Pellowski Mark W, Conture Edward G
Department of Hearing and Speech Sciences, The Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences, 1114 19th Avenue South, Nashville, TN 37212 USA.
J Speech Lang Hear Res. 2002 Feb;45(1):20-34. doi: 10.1044/1092-4388(2002/002).
The purpose of this investigation was to quantitatively and qualitatively characterize speech disfluencies exhibited by 3- and 4-year-old children who do (CWS, N = 36) and do not (CWNS, N = 36) stutter. Five measures of speech disfluency (e.g., percentage of total, other, and stuttering-like disfluencies, mean number of repetition units, and weighted SLD measure) were used in attempts to differentiate CWS from CWNS. Similar measures of stuttering (e.g., percentage of stuttering-like disfluencies consisting of disrhythmic phonations) were used to characterize speech disfluencies in 3- and 4-year-old CWS in relation to time since stuttering onset (TSO). It was hypothesized that such measures of speech disfluency should significantly differ between CWS and CWNS, as well as 3- versus 4-year-old CWS in relation to TSO. Results indicated that 4 out of the 5 dependent measures significantly differed between CWS and CWNS, and within the CWS group there was a significant relationship between TSO and the percentage of stuttering-like disfluencies when the effects of chronological age were partialled out of the regression analyses. Furthermore, 4-year-old CWS exhibited a moderate correlation between TSO and the percentage of stuttering-like disfluencies consisting of disrhythmic phonations, whereas 3-year-old CWS exhibited no such relationship between these two variables. Findings were taken to suggest that certain measures of speech disfluency appreciably differentiate CWS from CWNS and that 4-year-old CWS exhibit changes in nonreiterative forms of stuttering as a function of time since stuttering onset.
本调查的目的是对3岁和4岁患有口吃(CWS,N = 36)和未患口吃(CWNS,N = 36)的儿童所表现出的言语不流畅进行定量和定性描述。使用了五种言语不流畅的测量方法(例如,总不流畅、其他不流畅和类口吃不流畅的百分比、重复单元的平均数以及加权SLD测量)来试图区分CWS和CWNS。使用类似的口吃测量方法(例如,由节律异常发声组成的类口吃不流畅的百分比)来描述3岁和4岁CWS儿童与口吃起始时间(TSO)相关的言语不流畅情况。研究假设,这些言语不流畅的测量方法在CWS和CWNS之间,以及3岁与4岁CWS儿童在TSO方面应该有显著差异。结果表明,5个相关测量指标中有4个在CWS和CWNS之间存在显著差异,并且在CWS组中,当从回归分析中剔除实足年龄的影响后,TSO与类口吃不流畅的百分比之间存在显著关系。此外,4岁CWS儿童在TSO与由节律异常发声组成的类口吃不流畅的百分比之间表现出中等程度的相关性,而3岁CWS儿童在这两个变量之间没有这种关系。研究结果表明,某些言语不流畅的测量方法能够明显区分CWS和CWNS,并且4岁CWS儿童的非重复性口吃形式会随着口吃起始时间的变化而变化。