Evaluating Stuttering in Young Children

J. Scott Yaruss · Lisa R. LaSalle · Edward G. Conture

94 citations0/0 files storedAmerican Journal of Speech-Language Pathology

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Stuttering Research and Treatment Language Development and Disorders Voice and Speech Disorders

Abstract

This study describes relationships between speech, language, and related behaviors exhibited during an initial diagnostic evaluation by 2- to 6-year-old children referred for evaluation of their speech and language development. These children were referred as a result of their parents’ concerns that they might be at risk for stuttering. Subjects were 100 children (85 boys and 15 girls; mean age=54.7 months; SD =12.2 months) who appeared to be representative of the children that clinicians are likely to evaluate in a clinical setting. Analyses were based on a retrospective examination of detailed diagnostic records prepared during the diagnostic evaluations. Results indicated that children recommended for treatment exhibited significantly higher scores than children recommended for reevaluation or for neither treatment nor reevaluation on all measures of speech fluency except the duration of disfluencies (which approached, but did not reach, significance). Importantly, analyses also revealed significant behavioral overlaps between children in the three recommendation subgroups, suggesting that absolute referral criteria probably should not be used when making treatment recommendations. In addition, diagnostic testing revealed that a proportion of these children exhibited concomitant difficulties with language, phonology, or oral motor skills, suggesting that stuttering is not necessarily independent of other aspects of children’s speech and language development. Based on the distribution of children’s scores on a variety of measures in this relatively large database, benchmarks are presented that may provide clinicians with a means for comparing their own treatment recommendations to those made by others.

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1973A First Language 1973A First Language 1969A handbook on stuttering 2021Preschool Language Scale – 5 1972A Stuttering Severity Instrument for Children and Adults 1971The Nature of Stuttering 1984Nature and Treatment of Stuttering: New Directions 1985Normal and disordered phonology in children

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2002Characteristics of Speech Disfluency and Stuttering Behaviors in 3- and 4-Year-Old Children 2004Sentence-Structure Priming in Young Children Who Do and Do Not Stutter 2007Phonological Priming in Young Children Who Stutter: Holistic Versus Incremental Processing 2008The effects of bilingualism on stuttering during late childhood 2003Phonological Priming in Picture Naming of Young Children Who Stutter 2002Establishing clinician reliability using the therapy outcome measure for the purpose of benchmarking services

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