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调用情绪在中枢听觉处理中的影响,以改善言语障碍的治疗。

Invoking the influence of emotion in central auditory processing to improve the treatment of speech impairments.

机构信息

From the Department of Rehabilitation Sciences (Alqudah, Zaitoun), Faculty of Applied Medical Sciences, Jordan University of Science and Technology; and from the Department of Pathology and Laboratory (Alqudah), King Abdullah University Hospital, Irbid, Jordan.

出版信息

Saudi Med J. 2021 Dec;42(12):1325-1332. doi: 10.15537/smj.2021.42.12.20200724.

Abstract

OBJECTIVES

To explore the benefits of invoking unconscious sentiment to improve the treatment of stuttering and misarticulation.

METHODS

This cross-sectional study of 80 participants with speech issues (44 patients with misarticulation and 36 with stuttering) who underwent comprehensive speech and hearing evaluations to confirm and diagnose speech difficulties. Speech and language pathologists then calculated either the percentage of correctly pronounce sounds in misarticulation cases or stuttering severity index-4 scores in cases of stuttering following the use of therapeutic stimuli recorded with familiar and non-familiar voices of similar linguistic and phonetic complexity. Descriptive and inferential statistics were used to compare the data collected following the use of familiar and unfamiliar stimuli.

RESULTS

The analysis showed that the number of dysfluencies in cases of stuttering were significantly fewer when employing familiar voices than unfamiliar voices (3% errors vs 12% errors; Z= -5.16 <0.001). Additionally, the percentages of correct pronouncing of target sounds in cases of articulation disorders were prominently higher when using familiar voices compared with unfamiliar voices (88% PCC vs 66% PCC; Z= -5.65, <0.001) CONCLUSION: This study confirms the utility of invoking emotion in improving speech therapy and maximizing therapeutic outcomes. This study also recommends engaging families and friends in providing speech services to the speech-impaired population to improve patient progress.

摘要

目的

探索唤起无意识情绪对改善口吃和发音障碍治疗的益处。

方法

本横断面研究纳入 80 名存在语音问题的参与者(44 名构音障碍患者和 36 名口吃患者),他们接受了全面的言语和听力评估,以确认和诊断言语困难。言语语言病理学家随后计算了在使用熟悉和不熟悉的、具有相似语言和语音复杂性的声音录制的治疗性刺激后,构音障碍病例中正确发音的声音比例或口吃严重程度指数-4 评分(在口吃病例中)。使用描述性和推断性统计来比较使用熟悉和不熟悉刺激后的收集的数据。

结果

分析表明,在使用熟悉声音时口吃患者的不流畅次数明显减少(3%错误与 12%错误;Z= -5.16 <0.001)。此外,在使用熟悉声音时,构音障碍病例中目标音的正确发音百分比明显更高,而在使用不熟悉声音时则较低(88% PCC 与 66% PCC;Z= -5.65,<0.001)。

结论

本研究证实了在改善言语治疗和最大限度提高治疗效果方面唤起情绪的有效性。本研究还建议让家庭和朋友参与为言语障碍人群提供言语服务,以促进患者的进步。

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本文引用的文献

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Prevalence of anxiety disorders among children who stutter.口吃儿童中焦虑症的患病率。
J Fluency Disord. 2016 Sep;49:13-28. doi: 10.1016/j.jfludis.2016.07.002. Epub 2016 Jul 25.
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Emotional Diathesis, Emotional Stress, and Childhood Stuttering.情绪素质、情绪压力与儿童口吃
J Speech Lang Hear Res. 2016 Aug 1;59(4):616-30. doi: 10.1044/2015_JSLHR-S-14-0357.
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Autonomic nervous system activity of preschool-age children who stutter.学龄前口吃儿童的自主神经系统活动。
J Fluency Disord. 2014 Sep;41:12-31. doi: 10.1016/j.jfludis.2014.06.002. Epub 2014 Jul 6.
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Behavioral inhibition and childhood stuttering.行为抑制与儿童口吃。
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