Attentional Regulation in Young Twins With Probable Stuttering, High Nonfluency, and Typical Fluency
Attentional Regulation in Young Twins With Probable Stuttering, High Nonfluency, and Typical Fluency
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DOI：
10.1044/1092-4388(2010/09-0164
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发表时间：
2010-10-01
影响因子：
2.6
通讯作者：
Boomsma, Dorret Irene
中科院分区：
文献类型：
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作者：
Felsenfeld, Susan;van Beijsterveldt, Catharina Eugenie Maria;Boomsma, Dorret Irene
目的：本研究以20,445对荷兰双胞胎为样本，研究了儿童语言流利度和注意力调节之间的关系。次要目的是使用流利度不一致的双胞胎来确定不流利和注意力不集中之间的病因重叠。方法：在5岁时使用家长问卷创建了三个流利组：(a)可能口吃（PS; N = 826; 4.0%），高度不流利（HNF; N = 547; 2.7%），典型流利（TF; N = 19072; 93%）。在儿童5岁和7岁时从父母双方和7岁时从教师处获得了以自我调节/抑制为主的多重注意力评估量表。结果：与TF对照组相比，PS和HNF儿童在两个年龄段的父母注意力评分上得分都更高（即问题更多）（p < 0.002）。两组的效应量均为中等。教师和家长的评分大体相当。不一致的双胞分析表明，不流畅性和注意力受到潜在重叠的遗传因素和共同的环境因素的影响。结论：表达高度不流畅和自我调节/抑制问题的倾向可能源于一套共同的致病机制。这支持了新兴的口吃模型，该模型提出，流利程度差可能是自我调节过程受损的更广泛网络的一部分。
Purpose: Using a sample of 20,445 Dutch twins, this study examined the relationship between speech fluency and attentional regulation in children. A secondary objective was to identify etiological overlap between nonfluency and poor attention using fluency-discordant twin pairs.Method: Three fluency groups were created at age 5 using a parent questionnaire: (a) probable stuttering (PS; N = 826; 4.0%), highly nonfluent (HNF; N = 547; 2.7%), and typically fluent (TF; N = 19,072; 93%). Multiple scales assessing attention, primarily self-regulation/inhibition, were obtained from both parents when children were ages 5 and 7 and from teachers when children were age 7.Results: When compared with the TF controls, both the PS and HNF children received higher (i.e., more problematic) scores on parental attention ratings at both ages (p < .002). Effect sizes were moderate for both groups. Teacher and parent ratings were generally comparable. The discordant co-twin analyses suggested that nonfluency and attention were influenced by potentially overlapping genetic and shared environmental factors.Conclusions: The liability to express both high nonfluency and problems with self-regulation/inhibition may arise from a common set of pathogenic mechanisms. This supports emerging models of stuttering, which propose that poor fluency may be part of a broader network of impaired self-regulatory processes.