Journal of Fluency Disorders最新文献_第5页

Desensitizing parents of preschool children who stutter: The effect on attitudes and anxiety of both children and parents 使学龄前口吃儿童的父母脱敏：对儿童和父母态度和焦虑的影响

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

Journal of Fluency Disorders

Pub Date : 2025-07-09 DOI: 10.1016/j.jfludis.2025.106141

Ayhan Çağlayan , Eren Balo , İlknur Maviş

Objective

This study aims to investigate if preschool children’s communication attitudes and speech behaviors, and their parents’ feelings and attitudes towards stuttering, overall parenting attitudes, and anxiety levels differ after desensitizing the parents to stuttering.

Material and Methods

20 preschool children who stutter (CWS) and their parents participated in the study. Employing one-group pre-test–post-test experimental design, the research data were collected before the therapy, immediately after the therapy, and three months post-therapy for follow-up. The mothers and fathers completed the Turkish version of ‘‘Stuttering-Parental Diagnostic Questionnaire”, “Parental Attitude Scale”, and “The State-Trait Anxiety Inventory”, while the children were administered “Turkish Communication Attitude Test for Preschool and Kindergarten Children Who Stutter”. The therapy was carried out across 8 weeks and 10 sessions in total only with the parents. For statistical analysis, independent t-test was used for the difference between two independent groups, and repeated measures analysis of variance was utilized to compare pre, post and follow-up data.

Results

Following the desensitization therapy applied to the parents, statistically significant positive improvements were observed in children’s communication attitudes and speech behaviors and in parents’ feelings and attitudes towards stuttering. Based on the 4 types of parenting styles (Karabulut Demir & Şendil, 2008), the parents exhibited significantly more democratic and less authoritarian, less overprotective, and less permissive attitudes. The decrease in the overall anxiety levels of the parents was also statistically significant.

Conclusions

Desensitizing parents to stuttering was effective for the management of stuttering during preschool years for both parties— the parents and their children

目的探讨父母对结巴脱敏后学龄前儿童的沟通态度和言语行为、父母对结巴的感受和态度、整体育儿态度和焦虑水平是否存在差异。材料与方法20例学龄前口吃儿童及其家长参与了本研究。采用一组前测后测实验设计，研究数据分别于治疗前、治疗后、治疗后3个月进行随访。父母分别填写土耳其语版“口吃-父母诊断问卷”、“父母态度量表”和“状态-特质焦虑量表”，对儿童进行“学龄前和幼儿园口吃儿童土耳其语沟通态度测试”。这项治疗持续了8周，总共10次，只有父母参与。统计分析两独立组间差异采用独立t检验，前后及随访资料比较采用重复测量方差分析。结果对父母进行脱敏治疗后，儿童的沟通态度和言语行为以及父母对口吃的感受和态度均有统计学意义的积极改善。基于四种类型的养育方式(Karabulut Demir &；Şendil, 2008)，父母表现出更民主，更少专制，更少过度保护和更少宽容的态度。父母总体焦虑水平的下降也具有统计学意义。结论家长对结巴的脱敏对家长和孩子双方的学龄前结巴管理都是有效的

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引用次数: 0

Let’s read: Building allies through a bibliotherapy stuttering intervention 让我们读一下：通过阅读疗法口吃干预建立盟友

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

Journal of Fluency Disorders

Pub Date : 2025-07-08 DOI: 10.1016/j.jfludis.2025.106143

Michael Azios , Farzan Irani , Teyara Watson-Love , Anne Williams

Purpose

The aim of this exploratory study was to determine whether a school-based bibliotherapy intervention will change the attitudes of school-aged children who do not stutter toward children who stutter (CWS). A secondary purpose was to determine the ease of implementation in a school.

Method

Twenty-six fourth-grade children who do not stutter participated in an intervention consisting of graduate student clinicians using a bibliotherapy framework and guided discussions over the course of four weeks to educate and shift their attitudes about stuttering and peers who stutter. All participants completed the Peer Attitudes Toward Children who Stutter (PATCS) scale pre- and post-intervention to determine if there was a change in attitudes toward CWS. The graduate student clinicians completed the System Usability Scale (SUS) at the end of the intervention to rate the ease of implementing the novel bibliotherapy intervention.

Results

There was a significant, positive effect of bibliotherapy intervention on the attitudes of fourth-grade children towards CWS as measured by the PATCS. Graduate student clinicians who administered the intervention in the school rated it as “good” to “excellent” in terms of ease of implementation on the SUS.

Conclusions

The bibliotherapy-based classroom intervention was effective at modifying peer attitudes toward stuttering in just four weeks and was easy to implement, making it a feasible approach for clinicians who desire to transition to a social model of intervention that targets the environment.

目的本探索性研究的目的是确定以学校为基础的阅读疗法干预是否会改变学龄非口吃儿童对口吃儿童的态度。第二个目的是确定在学校实施的难易程度。方法26名没有口吃的四年级儿童参加了一项由临床研究生组成的干预，该干预采用阅读疗法框架，并在四周的课程中引导讨论，以教育和改变他们对口吃和口吃同伴的态度。所有参与者在干预前和干预后完成同伴对口吃儿童的态度（PATCS）量表，以确定对口吃儿童的态度是否有变化。研究生临床医生在干预结束时完成了系统可用性量表（SUS），以评估实施新型阅读疗法干预的难易程度。结果阅读治疗干预对四年级儿童对CWS的态度有显著的正向影响。在学校实施干预的研究生临床医生将其评为“好”到“优秀”，就SUS实施的便利性而言。结论：以阅读疗法为基础的课堂干预在短短四周内有效地改变了同伴对口吃的态度，并且易于实施，对于希望转变为以环境为目标的社会干预模式的临床医生来说，这是一种可行的方法。

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引用次数: 0

Risk of stuttering onset and persistence linked to early language skills: Results from the Generation R Study R世代研究的结果：早期语言技能与口吃的发生和持续风险有关

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

Journal of Fluency Disorders

Pub Date : 2025-07-05 DOI: 10.1016/j.jfludis.2025.106145

S.P.C. Koenraads , P.W. Jansen , J.E. Labuschagne , M.P. van der Schroeff , M.C. Franken

Background

Although linguistic factors are considered relevant to stuttering onset and its developmental course, the exact relationship between language and childhood stuttering remains unclear. Low, average and above-average expressive and receptive language skills have been associated with childhood stuttering. This study aimed to evaluate whether early language skills in children are associated with the risk of stuttering onset and persistence, using population-level data.

Methods

In a prospective, population-based cohort, we analyzed early-childhood language data from 123 nine-year-old with a history of stuttering (22 persistent, 101 recovered) and 2819 children without such a history. Expressive and receptive language skills were assessed at five time points using parental-reported questionnaires between 18 and 48 months of age. Multiple logistic regression analyses were performed.

Results

Higher expressive and receptive language skills at 24 months were significantly associated with a decreased risk of stuttering (Odds Ratio (OR), 0.78, 95 % Confidence Interval (CI) [0.65, 0.93], p-value < 0.01). Language assessments at 18, 30, 36 and 48 months showed no evidence of any association with stuttering (persistence).

Conclusion

These findings support previous studies indicating that lower language skills in early childhood add to the risk of stuttering onset, but not with the persistence of stuttering. This association does not imply causality, it only demonstrates the association. Therefore, clinicians are advised to screen language skills in pre-school children referred shortly after stuttering onset. Early language assessment may also reveal concomitant, clinically relevant language disorders, which are more prevalent in children already identified with one developmental concern.

虽然语言因素被认为与口吃的发生及其发展过程有关，但语言与儿童口吃之间的确切关系尚不清楚。低、平均和高于平均水平的表达和接受语言能力与儿童口吃有关。本研究旨在评估儿童早期语言技能是否与口吃发生和持续的风险有关，使用人口水平的数据。方法在一项前瞻性、基于人群的队列研究中，我们分析了123名有口吃史的9岁儿童（22名持续存在，101名恢复）和2819名无口吃史的儿童的早期儿童语言数据。在18到48个月大的时候，使用父母报告的问卷，在五个时间点评估表达和接受语言技能。进行多元逻辑回归分析。结果24个月时较高的语言表达和接受能力与口吃风险降低显著相关（优势比（OR）， 0.78, 95 %置信区间（CI） [0.65, 0.93]， p值<； 0.01）。在18个月、30个月、36个月和48个月的语言评估中，没有证据表明与口吃（持续性）有任何关联。结论这些发现支持了先前的研究，即儿童早期较低的语言技能会增加口吃发生的风险，但与口吃的持久性无关。这种联系并不意味着因果关系，它只是证明了这种联系。因此，建议临床医生在口吃发作后不久对学龄前儿童的语言技能进行筛查。早期语言评估也可能揭示伴随的、临床相关的语言障碍，这在已经确定有一种发育问题的儿童中更为普遍。

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引用次数: 0

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。

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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