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      • Addressing core questions from parents of children who stutter

        Brent Andrew Gregg 한국언어재활사협회 2020 Clinical Archives of Communication Disorders Vol.5 No.1

        Purpose: The focus on parent counseling following the initial evaluation of young children who stutter is not a new direction. The purpose of this article is to summarize core components regarding addressing the questions of parents of children who stutter. Methods: This analysis of scientific literature provides a guide to responding to these principal questions about childhood stuttering using research data and counseling methods. Results: Given the breadth and depth of the past literature in this area, it is important to understand that the therapeutic relationship with the family of a preschooler who stutters begins at the initial evaluation. As a result, clinicians should work to achieve a dialogue that strikes a balance of encouraging parents to take proper action, easing irrational fears, and instilling hope of realistic, positive communication results. Conclusions: Achieving an equilibrium of motivation and assuredness during these tough conversations warrants skills in counseling-based approaches.

      • Bouncing back: The role of resilience in therapy for school-aged children who stutter

        Courtney Leigh Craft,Brent Andrew Gregg 한국언어재활사협회 2019 Clinical Archives of Communication Disorders Vol.4 No.3

        Purpose: Recent investigations into the area of resilience have applied a risk-and-protective factor model, allowing for the identification of risks, while also identifying positive contextual, social, and individual factors that facilitate individual resilience (Zimmerman, Stoddard, Eisman, Caldwell, Aiyer, and Miller, 2013). Adolescents who stutter are at risk for poor social-emotional development due to adverse speaking experiences and subsequent emotional responses from stuttering. The primary purpose of this pilot investigation was to examine the impact of a specialized group fluency program on promoting resiliency in adolescents who stutter. The secondary purpose of this study was to investigate the relationship between resilience and overall impact of stuttering. Methods: Five adolescents who stutter ranging from ages 9–17 participated in an 8-week group fluency program, which aimed to increase resiliency by targeting three protective factors known to promote resiliency: self efficacy, social functioning, and peer support. To measure the change in resiliency following intervention, participants completed the The Child and Youth Resilience Measure-28 (CYRM-28) preceding and following intervention. The correlation between resiliency and the overall impact of stuttering was evaluated through post-test analyses of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES) and CYRM-28 scores. Results: Results indicated a statistically significant increase in resilience and a moderate negative correlation between the CYRM-28 and OASES. Conclusions: These findings suggest that participation in a specialized, group intervention program can enhance resilience in adolescents who stutter and, consequently, decrease the overall impact of stuttering in their lives.

      • A preliminary investigation of differences in acoustic startle responses between school-age children who do and do not stutter

        Megan Kate Selman,Brent Andrew Gregg 한국언어재활사협회 2020 Clinical Archives of Communication Disorders Vol.5 No.2

        Purpose: It is theorized that stuttering emerges as the result of an interaction between constitutional and environmental factors and that constitutional factors in persistent stuttering may include an emotionally-reactive temperament. The purpose of this pilot study is to examine the reactive/“sensitive” temperament characteristic of children who stutter relative to children who do not stutter, as evidenced by the acoustic startle response and scores on the following subscales of a temperament measure: anger/frustration, fear, inhibitory control, and shyness. Methods: Twenty seven school-age children participated in this study. There were thirteen children who stutter (CWS) and fourteen normally-fluent children. Participants were between the ages of 8:0 and 14:0. Each child participated in an acoustic startle response task, and caregivers completed a standardized temperament/personality assessment on their child. Results: Results indicated that CWS do not demonstrate statistically significant higher levels of physiological reactivity, as measured by mean normalized RMS amplitude of startle response scores, compared to their fluent peers. Further, there was no statistically significant correlation between subscale scores on standardized temperament/personality assessments. Conclusions: Improving on methodologies of past studies, the present investigation employed epidemiologically-sound groups, as well as clearly-delineated and replicable EMG procedures, normalization of EMG data, and neurophysiological measures of temperament combined with caregiver temperament questionnaire. Findings are in contradiction to several studies that have reported higher levels of trait anxiety or “nervousness” in adults who stutter.

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