Department of Hearing and Speech Sciences, University of Maryland, College Park.
J Speech Lang Hear Res. 2023 Jun 20;66(6):2018-2034. doi: 10.1044/2023_JSLHR-22-00595. Epub 2023 May 24.
Disfluencies can be classified as stuttering-like disfluencies (SLDs) or typical disfluencies (TDs). Dividing TDs further, stalls (fillers and repetitions) are thought to be prospective, occurring due to planning glitches, and revisions (word and phrase revisions, word fragments) are thought to be retrospective, occurring when a speaker corrects language produced in error. In the first study assessing stalls, revisions, and SLDs in matched groups of children who stutter (CWS) and children who do not stutter (CWNS), we hypothesized that SLDs and stalls would increase with utterance length and grammaticality but not with a child's expressive language level. We expected revisions to be associated with a child having more advanced language but not with utterance length or grammaticality. We hypothesized that SLDs and stalls (thought to be planning-related) would tend to precede grammatical errors.
We analyzed 15,782 utterances from 32 preschool-age CWS and 32 matched CWNS to assess these predictions.
Stalls and revisions increased in ungrammatical and longer utterances and with the child's language level. SLDs increased in ungrammatical and longer utterances, but not with overall language level. SLDs and stalls tended to occur before grammatical errors.
Results suggest that both stalls and revisions are more likely to occur in utterances that are harder to plan (those that are ungrammatical and/or longer) and that, as children's language develops, so do the skills they need to produce both stalls and revisions. We discuss clinical implications of the finding that ungrammatical utterances are more likely to be stuttered.
不流畅可以分为口吃样不流畅(SLD)或典型不流畅(TD)。进一步划分 TD,停顿(填充词和重复)被认为是前瞻性的,由于计划失误而发生,而修订(词和短语修订、词片段)被认为是回溯性的,当说话者纠正错误产生的语言时发生。在第一项评估口吃儿童(CWS)和非口吃儿童(CWNS)匹配组中的停顿、修订和 SLD 的研究中,我们假设 SLD 和停顿会随着话语长度和语法的增加而增加,但不会随着儿童表达语言水平的增加而增加。我们预计修订将与儿童更先进的语言相关,但与话语长度或语法无关。我们假设 SLD 和停顿(被认为与计划有关)倾向于先于语法错误发生。
我们分析了 32 名学龄前 CWS 和 32 名匹配的 CWNS 的 15782 个话语,以评估这些预测。
停顿和修订随着不语法和较长话语以及儿童语言水平的增加而增加。SLD 在不语法和较长话语中增加,但不随整体语言水平增加。SLD 和停顿往往先于语法错误发生。
结果表明,停顿和修订更可能发生在更难计划的话语中(那些不语法和/或更长的话语),并且随着儿童语言的发展,他们产生停顿和修订所需的技能也在发展。我们讨论了发现不语法话语更可能口吃的临床意义。