Iverach Lisa, Jones Mark, Lowe Robyn, O'Brian Susan, Menzies Ross G, Packman Ann, Onslow Mark
a Australian Stuttering Research Centre , The University of Sydney , Lidcombe , Australia.
b School of Public Health , University of Queensland , Herston , Australia.
Logoped Phoniatr Vocol. 2019 Oct;44(3):134-142. doi: 10.1080/14015439.2018.1452976. Epub 2018 Mar 23.
Several treatment approaches are available for adults who stutter, including speech treatment, cognitive behaviour therapy (CBT) treatment for anxiety, and a combination of both. It is useful to determine whether any differences exist between adults who stutter enrolled in different types of treatment. Therefore, the purpose of this study was to compare demographic, speech, and psychological characteristics of adults who stutter enrolled in speech, psychological, and combined treatment programs. Participants were 288 adults who stuttered (18-80 years) enrolled in one of three different treatment programs: for stuttering ( = 134), for anxiety about stuttering ( = 70), or ( = 84). Participants completed a range of demographic, speech, and psychological measures prior to the start of treatment. A significantly higher proportion of participants in the group were in a personal relationship than the other treatment groups. The group had higher average age than the other treatment groups. The group also demonstrated significantly higher self-rated stuttering severity than the group, even though there were no significant difference between groups for clinician-rated percentage of syllables stuttered. Although most characteristics of adults who stuttered did not vary by treatment type, the present findings suggest that adults who stutter enrolled in speech treatment perceived their stuttering as more severe, which may have prompted treatment seeking. Further research is needed regarding the supportive influence of personal relationship for those with the disorder.
对于口吃的成年人有几种治疗方法可供选择，包括言语治疗、针对焦虑的认知行为疗法（CBT）以及两者结合的疗法。确定参加不同类型治疗的口吃成年人之间是否存在差异是很有用的。因此，本研究的目的是比较参加言语治疗、心理治疗和综合治疗项目的口吃成年人的人口统计学、言语和心理特征。参与者为288名口吃成年人（年龄在18至80岁之间），他们参加了三种不同治疗项目中的一种：口吃治疗（n = 134）、口吃焦虑治疗（n = 70）或综合治疗（n = 84）。参与者在治疗开始前完成了一系列人口统计学、言语和心理测量。与其他治疗组相比，综合治疗组中处于恋爱关系的参与者比例显著更高。口吃治疗组的平均年龄高于其他治疗组。综合治疗组的自我评定口吃严重程度也显著高于口吃焦虑治疗组，尽管在临床医生评定的口吃音节百分比方面各治疗组之间没有显著差异。虽然口吃成年人的大多数特征不会因治疗类型而异，但目前的研究结果表明，参加言语治疗的口吃成年人认为自己的口吃更严重，这可能促使他们寻求治疗。关于恋爱关系对患有这种疾病的人的支持性影响，还需要进一步研究。
