Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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Correlation between overt and covert characteristics of stuttering in adults who stutter

말더듬의 외현적 특성과 내면적 특성 간의 상관: 말더듬 성인을 중심으로

  • HeeCheong Chon (Department of Speech-Language Pathology, Chosun University)
  • 전희정 (조선대학교 언어치료학과)
  • Received : 2023.11.22
  • Accepted : 2023.12.08
  • Published : 2023.12.31
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Abstract

This study aimed to investigate the relationship between overt and covert characteristics of stuttering. This study included 10 adult participants who stutter. To analyze the overt characteristics, stuttering frequency, duration of stuttering moments, concomitant behaviors, and total score were scored based on the Stuttering Severity Instrument-Fourth Edition (SSI-4). Additionally, the modified Erickson scale of communication attitudes (S-24) and the Overall Assessment of the Speaker's Experience of Stuttering for Adults (OASES-A; general information, reactions to stuttering, communication in daily situations, quality of life, and total score) were used to determine the covert characteristics. Correlation analyses showed no significant association between the overt and covert variables. However, there were significant correlations between the scores on the S-24 and the OASES-A. These findings support the perspective that the overt characteristics of stuttering do not predict the covert characteristics, and vice versa. Therefore, when evaluating and intervening with adults who stutter, it is important to consider these characteristics separately.

본 연구의 목적은 말더듬 성인을 대상으로 말더듬의 외현적 특성과 내면적 특성 간의 관련성을 조사하는 것이었다. 연구대상자는 말더듬 성인 10명이었으며, 각 대상자는 말더듬 중증도 검사-4(SSI-4), 전반적 말더듬 경험 평가-성인용(OASES-A), Erickson 의사소통태도검사-수정본(S-24)을 사용한 평가를 받았다. 말더듬의 외현적 특성은 SSI-4의 말더듬 빈도, 말더듬 지속시간, 신체적 부수행동 점수와 총 점수를 사용하였으며, 말더듬의 내면적 특성은 OASES-A의 네 개 하위 섹션(일반적인 정보, 말더듬에 대한 반응, 일상생활에서의 의사소통, 삶의 질) 점수와 총 점수, 그리고 S-24 점수를 사용하였다. 상관분석 결과, 말더듬의 외현적 특성 점수와 내면적 특성 점수 간 유의한 상관이 없는 것으로 나타났다. 반면, 말더듬의 내면적 특성을 반영하는 OASES-A 점수와 S-24 점수 사이에는 유의한 정적 상관이 나타났다. 본 연구 결과는 말더듬의 외현적 특성이 내면적 특성을 예측하기 어려우며 그 반대의 경우도 마찬가지라는 관점을 지지한다. 따라서 말더듬의 평가 및 치료 시 두 특성을 별도로 고려하는 것이 필요할 것이다.

Keywords

References

  1. Andrews, G., & Cutler, J. (1974). Stuttering therapy: The relation between changes in symptom level and attitudes. Journal of Speech and Hearing Disorders, 39(3), 312-319. https://doi.org/10.1044/jshd.3903.312
  2. Blumgart, E., Tran, Y., Yaruss, J. S., & Craig, A. (2012). Australian normative data for the overall assessment of the speaker's experience of stuttering. Journal of Fluency Disorders, 37(2), 83-90. https://doi.org/10.1016/j.jfludis.2011.12.002
  3. Boersma, P., & Weenink, D. (2021). Praat: Doing phonetics by computer (version 6.1.42) [Computer software]. Retrieved from http://www.praat.org/
  4. Bragatto, E. L., Osborn, E., Yaruss, J. S., Quesal, R., Schiefer, A. M., & Chiari, B. M. (2012). Brazilian version of the overall assessment of the speaker's experience of stuttering-adults protocol (OASES-A). Jornal da Sociedade Brasileira de Fonoaudiologia, 24(2), 145-151. https://doi.org/10.1590/S2179-64912012000200010
  5. Choi, D. (2003). Relationship between communication attitude and stuttering severity of stuttering adults (Master's thesis). Ewha Woman's University, Seoul, Korea.
  6. Chon, H. (2014). Comparisons of stuttering severity as measured by paradise-fluency assessment (P-FA-II) and stuttering severity instrument (SSI-4) and correlations among factors in each instrument. Journal of Speech-Language & Hearing Disorders, 23(2), 109-122.
  7. Chon, H., & Yaruss, J. S. (2015). A preliminary study on the development of the Korean version of the overall assessment of the speaker's experience of stuttering (OASES) for adults. Journal of Speech-Language & Hearing Disorders, 24(1), 145-155. https://doi.org/10.15724/jslhd.2015.24.1.012
  8. Constantino, C. D., Leslie, P., Quesal, R. W., & Yaruss, J. S. (2016). A preliminary investigation of daily variability of stuttering in adults. Journal of Communication Disorders, 60, 39-50. https://doi.org/10.1016/j.jcomdis.2016.02.001
  9. Craig, A., Hancock, K., Tran, Y., & Craig, M. (2003). Anxiety levels in people who stutter: A randomized population study. Journal of Speech, Language, and Hearing Research. 46(5), 1197-1206. https://doi.org/10.1044/1092-4388(2003/093)
  10. Craig, C. (2013). Goldwave (version 5.70) [Computer software]. St. John's: Goldwave Inc.
  11. Curlee, R. F. (1993). Evaluating treatment efficacy for adults: Assessment of stuttering disability. Journal of Fluency Disorders, 18(2-3), 319-331. https://doi.org/10.1016/0094-730X(93)90012-S
  12. De Nil, L. F., & Brutten, G. J. (1991). Speech-associated attitudes of stuttering and nonstuttering children. Journal of Speech, Language, and Hearing Research, 34(1), 60-66. https://doi.org/10.1044/jshr.3401.60
  13. Ezrati-Vinacour, R., & Levin, I. (2004). The relationship between anxiety and stuttering: A multidimensional approach. Journal of Fluency Disorders, 29(2), 135-148. https://doi.org/10.1016/j.jfludis.2004.02.003
  14. Freud, D., & Amir, O. (2020). Resilience in people who stutter: Association with covert and overt characteristics of stuttering. Journal of Fluency Disorders, 64, 105761.
  15. Freud, D., Kichin-Brin, M., Ezrati-Vinacour, R., Roziner, I., & Amir, O. (2017). The relationship between the experience of stuttering and demographic characteristics of adults who stutter. Journal of Fluency Disorders, 52, 53-63. https://doi.org/10.1016/j.jfludis.2017.03.008
  16. Hinkle, D. E., Wiersma, W., & Jurs, S. G. (2003). Applied statistics for the behavioral sciences (Vol. 663). Boston, MA: Houghton Mifflin.
  17. Jackson, E. S., Yaruss, J. S., Quesal, R. W., Terranova, V., & Whalen, D. H. (2015). Responses of adults who stutter to the anticipation of stuttering. Journal of Fluency Disorders, 45, 38-51. https://doi.org/10.1016/j.jfludis.2015.05.002
  18. Jani, L., Huckvale, M., & Howell, P. (2013). Procedures used for assessment of stuttering frequency and stuttering duration. Clinical Linguistics & Phonetics, 27(12), 853-861. https://doi.org/10.3109/02699206.2013.809791
  19. Kim, J., & Shin, M. (2007). Preliminary study on the development of Korean-subjective screening of stuttering-revised. Communication Sciences & Disorders, 12(3), 465-486.
  20. Kim, W., Lee, S., & Sim, H. (2014). Anxiety and communication attitude in school-aged children who stutter. Special Education Research, 13(2), 147-166.
  21. Ko, Y. O. (2011). Communication attitude of Korean adults who do and do not stutter. The Korean Journal of Rehabilitation Psychology, 18(1), 111-125.
  22. Ko, Y. O., & Kwon, D. H. (2010). The characteristics of anxiety and attitude based on severity of stuttering. Journal of Speech-Language & Hearing Disorders, 19(1), 99-118. https://doi.org/10.15724/jslhd.2010.19.1.007
  23. Koedoot, C., Versteegh, M., & Yaruss, J. S. (2011). Psychometric evaluation of the dutch translation of the overall assessment of the speaker's experience of stuttering for adults (OASES-AD). Journal of Fluency Disorders, 36(3), 222-230. https://doi.org/10.1016/j.jfludis.2011.03.002
  24. Loucks, T. M., Pelczarski, K. M., Lomheim, H., & Aalto, D. (2022). Speech kinematic variability in adults who stutter is influenced by treatment and speaking style. Journal of Communication Disorders, 96, 106194.
  25. Manning, W., & Beck, J. G. (2013). The role of psychological processes in estimates of stuttering severity. Journal of Fluency Disorders, 38(4), 356-367.
  26. Mulcahy, K., Hennessey, N., Beilby, J., & Byrnes, M. (2008). Social anxiety and the severity and typography of stuttering in adolescents. Journal of Fluency Disorders, 33(4), 306-319. https://doi.org/10.1016/j.jfludis.2008.12.002
  27. Park, J. H., & Sim, H. S. (2010). A study on the norm of paradise-fluency assessment. Special Education Research, 9(1), 21-38. https://doi.org/10.18541/ser.2010.02.9.1.21
  28. Park, J. W., & Kwon, D. H. (2009). A research on psychological and emotional communication attitude of school-aged children with stutter. Journal of Emotional & Behavioral Disorders, 25(2), 39-56.
  29. Riley, G. (1994). Stuttering severity instrument for children and adults (3rd ed.). Austin, TX: Pro-ed.
  30. Riley, G. (2009). Stuttering severity instrument for children and adults (4th ed.). Austin, TX: Pro-ed.
  31. Riley, J., Riley, G., & Maguire, G. (2004). Subjective screening of stuttering severity, locus of control and avoidance: Research edition. Journal of Fluency Disorders, 29(1), 51-62. https://doi.org/10.1016/j.jfludis.2003.12.001
  32. Sakai, N., Chu, S. Y., Mori, K., & Yaruss, J. S. (2017). The Japanese version of the overall assessment of the speaker's experience of stuttering for adults (OASES-A-J): Translation and psychometric evaluation. Journal of Fluency Disorders, 51, 50-59. https://doi.org/10.1016/j.jfludis.2016.11.002
  33. Sim, H. S., Shin, M. J., & Lee, E. J. (2010). Paradise-fluency assessment (2nd ed.). Seoul: Paradise Welfare Foundation.
  34. Stipdonk, L., Lieftink, A., Bouwen, J., & Wijnen, F. (2014). Extraversion and communication attitude in people who stutter: A preliminary study. Journal of Fluency Disorders, 42, 13-20. https://doi.org/10.1016/j.jfludis.2014.08.001
  35. Tichenor, S., & Yaruss, J. S. (2020). Repetitive negative thinking, temperament, and adverse impact in adults who stutter. American Journal of Speech-Language Pathology, 29(1), 201-215. https://doi.org/10.1044/2019_AJSLP-19-00077
  36. Tomisato, S., Yada, Y., & Wasano, K. (2022). Relationship between social anxiety and coping profile in adults who stutter. Journal of Communication Disorders, 95, 106167.
  37. Van Riper, C. (1971). The nature of stuttering. Englewood Cliffs, NJ: Prentice Hall.
  38. Vanryckeghem, M., & Brutten, G. J. (1996). The relationship between communication attitude and fluency failure of stuttering and nonstuttering children. Journal of Fluency Disorders, 21(2), 109-118. https://doi.org/10.1016/0094-730X(96)00015-0
  39. Vanryckeghem, M., & Brutten, G. J. (2007). KiddyCAT: Communication attitude test for preschool and kindergarten children who stutter. San Diego, CA: Plural Publishing Incorporated.
  40. Vanryckeghem, M., Hylebos, C., Brutten, G. J., & Peleman, M. (2001). The relationship between communication attitude and emotion of children who stutter. Journal of Fluency Disorders, 26(1), 1-15. https://doi.org/10.1016/S0094-730X(00)00090-5
  41. Wesierska, K., Yaruss, J. S., Kosacka, K., Kowalczyk, L., & Boron, A. (2023). The experience of Polish individuals who stutter based on the OASES outcomes. Journal of Fluency Disorders, 77, 105991.
  42. Wingate, M. E. (1964). A standard definition of stuttering. Journal of Speech and Hearing Disorders, 29(4), 484-489. https://doi.org/10.1044/jshd.2904.484
  43. World Health Organization (WHO). (2001). The international classification of functioning, disability & health. Geneva: World Health Organization.
  44. Yadegari, F., Shirazi, T. S., Howell, P., Nilipour, R., Shafiei, M., Shafiei, B., Ilkhani, Z., ... Yaruss, J. S. (2018). Persian overall assessment of the speaker's experience of stuttering for adults: The impact of stuttering on the Persian-speaking adults who stutter. Iranian Rehabilitation Journal, 16(2), 131-138. https://doi.org/10.32598/irj.16.2.131
  45. Yairi, E., & Seery, C. H. (2021). Stuttering: Foundations and clinical applications (3rd ed.). San Diego, CA: Plural publishing Incorporated.
  46. Yaruss, J. S., & Quesal, R. W. (2006). Overall assessment of the speaker's experience of stuttering (OASES): Documenting multiple outcomes in stuttering treatment. Journal of Fluency Disorders, 31(2), 90-115.
  47. Yaruss, J. S., & Quesal, R. W. (2010). Overall assessment of the speaker's experience of stuttering (OASES). Bloomington, MN: Pearson Assessments.