Reddy R P, Sharma M P, Shivashankar N
Department of Mental Health and Social Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Indian J Psychol Med. 2010 Jan;32(1):49-53. doi: 10.4103/0253-7176.70533.
The present investigation was aimed at studying the efficacy of cognitive behavior therapy (CBT) in reducing the symptoms of stuttering and dysfunctional cognitions and in enhancing assertiveness and quality of life in clients with stuttering. Five clients with stuttering who met the inclusion criteria (male clients with diagnosis of stuttering) and exclusion criteria (clients with brian damage), substance abuse or mental retardation were enrolled for the study. A single-case design was adopted. The pre-, mid- and post-assessment were carried out using Stuttering Severity Scale (SSI), Perception of Stuttering Inventory (PSI), Beck's Anxiety Inventory (BAI), Dysfunctional Attitude (DAS), Fear of Negative Evaluation (FNE), Assertiveness Scale (AS), Rosenberg's Self-Esteem Scale (RSES), and World Health Organization - Quality of Life Scale (WHO-QOL). Five clients received cognitive behavioral intervention comprising of psycho-education, relaxation, deep breathing, humming, prolongation, cognitive restructuring, problem-solving strategies and assertiveness. At post-treatment assessment, there was improvement. The findings of the study are discussed in the light of available research work, implications, limitations of the study and suggestions for future research.
本研究旨在探讨认知行为疗法（CBT）对减轻口吃症状、功能失调认知以及增强口吃患者的自信和生活质量的疗效。五名符合纳入标准（诊断为口吃的男性患者）且排除标准（无脑损伤、药物滥用或智力障碍）的口吃患者参与了该研究。采用单病例设计。使用口吃严重程度量表（SSI）、口吃感知量表（PSI）、贝克焦虑量表（BAI）、功能失调态度量表（DAS）、害怕负面评价量表（FNE）、自信量表（AS）、罗森伯格自尊量表（RSES）和世界卫生组织生活质量量表（WHO-QOL）进行前测、中测和后测。五名患者接受了包括心理教育、放松、深呼吸、哼唱、延长说话、认知重构、问题解决策略和自信训练在内的认知行为干预。在治疗后评估中，情况有所改善。根据现有研究工作、研究意义、局限性以及对未来研究的建议对本研究结果进行了讨论。
