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7岁时口吃的病史:前瞻性社区队列研究的随访

The History of Stuttering by 7 Years of Age: Follow-Up of a Prospective Community Cohort.

作者信息

Kefalianos Elaina, Onslow Mark, Packman Ann, Vogel Adam, Pezic Angela, Mensah Fiona, Conway Laura, Bavin Edith, Block Susan, Reilly Sheena

机构信息

Department of Audiology and Speech Pathology, University of Melbourne, Victoria, Australia.

Murdoch Childrens Research Institute, Parkville, Victoria, Australia.

出版信息

J Speech Lang Hear Res. 2017 Oct 17;60(10):2828-2839. doi: 10.1044/2017_JSLHR-S-16-0205.

Abstract

PURPOSE

For a community cohort of children confirmed to have stuttered by the age of 4 years, we report (a) the recovery rate from stuttering, (b) predictors of recovery, and (c) comorbidities at the age of 7 years.

METHOD

This study was nested in the Early Language in Victoria Study. Predictors of stuttering recovery included child, family, and environmental measures and first-degree relative history of stuttering. Comorbidities examined at 7 years included temperament, language, nonverbal cognition, and health-related quality of life.

RESULTS

The recovery rate by the age of 7 years was 65%. Girls with stronger communication skills at the age of 2 years had higher odds of recovery (adjusted OR = 7.1, 95% CI [1.3, 37.9], p = .02), but similar effects were not evident for boys (adjusted OR = 0.5, 95% CI [0.3, 1.1], p = .10). At the age of 7 years, children who had recovered from stuttering were more likely to have stronger language skills than children whose stuttering persisted (p = .05). No evident differences were identified on other outcomes including nonverbal cognition, temperament, and parent-reported quality of life.

CONCLUSION

Overall, findings suggested that there may be associations between language ability and recovery from stuttering. Subsequent research is needed to explore the directionality of this relationship.

摘要

目的

对于一个经确认在4岁时就已口吃的儿童社区队列,我们报告(a)口吃的恢复率,(b)恢复的预测因素,以及(c)7岁时的共病情况。

方法

本研究嵌套于维多利亚早期语言研究中。口吃恢复的预测因素包括儿童、家庭和环境指标以及口吃的一级亲属病史。在7岁时检查的共病包括气质、语言、非语言认知和与健康相关的生活质量。

结果

到7岁时的恢复率为65%。2岁时沟通能力较强的女孩恢复的几率更高(调整后的比值比=7.1,95%可信区间[1.3, 37.9],p = 0.02),但男孩没有明显类似效果(调整后的比值比=0.5,95%可信区间[0.3, 1.1],p = 0.10)。在7岁时,从口吃中恢复的儿童比口吃持续的儿童更有可能具有更强的语言能力(p = 0.05)。在包括非语言认知、气质和家长报告的生活质量等其他结果方面未发现明显差异。

结论

总体而言,研究结果表明语言能力与口吃恢复之间可能存在关联。需要后续研究来探索这种关系的方向性。

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