Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106590
Chia-Chun Hsu , Shang-Yu Wu
This study analyzed the complex sentences used by Mandarin-speaking preschool children with typical development (TD) and developmental language disorder (DLD) and explored the types of complex sentences that children with DLD have difficulty using in speech. The participants were 67 children (41 TD and 26 DLD) between the ages of 3 and 5 years. They were divided into six groups based on biological age and performance on the Revised Language Disorder Scale for Preschool Children: TD three-, four-, and five-year-olds, and DLD three-, four-, and five-year-olds. Language samples were elicited through one-on-one interactions in four specified contexts: family conversation, school conversation, free play, and story retelling. A total of 100 valid utterances were selected for the annotation and analysis of 15 complex sentence types. The frequency of use and proportion of users for each sentence type were calculated. Significant differences in the frequency of use and proportion of users were subsequently compared between the TD and DLD groups for each age level. Differences were particularly observed for successive complex sentences and cause-effect complex sentences in the 3-year-old group and complement clauses in the 5-year-old group. These findings suggest that children with DLD experience greater difficulties acquiring and using these specific complex sentence structures in their spoken language than typically developing peers.
{"title":"Use of complex sentence types by Mandarin-speaking preschool children with typical development and developmental language disorder","authors":"Chia-Chun Hsu , Shang-Yu Wu","doi":"10.1016/j.jcomdis.2025.106590","DOIUrl":"10.1016/j.jcomdis.2025.106590","url":null,"abstract":"<div><div>This study analyzed the complex sentences used by Mandarin-speaking preschool children with typical development (TD) and developmental language disorder (DLD) and explored the types of complex sentences that children with DLD have difficulty using in speech. The participants were 67 children (41 TD and 26 DLD) between the ages of 3 and 5 years. They were divided into six groups based on biological age and performance on the Revised Language Disorder Scale for Preschool Children: TD three-, four-, and five-year-olds, and DLD three-, four-, and five-year-olds. Language samples were elicited through one-on-one interactions in four specified contexts: family conversation, school conversation, free play, and story retelling. A total of 100 valid utterances were selected for the annotation and analysis of 15 complex sentence types. The frequency of use and proportion of users for each sentence type were calculated. Significant differences in the frequency of use and proportion of users were subsequently compared between the TD and DLD groups for each age level. Differences were particularly observed for successive complex sentences and cause-effect complex sentences in the 3-year-old group and complement clauses in the 5-year-old group. These findings suggest that children with DLD experience greater difficulties acquiring and using these specific complex sentence structures in their spoken language than typically developing peers.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106590"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514728","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106593
F. Petriglia , A. Marini , I. Gabbatore , F.M. Bosco
Introduction
Effective communication in aging is supported by both narrative and pragmatic abilities, which are known to undergo declines in healthy older adults. Traditional language assessments may overlook these changes, especially in multimodal and ecologically valid communicative contexts. This study investigates the structure and interplay of narrative and pragmatic abilities in aging by integrating multilevel discourse analysis and the Assessment Battery for Communication (ABaCo).
Methods
Forty-four healthy Italian-speaking old adults aged 65 to 86 years took part in the study. Participants completed a narrative production task based on visual stimuli, analyzed through multilevel discourse analysis to extract measures of productivity, informativeness, and coherence. Pragmatic production was assessed using the ABaCo battery. Two separate Principal Component Analyses (PCAs) identified latent components in narrative and pragmatic domains. Pearson correlations assessed interrelations between these components.
Results
Narrative analysis revealed two components: “Narrative Information Organization Difficulties” (coherence errors, lexical informativeness) and “Narrative Productivity” (word fluency, word count). ABaCo subscales loaded onto a single component, “Communicative-pragmatic efficiency in production”. A significant negative correlation was found between narrative organization difficulties and pragmatic efficiency (r = –.469, p = .001), while no significant correlation emerged between narrative productivity and pragmatic efficiency.
Discussion
Findings support a partially overlapping structure between narrative and pragmatic competence in aging. Pragmatic efficiency relates specifically to lexical informativeness and coherence, rather than raw verbal productivity. This distinction highlights the clinical relevance of multimodal and integrative assessments, such as ABaCo, in identifying early communicative decline. Joint assessment of narrative and pragmatic dimensions offers a comprehensive approach to profiling communicative functioning in aging.
导读:老年人有效的沟通是由叙事和语用能力支持的,这两种能力在健康的老年人中都有所下降。传统的语言评估可能会忽略这些变化,特别是在多模态和生态有效的交际环境中。本研究采用多层次语篇分析和ABaCo (Assessment Battery for Communication)相结合的方法,探讨老年人叙事能力和语用能力的结构及其相互作用。方法:44名65 - 86岁的健康意大利语老年人参加了这项研究。参与者完成了一项基于视觉刺激的叙事制作任务,通过多层次话语分析来提取生产力、信息量和连贯性的衡量标准。实际生产评估使用ABaCo电池。两个独立的主成分分析(pca)确定了叙事和语用领域的潜在成分。Pearson相关性评估了这些成分之间的相互关系。结果:叙事分析揭示了两个组成部分:“叙事信息组织困难”(连贯错误、词汇信息性)和“叙事效率”(用词流畅性、字数)。ABaCo子量表加载到单个组件上,“生产中的沟通-实用效率”。叙事组织困难与语用效率呈显著负相关(r = - 0.469, p = .001),而叙事生产力与语用效率无显著相关。讨论:研究结果支持老龄化中叙事能力和语用能力之间部分重叠的结构。语用效率主要与词汇的信息量和连贯性有关,而不是单纯的语言生产力。这一区别突出了多模式和综合评估(如ABaCo)在识别早期沟通能力下降方面的临床相关性。叙述和语用维度的联合评估提供了一种全面的方法来分析老年人的交际功能。
{"title":"Pragmatic and narrative decline in healthy aging: a multilevel assessment of their interplay","authors":"F. Petriglia , A. Marini , I. Gabbatore , F.M. Bosco","doi":"10.1016/j.jcomdis.2025.106593","DOIUrl":"10.1016/j.jcomdis.2025.106593","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective communication in aging is supported by both narrative and pragmatic abilities, which are known to undergo declines in healthy older adults. Traditional language assessments may overlook these changes, especially in multimodal and ecologically valid communicative contexts. This study investigates the structure and interplay of narrative and pragmatic abilities in aging by integrating multilevel discourse analysis and the Assessment Battery for Communication (ABaCo).</div></div><div><h3>Methods</h3><div>Forty-four healthy Italian-speaking old adults aged 65 to 86 years took part in the study. Participants completed a narrative production task based on visual stimuli, analyzed through multilevel discourse analysis to extract measures of productivity, informativeness, and coherence. Pragmatic production was assessed using the ABaCo battery. Two separate Principal Component Analyses (PCAs) identified latent components in narrative and pragmatic domains. Pearson correlations assessed interrelations between these components.</div></div><div><h3>Results</h3><div>Narrative analysis revealed two components: “<em>Narrative Information Organization Difficulties</em>” (coherence errors, lexical informativeness) and “<em>Narrative Productivity</em>” (word fluency, word count). ABaCo subscales loaded onto a single component, “<em>Communicative-pragmatic efficiency in production</em>”. A significant negative correlation was found between narrative organization difficulties and pragmatic efficiency (<em>r</em> = –.469, <em>p</em> = .001), while no significant correlation emerged between narrative productivity and pragmatic efficiency.</div></div><div><h3>Discussion</h3><div>Findings support a partially overlapping structure between narrative and pragmatic competence in aging. Pragmatic efficiency relates specifically to lexical informativeness and coherence, rather than raw verbal productivity. This distinction highlights the clinical relevance of multimodal and integrative assessments, such as ABaCo, in identifying early communicative decline. Joint assessment of narrative and pragmatic dimensions offers a comprehensive approach to profiling communicative functioning in aging.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106593"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534864","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106589
Han Jinhe , Liu Min , Wen Jieling , Su Shuhua , Liu Qiaoyun
The recognition of basic affective prosody in children with autism spectrum condition (ASC) was investigated using a three-level meta-analysis. The analysis focused on emotional dimensions—namely, the three core attributes of emotion (arousal, valence, and dominance)—as well as experimental factors such as chronological age, sample size, stimulus presentation (stimuli with pure prosody or neutral semantic content), and semantic presentation (words and sentences). We examined how these features influenced affective prosody recognition in children with ASC. The meta-analysis comprised 16 empirical studies. A random effect model revealed a small but significant effect size (Hedges’ g = -0.277). Egger's test and fail-safe N indicated an absence of publication bias. Heterogeneity analysis revealed a significant between-study variability, and no significant within-study heterogeneity was detected. Age, stimulus presentation and semantic presentation method did not significantly account for the observed between-study heterogeneity. However, significant group differences between ASC and typically developing (TD) children emerged when the semantic content was presented in a sentence form. Moreover, valence was a significant moderator. The difference between ASC and TD children was greater for positive-valence than negative-valence emotional expressions. Additionally, group differences were more pronounced for emotional expressions characterized by high arousal and high dominance. Furthermore, children with ASC exhibited greater difficulty recognizing affective prosody embedded in semantically complex contexts. In basic affective prosody recognition, children with ASC appear particularly sensitive to emotional valence. This finding is consistent across cultures. Moreover, the results of the meta-analysis were discussed in relation to the impacts of cue integration, information overload, impaired social cognition, abnormal neural system activation, and the development and accumulation of social experiences on children with ASC.
采用三水平荟萃分析研究了自闭症谱系障碍儿童对基本情感韵律的识别。分析的重点是情绪维度——即情绪的三个核心属性(唤起、效价和支配)——以及实验因素,如实足年龄、样本量、刺激呈现(具有纯韵律或中性语义内容的刺激)和语义呈现(单词和句子)。我们研究了这些特征如何影响ASC儿童的情感韵律识别。meta分析包括16项实证研究。随机效应模型显示了较小但显著的效应大小(Hedges' g = -0.277)。Egger的检验和故障保护N表明没有发表偏倚。异质性分析显示研究间存在显著的变异性,研究内未发现显著的异质性。年龄、刺激呈现和语义呈现方法对观察到的研究间异质性没有显著影响。然而,当语义内容以句子形式呈现时,ASC和正常发育(TD)儿童之间出现了显著的组差异。此外,效价是显著的调节因子。ASC和TD患儿的正效价情绪表达差异大于负效价情绪表达差异。此外,在以高唤醒和高支配性为特征的情绪表达上,组间差异更为明显。此外,患有ASC的儿童在识别语义复杂语境中的情感韵律方面表现出更大的困难。在基本情感韵律识别方面,ASC患儿对情绪效价表现出特别的敏感。这一发现在各种文化中都是一致的。此外,本文还讨论了线索整合、信息超载、社会认知障碍、神经系统异常激活、社会经验发展和积累等因素对孤独症儿童的影响。
{"title":"Recognition of basic affective prosody in children with autism spectrum conditions: A three-level meta-analysis based on emotional dimension theory","authors":"Han Jinhe , Liu Min , Wen Jieling , Su Shuhua , Liu Qiaoyun","doi":"10.1016/j.jcomdis.2025.106589","DOIUrl":"10.1016/j.jcomdis.2025.106589","url":null,"abstract":"<div><div>The recognition of basic affective prosody in children with autism spectrum condition (ASC) was investigated using a three-level meta-analysis. The analysis focused on emotional dimensions—namely, the three core attributes of emotion (arousal, valence, and dominance)—as well as experimental factors such as chronological age, sample size, stimulus presentation (stimuli with pure prosody or neutral semantic content), and semantic presentation (words and sentences). We examined how these features influenced affective prosody recognition in children with ASC. The meta-analysis comprised 16 empirical studies. A random effect model revealed a small but significant effect size (Hedges’ <em>g</em> = -0.277). Egger's test and fail-safe N indicated an absence of publication bias. Heterogeneity analysis revealed a significant between-study variability, and no significant within-study heterogeneity was detected. Age, stimulus presentation and semantic presentation method did not significantly account for the observed between-study heterogeneity. However, significant group differences between ASC and typically developing (TD) children emerged when the semantic content was presented in a sentence form. Moreover, valence was a significant moderator. The difference between ASC and TD children was greater for positive-valence than negative-valence emotional expressions. Additionally, group differences were more pronounced for emotional expressions characterized by high arousal and high dominance. Furthermore, children with ASC exhibited greater difficulty recognizing affective prosody embedded in semantically complex contexts. In basic affective prosody recognition, children with ASC appear particularly sensitive to emotional valence. This finding is consistent across cultures. Moreover, the results of the meta-analysis were discussed in relation to the impacts of cue integration, information overload, impaired social cognition, abnormal neural system activation, and the development and accumulation of social experiences on children with ASC.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106589"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483517","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106588
Hope Gerlach-Houck , Eilidh Cage
Purpose
Stuttering concealment is a common but understudied experience with important implications for research, clinical practice, and the lives of people who stutter. This study presents a comprehensive conceptual model by defining stuttering concealment, categorizing its many forms, and examining its underlying motivations and consequences.
Methods
Semi-structured interviews were conducted with 30 adults who stutter in the United States. Using reflexive thematic analysis, we identified patterns in how participants described and enacted concealment.
Results
Concealment is a dynamic, context-dependent process that extends beyond simply hiding moments of stuttering. Participants described two interconnected levels of concealment: minimizing overt characteristics of stuttering and shaping whether others perceive them as a person who stutters. We identified five categories of concealment behaviors: linguistic, speaking mechanics, pragmatic, self-presentation, and situational. Motivations for concealment included accessing communication opportunities, maintaining social norms, and self-protection. Participants reported psychological and social consequences that were predominantly negative (e.g., shame, disconnection), though a few described incidental positives, such as increased creativity and emotional maturity.
Conclusion
This study offers an integrated conceptual model that links the forms, motivations, and consequences of stuttering concealment. It challenges rigid covert-overt distinctions by illustrating concealment as a fluid and socially responsive process shaped by identity, context, and interpersonal dynamics. These insights have implications for assessment and intervention, including the need for clinicians to explore concealment sensitively and recognize its emotional and social impacts. Therapy can support clients in examining when and why they conceal, and in setting individualized goals related to openness in communication and self-presentation.
{"title":"“Hide and survive:” A conceptual model of stuttering concealment","authors":"Hope Gerlach-Houck , Eilidh Cage","doi":"10.1016/j.jcomdis.2025.106588","DOIUrl":"10.1016/j.jcomdis.2025.106588","url":null,"abstract":"<div><h3>Purpose</h3><div>Stuttering concealment is a common but understudied experience with important implications for research, clinical practice, and the lives of people who stutter. This study presents a comprehensive conceptual model by defining stuttering concealment, categorizing its many forms, and examining its underlying motivations and consequences.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 30 adults who stutter in the United States. Using reflexive thematic analysis, we identified patterns in how participants described and enacted concealment.</div></div><div><h3>Results</h3><div>Concealment is a dynamic, context-dependent process that extends beyond simply hiding moments of stuttering. Participants described two interconnected levels of concealment: minimizing overt characteristics of stuttering and shaping whether others perceive them as a person who stutters. We identified five categories of concealment behaviors: linguistic, speaking mechanics, pragmatic, self-presentation, and situational. Motivations for concealment included accessing communication opportunities, maintaining social norms, and self-protection. Participants reported psychological and social consequences that were predominantly negative (e.g., shame, disconnection), though a few described incidental positives, such as increased creativity and emotional maturity.</div></div><div><h3>Conclusion</h3><div>This study offers an integrated conceptual model that links the forms, motivations, and consequences of stuttering concealment. It challenges rigid covert-overt distinctions by illustrating concealment as a fluid and socially responsive process shaped by identity, context, and interpersonal dynamics. These insights have implications for assessment and intervention, including the need for clinicians to explore concealment sensitively and recognize its emotional and social impacts. Therapy can support clients in examining when and why they conceal, and in setting individualized goals related to openness in communication and self-presentation.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106588"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483577","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106591
Leena Mäkinen , Soile Loukusa
Introduction
Narrative language, Theory of Mind (ToM), and contextual inferencing are subcomponents of social communication that is a vulnerable area in autism. However, few studies have explored the connection between different aspects of social communication.
Methods
This study assessed autistic (n = 14, mean age 7;2 years) and control children’s (n = 26, mean age 6;9 years) narrative productions in two conditions (story retelling and story generation), and explored their associations to socio-pragmatic inferencing (contextual inferencing with ToM demands and false belief reasoning).
Results
There were no significant differences between the autistic and control children’s narratives, but within-group differences were detected. Autistic children showed similar performance across two different narrative conditions, but control children differed in the amount of expressed story content, mental state language and non-narrator speech between the tasks. Narrative production and socio-pragmatic inferencing were connected, but these skills are related differently in the autistic and control children.
Conclusions
The connections between different components of social communication are most likely multidimensional and complex. However, as there are some associations between the skills, also narrative intervention might support socio-pragmatic inferencing or vice versa. It is important to gain a deeper understanding of the complex nature of social communication and its various aspects to support possible challenges that individuals may face while navigating in a social world.
{"title":"Narrative language in autistic and control children: Differences between story retelling and story generation and associations to socio-pragmatic inferencing","authors":"Leena Mäkinen , Soile Loukusa","doi":"10.1016/j.jcomdis.2025.106591","DOIUrl":"10.1016/j.jcomdis.2025.106591","url":null,"abstract":"<div><h3>Introduction</h3><div>Narrative language, Theory of Mind (ToM), and contextual inferencing are subcomponents of social communication that is a vulnerable area in autism. However, few studies have explored the connection between different aspects of social communication.</div></div><div><h3>Methods</h3><div>This study assessed autistic (<em>n</em> = 14, mean age 7;2 years) and control children’s (<em>n</em> = 26, mean age 6;9 years) narrative productions in two conditions (story retelling and story generation), and explored their associations to socio-pragmatic inferencing (contextual inferencing with ToM demands and false belief reasoning).</div></div><div><h3>Results</h3><div>There were no significant differences between the autistic and control children’s narratives, but within-group differences were detected. Autistic children showed similar performance across two different narrative conditions, but control children differed in the amount of expressed story content, mental state language and non-narrator speech between the tasks. Narrative production and socio-pragmatic inferencing were connected, but these skills are related differently in the autistic and control children.</div></div><div><h3>Conclusions</h3><div>The connections between different components of social communication are most likely multidimensional and complex. However, as there are some associations between the skills, also narrative intervention might support socio-pragmatic inferencing or vice versa. It is important to gain a deeper understanding of the complex nature of social communication and its various aspects to support possible challenges that individuals may face while navigating in a social world.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106591"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507712","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106586
Enjoli M. Richardson , Courtney T. Byrd , Megan M. Young
Purpose
Dimensions of identity such as race and gender critically influence how people who stutter navigate their lives; however, there is a dearth of research concerning the lived experiences of people with marginalized racial and gender identities who stutter. The present study was designed to explore the lived experiences of Black women who stutter to elucidate the interconnectedness of race and gender within the stuttering experience.
Method
Two 90-minute semi-structured focus groups were conducted with 10 Black women who stutter ranging in age from 26 to 51 years. Interview transcripts were analyzed using reflexive thematic analysis grounded in an intersectional theoretical framework.
Results
Three superordinate themes were constructed: (1) Navigating systems of oppression; (2) self-care as an act of resistance, and (3) healing through community. Each superordinate theme included one to three subthemes. The experiences reported across themes reflected the intricacies of participants’ navigation of their racialized, gendered, and (dis)ability identities.
Conclusions
The present study highlights the individual and collective impact of the intersection of race and gender on the lived experiences of persons who stutter. Although additional research is needed to promote responsive practices, preliminary findings underscore the importance of self-care and community in facilitating resilience and psychosocial well-being for Black women who stutter.
{"title":"From margin to center: A thematic analysis exploring the lived experiences of Black women who stutter","authors":"Enjoli M. Richardson , Courtney T. Byrd , Megan M. Young","doi":"10.1016/j.jcomdis.2025.106586","DOIUrl":"10.1016/j.jcomdis.2025.106586","url":null,"abstract":"<div><h3>Purpose</h3><div>Dimensions of identity such as race and gender critically influence how people who stutter navigate their lives; however, there is a dearth of research concerning the lived experiences of people with marginalized racial and gender identities who stutter. The present study was designed to explore the lived experiences of Black women who stutter to elucidate the interconnectedness of race and gender within the stuttering experience.</div></div><div><h3>Method</h3><div>Two 90-minute semi-structured focus groups were conducted with 10 Black women who stutter ranging in age from 26 to 51 years. Interview transcripts were analyzed using reflexive thematic analysis grounded in an intersectional theoretical framework.</div></div><div><h3>Results</h3><div>Three superordinate themes were constructed: (1) Navigating systems of oppression; (2) self-care as an act of resistance, and (3) healing through community. Each superordinate theme included one to three subthemes. The experiences reported across themes reflected the intricacies of participants’ navigation of their racialized, gendered, and (dis)ability identities.</div></div><div><h3>Conclusions</h3><div>The present study highlights the individual and collective impact of the intersection of race and gender on the lived experiences of persons who stutter. Although additional research is needed to promote responsive practices, preliminary findings underscore the importance of self-care and community in facilitating resilience and psychosocial well-being for Black women who stutter.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106586"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417222","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}
Pub Date : 2025-11-01DOI: 10.1016/j.jcomdis.2025.106587
Pablo J. Ocampo , Nicolás Vassolo , Bautista Elizalde Acevedo , Mariana Bendersky , Lucía Alba-Ferrara
Pragmatic language, which includes expressions of non-literal meaning, is crucial for social cognition, yet current assessment techniques are inadequate for the neurotypical population. This study was designed to develop and validate a sarcasm recognition task, a domain of pragmatic language, in a sample of 84 healthy adults. The task was specifically created for Spanish-speakers, highlighting its cultural and linguistic relevance.
In experiment 1, forty original vignettes containing sarcastic or literal content were evaluated by 49 subjects to select reliable stimuli, resulting in a subset with high reliability. In experiment 2, the new task and a neuropsychological screening battery were administered to 35 healthy adults. Cronbach's alpha was used to analyze reliability, and correlation indices with gold standard social cognition tests were computed.
Experiment 1 yielded 40 reliable stimuli (Cronbach's Alpha: 0.818), which constituted the final version of the task. These same 40 items were administered in Experiment 2, where the task demonstrated significant correlations with established social cognition tests. The findings indicate that the novel sarcasm recognition task is brief (40 total items), reliable and robust, without ceiling effects on the neurotypical population, and its design will allow for evaluation in parallel with fMRI scans.
{"title":"Design and validation of a sarcasm recognition task","authors":"Pablo J. Ocampo , Nicolás Vassolo , Bautista Elizalde Acevedo , Mariana Bendersky , Lucía Alba-Ferrara","doi":"10.1016/j.jcomdis.2025.106587","DOIUrl":"10.1016/j.jcomdis.2025.106587","url":null,"abstract":"<div><div>Pragmatic language, which includes expressions of non-literal meaning, is crucial for social cognition, yet current assessment techniques are inadequate for the neurotypical population. This study was designed to develop and validate a sarcasm recognition task, a domain of pragmatic language, in a sample of 84 healthy adults. The task was specifically created for Spanish-speakers, highlighting its cultural and linguistic relevance.</div><div>In experiment 1, forty original vignettes containing sarcastic or literal content were evaluated by 49 subjects to select reliable stimuli, resulting in a subset with high reliability. In experiment 2, the new task and a neuropsychological screening battery were administered to 35 healthy adults. Cronbach's alpha was used to analyze reliability, and correlation indices with gold standard social cognition tests were computed.</div><div>Experiment 1 yielded 40 reliable stimuli (Cronbach's Alpha: 0.818), which constituted the final version of the task. These same 40 items were administered in Experiment 2, where the task demonstrated significant correlations with established social cognition tests. The findings indicate that the novel sarcasm recognition task is brief (40 total items), reliable and robust, without ceiling effects on the neurotypical population, and its design will allow for evaluation in parallel with fMRI scans.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106587"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417223","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}
Pub Date : 2025-10-13DOI: 10.1016/j.jcomdis.2025.106583
Molly Beiting , Navin Viswanathan , Nicole Caballero , Elaine Hitchcock , Tara McAllister , Jonathan L. Preston
Introduction
Children with childhood apraxia of speech (CAS) exhibit speech production deficits beyond segmental errors, including atypical coarticulation. Broadly, children with speech sound disorders (SSD) also exhibit weaknesses in speech perception, which may directly relate to specific production difficulties. This study examined differences in categorical perception among children with CAS, residual SSD affecting /ɹ/ (rSSD), and typical speech (TD). We hypothesized that children with CAS would demonstrate weaker performance on a task requiring perception of coarticulatory cues—a defining weakness in their speech production—but perform similarly to rSSD peers on a segmental task.
Methods
This study was designed as an exploratory pilot project, embedded in the baseline assessment of a series of speech treatment studies. Participants included 96 children (ages 8;0–15;11), 44 CAS, 39 rSSD, and 13 TD. In the segmental perception task, participants judged stimuli from a 5-step /al/ - /aɹ/ continuum. In the second task, /al/ and /aɹ/ endpoints were prefixed to a 5-step /ga/-/da/ continuum, creating /al/ (/alga/ - /alda/) and /aɹ/ (/aɹga/ - /aɹda/) conditions. Compensation for coarticulation was assessed at an ambiguous step, where listeners were expected to perceive /g/ after /al/ or /d/ after /aɹ/.
Results & Conclusions
Compensation for coarticulation was significantly weaker among children with CAS, who also demonstrated less reliable perception of /ga/ - /da/ endpoints and segmental perception weaknesses on the /al/ - /aɹ/ task not seen in rSSD or TD. Findings contribute an initial characterization of perceptual compensation for coarticulation in children with CAS. Results highlight performance differences based on underlying SSD subtype and may be clinically useful for future development of diagnostic tools that bypass verbal output limitations.
儿童言语失用症(CAS)表现出语言生产缺陷,超出了片段错误,包括非典型的协同发音。从广义上讲,患有语音障碍(SSD)的儿童也表现出语言感知方面的弱点,这可能与特定的生产困难直接相关。本研究考察了CAS患儿的分类知觉、影响/ r / /的残余SSD (rSSD)和典型言语(TD)的差异。我们假设,患有CAS的儿童在需要感知协同发音线索的任务中表现较差,这是他们言语生产中的一个明显弱点,但在分段任务中表现与非ssd的同龄人相似。方法:本研究被设计为探索性试点项目,嵌入在一系列言语治疗研究的基线评估中。参与者包括96名儿童(8岁、0-15岁、11岁)、44名CAS儿童、39名rSSD儿童和13名TD儿童。在片段感知任务中,参与者从一个5步/al/ - /a / r /连续体中判断刺激。在第二个任务中,/al/和/a / r /端点被前缀为一个5步/ga/-/da/连续体,创建/al/ (/alga/ -/ alda/)和/a / r / (/a / r ga/-/ a/ r da/)条件。对协同发音的补偿在一个模棱两可的步骤中进行评估,在这个步骤中,听众被期望在/al/之后感知/g/或/a / /之后感知/d/。结果和结论:CAS儿童的协同发音补偿明显较弱,他们也表现出对/ga/ - /da/终点的可靠感知较差,在/al/ - /a / /任务上的节段感知弱点在rSSD或TD中没有见过。研究结果有助于初步表征感知补偿协同发音的儿童CAS。结果强调了基于底层SSD亚型的性能差异,可能对未来开发绕过口头输出限制的诊断工具有临床意义。
{"title":"Exploring perception of coarticulatory cues in childhood apraxia of speech and residual speech sound disorders: A pilot study","authors":"Molly Beiting , Navin Viswanathan , Nicole Caballero , Elaine Hitchcock , Tara McAllister , Jonathan L. Preston","doi":"10.1016/j.jcomdis.2025.106583","DOIUrl":"10.1016/j.jcomdis.2025.106583","url":null,"abstract":"<div><h3>Introduction</h3><div>Children with childhood apraxia of speech (CAS) exhibit speech <em>production</em> deficits beyond segmental errors, including atypical coarticulation. Broadly, children with speech sound disorders (SSD) also exhibit weaknesses in speech <em>perception</em>, which may directly relate to specific production difficulties. This study examined differences in categorical perception among children with CAS, residual SSD affecting /ɹ/ (rSSD), and typical speech (TD). We hypothesized that children with CAS would demonstrate weaker performance on a task requiring perception of coarticulatory cues—a defining weakness in their speech production—but perform similarly to rSSD peers on a segmental task.</div></div><div><h3>Methods</h3><div>This study was designed as an exploratory pilot project, embedded in the baseline assessment of a series of speech treatment studies. Participants included 96 children (ages 8;0–15;11), 44 CAS, 39 rSSD, and 13 TD. In the segmental perception task, participants judged stimuli from a 5-step /al/ - /aɹ/ continuum. In the second task, /al/ and /aɹ/ endpoints were prefixed to a 5-step /ga/-/da/ continuum, creating /al/ (/alga/ - /alda/) and /aɹ/ (/aɹga/ - /aɹda/) conditions. Compensation for coarticulation was assessed at an ambiguous step, where listeners were expected to perceive /g/ after /al/ or /d/ after /aɹ/.</div></div><div><h3>Results & Conclusions</h3><div>Compensation for coarticulation was significantly weaker among children with CAS, who also demonstrated less reliable perception of /ga/ - /da/ endpoints and segmental perception weaknesses on the /al/ - /aɹ/ task not seen in rSSD or TD. Findings contribute an initial characterization of perceptual compensation for coarticulation in children with CAS. Results highlight performance differences based on underlying SSD subtype and may be clinically useful for future development of diagnostic tools that bypass verbal output limitations.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106583"},"PeriodicalIF":2.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356434","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}
Pub Date : 2025-10-13DOI: 10.1016/j.jcomdis.2025.106584
Gil Zukerman, Michal Icht
Personality traits significantly influence health career trajectories, clinical performance, and burnout vulnerability. However, limited research has explored personality traits among speech-language pathologists (SLP), particularly across professional development stages. This study compared certified SLPs, Communication Disorders students, and a comparison group from the general population, examining differences in personality dimensions and the relationship between clinical experience and personality among SLPs. A total of 359 participants completed the NEO Five-Factor Inventory, assessing Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. Certified SLPs also completed a professional background questionnaire. MANOVA revealed significant group differences across all five personality traits, with SLPs scoring higher on each dimension. Neuroticism and Agreeableness had the largest effect sizes, with SLPs characterized by profoundly elevated Neuroticism and Agreeableness. Among SLPs, Neuroticism levels varied with experience, peaking among those with 5–16 years of practice and declining in those with >16 years. SLP students exhibited higher Neuroticism and lower Agreeableness compared to the comparison group participants. SLPs demonstrate a distinct personality profile marked by elevated Neuroticism and Agreeableness, aligning with the previously described Compassionately Reactive Style—defined by emotional sensitivity, concern for others, and a strong helping drive. While supportive of relational care, this emotional style may also heighten the risk of emotional exhaustion without appropriate support. Neuroticism tends to rise during mid-career stages and decline later. These findings highlight important considerations for promoting emotional well-being among SLPs throughout their careers
{"title":"Compassionately reactive: Personality profiles of speech-language pathologists and their professional trajectories","authors":"Gil Zukerman, Michal Icht","doi":"10.1016/j.jcomdis.2025.106584","DOIUrl":"10.1016/j.jcomdis.2025.106584","url":null,"abstract":"<div><div>Personality traits significantly influence health career trajectories, clinical performance, and burnout vulnerability. However, limited research has explored personality traits among speech-language pathologists (SLP), particularly across professional development stages. This study compared certified SLPs, Communication Disorders students, and a comparison group from the general population, examining differences in personality dimensions and the relationship between clinical experience and personality among SLPs. A total of 359 participants completed the NEO Five-Factor Inventory, assessing Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. Certified SLPs also completed a professional background questionnaire. MANOVA revealed significant group differences across all five personality traits, with SLPs scoring higher on each dimension. Neuroticism and Agreeableness had the largest effect sizes, with SLPs characterized by profoundly elevated Neuroticism and Agreeableness. Among SLPs, Neuroticism levels varied with experience, peaking among those with 5–16 years of practice and declining in those with >16 years. SLP students exhibited higher Neuroticism and lower Agreeableness compared to the comparison group participants. SLPs demonstrate a distinct personality profile marked by elevated Neuroticism and Agreeableness, aligning with the previously described Compassionately Reactive Style—defined by emotional sensitivity, concern for others, and a strong helping drive. While supportive of relational care, this emotional style may also heighten the risk of emotional exhaustion without appropriate support. Neuroticism tends to rise during mid-career stages and decline later. These findings highlight important considerations for promoting emotional well-being among SLPs throughout their careers</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106584"},"PeriodicalIF":2.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318793","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}
Pub Date : 2025-10-10DOI: 10.1016/j.jcomdis.2025.106581
Katarzyna Węsierska , Katarzyna Wyrwas , Mikołaj Zarzycki
Introduction
The main goal of this qualitative study was to explore how language and societal narratives shape the experiences of adults who stutter in Poland, specifically the impact of stigma and ableism on self-perception, relationships, and well-being.
Methods
Using purposive sampling, 20 Polish-speaking adults who stutter, aged 19–58, were interviewed through in-depth, semi-structured interviews. Data were analyzed using Reflexive Thematic Analysis.
Results
Four key themes were generated in Reflexive Thematic Analysis: Social reactions to stuttering; Individual experiences of stuttering; Supportive and unsupportive interventions; Different paths: acceptance versus denial. The results highlight the role of stigma, self-esteem, and language in shaping the experience of people who stutter.
Conclusion
The study emphasizes the need for inclusive environments, empathetic responses, and therapies that address emotional and social aspects beyond speech fluency. By highlighting the role of language in shaping these experiences, the study indicates the need for (societal) change to foster greater acceptance and inclusion. Promoting inclusive language can also help challenge ableism and reduce self-stigmatization.
{"title":"Stuttering narratives in Poland: A qualitative study exploring the consequences of stigmatization and ableism on adult life experiences","authors":"Katarzyna Węsierska , Katarzyna Wyrwas , Mikołaj Zarzycki","doi":"10.1016/j.jcomdis.2025.106581","DOIUrl":"10.1016/j.jcomdis.2025.106581","url":null,"abstract":"<div><h3>Introduction</h3><div>The main goal of this qualitative study was to explore how language and societal narratives shape the experiences of adults who stutter in Poland, specifically the impact of stigma and ableism on self-perception, relationships, and well-being.</div></div><div><h3>Methods</h3><div>Using purposive sampling, 20 Polish-speaking adults who stutter, aged 19–58, were interviewed through in-depth, semi-structured interviews. Data were analyzed using Reflexive Thematic Analysis.</div></div><div><h3>Results</h3><div>Four key themes were generated in Reflexive Thematic Analysis: <em>Social reactions to stuttering; Individual experiences of stuttering; Supportive and unsupportive interventions; Different paths: acceptance</em> versus <em>denial</em>. The results highlight the role of stigma, self-esteem, and language in shaping the experience of people who stutter.</div></div><div><h3>Conclusion</h3><div>The study emphasizes the need for inclusive environments, empathetic responses, and therapies that address emotional and social aspects beyond speech fluency. By highlighting the role of language in shaping these experiences, the study indicates the need for (societal) change to foster greater acceptance and inclusion. Promoting inclusive language can also help challenge ableism and reduce self-stigmatization.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"118 ","pages":"Article 106581"},"PeriodicalIF":2.1,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356424","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}