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Chang SE, Jackson ES, Santayana G, Zavos G, Onslow M. Contemporary clinical conversations about stuttering: What does brain imaging research mean to clinicians? INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2024:1-7. [PMID: 38530287 DOI: 10.1080/17549507.2024.2327472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
PURPOSE To discuss among neuroscientists and community speech-language pathologists what brain imaging research means to clinicians. METHOD Two university neuroscientists and two speech-language pathologists in private practice discussed the matter. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, each participant provided 200 words of final reflection about the matter. RESULT For now, neuroscience treatments are not available for clinicians to use. But sometime in the future, a critical mass of neuroscientists will likely produce such treatments. The neuroscientists expressed diverse views about the methods that might be used for that to occur. CONCLUSION Neuroscience does have practical clinical application at present and, in a way, that does not exclude a concurrent influence of the social model of disability. As such, the current practices of the clinicians are supported by basic neuroscience research.
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Affiliation(s)
- Soo-Eun Chang
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
- Department of Communication Disorders, Ewha Womans University, Seoul, Korea
| | - Eric S Jackson
- Communicative Sciences and Disorders, New York University, New York, NY, USA
| | | | | | - Mark Onslow
- Australian Stuttering Research Centre, University of Technology Sydney, Ultimo, Australia
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Neumann K, Euler HA, Zens R, Piskernik B, Packman A, St Louis KO, Kell CA, Amir O, Blomgren M, Boucand VA, Eggers K, Fibiger S, Fourches A, Franken MCJP, Finn P. "Spontaneous" late recovery from stuttering: Dimensions of reported techniques and causal attributions. JOURNAL OF COMMUNICATION DISORDERS 2019; 81:105915. [PMID: 31301534 DOI: 10.1016/j.jcomdis.2019.105915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Revised: 06/01/2019] [Accepted: 06/09/2019] [Indexed: 06/10/2023]
Abstract
PURPOSE (1) To survey the employed techniques and the reasons/occasions which adults who had recovered from stuttering after age 11 without previous treatment reported as causal to overcome stuttering, (2) to investigate whether the techniques and causal attributions can be reduced to coherent (inherently consistent) dimensions, and (3) whether these dimensions reflect common therapy components. METHODS 124 recovered persons from 8 countries responded by SurveyMonkey or paper-and-pencil to rating scale questions about 49 possible techniques and 15 causal attributions. RESULTS A Principal Component Analysis of 110 questionnaires identified 6 components (dimensions) for self-assisted techniques (Speech Restructuring; Relaxed/Monitored Speech; Elocution; Stage Performance; Sought Speech Demands; Reassurance; 63.7% variance explained), and 3 components of perceived causal attributions of recovery (Life Change, Attitude Change, Social Support; 58.0% variance explained). DISCUSSION Two components for self-assisted techniques (Speech Restructuring; Elocution) reflect treatment methods. Another component (Relaxed/Monitored Speech) consists mainly of items that reflect a common, non-professional understanding of effective management of stuttering. The components of the various perceived reasons for recovery reflect differing implicit theories of causes for recovery from stuttering. These theories are considered susceptible to various biases. This identification of components of reported techniques and of causal attributions is novel compared to previous studies who just list techniques and attributions. CONCLUSION The identified dimensions of self-assisted techniques and causal attributions to reduce stuttering as extracted from self-reports of a large, international sample of recovered formerly stuttering adults may guide the application of behavioral stuttering therapies.
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Affiliation(s)
- Katrin Neumann
- Department of Phoniatrics and Pediatric Audiology, Clinic for Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr University Bochum, Germany.
| | - Harald A Euler
- Department of Phoniatrics and Pediatric Audiology, Clinic for Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr University Bochum, Germany
| | - Rebekka Zens
- Department of Phoniatrics and Pediatric Audiology, ENT Clinic, Goethe University Frankfurt, Frankfurt/Main, Germany
| | - Bernhard Piskernik
- Institute of Applied Psychology: Health, Development, Enhancement, and Intervention, Faculty of Psychology, University of Vienna, Austria
| | - Ann Packman
- Australian Stuttering Research Centre, University of Technology Sydney, Australia
| | - Kenneth O St Louis
- Department of Speech Pathology and Audiology, West Virginia University, Morgantown, WV, USA
| | - Christian A Kell
- Department of Neurology and Brain Imaging Center, Goethe University Frankfurt, Frankfurt/Main, Germany
| | - Ofer Amir
- Department of Communication Disorders, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Michael Blomgren
- Department of Communication Sciences & Disorders, The University of Utah, Salt Lake City, UT, USA
| | | | - Kurt Eggers
- Department of Speech-Language Therapy and Audiology, Thomas More University College, Antwerp, Belgium; Department of Psychology and Speech-Language Pathology, University of Turku, Finland
| | - Steen Fibiger
- University Library of Southern Denmark, Odense, Denmark
| | | | - Marie-Christine J P Franken
- Erasmus Medical University Centre, Sophia Children's Hospital, KNO/Gehoor- en Spraakcentrum, Rotterdam, Netherlands
| | - Patrick Finn
- Communication Sciences and Special Education, University of Georgia, Athens, GA, USA
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Liu M, Xing Y, Zhao L, Deng N, Li W. Abnormal processing of prosodic boundary in adults who stutter: An ERP study. Brain Cogn 2018; 128:17-27. [PMID: 30423511 DOI: 10.1016/j.bandc.2018.10.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2018] [Revised: 10/12/2018] [Accepted: 10/30/2018] [Indexed: 11/25/2022]
Abstract
Characterized by involuntary disruptions in fluency speech, adults who stutter (AWS) are different from normally fluent speakers (NFS) in speech-language processing indices of phonological, semantic, and syntactic information coding. However, the neural base of the prosodic information (i.e. prosodic boundary) processing in AWS is still elusive at this point. To investigate this question, Chinese temporarily ambiguous phrases (narrative-object/modifier-noun construction) were presented in pairs to AWS and NFS in both lexical judgment and structural judgment task by using structural priming paradigm. Results showed that both AWS and NFS produced prosodic priming in the two tasks, however, AWS were more sensitive to the priming than NFS in the midline. Besides, unlike the greater right hemisphere involvement of priming effect for NFS, AWS exhibited a left hemisphere asymmetry in the lateral areas. In addition, structural judgment task elicited stronger prosodic priming effect than lexical judgment task for both groups. These results indicate that the mode of prosodic priming for AWS is different from NFS, and the priming effect is influenced by the experimental task that participants completed.
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Affiliation(s)
- Meng Liu
- Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian 116029, China
| | - Yushan Xing
- Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian 116029, China
| | - Liming Zhao
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin 300074, China
| | - Nali Deng
- Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian 116029, China
| | - Weijun Li
- Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian 116029, China.
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Ajdacic-Gross V, Bechtiger L, Rodgers S, Müller M, Kawohl W, von Känel R, Mutsch M, Rössler W, Seifritz E, Castelao E, Strippoli MPF, Vandeleur C, Preisig M, Howell P. Subtypes of stuttering determined by latent class analysis in two Swiss epidemiological surveys. PLoS One 2018; 13:e0198450. [PMID: 30086147 PMCID: PMC6080750 DOI: 10.1371/journal.pone.0198450] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 05/18/2018] [Indexed: 02/03/2023] Open
Abstract
Aims Associations between stuttering in childhood and a broad spectrum of risk factors, associated factors and comorbidities were examined in two large epidemiological studies. Subtypes of stuttering were then identified based on latent class analysis (LCA). Methods Data were from two representative Swiss population samples: PsyCoLaus (N = 4,874, age 35–82 years) and the ZInEP Epidemiology Survey (N = 1,500, age 20–41 years). Associations between stuttering and sociodemographic characteristics, familial aggregation, comorbidity and psychosocial risk / associated factors were investigated in both samples. LCAs were conducted on selected items from people in both samples who reported having stuttered in childhood. Results Initial analyses linked early anxiety disorders, such as separation anxiety disorder and overanxious disorder, to stuttering (PsyCoLaus). ADHD was associated with stuttering in both datasets. In the analyses of risk / associated factors, dysfunctional parental relationships, inter-parental violence and further childhood adversities were mutual predictors of stuttering. Moreover, comorbidities were seen with hay fever, asthma, eczema and psoriasis (PsyCoLaus). Subsequent LCA identified an unspecific group of persons who self-reported that they stuttered and a group defined by associations with psychosocial adversities (ZINEP, PsyCoLaus) and atopic diseases (PsyCoLaus). Conclusions The two subtypes of developmental stuttering have different risk / associated factors and comorbidity patterns. Most of the factors are associated with vulnerability mechanisms that occur early in life and that have also been linked with other neurodevelopmental disorders. Both psychosocial and biological factors appear to be involved in the etiopathogenesis of stuttering.
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Affiliation(s)
- Vladeta Ajdacic-Gross
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
- ZInEP, The Zurich Program for Sustainable Development of Mental Health Services, University of Zurich, Zurich, Switzerland
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- * E-mail: (VA); (PH)
| | - Laura Bechtiger
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - Stephanie Rodgers
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
- ZInEP, The Zurich Program for Sustainable Development of Mental Health Services, University of Zurich, Zurich, Switzerland
| | - Mario Müller
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
- ZInEP, The Zurich Program for Sustainable Development of Mental Health Services, University of Zurich, Zurich, Switzerland
| | - Wolfram Kawohl
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
- ZInEP, The Zurich Program for Sustainable Development of Mental Health Services, University of Zurich, Zurich, Switzerland
| | - Roland von Känel
- Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zurich, Switzerland
| | - Margot Mutsch
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Wulf Rössler
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
- ZInEP, The Zurich Program for Sustainable Development of Mental Health Services, University of Zurich, Zurich, Switzerland
- Collegium Helveticum, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland
- Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Sao Paulo, Brazil
| | - Erich Seifritz
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - Enrique Castelao
- Department of Psychiatry, Lausanne University Hospital, Prilly, Switzerland
| | | | - Caroline Vandeleur
- Department of Psychiatry, Lausanne University Hospital, Prilly, Switzerland
| | - Martin Preisig
- Department of Psychiatry, Lausanne University Hospital, Prilly, Switzerland
| | - Peter Howell
- Department of Experimental Psychology, University College, London, United Kingdom
- * E-mail: (VA); (PH)
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