Zackheim Courtney T, Conture Edward G
Department of Hearing and Speech Sciences, Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences and Disorders, Vanderbilt University Medical Center, TN 37212, USA.
J Fluency Disord. 2003 Summer;28(2):115-41; quiz 141-2. doi: 10.1016/s0094-730x(03)00007-x.
The purpose of this study was to examine the influence of utterance length and complexity relative to the children's mean length of utterance (MLU) on stuttering-like disfluencies (SLDs) for children who stutter (CWS) and nonstuttering-like disfluencies (nonSLDs) for children who do not stutter (CWNS). Participants were 12 (3;1-5;11, years;months) children: 6 CWS and 6 age-matched (+/-5 months) CWNS, with equal numbers in each talker group (CWS and CWNS) exhibiting MLU from the lower to the upper end of normal limits. Data were based on audio-video recordings of each child in two separate settings (i.e., home and laboratory) during loosely structured, 30-min parent-child conversational interactions and analyzed in terms of each participant's utterance length, MLU, frequency and type of speech disfluency. Results indicate that utterances above children's MLU are more apt to be stuttered or disfluent and that both stuttering-like as well as nonstuttering-like disfluencies are most apt to occur on utterances that are both long and complex. Findings were taken to support the hypothesis that the relative "match" or "mismatch" between linguistic components of an utterance (i.e., utterance length and complexity) and a child's language proficiency (i.e., MLU) influences the frequency of the child's stuttering/speech disfluency.
The reader will learn about and be able to: (1) compare different procedures for assessing the relationship among stuttering, length and complexity of utterance, (2) describe the difference between relative and absolute measures of utterance length, (3) discuss the measurement and value of mean length of utterance and its possible contributions to childhood stuttering, and (4) describe how length and complexity influence nonstuttering-like disfluencies of children who stutter as well as the stuttering-like disfluencies of children who do not stutter.
本研究的目的是考察话语长度和复杂度相对于儿童平均语句长度(MLU)对口吃儿童的类口吃不流畅性(SLD)以及非口吃儿童的非类口吃不流畅性(nonSLD)的影响。研究参与者为12名儿童(年龄范围为3岁1个月至5岁11个月):6名口吃儿童和6名年龄匹配(相差±5个月)的非口吃儿童,每个说话者组(口吃儿童组和非口吃儿童组)中MLU处于正常范围下限到上限的人数相等。数据基于每个儿童在两种不同场景(即家中和实验室)下进行的、结构松散的30分钟亲子对话互动的音频视频记录,并根据每个参与者的话语长度、MLU、言语不流畅的频率和类型进行分析。结果表明,超出儿童MLU的话语更易于出现口吃或不流畅,并且类口吃不流畅性和非类口吃不流畅性最容易出现在既长又复杂的话语中。这些发现支持了这样一种假设,即话语的语言成分(即话语长度和复杂度)与儿童语言能力(即MLU)之间的相对“匹配”或“不匹配”会影响儿童口吃/言语不流畅的频率。
读者将了解并能够:(1)比较评估口吃、话语长度和复杂度之间关系的不同程序,(2)描述话语长度的相对测量和绝对测量之间的差异,(3)讨论平均语句长度的测量方法及其价值,以及它对儿童口吃可能产生的影响,(4)描述长度和复杂度如何影响口吃儿童的非类口吃不流畅性以及非口吃儿童的类口吃不流畅性。