Predictive factors of persistence and recovery: Pathways of childhood stuttering

Yairi, Ehud; Ambrose, Nicoline Grinager; Paden, Elaine Pagel; Throneburg, Rebecca

doi:10.1016/0021-9924(95)00051-8

Cited by 200 publications

(130 citation statements)

References 32 publications

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“…This result confirms previous data that stuttering is a disorder that has a higher prevalence of male gender 7,15,24,29 . Therefore, relatives of male probands with stuttering had higher risk (12.5%) than female relatives (3.9%).…”

supporting

confidence: 92%

Gagueira desenvolvimental persistente familial: disfluências e prevalência

et al. 2015

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Resumo: OBJETIVO: caracterizar e comparar a frequência das disfluências da fala de adultos com gagueira desenvolvimental persistente familial do sexo masculino e feminino, a severidade do distúrbio e determinar a prevalência familial e a razão entre gêneros da gagueira nos familiares dos probandos. MÉTODOS: participaram 30 adultos com gagueira (18 a 53 anos), divididos em dois grupos, sendo 20 do sexo masculino e 10 do sexo feminino. Os procedimentos realizados foram: história clínica e familial, avaliação da fluência e Instrumento de Severidade da Gagueira. RESULTADOS: as porcentagens de disfluências típicas da gagueira (p=0,352), de outras disfluências (p=0,947) e do total das disfluências (p=0,522) foram semelhantes entre os grupos masculino e feminino. A média de disfluências típicas da gagueira foi 5,23% e de outras disfluências 5,50%. O subtipo leve foi manifestado pela maioria dos participantes (83,3%). Os familiares do gênero masculino apresentaram maior risco de apresentar gagueira (p<0,001). Do total de 1002 familiares, 85 apresentaram gagueira. No total de familiares afetados (n=85), 53 eram do sexo masculino e 32 do feminino. CONCLUSÃO: não houve diferenças entre os grupos masculino e feminino nas medidas analisadas. Quanto à frequência das disfluências, aproximadamente metade do total das disfluências foi caracterizada como disfluências típicas da gagueira. O subtipo de gagueira desenvolvimental persistente familial foi caracterizado principalmente por um distúrbio classificado quanto à severidade como leve. O risco dos familiares dos probandos afetados foi de 8,5%. A gagueira afetou mais pessoas do gênero masculino em relação ao feminino, numa proporção de 3,72:1.

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supporting

confidence: 92%

Gagueira desenvolvimental persistente familial: disfluências e prevalência

et al. 2015

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“…Yairi, Ambrose, Paden, and Throneburg (1996) and Yairi and Ambrose (1999) found that stuttering severity at onset did not predict untreated recovery. However, these studies did not report separate disfluencytype data with respect to recovery.…”

Section: Do Different Disfluency Types Predict Persistence and Recovementioning

confidence: 99%

“…For instance, the Illinois Studies reported that a stable level of SLDs 12 to 18 months after onset of stuttering may be a good predictor of chronicity, whereas a decline in SLDs by the end of the 1st year of stuttering strongly predicts recovery (Yairi, 1997;Yairi & Ambrose, 1992;Yairi et al, 1996). As yet, though, no published study has compared stuttering frequency measures and SLD measures for their predictive power.…”

Section: The Reliability Of Sld and Disfluency-type Measuresmentioning

confidence: 99%

Have Disfluency-Type Measures Contributed to the Understanding and Treatment of Developmental Stuttering?

Einarsdóttir

Ingham

2005

Am J Speech Lang Pathol

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Purpose: This article critically reviews evidence to determine whether the use of disfluency typologies, such as syllable repetitions or prolongations , has assisted the understanding or treatment of developmental stuttering. Consideration is given to whether there is a need for a fundamental shift in the basis for constructing measures of stuttering behavior. Method: The history of using specific types of disfluencies to assess stuttering, including more recent developments such as counts of stuttering-like disfluencies, is reviewed. The focus is on studies that have investigated the validity and reliability of these perceptually based assessment methods. Conclusion: The evidence from use of disfluency-type measures shows that the behavioral difference between stuttering and normally fluent speakers is solely related to the amount of observable stuttering; the differences are only partially realized within disfluency-type measures. Indeed, because disfluency-type measures show poor reliability and conflate stuttered and nonstuttered speech, they have only limited heuristic value for research and provide no obvious benefits for clinicians. At best, they should be regarded as imprecise descriptors of observable stuttering and not a fundamental measure of stuttering. A recommended solution to the problematic history of verbal-based definitions of stuttering behavior is continued development and investigation of exemplar-based definition and measurement.

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“…Recovery rates vary between studies according to when recovery was determined and sample ascertainment. [9][10][11]13,14,17 In a communityascertained study in the United Kingdom, 42% of children were deemed recovered by 6 years of age and 79% by 16 years of age. 9 A Danish community study reported 71.4% of children to have recovered by 5 years of age.…”

mentioning

confidence: 99%

“…10 Other studies where children were referred from the clinic or the community, such as the well-known Illinois studies, 11,13,14, reported recovery rates of 9% at 1 year after onset rising to 72% at 4 years after onset. Potential recovery predictors include being female, 11,13 having better speech and language skills, 11,13,17 a decrease in stuttering over time, 11,13,17 and having a family history of recovery. 13,14,17,18 Currently, little is known about the social and emotional development of children who stutter, with available information drawn from clinic-referred samples of older children or adults.…”

mentioning

confidence: 99%

Natural History of Stuttering to 4 Years of Age: A Prospective Community-Based Study

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Stuttering is extremely common, with 8.5% of children affected by age 3 years in a prospective community-ascertained cohort of Australian children. The natural history and comorbidities of early stuttering are uncertain at the population level.WHAT THIS STUDY ADDS: The cumulative incidence of stuttering was 11% by 4 years. Stuttering children were similar in temperament and social-emotional development but had better verbal and nonverbal skills than their peers. Recovery from stuttering was low; 6.3% 12 months after onset. abstract OBJECTIVES: To document the natural history of stuttering by age 4 years, including (1) cumulative incidence of onset, (2) 12-month recovery status, (3) predictors of stuttering onset and recovery, and (4) potential comorbidities. The study cohort was a prospective community-ascertained cohort (the Early Language in Victoria Study) from Melbourne, Australia, of 4-year-old children (n = 1619; recruited at age 8 months) and their mothers. METHODS:Outcome was stuttering onset by age 4 years and recovery within 12 months of onset, defined using concurrent monthly parent and speech pathologist ratings. Potential predictors: child gender, birth weight, birth order, prematurity, and twinning; maternal mental health and education; socioeconomic status; and family history of stuttering. Potential comorbidities: preonset and concurrent temperament, language, nonverbal cognition, and health-related quality of life.RESULTS: By age 4 years, the cumulative incidence of stuttering onset was 11.2% (95% confidence interval [CI]: 9.7% to 12.8%). Higher maternal education (P = .004), male gender (P = .02), and twinning (P = .005) predicted stuttering onset. At outcome, stuttering children had stronger language (mean [SD]: 105.0 [13.0] vs 99.6 [14.6]; mean difference 5.5, 95% CI: 3.1 to 7.8; P , .001) and nonverbal cognition (mean [SD]: 106.5 [11.4] vs 103.9 [13.7], mean difference 2.6, 95% CI: 0.4 to 4.8; P = .02) and better health-related quality of life but were otherwise similar to their nonstuttering peers. Only 9 of 142 children (6.3%; 95% CI: 2.9% to 11.7%) recovered within 12 months of onset. CONCLUSIONS:Although stuttering onset is common in preschoolers, adverse affects are not the norm in the first year after onset. Pediatrics 2013;132: [460][461][462][463][464][465][466][467]

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Predictive factors of persistence and recovery: Pathways of childhood stuttering

Cited by 200 publications

References 32 publications

Gagueira desenvolvimental persistente familial: disfluências e prevalência

Gagueira desenvolvimental persistente familial: disfluências e prevalência

Have Disfluency-Type Measures Contributed to the Understanding and Treatment of Developmental Stuttering?

Natural History of Stuttering to 4 Years of Age: A Prospective Community-Based Study

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