Ryan A. Millager , Mary S. Dietrich , Robin M. Jones
{"title":"Corrigendum to “Behavioral and cognitive-affective features of stuttering in preschool-age children: Regression and exploratory cluster analyses” [Journal of Fluency Disorders 76 (2023) 105972]","authors":"Ryan A. Millager , Mary S. Dietrich , Robin M. Jones","doi":"10.1016/j.jfludis.2023.106017","DOIUrl":"10.1016/j.jfludis.2023.106017","url":null,"abstract":"","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106017"},"PeriodicalIF":2.1,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X23000608/pdfft?md5=93459a4fc87326f9ee81a40646e77b0b&pid=1-s2.0-S0094730X23000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684123","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}
Haley J. Warner , Ravi Shroff , Arianna Zuanazzi , Richard M. Arenas , Eric S. Jackson
{"title":"Linguistic features of stuttering during spontaneous speech","authors":"Haley J. Warner , Ravi Shroff , Arianna Zuanazzi , Richard M. Arenas , Eric S. Jackson","doi":"10.1016/j.jfludis.2023.106016","DOIUrl":"10.1016/j.jfludis.2023.106016","url":null,"abstract":"<div><h3>Purpose</h3><p>Previous work shows that linguistic features (e.g., word length, word frequency) impact the predictability of stuttering events. Most of this work has been conducted using reading tasks. Our study examined how linguistic features impact the predictability of stuttering events during spontaneous speech.</p></div><div><h3>Methods</h3><p>The data were sourced from the FluencyBank database and consisted of interviews with 35 adult stutterers (27,009 words). Three logistic regression mixed models were fit as the primary analyses: one model with four features (i.e., initial phoneme, grammatical function, word length, and word position within a sentence), a second model with six features (i.e., the features from the previous model plus word frequency and neighborhood density), and a third model with nine features (i.e., the features from the previous model plus bigram frequency, word concreteness, and typical age of word acquisition). We compared our models using the Area Under the Curve statistic.</p></div><div><h3>Results</h3><p>The four-feature model revealed that initial phoneme, grammatical function, and word length were predictive of stuttering events. The six-feature model revealed that initial phoneme, word length, word frequency, and neighborhood density were predictive of stuttering events. The nine-feature model was not more predictive than the six-feature model.</p></div><div><h3>Conclusion</h3><p>Linguistic features that were previously found to be predictive of stuttering during reading were predictive of stuttering during spontaneous speech. The results indicate the influence of linguistic processes on the predictability of stuttering events such that words associated with increased planning demands (e.g., longer words, low frequency words) were more likely to be stuttered.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106016"},"PeriodicalIF":2.1,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684122","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}
Georgina Johnson , Mark Onslow , Sarah Horton , Elaina Kefalianos
{"title":"Reduced stuttering for school-age children: A systematic review","authors":"Georgina Johnson , Mark Onslow , Sarah Horton , Elaina Kefalianos","doi":"10.1016/j.jfludis.2023.106015","DOIUrl":"10.1016/j.jfludis.2023.106015","url":null,"abstract":"<div><h3>Background</h3><p>Treatment of school-age children (6–12 years of age) who stutter is a public health priority. Their clinical needs include a psychosocial focus and stuttering reduction. For the latter clinical need, there is a critical window of opportunity for these children warranting research attention.</p></div><div><h3>Purpose</h3><p>The purpose of the review is to guide future clinical research by establishing (a) what interventions are associated with stuttering reduction for school-age children (b) the reported immediate and longer-term effects of those interventions, and (c) the level of evidence for these interventions in terms of study design.</p></div><div><h3>Methods</h3><p>Fourteen databases and three conference proceedings were searched for interventions used to reduce stuttering in school-age children. Primary outcomes were mean stuttering reductions pre-treatment, immediately post-treatment, and any follow-up assessments.</p></div><div><h3>Results</h3><p>Of the 4305 studies identified from the databases, 67 studies met inclusion criteria. Five different treatment approaches were reported in the literature that might reduce stuttering for a school-age child, but with varying effect sizes. These include (a) operant methods, (b) speech restructuring, (c) combined operant methods and speech restructuring, (d) machine-driven treatments, and (e) treatments with a cognitive behaviour therapy component.</p></div><div><h3>Conclusions</h3><p>Operant methods warrant investigation in future clinical trial research, as do variants of speech restructuring. Hybrid approaches showed encouraging results, including speech restructuring variants combined with operant methods or with cognitive behaviour therapy. However, evidence is preliminary only at Phase I and II trials. Several treatments with reported clinical promise have been overlooked for decades and require further investigation.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106015"},"PeriodicalIF":2.1,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152913","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}
Rosalee Shenker , Naomi Rodgers , Barry Guitar , Mark Onslow
{"title":"Contemporary clinical conversations about stuttering: Neurodiversity and ableism","authors":"Rosalee Shenker , Naomi Rodgers , Barry Guitar , Mark Onslow","doi":"10.1016/j.jfludis.2023.106014","DOIUrl":"10.1016/j.jfludis.2023.106014","url":null,"abstract":"<div><h3>Purpose</h3><p>To discuss issues about neurodiversity and ableism, and how they pertain to clinical management of stuttering, with particular reference to early childhood stuttering.</p></div><div><h3>Methods</h3><p>During a webinar this year, the issue emerged of how concepts of neurodiversity and ableism apply to early childhood stuttering during the pre-school years. It became apparent that this topic elicited disparate views and would be of particular interest to students of speech-language pathology. Consequently, the leaders of that webinar continued the conversation by written dialogue for the purpose of placing it on record.</p></div><div><h3>Results</h3><p>The discussants reached agreement on many points, but there was some diversity of viewpoint about how neurodiversity and ableism should apply to clinical practice with children who have recently begun to stutter.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106014"},"PeriodicalIF":2.1,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138298","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}
Horabail Venkatagiri , Nuggehalli P. Nataraja , Theja Kuriakose
{"title":"Nonword reading by adults who stutter in a transparent orthography","authors":"Horabail Venkatagiri , Nuggehalli P. Nataraja , Theja Kuriakose","doi":"10.1016/j.jfludis.2023.105996","DOIUrl":"10.1016/j.jfludis.2023.105996","url":null,"abstract":"<div><h3>Purpose</h3><p>Using word- and nonword-reading passages in Kannada, which has a transparent orthography, we attempted to determine (a) whether orthographic differences between English and Kannada may explain the observed differences in stutter rates on nonwords, and (b) whether longer nonwords, like words, incur higher rates of stutters.</p></div><div><h3>Methods</h3><p>Stutters are defined as sound or syllable repetitions, sound prolongations, broken words or nonwords (a pause within a word or nonword), abnormal pauses, and intrusive vowel-like sounds. Twenty-six persons, who stutter, read the word and nonword passages. The nonwords were created by changing the first syllable of each word; otherwise words and nonwords were equivalent in length and syllable structure. Stutters were counted from audio-recordings and statistically analyzed.</p></div><div><h3>Results</h3><p>PWS stuttered on words in varying amounts and in significantly larger amounts on nonwords. Stutter frequency increased roughly in proportion to the increase in the length of phonological words (previously known) and nonwords (reported for the first time here).</p></div><div><h3>Conclusion</h3><p>The results cannot be attributed to the difficulty of pronouncing nonwords because Kannada orthography has a one-to-one relationship between the written and spoken forms of words. Speech production is a multi-stage process consisting of ideation, lemma selection, phonological word creation, and the articulatory planning and execution. Because nonwords lack meaning and clearly identifiable part of speech, it appears that stutters arise late in the speech production process at the phonological word formation and articulatory planning stages. Meaning, lexicality, and morphosyntax may not contribute significantly to the occurrence of stutters.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 105996"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199677","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}
Mark Onslow , Robyn Lowe , Suzana Jelčić Jakšić , Marie-Christine Franken , Anna Hearne , Irma Uijterlinde , Kurt Eggers
{"title":"The Fifth Croatia Stuttering Symposium: Part III. Mental health and early stuttering","authors":"Mark Onslow , Robyn Lowe , Suzana Jelčić Jakšić , Marie-Christine Franken , Anna Hearne , Irma Uijterlinde , Kurt Eggers","doi":"10.1016/j.jfludis.2023.106000","DOIUrl":"10.1016/j.jfludis.2023.106000","url":null,"abstract":"<div><h3>Purpose</h3><p>The Fifth Croatia Stuttering Symposium of 2022 continued the Fourth Croatia Stuttering Symposium 2019 theme of the connection between research and clinical practice. At the 2022 Symposium, there were 145 delegates from 21 countries. This paper documents the contents of the third of three Symposium modules.</p></div><div><h3>Methods</h3><p>The module topic was mental health and early stuttering, and that pre-schoolers who stutter are at risk of developing mental health issues. A clinical situation was considered where a parent of a 3-year-old child asked a clinician what the early signs of mental health issues might be for a child who stutters.</p></div><div><h3>Results</h3><p>A distinguished scholar presented a 5-minute video interpretation of research about this topic. Three master clinicians then each presented a 2-minute video demonstration of how that research might be applied in a clinical situation. Following that, the convenors moderated a discussion between the distinguished scholar, master clinicians, and delegates regarding the research and how it applies to clinical practice.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 106000"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10200213","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":"Differences in auditory verbal working memory between adults who do and do not stutter on an N-back task","authors":"Zoi Gkalitsiou , Courtney Byrd","doi":"10.1016/j.jfludis.2023.105998","DOIUrl":"10.1016/j.jfludis.2023.105998","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to investigate auditory verbal working memory in adults who do (AWS) and do not (AWNS) stutter using a highly demanding linguistic N-back task.</p></div><div><h3>Methods</h3><p>Fifteen AWS and 15 AWNS matched in age, gender and educational level were asked to hear series of words and respond by pressing a “yes” button if the word they just heard was the same as the word one, two, or three trials back. Words were either phonologically similar (i.e., Phonological Linguistic Condition) or phonologically dissimilar (i.e., Neutral Linguistic Condition). Accuracy and false alarms rates as well as reaction time on correct target trials, missed target trials and false alarms were collected and analyzed.</p></div><div><h3>Results</h3><p>Differences were not found between AWS and AWNS in accuracy. Both groups were more accurate and significantly faster in 1- followed by 2- followed by 3-back trials. However, AWS were significantly slower than AWNS in the 2-back level, regardless of linguistic condition. Furthermore, AWS demonstrated more false alarms compared to AWNS.</p></div><div><h3>Conclusion</h3><p>Results revealed differences in auditory verbal working memory and interference control between AWS and AWNS when processing highly linguistically demanding stimuli.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 105998"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10606752","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":"Norwegian speech-language pathologists treatment practices for preschool children who stutter: An explorative study","authors":"Melanie Kirmess , Linn Stokke Guttormsen , Hilde Hofslundsengen , Kari-Anne Bottegaard Næss , Elaina Kefalianos","doi":"10.1016/j.jfludis.2023.105999","DOIUrl":"10.1016/j.jfludis.2023.105999","url":null,"abstract":"<div><h3>Purpose</h3><p>This study investigated the treatment practices of speech-language pathologists (SLPs) with preschool children who stutter to explore variations in service delivery and, consequently to better inform and support evidence-based practice.</p></div><div><h3>Method</h3><p>121 Norwegian SLPs completed an online survey about stuttering treatment for preschool children aged up to six years. They reported on treatment training, choices, setting, dosage, and outcomes. Data was analysed descriptively. Correlation analyses between years of clinical experience and clinician perceived outcomes were conducted.</p></div><div><h3>Result</h3><p>Sixty-eight percent of SLPs were trained in one or more stuttering treatment programs. The majority of SLPs (83 %) provided treatment in person in preschool centers; 59 % reported providing treatment once a week. Thirty-four percent of SLPs reported that they <em>often</em> or <em>always</em> delivered the whole treatment program. Treatment practice addressed various elements, including advising parents about language and communication strategies, supporting the child's self-image, and perceived outcomes. The SLPs reported their clinician perceived outcomes as ‘always’ or ‘often’ reduction of audible stuttering (70 %), reduced cognitive and emotional reactions (55 %), and improved communication skills (58 %). Factors influencing treatment choices were identified at the systemic level (e.g., work place regulations) and individual level (e.g., SLPs competency, child’s best).</p></div><div><h3>Conclusion</h3><p>Stuttering treatment services in Norway differ from those reported in existing literature as treatment is given in preschool settings, only 34 % of SLPs deliver programs as intended whilst the majority use treatment elements only, and still experience positive changes. Provision is variable, and seems influenced by SLP training and competence.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 105999"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208443","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":"Developmental stuttering, physical concomitants associated with stuttering, and Tourette syndrome: A scoping review","authors":"Christelle Nilles , Lindsay Berg , Cassidy Fleming , Davide Martino , Tamara Pringsheim","doi":"10.1016/j.jfludis.2023.105992","DOIUrl":"10.1016/j.jfludis.2023.105992","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Developmental stuttering and Tourette syndrome (TS) are common neurodevelopmental disorders. Although disfluencies may co-occur in TS, their type and frequency do not always represent pure stuttering. Conversely, core symptoms of stuttering may be accompanied by physical concomitants (PCs) that can be confused for tics. This scoping review aimed to explore the similarities and differences between stuttering and tics in terms of epidemiology, comorbidities, phenomenology, evolution, physiopathology, and treatment. We also described the nature of PCs in stuttering and disfluencies in TS.</p></div><div><h3>Methods</h3><p>A literature search on Medline, Embase and PsycInfo was executed in March 2022. From 426 studies screened, 122 were included in the review (a majority being narrative reviews and case reports).</p></div><div><h3>Results</h3><p>TS and stuttering have several epidemiological, phenomenological, comorbidity, and management similarities suggesting shared risk factors and physiopathology (involving the basal ganglia and their connections with speech and motor control cortical regions). PCs in stuttering commonly involve the face (eyelids, jaw/mouth/lip movements) and sometimes the head, trunk and limbs. PCs can be present from early stages of stuttering and vary over time and within individuals. The function of PCs is unknown. Some individuals with TS have a distinct disfluency pattern, composed of a majority of typical disfluencies (mostly between-word disfluencies), and a mix of cluttering-like behaviors, complex phonic tics (e.g. speech-blocking tics, echolalia, palilalia), and rarely, atypical disfluencies.</p></div><div><h3>Conclusion</h3><p>Future investigations are warranted to better understand the complex relationships between tics and stuttering and address the management of disfluencies in TS and PCs in stuttering.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 105992"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10204840","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}