Variability of Stuttering: Behavior and Impact.
Variability of Stuttering: Behavior and Impact.
复制标题
口吃的变异性：行为和影响。
DOI：
10.1044/2020_ajslp-20-00112
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发表时间：
2021
影响因子：
2.6
通讯作者：
Yaruss,JScott
中科院分区：
文献类型：
--
作者：
Tichenor,SethE;Yaruss,JScott
研究目的：人们早就知道口吃的行为会随着时间和环境的变化而变化。初步证据表明，这种变异性对口吃的人有负面影响，口吃行为比口吃的负面影响更易变。需要更多的信息来确定变异性如何影响口吃的人，以及变异性的临床和研究意义可能是.Method204名口吃的成年人参加了一项混合方法研究，探讨（a）口吃的变异性如何影响口吃的人，与其他方面的条件相比，（B）口吃的整体经验的哪些方面是variable. ResultsAnalysis表明，变异性是非常普遍的经验，由口吃的人，这是最令人沮丧的方面的条件。定性分析表明，变异性经历了口吃条件的各个方面，包括可观察到的行为其他情感，行为和认知反应;和口吃的不利影响。显着的个体差异被发现在条件的具体方面是不同的受访者更多变。总体而言，分析表明，口吃不同方面的变异性可以按照从最大变量到最小变量的层次结构来看待：更多的外部方面（例如，频率，持续时间），更多的内部方面（例如，隐蔽行为，身体紧张），和认知情感体验（例如，这些发现表明，变异性是口吃经历的一个常见和负担的方面，并强调了在研究、评估和治疗口吃的成年人时考虑口吃行为、反应和影响的重要性。
PurposeIt has long been known that stuttering behaviors vary across time and situation. Preliminary evidence suggests that this variability negatively affects people who stutter and that stuttering behaviors are more variable than adverse impact associated with stuttering. More information is needed to determine how variability affects people who stutter and what the clinical and research implications of variability may be.MethodTwo hundred and four adults who stutter participated in a mixed-methods study exploring (a) how variability of stuttering affects people who stutter in comparison to other aspects of the condition and (b) which aspects of the overall experience of stuttering are variable.ResultsAnalyses indicated that variability is very commonly experienced by people who stutter and that it is among the most frustrating aspects of the condition. Qualitative analyses revealed that variability is experienced in all aspects of the stuttering condition, including the observable behavior other affective, behavioral, and cognitive reactions; and the adverse impact of stuttering. Notable individual differences were found in terms of which specific aspects of the condition were more variable for different respondents. Overall, analyses revealed that the variability of different aspects of stuttering can be viewed in a hierarchy from most variable to least variable:more externalaspects (e.g., frequency, duration),more internalaspects (e.g., covert behaviors, physical tension), andcognitive–affectiveexperiences (e.g., negative thoughts, feelings, and self-image).DiscussionThese findings suggest that variability is a common and burdensome aspect of the experience of stuttering and underscore the importance of considering variability in stuttering behavior, reactions, and impact in research, assessment, and treatment for adults who stutter.