Ezrati-Vinacour Ruth, Levin Iris
Communication Disorder Department, Sheba Medical Center, Tel-Hashomer 52621, Israel.
J Fluency Disord. 2004;29(2):135-48. doi: 10.1016/j.jfludis.2004.02.003.
The relationship between anxiety and stuttering is equivocal from both clinical and empirical perspectives. This study examined the relationship within the framework of the multidimensional interaction model of anxiety that includes an approach to general anxiety in specific situations [J. Pers. Soc. Psychol. 60 (1991) 919]. Ninety-four males aged 18-43, half disfluent speakers and half fluent speakers completed two questionnaires: The Trait Anxiety Inventory [C.D. Spielberger, R.L. Gorsuch, R.E. Lushene, Manual for the State-Trait Anxiety Inventory (Self Evaluation Questionnaire), Consulting Psychologists Press, Palo Alto, CA, 1970] and the Speech Situation Checklist [G.J. Brutten, Neurolinguistic Approaches to Stuttering, Mouton, The Hague; G.J. Brutten, Stuttering: A Second Symposium, Harper and Row, New York, 1973; G.J. Brutten, P. Janssen, Proceedings 18th Congress of the International Association of Logopedics and Phoniatrists, Washington, DC, 1975; M. Vanryckeghem, Proceedings of the XXIVth Congress of the International Association of Logopedists and Phoniatrists, Nijmegen University Press, Nijmegen, 1981]. In addition, after performing speech and non-speech tasks, participants evaluated their level of anxiety on a subjective scale, labeled Task-Related Anxiety--TRA. The stuttering group also evaluated the level of severity of their stuttering. Findings indicate that trait anxiety is higher among people who stutter compared to fluent speakers, thus indicating that anxiety is a personality trait of people who stutter. State anxiety in social communication is higher among severe stutterers as compared to mild stutterers and fluent speakers. Thus, state anxiety is related to stuttering severity. The results are discussed in the frame of the multidimensional model of anxiety.
The reader will be able to: (1) describe the multidimensional anxiety model; (2) extend the model to the relations between stuttering and anxiety; (3) describe stuttering severity in relation to the levels of anxiety within the model.
从临床和实证角度来看,焦虑与口吃之间的关系并不明确。本研究在焦虑的多维交互模型框架内考察了这种关系,该模型包括一种针对特定情境下一般焦虑的研究方法[《人格与社会心理学杂志》60 (1991) 919]。94名年龄在18至43岁之间的男性,其中一半是口吃者,一半是流利说话者,完成了两份问卷:特质焦虑量表[C.D. 斯皮尔伯格、R.L. 戈尔苏奇、R.E. 卢申,《状态 - 特质焦虑量表手册》(自我评估问卷),咨询心理学家出版社,加利福尼亚州帕洛阿尔托,1970年]和言语情境检查表[G.J. 布鲁滕,《口吃的神经语言学方法》,穆顿出版社,海牙;G.J. 布鲁滕,《口吃:第二次研讨会》,哈珀与罗出版社,纽约,1973年;G.J. 布鲁滕、P. 扬森,《国际语言治疗师与语音病理学家协会第18届大会会议记录》,华盛顿特区,1975年;M. 范里克海姆,《国际语言治疗师协会第24届大会会议记录》,奈梅亨大学出版社,奈梅亨,1981年]。此外,在完成言语和非言语任务后,参与者在一个主观量表上评估他们的焦虑水平,称为任务相关焦虑——TRA。口吃组还评估了他们口吃的严重程度。研究结果表明,与流利说话者相比,口吃者的特质焦虑更高,这表明焦虑是口吃者的一种人格特质。与轻度口吃者和流利说话者相比,严重口吃者在社交沟通中的状态焦虑更高。因此,状态焦虑与口吃严重程度有关。研究结果在焦虑的多维模型框架内进行了讨论。
读者将能够:(1) 描述多维焦虑模型;(2) 将该模型扩展到口吃与焦虑之间的关系;(3) 在模型内描述与焦虑水平相关的口吃严重程度。