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父母对儿童口吃管理的认知和信心的临床及社会人口学预测因素:一项横断面研究

Clinical and Sociodemographic Predictors of Parental Perceptions and Confidence in Managing Child Stuttering: a Cross-Sectional Study.

作者信息

Bafrooei Ebrahim Barzegar, Farazi Morteza, Maroufizadeh Saman, Darouie Akbar

机构信息

Department of Speech Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5434-5442. doi: 10.1007/s12070-024-04998-w. Epub 2024 Aug 24.

Abstract

The main aim of the current study was to identify and analyze the most significant clinical and sociodemographic predictors of parents' perceptions regarding their child's stuttering. 139 parents, with at least one child who stutters, completed both the Persian version of the Palin Parent Rating Scale (P-Palin PRS) and a sociodemographic and clinical checklist. To investigate the relationships between scores on the Palin PRS factors and sociodemographic and clinical characteristics, we conducted univariable analyses using Pearson correlation coefficients, independent t-tests, and one-way ANOVA. The study analyzed the P-Palin PRS factors: Impact of Stuttering on the Child, Severity of Stuttering and Impact on the Parents, and Parent's Knowledge and Confidence in Managing it. Mean scores were 5.37, 3.87, and 5.42, respectively, with correlations ranging from 0.371 to 0.507. Higher stutter severity negatively correlated with Impact on the Child (=-0.364,  < 0.001). History of speech therapy (ST) failure and family history of speech and language disorders (SLDs) showed lower Impact scores ( = 0.053 and  = 0.057). Severity of Stuttering and Impact on the Parents negatively correlated with stutter severity (=-0.546,  < 0.001) and positively with parents' ages. Parent's Knowledge and Confidence correlated negatively with stutter severity (=-0.242,  = 0.004) and was lower in those with family history of SLDs ( = 0.008). The high stutter severity, ST failure, and family history of SLDs were associated with lower scores across all PRS factors. In conclusion current study identified key predictors influencing parents' perceptions of their child's stuttering, including stutter severity, speech therapy history, and family background.

摘要

本研究的主要目的是识别和分析父母对其孩子口吃认知的最重要临床和社会人口学预测因素。139名至少有一个口吃孩子的父母完成了波斯语版的帕林父母评定量表(P-Palin PRS)以及一份社会人口学和临床检查表。为了研究帕林PRS各因素得分与社会人口学和临床特征之间的关系,我们使用Pearson相关系数、独立样本t检验和单因素方差分析进行了单变量分析。该研究分析了P-Palin PRS的因素:口吃对孩子的影响、口吃严重程度及对父母的影响,以及父母在应对口吃方面的知识和信心。平均得分分别为5.37、3.87和5.42,相关性范围为0.371至0.507。较高的口吃严重程度与对口吃孩子的影响呈负相关(=-0.364,<0.001)。言语治疗(ST)失败史和言语及语言障碍(SLD)家族史的影响得分较低(=0.053和=0.057)。口吃严重程度及对父母的影响与口吃严重程度呈负相关(=-0.546,<0.001),与父母年龄呈正相关。父母的知识和信心与口吃严重程度呈负相关(=-0.242,=0.004),在有SLD家族史的父母中得分较低(=0.008)。较高的口吃严重程度、ST失败和SLD家族史与所有PRS因素得分较低相关。总之,本研究确定了影响父母对孩子口吃认知的关键预测因素,包括口吃严重程度、言语治疗史和家庭背景。

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本文引用的文献

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Risk of sleep problems in a clinical sample of children who stutter.口吃儿童临床样本中的睡眠问题风险。
J Fluency Disord. 2024 Mar;79:106036. doi: 10.1016/j.jfludis.2023.106036. Epub 2024 Jan 6.
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Stuttering Impact: A Shared Perception for Parents and Children?口吃影响:父母和孩子的共同感知?
Folia Phoniatr Logop. 2020;72(6):478-486. doi: 10.1159/000504221. Epub 2019 Dec 10.
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Palin Parent-Child Interaction Therapy: The Bigger Picture.佩林父母-儿童互动治疗:更大的图景。
Am J Speech Lang Pathol. 2018 Oct 19;27(3S):1211-1223. doi: 10.1044/2018_AJSLP-ODC11-17-0199.
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Methods in Stuttering Therapy for Desensitizing Parents of Children Who Stutter.口吃治疗方法:让口吃儿童的父母脱敏。
Am J Speech Lang Pathol. 2018 Oct 19;27(3S):1124-1138. doi: 10.1044/2018_AJSLP-ODC11-17-0183.
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Parents' reactions to children's stuttering and style of coping with stress.父母对孩子口吃的反应及应对压力的方式。
J Fluency Disord. 2016 Sep;49:51-60. doi: 10.1016/j.jfludis.2016.08.002. Epub 2016 Aug 21.

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