Journal of Fluency Disorders最新文献_第8页

Adult stuttering prevalence I: Systematic review and identification of stuttering in large populations 成人口吃患病率I：大规模人群中口吃的系统回顾和鉴定。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2024-10-09 DOI: 10.1016/j.jfludis.2024.106085

Max Gattie , Elena Lieven , Karolina Kluk

Purpose

Stuttering epidemiology is reviewed with a primary goal of appraising methods used to identify stuttering in large populations. Secondary goals were to establish a best estimate of adult stuttering prevalence; identify data that could subgroup stuttering based upon childhood versus adult onset and covert versus over behaviour; and conduct a preliminary assessment of the degree to which stuttering features as a co-occurring diagnosis.

Methods

Systematic review followed PRISMA guidelines. Quality assessment was based on the Joanna Briggs Institute Prevalence Critical Appraisal Tool, with criteria adjusted for appraisal of stuttering.

Results

15 sets of data were assessed for quality, with three meeting criteria for inclusion. These estimated adult stuttering prevalence at 0.67% at age 14–17 years (Taghipour et al., 2013); 0.21% at age 16–20 years (Tsur et al., 2021); and 0.63% when aged over 21 years (Craig et al., 2002).

Conclusion

Systematic review indicates adult stuttering prevalence is between 0.6–0.7%. A false positive paradox follows from the low prevalence of stuttering in the general population, creating a need for very high specificity when measuring stuttering in the general population. Failure to achieve high specificity (99.9% is suggested) leads to loss of statistical power due to presence of false positives. A corollary of the false positive paradox is that sensitivity in measurement of stuttering can be relatively low (90% is suggested) before general population estimates of stuttering prevalence are appreciably affected. Despite this relaxation of measurement requirements regarding sensitivity, covert stuttering is likely to have been underestimated. Covert stuttering might be accounted for using data from prospective cohort studies, however such a revision seems unlikely to exceed the widely-accepted 1% adult stuttering prevalence estimate; see Gattie, Lieven & Kluk (2024 this issue) for an estimate at 0.96 %. When used to estimate stuttering prevalence, data reported by Tsur et al. (2021) are outlying, with the relatively low estimate possibly due to origin as military conscript data and/or generalised healthcare screening.

目的：回顾口吃流行病学，主要目的是评估用于识别大人群口吃的方法。次要目标是建立成人口吃患病率的最佳估计；确定数据，可以根据儿童和成人发病以及隐蔽和过度行为对口吃进行分组；并对口吃作为一种共同发生的诊断的程度进行初步评估。方法：按照PRISMA指南进行系统评价。质量评估基于乔安娜布里格斯研究所流行关键评估工具，并对口吃的评估标准进行了调整。结果：对15组资料进行了质量评估，其中3组符合纳入标准。这些研究估计14-17岁成人口吃患病率为0.67% （Taghipour等人，2013年）；16-20岁为0.21% (Tsur et al., 2021)；21岁以上为0.63% （Craig et al, 2002）。结论：系统评价提示成人口吃患病率在0.6-0.7%之间。一般人群中口吃的低患病率导致了假阳性悖论，因此在测量一般人群中的口吃时需要非常高的特异性。由于假阳性的存在，未能达到高特异性（建议为99.9%）导致统计效力的丧失。假阳性悖论的一个推论是，测量口吃的灵敏度可能相对较低（建议为90%），然后对口吃患病率的一般人群估计才会受到明显影响。尽管对灵敏度的测量要求有所放松，但隐蔽的口吃可能被低估了。隐性口吃可能使用前瞻性队列研究的数据来解释，但是这样的修订似乎不太可能超过广泛接受的1%成人口吃患病率估计；参见Gattie， Lieven & Kluk（2024年）对0.96%的估计。当用于估计口吃患病率时，Tsur等人（2021）报告的数据是孤立的，相对较低的估计值可能是由于征兵数据和/或广泛的医疗保健筛查。

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引用次数: 0

Stuttering as an act of love 口吃是一种爱的行为。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1016/j.jfludis.2025.106104

Christopher Dominick Constantino

For us to love each other we must first know each other. We come to know each other through communication, the purpose of which is communion. Traditionally, we think of stuttering as impairing this communion. Stuttering prevents us from sharing ourselves with others by distorting our message and increasing the effort it takes for us to speak. This need not be the case. Our stuttering is as much a part of us as any other attribute. For others to know us deeply, they must also know our stuttering. Likewise, for us to know others, we must know how they react to us – all of us – including our stuttering. In this paper, I propose that by stuttering openly and sincerely we share more of ourselves with others and, therefore, enter a deeper communion than would be possible if we hid our disfluencies. Stuttering introduces vulnerability into our conversations that would be absent had we been fluent. This vulnerability, when reciprocated, allows for intimacy. Research demonstrates that our stuttering impacts us less negatively when we are more open and speak with more spontaneity. By embracing our stutters, we not only lessen the negative impact of stuttering, but we also increase our ability to know, and therefore, love each other.

要彼此相爱，我们必须先了解对方。我们通过交流来了解彼此，交流的目的是交流。传统上，我们认为口吃会损害这种交流。口吃通过扭曲我们的信息和增加我们说话的努力来阻止我们与他人分享我们自己。事实并非如此。我们的口吃和我们的其他特质一样，都是我们的一部分。别人要想深入了解我们，就必须了解我们的口吃。同样地，为了了解他人，我们必须了解他们对我们的反应——包括我们的口吃。在这篇论文中，我建议，通过公开和真诚的口吃，我们可以与他人分享更多的自己，因此，与隐藏自己的不流畅相比，我们可以进入更深层次的交流。口吃在我们的谈话中引入了脆弱，如果我们说得流利，就不会有这种脆弱。这种脆弱，如果得到回报，就会产生亲密关系。研究表明，当我们更开放、说话更自然时，口吃对我们的负面影响会更小。通过拥抱我们的口吃，我们不仅减少了口吃的负面影响，而且还增加了我们了解彼此的能力，因此，我们彼此相爱。

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引用次数: 0

Reliability and validity of the unhelpful thoughts and beliefs scale for Persian-speaking adults who stutter (UTBAS-P): A cross-cultural examination of social anxiety in people who stutter 说波斯语的口吃成人无用思想和信念量表的信度和效度：对口吃者社交焦虑的跨文化研究。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2025-01-13 DOI: 10.1016/j.jfludis.2025.106099

Sima Farpour , Bijan Shafie , Ross Menzies , Hamid Karimi

Background and Aim

An increasing body of research indicates that many adults who stutter (AWS) experience anxiety in social and verbal situations. The Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales were developed to assess speech-related anxiety and negative cognitions associated with stuttering. This study aimed to translate the UTBAS into Persian, investigate its psychometric properties for Persian-speaking AWS, and compare the results with previously published UTBAS scores across various cultures.

Method

The UTBAS scales were translated into Persian according to the protocols of the International Quality of Life Assessment Project and the World Health Organization. Sixty-two adults with developmental stuttering, aged between 18 and 51 years, participated in this study. The psychometric properties of UTBAS-P were investigated using similar measures to those used in previous studies where valid and reliable versions were available. Additionally, UTBAS-P scores were compared to UTBAS scores previously reported for Australian, Japanese, and Turkish participants.

Results

The results showed that UTBAS-P had an acceptable face, content, and construct validity. It was significantly correlated with other anxiety-related measures. Additionally, its low and negative correlations with unrelated constructs, such as the NEO-PI-R domains of openness, agreeableness, and conscientiousness, confirmed its divergent validity. Regarding reliability, the significant test-retest reliability score (Pearson r = 0.87, p < 0.001) confirmed the stability of UTBAS-P scores over time, and its internal consistency was confirmed by Cronbach’s alpha of 0.99. Similarities and differences were found between participants' UTBAS scores across different cultures.

Conclusion

All four currently translated versions of the UTBAS have demonstrated high levels of validity and reliability, showing strong correlations with well-known anxiety measures. These findings suggest that the UTBAS has potential for use both clinically and in cross-cultural studies.

背景和目的：越来越多的研究表明，许多口吃的成年人在社交和语言环境中会感到焦虑。“对口吃无益的想法和信念”（UTBAS）量表是用来评估与口吃相关的言语焦虑和消极认知的。本研究旨在将UTBAS翻译成波斯语，研究其对讲波斯语的AWS的心理测量特性，并将结果与先前发表的不同文化的UTBAS分数进行比较。方法：根据国际生活质量评估项目和世界卫生组织的方案，将UTBAS量表翻译成波斯语。62名年龄在18岁到51岁之间患有发育性口吃的成年人参加了这项研究。UTBAS-P的心理测量特性使用类似于先前研究中使用的测量方法进行调查，其中有效和可靠的版本可用。此外，将UTBAS- p得分与先前报道的澳大利亚、日本和土耳其参与者的UTBAS得分进行比较。结果：UTBAS-P具有可接受的外观、内容和结构效度。它与其他焦虑相关的测量结果显著相关。此外，其与不相关构念（如开放性、亲和性和尽责性的NEO-PI-R域）的低相关性和负相关性证实了其发散效度。在信度方面，显著的重测信度得分（Pearson r = 0.87,p ）结论：所有四个目前翻译的UTBAS版本都显示出高水平的效度和信度，与众所周知的焦虑测量具有很强的相关性。这些发现表明UTBAS在临床和跨文化研究中都有潜在的应用价值。

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引用次数: 0

Reimagining stuttering therapy and outcomes through an acceptance and collaborative lens 通过接受和合作的视角重新想象口吃治疗和结果。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2025-01-31 DOI: 10.1016/j.jfludis.2025.106105

Farzan Irani , Michael Azios , Michael Boyle , Geoffrey A. Coalson , Scott Palasik , Jack Rodriguez , Eric Swartz

The purpose of this paper is to summarize a panel discussion at the 2024 World Stuttering and Cluttering Organization Congress that aimed to explore and reflect on the shifting landscape of stuttering therapy across the lifespan. The panel comprised of speech-language pathologists who have experience in stuttering therapy as clients, professionals, and researchers. The panel members reflect on the research, their professional experiences, and their own personal journey toward a more acceptance-based therapy and its outcomes. The paper concludes with the panel’s reflections on the future of stuttering therapy across the lifespan.

本文的目的是总结2024年世界口吃和杂乱组织大会上的一个小组讨论，旨在探索和反思口吃治疗在整个生命周期中的变化。该小组由语言病理学家组成，他们作为客户、专业人士和研究人员在口吃治疗方面有经验。小组成员反思了研究，他们的专业经验，以及他们自己走向更基于接受的治疗及其结果的个人旅程。这篇论文最后总结了专家组对口吃治疗在整个生命周期中的未来的思考。

引用次数: 0

A theory building critical realist evaluation of an integrated cognitive-behavioural fluency enhancing stuttering treatment for school-age children. Part 1: Development of a preliminary program theory from expert speech-language pathologist data. 对学龄儿童口吃流利性强化认知行为综合治疗的理论构建批判现实主义评估。第 1 部分：从语言病理专家的数据中发展出初步的方案理论。

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

Journal of Fluency Disorders

Pub Date : 2024-12-01 Epub Date: 2024-08-24 DOI: 10.1016/j.jfludis.2024.106076

Michelle C. Swift , Marilyn Langevin

Purpose

This study initiated a program of research that aims to develop a program theory underlying integrated cognitive-behavioural fluency enhancing stuttering treatments for school-age children. This research asks, what in the treatment program works (or does not work), for whom, in what contexts, and why.

Methods

Using a critical realist evaluation approach, seven speech-language pathologists (SLPs) with extensive experience in treating children who stutter were asked about barriers and facilitators of optimal treatment outcomes within the context of the Comprehensive Stuttering Program - School-aged Children (CSP-SC). From these data discrete resource mechanisms, contexts, within child reasoning mechanisms, and outcomes were derived and a preliminary program theory was proposed.

Results

Facilitating and impeding child physiology, treatment and SLP resource mechanisms, family and school contexts, and within-child mechanisms were identified. Facilitating mechanisms included motivation, personality/psychological characteristics, understanding and trust of the treatment process, experience of speaking with less effort, and self-efficacy. Impeding mechanisms included reduced motivation, impeding personality/psychological characteristics, lack of buy-in, and, for some children, a prohibitive cost of effort in using learned strategies.

Conclusion

A preliminary program theory was hypothesized which will be further developed in future analysis of data obtained from children and parents who participated in the CSP-SC at the same centre from which the SLPs came. Subsequent research with new cohorts of SLPs, children, and parents from other treatment programs and centres will be needed to establish the generalizability of the program theory generated in this program of research

目的：本研究启动了一项研究计划，旨在为学龄儿童的口吃综合认知行为流利性强化治疗开发一种基础计划理论。这项研究的问题是：治疗计划中哪些内容有效（或无效），对谁有效，在什么情况下有效，为什么有效：采用批判现实主义评估方法，向七位在治疗口吃儿童方面具有丰富经验的语言病理学家（SLPs）询问了在 "学龄儿童口吃综合治疗计划"（CSP-SC）背景下取得最佳治疗效果的障碍和促进因素。从这些数据中得出了离散的资源机制、环境、儿童内部推理机制和结果，并提出了初步的计划理论：结果：确定了促进和阻碍儿童生理、治疗和 SLP 资源机制、家庭和学校环境以及儿童内部机制。促进机制包括动机、个性/心理特征、对治疗过程的理解和信任、说话省力的体验以及自我效能感。阻碍机制包括动机减弱、个性/心理特征阻碍、缺乏认同感，以及对某些儿童来说，使用所学策略的努力成本过高：我们提出了一个初步的项目理论假设，该理论将在今后的数据分析中得到进一步发展，这些数据来自于在同一中心参加 CSP-SC 的儿童和家长，而 SLP 就来自于该中心。随后还需要对来自其他治疗项目和中心的新一批 SLPs、儿童和家长进行研究，以确定本研究项目中产生的项目理论的普遍性。

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引用次数: 0

Stuttering severity and social anxiety among adults who stutter: A multilevel analysis 成人口吃者的口吃严重程度与社交焦虑：多层次分析

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

Journal of Fluency Disorders

Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.1016/j.jfludis.2024.106088

Xiaofan Lei , Viann N. Nguyen-Feng , Jayanthi Sasisekaran

Purpose

The purpose of this study is to further investigate the association between social anxiety and stuttering severity among adults who stutter (AWS) at both the between- and within-person levels of analysis.

Method

Sixty-two AWS (women = 27, men = 35; M_age = 39.5 years, SD_age = 14.8) first completed a questionnaire (e.g., trait social anxiety and personality traits) and provided two speech samples (i.e., conversation, reading). Then, participants enrolled in up to 21 days of ecological momentary assessment (EMA) to self-report their momentary stuttering severity, social anxiety, and avoidance behaviors during social interactions. Correlational analyses and hierarchical regression analyses were conducted on between-person level measures. Multilevel mediation analysis was conducted on EMA data to disaggregate between- and within-person processes.

Results

At the between-person level, percent syllables stuttered (%SS) and person mean Self-Reported Stuttering Severity (iSRSS) were both significantly correlated with trait social anxiety, but not above and beyond the effects of neuroticism, extraversion, the overall impact of stuttering, and avoidance behaviors. At the within-person level, when AWS self-reported to stutter more than they usually do on average, they also tended to exhibit higher levels of social anxiety than they usually did, regardless of the amount of avoidance behaviors exhibited at those moments. The within-person effect between stuttering severity and social anxiety was also significantly mediated by avoidance behaviors.

Conclusion

The associations between social anxiety and stuttering differed based on the analysis level (between vs within-person) and whether covariates are included.

方法62名口吃成人（女性27人，男性35人；平均年龄39.5岁，平均年龄14.8岁）首先填写了一份调查问卷（如特质社交焦虑和人格特质），并提供了两份语音样本（即对话和朗读）。然后，参与者参加长达 21 天的生态瞬间评估（EMA），以自我报告他们在社会交往中的瞬间口吃严重程度、社交焦虑和回避行为。对人与人之间的测量结果进行了相关分析和分层回归分析。结果在人与人之间，口吃音节百分比（%SS）和个人平均自述口吃严重程度（iSRSS）均与特质社交焦虑显著相关，但不超越神经质、外向性、口吃的总体影响和回避行为的影响。在个人层面上，当 AWS 自我报告的口吃程度平均高于他们通常的口吃程度时，他们也倾向于表现出比通常更高的社交焦虑水平，而不管在这些时刻表现出多少回避行为。结论：社交焦虑与口吃之间的关联因分析水平（人与人之间或人与人之间）和是否包含协变量而有所不同。

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引用次数: 0

Public attitudes toward stuttering and cluttering in Chinese and Japanese speech-language pathology students 中国和日本语言病理学学生对口吃和杂音的公众态度。

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

Journal of Fluency Disorders

Pub Date : 2024-12-01 Epub Date: 2024-08-24 DOI: 10.1016/j.jfludis.2024.106077

Yu-An Chen , Shoko Miyamoto , Kenneth O. St. Louis

Purpose

This study utilized the Chinese and Japanese translations of the Public Opinion Survey of Human Attributes-Stuttering (POSHA–S) and Cluttering (POSHA–Cl) to compare the differences in (a) attitudes towards stuttering versus cluttering in speech-language pathology (SLP) students in either China or Japan, (b) attitudes of SLP students in China versus Japan towards either stuttering or cluttering, and (c) attitudes of Chinese and Japanese students versus international databases for stuttering and cluttering.

Method

The POSHA–S and POSHA–Cl were both administered to 99 SLP students from six universities in China and 352 SLP students from two universities in Japan.

Results

Attitudes toward stuttering were markedly different for Chinese versus Japanese students. Overall, stuttering attitudes were slightly more positive than cluttering attitudes in both countries; however, compared to China, Japanese SLP students attitudes toward stuttering and cluttering were more disimilar. In addition, compared with the international database, the attitudes of Chinese and Japanese SLP students toward self-reactions to both disorders were more positive.

Conclusion

Chinese and Japanese SLP students’ attitudes toward both stuttering and cluttering are likely to be influenced by geography, culture, education, and the “halo effect.” The attitudes of the SLP students in China and Japan are more negative than the attitudes as shown in the global data.

目的：本研究使用人类属性民意调查--口吃（POSHA-S）和口吃（POSHA-Cl）的中文和日文译本，比较（a）中国或日本语言病理学（SLP）专业学生对口吃和口吃的态度差异；（b）中国和日本语言病理学专业学生对口吃或口吃的态度差异；（c）中国和日本学生对口吃和口吃国际数据库的态度差异：方法：对中国六所大学的 99 名口吃矫正专业学生和日本两所大学的 352 名口吃矫正专业学生进行了 POSHA-S 和 POSHA-Cl测试：结果：中国学生和日本学生对口吃的态度明显不同。总体而言，中日两国学生对口吃的态度都略高于对杂音的态度；但与中国相比，日本SLP学生对口吃和杂音的态度差异更大。此外，与国际数据库相比，中国和日本的语言辅导员学生对这两种障碍的自我反应的态度更为积极：结论：中日SLP学生对口吃和口吃障碍的态度可能受到地理、文化、教育和 "光环效应 "的影响。与全球数据相比，中国和日本 SLP 学生的态度更为消极。

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引用次数: 0

Corrigendum to “Do dyslexia and stuttering share a processing eficit?", [Journal of Fluency Disorders, 67 (2021) 105827] 对 "阅读障碍和口吃有共同的处理缺陷吗？"的更正，[《流利障碍杂志》，67 (2021) 105827]。

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

Journal of Fluency Disorders

Pub Date : 2024-12-01 Epub Date: 2024-09-26 DOI: 10.1016/j.jfludis.2024.106087

Mahmoud M. Elsherif , Linda R. Wheeldon , Steven Frisson

引用次数: 0

Explicit and implicit cognitive processes of the public towards people who stutter 公众对口吃患者的显性和隐性认知过程。

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

Journal of Fluency Disorders

Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1016/j.jfludis.2024.106073

Elise L. Rickert, Heather D. Salvo, Jennifer Roche, Hayley S. Arnold

Purpose

The Public Opinion Survey of Human Attributes - Stuttering (POSHA-S, St. Louis, 2013) was developed as a standard measure of public attitudes about people who stutter. As with any survey-based methods, threats to validity may occur because of social desirability bias. Using computer mouse-tracking, we were interested in observing changes in cognition that are manifested in intentionality through action by evaluating underlying cognitive processes that drive social judgments of people who stutter.

Methods

Twenty-two women, 1 non-binary person, and 47 men reported using a computer mouse to complete an online, remote, and modified version of the POSHA-S. Responses were categorized as correct/helpful or incorrect/unhelpful relative to each component of the POSHA-S and were used as measures of explicit cognitive processes. Computer-mouse trajectory metrics, including area under the curve (AUC) and reaction time (RT), were used to measure implicit cognitive processes.

Results

Although participants’ explicit responses were significantly more likely to be correct/helpful than incorrect/unhelpful, with endorsement of correct/helpful prompts 77 % of the time, participants also endorsed incorrect/unhelpful prompts more than half (i.e., 52 %) of the time. Familiarity with people who stutter was associated with disagreeing with incorrect/unhelpful prompts. As indicated by greater AUC, participants exhibited significantly more implicit cognitive processes indicating competition when responding “disagree” compared to “agree”, regardless of whether the prompts were correct/helpful or incorrect/unhelpful. Similarly, participants took significantly longer to respond to prompts with "disagree" rather than "agree".

Conclusion

The findings of this study offer evidence of participants reporting cognitive processes that are overall more correct/helpful than incorrect/unhelpful, in their explicit responses to the dichotomous response tasks of the POSHA-S. However, these findings are tempered by evidence of a tendency to agree with statements in the measure and suggest the need for further research to increase understanding of how to measure and improve explicit and implicit cognitive processes related to people who stutter.

目的：人类属性民意调查--口吃（POSHA-S，圣路易斯，2013年）是作为衡量公众对口吃患者态度的标准而开发的。与任何基于调查的方法一样，由于社会期望偏差，有效性可能会受到威胁。利用计算机鼠标跟踪技术，我们有兴趣通过评估驱动社会对口吃患者作出判断的潜在认知过程，观察通过行动在意向性中表现出来的认知变化：22名女性、1名非二元人士和47名男性使用电脑鼠标完成了在线、远程和修改版的POSHA-S。相对于 POSHA-S 的每个部分，回答被分为正确/有帮助或不正确/无帮助，并被用作明确认知过程的测量指标。计算机鼠标轨迹指标，包括曲线下面积（AUC）和反应时间（RT），用于测量内隐认知过程：结果：虽然参与者的显性回答正确/有帮助的可能性明显高于错误/无帮助的可能性，77%的时间认可正确/有帮助的提示，但也有一半以上（即 52%）的时间认可错误/无帮助的提示。对口吃患者的熟悉程度与不同意错误/无帮助提示有关。正如更高的 AUC 所示，与 "同意 "相比，参与者在回答 "不同意 "时表现出更多的内隐认知过程，表明存在竞争，无论提示是正确/有帮助还是错误/无帮助。同样，与 "同意 "相比，参与者在回答 "不同意 "的提示时所花费的时间也明显更长：本研究的结果证明，在对 POSHA-S 的二分反应任务做出明确反应时，受试者报告的认知过程总体上正确/有帮助多于错误/无帮助。不过，这些研究结果也有证据表明，受试者倾向于同意测量中的陈述，这表明有必要开展进一步的研究，以进一步了解如何测量和改进与口吃患者有关的显性和隐性认知过程。

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引用次数: 0

Italian normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) Scales for adults who stutter 意大利口吃成人无益想法和信念量表（UTBAS）的标准数据。

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

Journal of Fluency Disorders

Pub Date : 2024-09-01 Epub Date: 2024-06-25 DOI: 10.1016/j.jfludis.2024.106074

Simona Bernardini , Sara Onnivello , Silvia Lanfranchi

Purpose

This study aimed to assess the reliability and validity of the Italian translation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales for adults who stutter, as there are no assessment tools currently available in Italy. The UTBAS scales provide a comprehensive stuttering-specific measure of the unhelpful thoughts and beliefs that can be used to screen for indicators of social anxiety in adults who stutter. Additionally, the UTBAS scales also allow the identification of negative thoughts and beliefs that negatively impact speech treatment outcomes.

Method

The translation of the UTBAS scales into Italian (UTBAS-ITA) was completed using the forward-backward translation process and it was administered to 98 adults who stutter (AWS) and 98 adults who do not stutter (AWNS). Both groups were matched for gender and age. We also administered the UTBAS-ITA to 76 AWS a second time within a two-week interval to assess test-retest reliability. Additionally, we administered the State-Trait Anxiety Inventory and the Fear of Negative Evaluation Scale to 20 AWS to assess concurrent validity.

Results

The UTBAS-ITA showed good power of discrimination between AWS and AWNS, high internal validity, high internal consistency, good construct validity, and good test-retest reliability.

Conclusion

Since there is a scarcity of clinical assessment tools for adults who stutter in Italy, the UTBAS-ITA could serve as an assessment tool and outcome measure for clinical and research environments.

目的：本研究旨在评估意大利语翻译的关于口吃的有害想法和信念量表（UTBAS）的可靠性和有效性，因为意大利目前还没有针对成人口吃患者的评估工具。UTBAS量表提供了一种针对口吃的无益想法和信念的综合测量方法，可用于筛查成年口吃者的社交焦虑指标。此外，UTBAS 量表还能识别对语言治疗效果产生负面影响的消极想法和信念：将UTBAS量表翻译成意大利语（UTBAS-ITA）的工作采用了前向-后向翻译程序，并对98名口吃成人（AWS）和98名不口吃成人（AWNS）进行了测试。两组的性别和年龄均匹配。我们还在两周内对 76 名口吃成人进行了第二次UTBAS-ITA测试，以评估测试再测的可靠性。此外，我们还对 20 名 AWS 施测了状态-特质焦虑量表和害怕负面评价量表，以评估并发效度：UTBAS-ITA在AWS和AWNS之间显示出良好的区分能力、较高的内部效度、较高的内部一致性、良好的建构效度和良好的测试-再测试可靠性：结论：由于意大利缺乏针对成人口吃患者的临床评估工具，UTBAS-ITA 可以作为临床和研究环境中的评估工具和结果测量工具。

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引用次数: 0