Blood Gordon W, Ridenour Victor J, Qualls Constance Dean, Hammer Carol Scheffner
Department of Communication Sciences and Disorders, 110 Moore Building, The Pennsylvania State University, University Park, PA 16802, USA.
J Commun Disord. 2003 Nov-Dec;36(6):427-48. doi: 10.1016/s0021-9924(03)00023-6.
This study used a mail survey to determine the (a) percentage of children who stutter with co-occurring non-speech disorders, speech disorders, and language disorders, and (b) frequency, length of sessions, and type of treatment services provided for children who stutter with co-occurring disorders. Respondents from a nationwide sample included 1184 speech-language pathologists (SLPs). Of the 2628 children who stuttered, 62.8% had other co-occurring speech disorders, language disorders, or non-speech-language disorders. Articulation disorders (33.5%) and phonology disorders (12.7%) were the most frequently reported co-occurring speech disorders. Only 34.3% of the children who stuttered had co-occurring non-speech-language disorders. Of those children with co-occurring non-speech-language disorders, learning disabilities (15.2%), literacy disorders (8.2%), and attention deficit disorders (ADD) (5.9%) were the most frequently reported. Chi-square analyses revealed that males were more likely to exhibit co-occurring speech disorders than females, especially articulation and phonology. Co-occurring non-speech-language disorders were also significantly higher in males than females. Treatment decisions by SLPs are also discussed.
As a result of this activity, the participant should: (1) have a better understanding of the co-occurring speech disorders, language disorders, and non-speech disorders in children who stutter; (2) identify the speech disorders, language disorders, and non-speech disorders with the highest frequency of occurrence in children who stutter; and (3) be aware of the subgroups of children with co-occurring disorders and their potential impact on assessment and treatment.
本研究采用邮件调查来确定:(a) 患有共病非言语障碍、言语障碍和语言障碍的口吃儿童的百分比,以及 (b) 为患有共病障碍的口吃儿童提供的治疗服务的频率、疗程长度和类型。来自全国样本的受访者包括1184名言语语言病理学家(SLP)。在2628名口吃儿童中,62.8% 还患有其他共病言语障碍、语言障碍或非言语语言障碍。发音障碍(33.5%)和音系障碍(12.7%)是最常报告的共病言语障碍。只有34.3% 的口吃儿童患有共病非言语语言障碍。在那些患有共病非言语语言障碍的儿童中,学习障碍(15.2%)、读写障碍(8.2%)和注意力缺陷障碍(ADD)(5.9%)是最常报告的。卡方分析显示,男性比女性更有可能出现共病言语障碍,尤其是发音和音系方面。男性的共病非言语语言障碍也明显高于女性。还讨论了言语语言病理学家的治疗决策。
通过本次活动,参与者应:(1) 更好地了解口吃儿童中共病的言语障碍、语言障碍和非言语障碍;(2) 识别口吃儿童中发生率最高的言语障碍、语言障碍和非言语障碍;以及 (3) 了解患有共病障碍的儿童亚组及其对评估和治疗的潜在影响。