Choi Dahye, Conture Edward G, Tumanova Victoria, Clark Chagit E, Walden Tedra A, Jones Robin M
Department of Speech Pathology and Audiology, University of South Alabama, Mobile, AL, United States.
Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, United States.
J Commun Disord. 2018 Jan-Feb;71:22-36. doi: 10.1016/j.jcomdis.2017.11.002. Epub 2017 Nov 26.
The purpose of this study was to determine whether young children who do (CWS) and do not stutter (CWNS) with a positive versus negative family history of stuttering differ in articulation, language and attentional abilities and family histories of articulation, language and attention related disorders.
Participants were 25 young CWS and 50 young CWNS. All 75 participants' caregivers consistently reported a positive or negative family history of stuttering across three consecutive time points that were about 8 months apart for a total of approximately 16 months. Each participant's family history focused on the same, relatively limited number of generations (i.e., participants' parents & siblings). Children's family history of stuttering as well as articulation, language, and attention related disorders was obtained from one or two caregivers during an extensive interview. Children's speech and language abilities were measured using four standardized articulation and language tests and their attentional abilities were measured using caregiver reports of temperament.
Findings indicated that (1) most caregivers (81.5% or 75 out 92) were consistent in their reporting of positive or negative history of stuttering; (2) CWNS with a positive family history of stuttering, compared to those with a negative family history of stuttering, were more likely to have reported a positive family history of attention deficit/hyperactivity disorder (ADHD), and (3) CWNS with a positive family history of stuttering had lower language scores than those with a negative family history of stuttering. However, there were no such significant differences in family histories of ADHD and language scores for CWS with a positive versus negative family history of stuttering. In addition, although 24% of CWS versus 12% of CWNS's caregivers reported a positive family history of stuttering, inferential analyses indicated no significant differences between CWS and CWNS in relative proportions of family histories of stuttering.
Finding that a relatively high proportion (i.e., 81.5%) of caregivers consistently reported a positive or negative family history of stuttering across three consecutive time points should provide some degree of assurance to those who collect such caregiver reports. Based on such consistent caregiver reports, linguistic as well as attentional vulnerabilities appear associated with a positive family history of stuttering, a finding that must await further empirical study for confirmation or refutation.
本研究旨在确定有口吃家族史(CWS)和无口吃家族史(CWNS)的幼儿在发音、语言和注意力能力以及发音、语言和注意力相关障碍的家族史方面是否存在差异。
研究对象为25名患有口吃的幼儿和50名未患口吃的幼儿。所有75名参与者的照料者在连续三个时间点(相隔约8个月,共计约16个月)一致报告了口吃的阳性或阴性家族史。每位参与者的家族史聚焦于相同且数量相对有限的几代人(即参与者的父母和兄弟姐妹)。在一次详尽的访谈中,从一两名照料者处获取了儿童口吃以及发音、语言和注意力相关障碍的家族史。使用四项标准化发音和语言测试测量儿童的言语和语言能力,并通过照料者对气质的报告来测量他们的注意力能力。
研究结果表明:(1)大多数照料者(81.5%,即92人中的75人)在报告口吃的阳性或阴性家族史方面保持一致;(2)与口吃家族史为阴性的CWNS相比,口吃家族史为阳性的CWNS更有可能报告患有注意力缺陷/多动障碍(ADHD)的阳性家族史;(3)口吃家族史为阳性的CWNS的语言得分低于口吃家族史为阴性的CWNS。然而,口吃家族史为阳性和阴性的CWS在ADHD家族史和语言得分方面没有此类显著差异。此外,尽管24%的CWS照料者与12%的CWNS照料者报告了口吃的阳性家族史,但推断分析表明,CWS和CWNS在口吃家族史的相对比例上没有显著差异。
发现相对较高比例(即81.5%)的照料者在连续三个时间点一致报告了口吃的阳性或阴性家族史,这应该会给收集此类照料者报告的人提供一定程度的信心。基于此类一致的照料者报告,语言以及注意力方面的易感性似乎与口吃的阳性家族史相关,这一发现必须等待进一步的实证研究来证实或反驳。