal factors were linked to increased severity only in Cluster C. These results suggest that dividing participants into vowel- and consonant-prone subtypes can reconcile previous contradictory findings regarding the role of initial sounds in Japanese stuttering. Recognizing these subtypes may be critical for future research and clinical interventions, as it underscores the need to consider individualized phonological sensitivities when investigating and treating stuttering in Japanese and potentially other languages.

口吃受到多种语言因素的影响，其中之一就是一个单词是以元音还是辅音开头。在包括英语在内的许多语言中，以辅音开头的单词更容易引起口吃，而在以元音开头的单词上口吃更频繁的人相对较少。然而，在日语中，经常观察到那些在元音开头的单词上更容易口吃的人。本研究旨在通过探索日语口吃者中是否存在以元音或辅音为特征的亚型来澄清这些不一致。15名自称口吃的成年人每人阅读190个非单词刺激，控制单词长度和熟悉程度，并在每次试验后以4分制对他们的口吃严重程度进行评分。对19种不同单词开头发音的口吃严重程度进行了分层聚类分析，发现了两个不同的集群：一个主要倾向于辅音开头口吃（集群C），另一个倾向于元音开头口吃（集群V）。随后，一个多层次有序逻辑回归模型检验了各种语音特征的影响。鼻辅音与两组口吃严重程度的降低有关，而辅音和声门因素等特征仅与c组口吃严重程度的增加有关。这些结果表明，将参与者分为元音和辅音倾向亚型可以调和之前关于日语口吃中初始音作用的矛盾发现。认识到这些亚型可能对未来的研究和临床干预至关重要，因为它强调了在调查和治疗日语和潜在的其他语言口吃时需要考虑个性化的语音敏感性。

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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 : 2025-06-19 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。

{"title":"Polish adaptation of the Self-Stigma of Stuttering Scale: Scale development and analysis","authors":"Marta Wesierska , Natalia Świsłocka , Katarzyna Węsierska , Michael P. Boyle","doi":"10.1016/j.jfludis.2025.106138","DOIUrl":"10.1016/j.jfludis.2025.106138","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"85 ","pages":"Article 106138"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366367","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 : 2025-06-19 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

A qualitative investigation of how stutterers perceive social interactions 一项关于口吃者如何感知社会互动的定性调查

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

Journal of Fluency Disorders

Pub Date : 2025-06-19 DOI: 10.1016/j.jfludis.2025.106137

Courtney Luckman, Eric S. Jackson

Purpose

The purpose of this study was to examine the social perceptions that stutterers hold about their communication partners with the goal of understanding why some situations are more challenging for stutterers than others.

Method

Fifteen adults who stutter were interviewed for one hour each to explore their perceptions and evaluations of their listeners. The interviews were analyzed using reflexive thematic analysis.

Results

Participants expressed uncertainty about how their listeners would respond to their stuttering. Many reported feeling more discomfort when stuttering around unfamiliar communication partners due to concerns about making a negative first impression. All participants felt judged due to their stuttering, and many experienced pressure to be fluent. Meta-perceptions of communication partners played a crucial role in determining how difficult the social interaction was perceived to be.

Conclusions

This study highlights the challenges adults who stutter may face in social situations, revealing the nuanced complexities of stuttering within social interactions. It highlights the significant impact of listener behavior and stutterers’ meta-perceptions on stuttering events. These findings provide a rich analysis of how stutterers interpret social interactions and can form the basis of quantitative investigations into how social perceptions are related to stuttering events.

目的本研究的目的是研究口吃者对其交流伙伴的社会认知，以了解为什么有些情况对口吃者来说比其他情况更具挑战性。方法对15名口吃的成年人进行了一小时的访谈，探讨他们对听众的看法和评价。访谈采用自反性主题分析。结果参与者表示不确定他们的听众会如何回应他们的口吃。许多人表示，由于担心留下负面的第一印象，在不熟悉的交流对象面前结巴会感到更不舒服。所有的参与者都觉得自己的口吃是被人评判的，很多人都经历了说流利英语的压力。沟通伙伴的元知觉在决定社会互动的困难程度方面起着至关重要的作用。结论：这项研究强调了口吃的成年人在社交场合可能面临的挑战，揭示了口吃在社交互动中的微妙复杂性。它强调了听者行为和口吃者的元知觉对口吃事件的显著影响。这些发现为口吃者如何解释社会互动提供了丰富的分析，并可以形成定量调查社会认知与口吃事件之间关系的基础。

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引用次数: 0

Supporting teachers of students who clutter: Development of a handout for effective classroom strategies 帮助那些混乱的学生的老师：为有效的课堂策略制作讲义

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

Journal of Fluency Disorders

Pub Date : 2025-06-06 DOI: 10.1016/j.jfludis.2025.106133

Susanne Cook

Purpose

This study aimed to assess teachers' existing knowledge of cluttering and to identify strategies they can use to support students who clutter.

Method

Ten high school teachers, including both general education and special education teachers, participated in the study. A mixed-methods approach was used to explore their awareness, knowledge and needs related to supporting students who clutter.

Result

Teachers already implement some effective strategies for students who clutter but expressed a clear need for more information about cluttering. Both quantitative and qualitative analyses indicated that teachers are open to collaborating with SLPs. They expressed a preference for having an SLP observe the student, demonstrate strategies, and provide a concise handout with information about cluttering and practical classroom strategies.

Conclusion

There is an ongoing need to raise awareness and knowledge about cluttering among teachers. A handout has been developed which serves as a valuable resource for SLPs and teachers to address this need.

目的本研究旨在评估教师现有的杂乱知识，并确定他们可以使用的策略来支持杂乱学生。方法对10名高中教师进行调查，包括普通教育教师和特殊教育教师。使用混合方法来探索他们的意识、知识和与支持杂乱学生相关的需求。结果老师们已经对那些乱扔东西的学生实施了一些有效的策略，但他们明确表示需要更多关于乱扔东西的信息。定量和定性分析都表明，教师愿意与特殊语言教师合作。他们表示更倾向于让一名语言助理观察学生，演示策略，并提供一份简明的讲义，其中包含有关混乱和实用课堂策略的信息。结论需要不断提高教师对杂乱的认识和知识。已编制了一份讲义，作为解决这一需求的宝贵资源，供特殊教育学生和教师使用。

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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 : 2025-06-04 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

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 : 2025-06-02 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