Duquesne University, Pittsburgh, PA.
Michigan State University, East Lansing.
J Speech Lang Hear Res. 2022 Jul 18;65(7):2412-2430. doi: 10.1044/2022_JSLHR-21-00467. Epub 2022 Jun 23.
This study evaluated the relationship between (ER) and adverse impact related to stuttering across the developmental spectrum, in preschool and school-age children, adolescents, and adults who stutter. An additional aim examined how these variables relate to the ways that individuals approach speaking (i.e., their agreement on whether their goal is to speak fluently).
Participants were the parents of 60 preschoolers and younger school-age children (ages 3-9 years), 95 school-age children and adolescents who stutter (ages 7-18 years), and 180 adults who stutter (ages 18-81 years). All participants completed surveys with age-appropriate measures examining ER and the adverse impact of stuttering. Older children and adults who stutter also answered questions regarding their goals when speaking. Multiple regression and ordinal logistic regression were used to examine relationships among ER, adverse impact related to stuttering, and goal when speaking.
In preschool children, adverse impact was significantly predicted by a parent-reported measure of ER skills; in school-age children and adults, adverse impact was significantly predicted by measures of the ER strategies cognitive reappraisal (CR) and expressive suppression. Less frequent use of CR by adults was significantly associated with an increased likelihood of having "not stuttering" as a goal when speaking. Differences in the significance and magnitude of these relationships were found across the life span.
For both children and adults who stutter, ER is a significant factor related to the adverse impact of stuttering; the relationship between ER and adverse impact may change over development. Accounting for individual differences in ER can improve understanding of why a person copes with stuttering in the ways they do, and this has notable implications for individualizing intervention for both children and adults who stutter.
本研究评估了 (ER) 与发育过程中(包括学龄前和学龄儿童、青少年和成年口吃者)口吃相关的不良影响之间的关系。另一项目的是研究这些变量与个体说话方式(即他们是否同意流利说话是自己的目标)之间的关系。
参与者包括 60 名学龄前儿童和年龄较小的学龄儿童(3-9 岁)、95 名口吃的学龄儿童和青少年(7-18 岁)以及 180 名口吃的成年人(18-81 岁)的父母。所有参与者均完成了年龄适当的调查,其中包括 ER 和口吃不良影响的测量。年龄较大的口吃儿童和成人还回答了有关他们说话目标的问题。多元回归和有序逻辑回归用于检查 ER、口吃相关的不良影响和说话目标之间的关系。
在学龄前儿童中,父母报告的 ER 技能测量显著预测了不良影响;在学龄儿童和成人中,ER 策略认知重评 (CR) 和表达抑制的测量显著预测了不良影响。成人较少使用 CR 与说话时更有可能将“不口吃”作为目标显著相关。在整个生命周期中,这些关系的重要性和幅度存在差异。
对于口吃的儿童和成人,ER 是与口吃相关的不良影响的重要因素;ER 和不良影响之间的关系可能随着发展而变化。考虑 ER 的个体差异可以更好地理解为什么一个人以他们的方式应对口吃,这对口吃儿童和成人的个体化干预具有重要意义。