Kikuchi Yoshikazu, Kenjo Masamutsu, Yoshida Eriko, Takahashi Saburo, Murakami Daisuke, Yamaguchi Yumi, Adachi Kazuo, Sawatsubashi Motohiro, Taura Masahiko, Nakagawa Takashi, Umezaki Toshiro
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Special Needs Education, University of Teacher Education Fukuoka, Fukuoka, Japan.
Pediatr Int. 2023 Jan-Dec;65(1):e15622. doi: 10.1111/ped.15622.
Stuttering is a childhood-onset fluency disorder. Part of the counseling for middle and high school students with persistent stuttering is related to school refusal. Anxiety disorders are known to contribute to school refusal. However, it is not known whether social anxiety disorder (SAD) is a factor in school refusal among adolescents who stutter.
In our first study, we examined the relationship between school refusal and SAD in 84 middle and high school students who stutter; 26% of the 84 students were in the school refusal group and the remaining 74% were in the school attendance group. The second study examined whether SAD was associated with 10 factors related to speech and stuttering frequency using the Japanese version of the Liebowitz Social Anxiety Scale for Children and Adolescents to determine the presence of SAD. Of the 84 students in the first study, 40 participated in the second study.
The school refusal group of adolescents who stutter had significantly higher rates of SAD than the school attendance group. Fifty percent of adolescents who stutter met the criteria for SAD. Moreover, adolescents who stutter with SAD had significantly higher scores on the items "When speaking in public, do you experience tremors in your limbs?" and "After you stutter, do you have negative thoughts about yourself?" than the adolescents who stutter without SAD.
When examining adolescents who stutter, checking for comorbid SAD may lead to better support. Moreover, noticing their repetitive negative thinking, nervousness, and trembling during speech may help to resolve SAD.
口吃是一种起病于儿童期的流畅性障碍。对患有持续性口吃的中学生和高中生进行的部分咨询与学校拒学有关。已知焦虑症会导致学校拒学。然而，社交焦虑障碍（SAD）是否是口吃青少年学校拒学的一个因素尚不清楚。
在我们的第一项研究中，我们调查了84名口吃的中学生和高中生中学校拒学与社交焦虑障碍之间的关系；84名学生中有26%属于学校拒学组，其余74%属于正常上学组。第二项研究使用日本版的儿童和青少年莱博维茨社交焦虑量表，调查社交焦虑障碍是否与10个与言语和口吃频率相关的因素有关，以确定是否存在社交焦虑障碍。第一项研究中的84名学生中有40名参与了第二项研究。
口吃青少年的学校拒学组中社交焦虑障碍的发生率明显高于正常上学组。50%的口吃青少年符合社交焦虑障碍的标准。此外，患有社交焦虑障碍的口吃青少年在“当众讲话时，你是否感到四肢颤抖？”和“口吃后，你是否对自己有负面想法？”这两个项目上的得分明显高于没有社交焦虑障碍的口吃青少年。
在检查口吃青少年时，检查是否合并社交焦虑障碍可能会带来更好的支持。此外，注意到他们在说话时反复出现的消极思维、紧张和颤抖可能有助于解决社交焦虑障碍。
