What Are Predictors for Persistence in Childhood Stuttering?
24 August 2018 (online)
Over the past 10 years, we (the Purdue Stuttering Project) have implemented longitudinal studies to examine factors related to persistence and recovery in early childhood stuttering. Stuttering develops essentially as an impairment in speech sensorimotor processes that is strongly influenced by dynamic interactions among motor, language, and emotional domains. Our work has assessed physiological, behavioral, and clinical features of stuttering within the motor, linguistic, and emotional domains. We describe the results of studies in which measures collected when the child was 4 to 5 years old are related to eventual stuttering status. We provide supplemental evidence of the role of known predictive factors (e.g., sex and family history of persistent stuttering). In addition, we present new evidence that early delays in basic speech motor processes (especially in boys), poor performance on a nonword repetition test, stuttering severity at the age of 4 to 5 years, and delayed or atypical functioning in central nervous system language processing networks are predictive of persistent stuttering.
KeywordsStuttering - speech motor control - persistence - recovery - children - language - emotion - fNIRS - ERP
B.W. is supported by NIH NIDCD grants R03 DC013402 and R01 DC00559. She has no relevant nonfinancial relationships to disclose.
E.U. receives funding from an NIH NIDCD postdoctoral training grant T32 DC013017, PI: Christopher Moore. He has no relevant nonfinancial relationships to disclose.
A.B. has no relevant financial disclosures. She has no relevant nonfinancial relationships to disclose.
R.M. receives salary from Texas State University. She has no relevant nonfinancial relationships to disclose.
K.L.G. receives a stipend and tuition remission through the Knox Fellowship at Purdue University. She has no relevant nonfinancial relationships to disclose.
B.B. receives a salary from Purdue University and is supported by NIH NIDCD grant R01 DC00559. She has no relevant nonfinancial relationships to disclose.
C.W. receives a salary from Purdue University and support from NIH NIDCD grants R01 DC00559 and R01 DC014708. She has no relevant nonfinancial relationships to disclose.
A.S. receives a salary from Purdue University and support from NIH NIDCD grant R01 DC00559. She has no relevant nonfinancial relationships to disclose.
- 1 Smith A, Weber C. How stuttering develops: the multifactorial dynamic pathways theory. J Speech Lang Hear Res 2017; 60 (09) 2483-2505
- 2 Yairi E, Ambrose NG. Early childhood stuttering I: persistency and recovery rates. J Speech Lang Hear Res 1999; 42 (05) 1097-1112
- 3 Yairi E, Ambrose NG. Early Childhood Stuttering for Clinicians by Clinicians. Austin, TX: Pro-Ed; 2005
- 4 Ambrose NG, Yairi E. Normative disfluency data for early childhood stuttering. J Speech Lang Hear Res 1999; 42 (04) 895-909
- 5 Gillam R, Logan K, Pearson N. Test of Childhood Stuttering. Austin, TX: Pro-Ed; 2009
- 6 Pantelopoulos A, Bourbakis N. A survey on wearable biosensor systems for health monitoring. Conf Proc IEEE Eng Med Biol Soc 2008; 2008: 4887-4890
- 7 Luck S. An Introduction to the Event-Related Potential Technique. Cambridge, MA: MIT Press; 2014
- 8 Kreidler K, Hampton Wray A, Usler E, Weber C. Neural indices of semantic processing in early childhood distinguish eventual stuttering persistence and recovery. J Speech Lang Hear Res 2017; 60 (11) 3118-3134
- 9 Usler E, Weber-Fox C. Neurodevelopment for syntactic processing distinguishes childhood stuttering recovery versus persistence. J Neurodev Disord 2015; 7 (01) 4
- 10 Mohan R, Weber C. Neural systems mediating processing of sound units of language distinguish recovery versus persistence in stuttering. J Neurodev Disord 2015; 7 (01) 28
- 11 Walsh B, Tian F, Tourville JA, Yücel MA, Kuczek T, Bostian AJ. Hemodynamics of speech production: an fNIRS investigation of children who stutter. Sci Rep 2017; 7 (01) 4034
- 12 Beal DS, Lerch JP, Cameron B, Henderson R, Gracco VL, De Nil LF. The trajectory of gray matter development in Broca's area is abnormal in people who stutter. Front Hum Neurosci 2015; 9: 89
- 13 Chang SE, Zhu DC, Choo AL, Angstadt M. White matter neuroanatomical differences in young children who stutter. Brain 2015; 138 (Pt 3): 694-711
- 14 Hosseini R, Walsh B, Tian F, Wang S. An fNIRS-based feature learning and classification framework to distinguish hemodynamic patterns in children who stutter. IEEE T Neur Sys Reh 2018; 1: 1
- 15 Alm PA. Stuttering in relation to anxiety, temperament, and personality: review and analysis with focus on causality. J Fluency Disord 2014; 40: 5-21
- 16 Kefalianos E, Onslow M, Block S, Menzies R, Reilly S. Early stuttering, temperament and anxiety: two hypotheses. J Fluency Disord 2012; 37 (03) 151-163
- 17 Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 2003; 85 (02) 348-362
- 18 Putnam SP, Rothbart MK. Development of short and very short forms of the Children's Behavior Questionnaire. J Pers Assess 2006; 87 (01) 102-112
- 19 Vanryckeghem M, Brutten GJ. KiddyCAT Communication Attitude Test. San Diego, CA: Plural Publishing; 2006
- 20 Arnold HS, Conture EG, Key APF, Walden T. Emotional reactivity, regulation and childhood stuttering: a behavioral and electrophysiological study. J Commun Disord 2011; 44 (03) 276-293
- 21 Jones R, Choi D, Conture E, Walden T. Temperament, emotion, and childhood stuttering. Semin Speech Lang 2014; 35 (02) 114-131
- 22 Walsh B, Smith A. Physiological and behavioral indices of emotional processes in preschoolers who stutter. Presentation at: The Oxford Dysfluency Conference; September 2017; Oxford, England
- 23 Zengin-Bolatkale H, Conture EG, Walden TA. Sympathetic arousal of young children who stutter during a stressful picture naming task. J Fluency Disord 2015; 46: 24-40
- 24 Zengin-Bolatkale H, Conture EG, Walden TA, Jones RM. Sympathetic arousal as a marker of chronicity in childhood stuttering. Dev Neuropsychol 2018; 43 (02) 135-151
- 25 Walsh B, Usler E. Autonomic correlates of speech production in preschoolers who stutter. Poster presentation at: The One World, Many Voices: Science and Community Joint World Congress; July 2018; Tokyo, Japan
- 26 Boey RA, Van de Heyning PH, Wuyts FL, Heylen L, Stoop R, De Bodt MS. Awareness and reactions of young stuttering children aged 2-7 years old towards their speech disfluency. J Commun Disord 2009; 42 (05) 334-346
- 27 Craig A, Tran Y. Trait and social anxiety in adults with chronic stuttering: conclusions following meta-analysis. J Fluency Disord 2014; 40: 35-43
- 28 Usler E, Weber C. Neural correlates of emotional activity associated with childhood stuttering. Poster presentation at: the American Speech-Language-Hearing Conference; November 2016; Philadelphia, PA
- 29 Karrass J, Walden TA, Conture EG. , et al. Relation of emotional reactivity and regulation to childhood stuttering. J Commun Disord 2006; 39 (06) 402-423
- 30 Ntourou K, Conture EG, Walden TA. Emotional reactivity and regulation in preschool-age children who stutter. J Fluency Disord 2013; 38 (03) 260-274
- 31 Zimmermann G. Articulatory dynamics of fluent utterances of stutterers and nonstutterers. J Speech Hear Res 1980; 23 (01) 95-107
- 32 MacPherson MK, Smith A. Influences of sentence length and syntactic complexity on the speech motor control of children who stutter. J Speech Lang Hear Res 2013; 56 (01) 89-102
- 33 Smith A, Goffman L, Sasisekaran J, Weber-Fox C. Language and motor abilities of preschool children who stutter: evidence from behavioral and kinematic indices of nonword repetition performance. J Fluency Disord 2012; 37 (04) 344-358
- 34 Walsh B, Mettel KM, Smith A. Speech motor planning and execution deficits in early childhood stuttering. J Neurodev Disord 2015; 7 (01) 27
- 35 Usler E, Smith A, Weber C. A lag in speech motor coordination during sentence production is associated with stuttering persistence in young children. J Speech Lang Hear Res 2017; 60 (01) 51-61
- 36 Spencer C, Weber-Fox C. Preschool speech articulation and nonword repetition abilities may help predict eventual recovery or persistence of stuttering. J Fluency Disord 2014; 41: 32-46
- 37 Carrow-Woolfolk E. Test for Auditory Comprehension of Language. 3rd ed. Circle Pines, MN: AGS; 1999
- 38 Dawson J, Stout C, Eyer J. Structured Photographic Expressive Language Test. 3rd ed. DeKalb, IL: Janelle Publications; 2003
- 39 Bankson N, Bernthal J. Bankson-Bernthal Test of Phonology. Austin, TX: Pro-Ed; 1990
- 40 Dollaghan C, Campbell TF. Nonword repetition and child language impairment. J Speech Lang Hear Res 1998; 41 (05) 1136-1146
- 41 Gardner M. Test of Auditory-Perceptual Skills. San Francisco, CA: Children's Hospital of San Francisco; 1985
- 42 Bloodstein O, Ratner NB. A Handbook on Stuttering. 6th ed. Clifton Park, NY: Cengage Learning; 2008
- 43 Yairi E, Ambrose N. A longitudinal study of stuttering in children: a preliminary report. J Speech Hear Res 1992; 35 (04) 755-760
- 44 Bostian AJ, Brown B, Weber C. Disfluency characteristics of children aged 4- to 5-years associated with persistence and recovery of stuttering. Poster presented at: The American Speech, Language, and Hearing Convention; November 2016; Philadelphia, PA
- 45 Miller J, Iglesias A. Systematic Analysis of Language Transcripts (SALT). Madison, WI: University of Wisconsin-Madison; 2006
- 46 Smith A, Zelaznik HN. Development of functional synergies for speech motor coordination in childhood and adolescence. Dev Psychobiol 2004; 45 (01) 22-33
- 47 Kraft SJ, Yairi E. Genetic bases of stuttering: the state of the art, 2011. Folia Phoniatr Logop 2012; 64 (01) 34-47
- 48 Erdemir A, Walden TA, Jefferson CM, Choi D, Jones RM. The effect of emotion on articulation rate in persistence and recovery of childhood stuttering. J Fluency Disord 2018; 56: 1-17
- 49 Yairi E, Ambrose NG, Niermann R. The early months of stuttering: a developmental study. J Speech Hear Res 1993; 36 (03) 521-528
- 50 Throneburg RN, Yairi E. Durational, proportionate, and absolute frequency characteristic of disfluencies: a longitudinal study regarding persistence and recovery. J Speech Lang Hear Res 2001; 44 (01) 38-51