Jones Robin M, Walden Tedra A, Conture Edward G, Erdemir Aysu, Lambert Warren E, Porges Stephen W
Vanderbilt University School of Medicine, Nashville, TN.
Vanderbilt University, Nashville, TN.
J Speech Lang Hear Res. 2017 Aug 16;60(8):2133-2150. doi: 10.1044/2017_JSLHR-S-16-0113.
This study sought to determine whether respiratory sinus arrhythmia (RSA) and executive functions are associated with stuttered speech disfluencies of young children who do (CWS) and do not stutter (CWNS).
Thirty-six young CWS and 36 CWNS were exposed to neutral, negative, and positive emotion-inducing video clips, followed by their participation in speaking tasks. During the neutral video, we measured baseline RSA, a physiological index of emotion regulation, and during video viewing and speaking, we measured RSA change from baseline, a physiological index of regulatory responses during challenge. Participants' caregivers completed the Children's Behavior Questionnaire from which a composite score of the inhibitory control and attentional focusing subscales served to index executive functioning.
For both CWS and CWNS, greater decrease of RSA during both video viewing and speaking was associated with more stuttering. During speaking, CWS with lower executive functioning exhibited a negative association between RSA change and stuttering; conversely, CWNS with higher executive functioning exhibited a negative association between RSA change and stuttering.
Findings suggest that decreased RSA during video viewing and speaking is associated with increased stuttering and young CWS differ from CWNS in terms of how their executive functions moderate the relation between RSA change and stuttered disfluencies.
本研究旨在确定呼吸性窦性心律不齐(RSA)和执行功能是否与口吃儿童(CWS)和非口吃儿童(CWNS)的口吃言语不流畅有关。
36名年轻的CWS儿童和36名CWNS儿童观看了中性、消极和积极情绪诱导的视频片段,随后参与了言语任务。在观看中性视频期间,我们测量了基线RSA,这是一种情绪调节的生理指标,在观看视频和言语过程中,我们测量了相对于基线的RSA变化,这是挑战期间调节反应的生理指标。参与者的照顾者完成了儿童行为问卷,其中抑制控制和注意力集中子量表的综合得分用于衡量执行功能。
对于CWS和CWNS儿童,在观看视频和言语过程中,RSA下降幅度越大,口吃越严重。在言语过程中,执行功能较低的CWS儿童中,RSA变化与口吃之间呈负相关;相反,执行功能较高的CWNS儿童中,RSA变化与口吃之间呈负相关。
研究结果表明,观看视频和言语过程中RSA的降低与口吃增加有关,并且年轻的CWS儿童与CWNS儿童在执行功能如何调节RSA变化与口吃不流畅之间的关系方面存在差异。