A speech and psychological profile of treatment-seeking adolescents who stutter

Iverach, Lisa; Lowe, Robyn; Jones, Mark; O’Brian, Sue; Menzies, Ross G.; Packman, Ann; Onslow, Mark

doi:10.1016/j.jfludis.2016.11.001

Cited by 29 publications

(16 citation statements)

References 58 publications

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“…In this way, Herder et al emphasize the influence of client characteristics rather than clinician characteristics in relation to treatment. Several authors have drawn attention to client features in relation to stuttering treatment, including psychological distress in general, and anxiety in particular (Craig and Tran 2014, Iverach et al 2017, Iverach and Rapee 2014.…”

Section: The Working Alliance In Stuttering Treatmentmentioning

confidence: 99%

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The working alliance in stuttering treatment: a neglected variable?

Sønsterud

Kirmess

Howells³

et al. 2019

Intl J Lang & Comm Disor

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Background Multiple factors can influence the working alliance and treatment outcome in speech and language therapy. The ‘working alliance’ is an important concept in treatment and can be described as the degree to which a treatment dyad is engaged in collaborative, purposive work. To date, relatively little attention has been paid to this concept within speech and language treatment in general, and within stuttering treatment research in particular. Aims To investigate the role of the working alliance within stuttering treatment, and to evaluate whether the quality of the working alliance correlated with clients’ concept of motivation and treatment outcomes 6 months post‐therapy. Methods & Procedures Eighteen adults (21‐61 years) participated in this multiple single‐case treatment study, with treatment facilitated by an experienced speech and language therapist. The working alliance was investigated using the Working Alliance Inventory—Short Version Revised (WAI‐SR), an Extended version of the Client Preferences for Stuttering Treatment (CPST‐E), the Overall Assessment of Speakers’ Experience of Stuttering—Adult version (OASES‐A), the Wright & Ayre Stuttering Self‐Rating Profile (WASSP) and the Hospital Anxiety and Depression Scale (HADS). Outcomes & Results Analyses demonstrated significant associations between the working alliance and client motivation (r = 0.781) and treatment outcomes (r = 0.644) 6 months post‐treatment. The association between client‐led goals and therapy tasks appeared particularly important. Conclusions & Implications : The working alliance between speech and language therapists and persons who stutter matters. Within the alliance, the level of client–clinician agreement on treatment goals and therapy tasks may be of greater importance than the bond between client and clinician. Further research with greater numbers of participants is warranted.

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Section: The Working Alliance In Stuttering Treatmentmentioning

confidence: 99%

“…Several authors have drawn attention to client features in relation to stuttering treatment, including psychological distress in general, and anxiety in particular (Craig and Tran , Iverach et al . , Iverach and Rapee ).…”

Section: Introductionmentioning

confidence: 99%

The working alliance in stuttering treatment: a neglected variable?

Sønsterud

Kirmess

Howells³

et al. 2019

Intl J Lang & Comm Disor

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“…Specifically, the studies linking anxiety to preschool-age children have shown no differences between children who stutter and non-stuttering peers on anxiety measures and salivary cortisol levels (van der Merwe et al, 2011). Some studies have found significantly higher anxiety symptoms in school age children who stutter, ages 7 to 12 (e.g., Iverach et al, 2011), and other studies have reported the same for children from 10 and up (Davis et al, 2007; Mulcahy et al, 2008; McAllister et al, 2015; Iverach et al, 2017). Nevertheless, other studies have not found any trend toward elevated anxiety in school age children (Andrews and Harris, 1964; Craig and Hancock, 1996; Ortega and Ambrose, 2011).…”

Section: Introductionmentioning

confidence: 97%

Temperament, Executive Functioning, and Anxiety in School-Age Children Who Stutter

2019

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The purpose of this study was to examine temperament dimensions, executive functioning ability, and anxiety levels in school-age children who stutter and their non-stuttering peers. Participants were 100 Portuguese children aged 7 to 12 years (M = 9.13; SD = 1.70), including 50 children who stutter and 50 children who do not stutter. Analyses, which were performed separately for younger and older participants, sought to identify correlations between key variables. Temperament was evaluated through a parent questionnaire, executive functioning was evaluated through children’s responses on a performance test, and anxiety level was assessed through a self-perception scale. On the temperament measure, comparisons between children who stutter and their non-stuttering peers revealed that older children who stutter exhibited significantly higher scores on the Anger/Frustration, Impulsivity, and Sadness subscales, and lower averages on the Attention/Focusing, Perceptual sensitivity, and Soothability/Falling Reactivity subscales. On the executive functioning task, comparisons revealed that the group of younger children who stutter exhibited significantly higher average execution times than their non-stuttering peers. There were no statistically significant differences in anxiety between children who stutter and children who do not stutter, and there were no statistically significant correlations between temperament factors and measures of executive functioning. Children who stutter experienced lower ability to orient attention and greater emotional reactivity compared with their non-stuttering peers. Significant correlations were found between executive functioning and age and among the temperament factors themselves. These results, which support the need for a multidimensional view of stuttering, were interpreted in the context of the Dual Diathesis – Stressor model. Findings indicate that temperament and executive functioning abilities may contribute to the development of stuttering.

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“…These data corroborate studies which show a decrease of the disfluencies in individuals who stutter under delayed listening condition (11)(12)(18)(19)(20)(21) . This increase in fluency represents a very relevant result for individuals with stuttering, for two main reasons: i) speech is the main form of human communication and its efficiency in transferring information depends on fluency (22) , and ii) the percentage of stuttered syllables or stuttering-like disfluencies is considered a counting measure of stuttering gold standard obtained by the speech language therapist (23) .…”

Section: Discussionmentioning

confidence: 99%

Efeito da retroalimentação auditiva atrasada na gagueira com e sem alteração do processamento auditivo central

Picoloto

Cardoso

Cerqueira

et al. 2017

CoDAS

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RESUMO Objetivo Verificar o efeito da retroalimentação auditiva atrasada na fluência da fala de indivíduos que gaguejam, com e sem alteração do processamento auditivo central. Método Participaram 20 indivíduos com gagueira, de sete a 17 anos, divididos em dois grupos, cada um com 10 indivíduos: Grupo Gagueira com Transtorno do Processamento Auditivo (GGTPA) e Grupo Gagueira (GG) sem alteração de processamento auditivo central. Os procedimentos foram: avaliação da fluência com retroalimentação auditiva habitual (RAH) e atrasada (RAA), e avaliação da gravidade da gagueira e do processamento auditivo central (PAC). O software Fono Tools foi utilizado para provocar o atraso de 100 milissegundos na retroalimentação auditiva. O teste dos Postos Sinalizados de Wilcoxon foi utilizado na análise intragrupos, e o teste de Mann-Whitney, na análise intergrupos. Resultados A RAA ocasionou no GG redução estatisticamente significante: no escore da frequência das disfluências típicas da gagueira na análise do Instrumento de Gravidade da Gagueira, na quantidade de bloqueios e de repetições de palavras monossilábicas, e na frequência de disfluências típicas da gagueira de duração. O atraso na retroalimentação auditiva não provocou efeitos estatisticamente significantes na fluência do GGTPA, grupo dos indivíduos com gagueira com alteração do PAC. Conclusão O efeito da retroalimentação auditiva atrasada na fala de indivíduos com gagueira foi diferente nos indivíduos com e sem alteração do processamento auditivo central, pois houve melhora da fluência apenas nos indivíduos sem alteração do PAC.

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A speech and psychological profile of treatment-seeking adolescents who stutter

Cited by 29 publications

References 58 publications

The working alliance in stuttering treatment: a neglected variable?

The working alliance in stuttering treatment: a neglected variable?

Temperament, Executive Functioning, and Anxiety in School-Age Children Who Stutter

Efeito da retroalimentação auditiva atrasada na gagueira com e sem alteração do processamento auditivo central

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