Journal of Fluency Disorders最新文献

{"title":"Working memory capacity and rumination in adults who stutter","authors":"Geoffrey A. Coalson ,&nbsp;Robyn Croft ,&nbsp;Courtney T. Byrd","doi":"10.1016/j.jfludis.2025.106119","DOIUrl":"10.1016/j.jfludis.2025.106119","url":null,"abstract":"<div><h3>Purpose</h3><div>Difficulty discarding irrelevant negative stimuli activated in working memory has been linked to increased rumination. Adults who stutter (AWS) report (a) rumination about communication events, and (b) difficulties during tasks that require manipulation of information held in working memory compared to non-stuttering adults (AWNS). Given the link between rumination and working memory, this study examined whether AWS discard negative stimuli faster or slower compared to AWNS, and whether speed of discarding negative information is linked to generalized rumination.</div></div><div><h3>Method</h3><div>To assess the relationship between working memory and rumination, 26 participants (14 AWS, 12 AWNS) completed a version of the Modified Sternberg Task. Participants first memorized wordlists with positive or negative emotional valence. Participants were then cued to recall a specific wordlist, followed by a prompt word that either matched or conflicted with the wordlist. Manual response latency was compared between groups.</div></div><div><h3>Results</h3><div>AWS and AWNS exhibit comparable speed when discarding irrelevant stimuli, with both groups slower to discard negative rather than positive irrelevant stimuli. Latency of discarding negative information was not associated with self-reported rumination in AWS.</div></div><div><h3>Conclusions</h3><div>Preliminary data indicate no differences in the rate at which AWS and AWNS regulate negative stimuli. Additionally, rumination does not appear to be uniquely associated with the speed at which negative information is discarded. Further research is warranted to determine what role, if any, working memory has in the repetitive negative thinking reported by some, but not all, individuals who stutter.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106119"},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906337","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}

{"title":"Experiences and therapy expectations of parents of preschool children who stutter","authors":"Havva Nur Yırtık ,&nbsp;Nurdan Cankuvvet","doi":"10.1016/j.jfludis.2025.106117","DOIUrl":"10.1016/j.jfludis.2025.106117","url":null,"abstract":"<div><div><em>Purpose:</em> The study aimed to inquire about the experiences and therapy expectations of parents of preschool children who stutter in Türkiye. <em>Methods:</em> This qualitative research used a phenomenological design. Eight parents (four mothers and four fathers) of preschool children (between 4 and 6 years) who stutter participated in the study. The data were collected through semi-structured interviews and analyzed via thematic analysis. <em>Results:</em> Analysis of data resulted in four main themes and nine sub-themes. The findings showed that children and their parents had been adversely affected by stuttering before therapy. The parents may unintentionally engage in behaviors such as interrupting, finishing sentences, or pressuring their child to speak fluently; had limited knowledge about stuttering; and consulted information sources other than speech and language pathologists before therapy. During therapy, the adverse effects of stuttering on parents decreased; parental attitudes changed; and parents’ knowledge about stuttering increased. Parents expected that therapy would reduce the adverse impacts of stuttering during therapy, to obtain accurate information, and to see a quality interaction between speech and language pathologists and their children. <em>Conclusion:</em> The study reveals that therapy process transforms parents' negative experiences and corrects the inaccuracies in their knowledge about stuttering. The research highlights the importance of considering parents' experiences and expectations, as well as the cultural background of families when conducting therapies.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106117"},"PeriodicalIF":2.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850157","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}

{"title":"Turkish adaptation of the palin parent rating scales: A validity and reliability assessment","authors":"M. Emrah Cangi ,&nbsp;Nihal Aydin ,&nbsp;Sharon K. Millard","doi":"10.1016/j.jfludis.2025.106118","DOIUrl":"10.1016/j.jfludis.2025.106118","url":null,"abstract":"<div><h3>Purpose</h3><div>The Palin Parent Rating Scales (Palin PRS) is a standardized tool designed to measure (1) the impact of stuttering on a child, (2) the severity of stuttering and its impact on parents, and (3) parents' knowledge about stuttering and their confidence in managing it. This study examines the validity and reliability of the Turkish adaptation of the scale.</div></div><div><h3>Methods</h3><div>Participants included 193 parents of 118 children who stutter aged 3;0–14;1 years. Analyses included confirmatory factor analysis (CFA), item response theory using the graded response model, internal consistency analyses (Cronbach's alpha, McDonald's omega, and Guttman's lambda), composite reliability, and test-retest reliability.</div></div><div><h3>Results</h3><div>The CFA supported the scale’s original structure and validated the model after reordering three item pairs within the factors, with the final model showing acceptable fit indices (χ² = 387.78, χ²/df = 2.67, <em>p</em> &lt; .01; IFI =.91; CFI =.90, and RMSEA =.09). The results supported measurement invariance between mothers and fathers, with values from .71 to 6.44. Composite reliability values ranging from .82 to.92 provided evidence of convergent validity. Reliability coefficients were satisfactory (≥.83), and test-retest results confirmed temporal stability (<em>r</em> = .64–.72).</div></div><div><h3>Conclusion</h3><div>The results of the psychometric analyses, including validity and reliability assessments, confirmed the three-factor, 19-item structure of the original version in its Turkish adaptation (Palin PRS-TR). Therefore, the Palin PRS-TR is a valid and reliable instrument for use in clinical and scientific settings.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106118"},"PeriodicalIF":2.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800643","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}

{"title":"How reliable and useful are social media videos about stuttering? A comprehensive evaluation of content and credibility","authors":"Derya Çavdar MsC (Corresponding Author) ,&nbsp;Muhsin Dölek ,&nbsp;Özlem Oğuz","doi":"10.1016/j.jfludis.2025.106116","DOIUrl":"10.1016/j.jfludis.2025.106116","url":null,"abstract":"<div><div>Adults who stutter (AWS) often turn to social media platforms to connect with others, exchange personal experiences and access informational content. This study aimed to assess the reliability, quality, understandability, and actionability of videos about stuttering on these platforms, evaluating them based on both content and source. The most relevant YouTube keywords related to stuttering were identified using Google Trends, and popular Instagram hashtags were determined through Later Application. Videos from the first three pages for each keyword were analyzed for YouTube, and the top 100 videos with the highest engagement for each hashtag were selected using Python for Instagram. Speech and Language Therapists (SLTs) rated the videos using the Modified Quality Criteria for Consumer Health Information (M-DISCERN), Global Quality Score (GQS), and Patient Education Materials Assessment Tool (PEMAT). The analysis also included the number of ratings and likes on comments. Videos created by SLTs on YouTube and Instagram are more reliable and of higher quality compared to videos on AWS and non-expert sources (<em>p</em> &lt; .001). On YouTube, videos created by SLTs are superior in quality, reliability, comprehensibility compared to videos produced by other healthcare professionals (<em>p</em> &lt; .001). Additionally, videos on AWS receive a greater number of positive comments compared to videos from SLTs and other healthcare professionals (<em>p</em> &lt; .001). AWS should carefully consider the content and source of the videos they watch. There is a need for greater social awareness, and SLTs should be encouraged to produce high-quality content on social media platforms to ensure the dissemination of accurate and helpful information.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106116"},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734970","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}

{"title":"Sleep parameters in children who stutter: A comparison with children who do not stutter using actigraphy","authors":"Maria Clara Helena Couto ,&nbsp;Cristiane Moço Canhetti de Oliveira ,&nbsp;Isabella Meneses da Silva ,&nbsp;Ana Luiza Decanini Miranda de Souza ,&nbsp;Mahara Proença ,&nbsp;Tiago V. Barreira ,&nbsp;Luciana Pinato","doi":"10.1016/j.jfludis.2025.106115","DOIUrl":"10.1016/j.jfludis.2025.106115","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to compare objective sleep parameters in children who stutter (CWS) with those in children who do not stutter (CWNS) using actigraphy. Previous research, mainly relying on subjective methods such as questionnaires and sleep diaries, has highlighted the high prevalence of sleep disorders in individuals who stutter.</div></div><div><h3>Methods</h3><div>Sleep parameters, including sleep onset latency, sleep efficiency, sleep duration, and total sleep time, were objectively measured using actigraphy over 14 consecutive days. The study included 30 CWS (aged 4–12 years) and 21 CWNS (also aged 4–12 years). Data were analyzed with SPSS Statistics 28.0 software, expressed as medians with interquartile ranges (25–75 %). Group comparisons were conducted using the Mann-Whitney test. The significance level for all statistical tests was set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>CWS exhibited significantly longer sleep onset latency (p &lt; 0.001) and lower sleep efficiency (p = 0.01) compared to CWNS. No significant differences were observed in total sleep time or sleep duration between the groups.</div></div><div><h3>Discussion</h3><div>This study provides objective evidence that CWS experience specific alterations in sleep parameters, particularly in sleep onset latency and sleep efficiency. This suggests a higher prevalence of sleep disturbances within this population. These findings highlight the importance of integrating sleep assessments into the clinical management of stuttering to improve therapeutic outcomes.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106115"},"PeriodicalIF":2.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714950","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}

{"title":"Palin Stuttering Therapy for School aged Children and usual treatment: A randomised controlled trial feasibility study","authors":"S.K. Millard ,&nbsp;S. Murphy ,&nbsp;G. Barton ,&nbsp;L. Rixon ,&nbsp;L. Shepstone ,&nbsp;E. Sims ,&nbsp;V. Joffe","doi":"10.1016/j.jfludis.2025.106114","DOIUrl":"10.1016/j.jfludis.2025.106114","url":null,"abstract":"<div><h3>Background</h3><div>Despite a clear need for and evidence-based therapy for some children who stutter aged 8–14, there is no high-level evidence of effectiveness, with Speech and Language Therapists rating knowledge and confidence low. One programme which might address these needs, increase availability of services and improve outcomes, is Palin Stammering Therapy for School aged Children (Palin STSC(8−14)).</div></div><div><h3>Aim</h3><div>To investigate the feasibility of conducting a definitive randomised controlled trial comparing Palin STSC(8−14) with usual treatment<em>.</em> Objectives were to establish: recruitment and retention rates; appropriateness of the outcome measures; acceptability of the research and Palin STSC(8−14) therapy; treatment fidelity; and, appropriateness of the cost-effectiveness measures.</div></div><div><h3>Method</h3><div>A two-arm, cluster-randomised trial, with randomisation of therapists, stratified by service. Children aged 8;0–14;11, and their parent(s), were allocated to therapist and completed questionnaires pre-therapy and six months later. Assessments were selected for their potential to measure or predict therapy outcome. Therapists completed measures at the start and end of the trial. A process analysis was conducted, incorporating semi-structured interviews and treatment fidelity examination.</div></div><div><h3>Results</h3><div>Recruitment targets were exceeded (Children n = 67; SLTs n = 37). Research processes were largely acceptable, as was Palin STSC(8−14) therapy. Treatment fidelity was high, with SLT adherence at 85.7 % Mean number of sessions per child for Palin STSC(8−14) was 6.9 compared to 3.5 for usual treatment.</div></div><div><h3>Conclusions</h3><div>The feasibility targets were met. Based on recruitment, retention and adherence rates and our outcome measures, a full-scale randomised controlled trial appears feasible and warranted to assess the effectiveness of Palin STSC(8−14).</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106114"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A discussion of topics related to teaching a graduate stuttering course","authors":"Julia S. Kerrigan ,&nbsp;Shelley B. Brundage ,&nbsp;Christopher D. Constantino ,&nbsp;Derek E. Daniels ,&nbsp;Naomi H. Rodgers","doi":"10.1016/j.jfludis.2025.106103","DOIUrl":"10.1016/j.jfludis.2025.106103","url":null,"abstract":"<div><h3>Purpose</h3><div>To discuss instruction of graduate stuttering courses with a particular focus on contemporary issues such as the pseudostuttering, counting stuttering, and engaging with materials within the classroom and in clinical practice.</div></div><div><h3>Methods</h3><div>At a panel discussion at the World Stuttering and Cluttering Organization Congress in May 2024, attendees submitted their questions to a panel of experts in stuttering pedagogy. To document and continue the discussion, each expert responded in turn to the most frequently asked questions.</div></div><div><h3>Results</h3><div>While the included experts frame key learning activities differently within their respective courses, each takes care to center lived experiences of people who stutter and contextualize learning activities within their clinical purposes.</div></div><div><h3>Conclusions</h3><div>The pedagogical insights shared in this discussion offer guidance to instructors of stuttering courses to equip students with tools to assess, treat, and counsel their clients who stutter from a humanistic approach.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106103"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372912","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}

{"title":"Reimagining stuttering therapy and outcomes through an acceptance and collaborative lens","authors":"Farzan Irani ,&nbsp;Michael Azios ,&nbsp;Michael Boyle ,&nbsp;Geoffrey A. Coalson ,&nbsp;Scott Palasik ,&nbsp;Jack Rodriguez ,&nbsp;Eric Swartz","doi":"10.1016/j.jfludis.2025.106105","DOIUrl":"10.1016/j.jfludis.2025.106105","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106105"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081805","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}

{"title":"Stuttering as an act of love","authors":"Christopher Dominick Constantino","doi":"10.1016/j.jfludis.2025.106104","DOIUrl":"10.1016/j.jfludis.2025.106104","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106104"},"PeriodicalIF":2.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076063","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}

{"title":"The application of non-invasive neuromodulation in stuttering: Current status and future directions","authors":"Mehdi Bakhtiar ,&nbsp;Karim Johari","doi":"10.1016/j.jfludis.2025.106100","DOIUrl":"10.1016/j.jfludis.2025.106100","url":null,"abstract":"<div><div>Non-invasive neuromodulation methods such as transcranial Direct Current Stimulation (tDCS) and Transcranial Magnetic Stimulation (TMS), have been extensively utilized to enhance treatment efficacy for various neurogenic communicative disorders. Recently, these methods have gained attention for their potential to reveal more about the underlying nature of stuttering and serve as adjunct therapeutic approaches for stuttering intervention. In this review, we present existing research and discuss critical factors that might influence the efficacy of these interventions, such as location, polarity, intensity, and duration of stimulation, as well as the impact of combined behavioral training. Additionally, we explore implications for future studies, including the application of different neuromodulation methods to address various aspects of stuttering such as speech fluency and associated psychological and cognitive aspects in people who stutter.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106100"},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}