Situational speaking anxiety in adults who stutter (original) (raw)
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Depression and Anxiety
Background: The nature and prevalence of social anxiety disorder (social phobia (SP)) in people who stutter is uncertain, and DSM-IV differential diagnosis guidelines make it difficult to classify an adult who stutters (AWS) with SP as it is assumed any social anxiety symptoms will be a consequence of their stuttering. The aim of this study was to determine the spot prevalence of SP in AWS and to investigate differences in social anxiety between AWS and controls who do not stutter. Methods: The study involved a comprehensive assessment of 200 AWS and 200 adults who do not stutter similar in age and sex ratio. Measures included stuttering severity, health status, self-report measures of social anxiety as well as a structured diagnostic interview for SP for randomly selected sub-group of 50 from each group. Results: The AWS were found to have significantly raised trait and social anxiety, as well as significantly increased risk of SP in comparison to the controls. Findings indicated a SP spot prevalence of at least 40% in AWS, and for them to be at high risk of having Generalized SP. Conclusions: It is concluded that the DSM-IV diagnostic guidelines for diagnosing SP in AWS could result in professional confusion and have possible negative mental health ramifications. Implications for the psychological and medical treatment of AWS are discussed. Depression and Anxiety 27:687-692, 2010.
Social anxiety disorder in adults who stutter
Depression and Anxiety, 2010
Background: The nature and prevalence of social anxiety disorder (social phobia (SP)) in people who stutter is uncertain, and DSM-IV differential diagnosis guidelines make it difficult to classify an adult who stutters (AWS) with SP as it is assumed any social anxiety symptoms will be a consequence of their stuttering. The aim of this study was to determine the spot prevalence of SP in AWS and to investigate differences in social anxiety between AWS and controls who do not stutter. Methods: The study involved a comprehensive assessment of 200 AWS and 200 adults who do not stutter similar in age and sex ratio. Measures included stuttering severity, health status, self-report measures of social anxiety as well as a structured diagnostic interview for SP for randomly selected sub-group of 50 from each group. Results: The AWS were found to have significantly raised trait and social anxiety, as well as significantly increased risk of SP in comparison to the controls. Findings indicated a SP spot prevalence of at least 40% in AWS, and for them to be at high risk of having Generalized SP. Conclusions: It is concluded that the DSM-IV diagnostic guidelines for diagnosing SP in AWS could result in professional confusion and have possible negative mental health ramifications. Implications for the psychological and medical treatment of AWS are discussed. Depression and Anxiety 27:687-692, 2010.
Anxiety Levels in People Who Stutter: A Randomized Population Study
Journal of Speech, Language, and Hearing Research, 2003
The question of whether people who stutter are generally more anxious than people who do not stutter has not yet been resolved. One major methodological barrier to determining whether differences exist has been the type of stuttering sample used. Studies investigating anxiety levels of those who stutter have mostly assessed people referred to stuttering therapy clinics, which is arguably a biased sample. To date, no studies have been published that have measured the anxiety levels of people who stutter in the community using random selection procedures. Such a sample is more likely to be representative of the population of people who stutter. The present study involved a random selection and telephone interview of people in 4,689 households. The telephone respondent was given a description of stuttering and asked if any person living in their household stuttered. If yes, a number of corroborative questions were asked, and permission was requested to tape the speech of the person believed to stutter over the telephone. A definite case of stuttering was based on (a) a positive detection of stuttering from the tape and (b) at least one of the corroborative questions supporting the diagnosis. A total of 87 people were identified as definite cases of stuttering across all ages, and 63 participants who were 15 years or older completed a trait anxiety questionnaire over the telephone. Mean trait anxiety levels were significantly higher than levels generally found in society, though differences were not large. Implications of these results are discussed.
Journal of Fluency Disorders, 2002
The aim of the present study was to investigate the presence of social anxiety in adults who stutter. This was done by administering the Inventory of Interpersonal Situations (IIS) (Van Dam-Baggen & Kraaimaat, 1999), a social anxiety inventory, to a group of 89 people who stuttered and 131 people who did not stutter. Two components of social anxiety were measured
Anxiety Levels in People Who Stutter
Journal of Speech, Language, and Hearing Research, 2003
The question of whether people who stutter are generally more anxious than people who do not stutter has not yet been resolved. One major methodological barrier to determining whether differences exist has been the type of stuttering sample used. Studies investigating anxiety levels of those who stutter have mostly assessed people referred to stuttering therapy clinics, which is arguably a biased sample. To date, no studies have been published that have measured the anxiety levels of people who stutter in the community using random selection procedures. Such a sample is more likely to be representative of the population of people who stutter. The present study involved a random selection and telephone interview of people in 4,689 households. The telephone respondent was given a description of stuttering and asked if any person living in their household stuttered. If yes, a number of corroborative questions were asked, and permission was requested to tape the speech of the person bel...
International Journal of Language & Communication Disorders, 2007
Background: People who stutter produce speech that is characterized by intermittent, involuntary part-word repetitions and prolongations. In addition to these signature acoustic manifestations, those who stutter often display repetitive and fixated behaviours outside the speech producing mechanism (e.g. in the head, arm, fingers, nares, etc.). Previous research has examined the attitudes and perceptions of those who stutter and people who frequently interact with them (e.g. relatives, parents, employers). Results have shown an unequivocal, powerful and robust negative stereotype despite a lack of defined differences in personality structure between people who stutter and normally fluent individuals. However, physiological investigations of listener responses during moments of stuttering are limited. There is a need for data that simultaneously examine physiological responses (e.g. heart rate and galvanic skin conductance) and subjective behavioural responses to stuttering. The pairing of these objective and subjective data may provide information that casts light on the genesis of negative stereotypes associated with stuttering, the development of compensatory mechanisms in those who stutter, and the true impact of stuttering on senders and receivers alike.
Anxiety and speaking in people who stutter: An investigation using the emotional Stroop task
Journal of Fluency Disorders, 2013
People with anxiety disorders show an attentional bias towards threat or negative emotion words. This exploratory study examined whether people who stutter (PWS), who can be anxious when speaking, show similar bias and whether reactions to threat words also influence speech motor planning and execution. Comparisons were made between 31 PWS and 31 fluent controls in a modified emotional Stroop task where, depending on a visual cue, participants named the colour of threat and neutral words at either a normal or fast articulation rate. In a manual version of the same task participants pressed the corresponding colour button with either a long or short duration. PWS but not controls were slower to respond to threat words than neutral words, however, this emotionality effect was only evident for verbal responding. Emotionality did not interact with speech rate, but the size of the emotionality effect among PWS did correlate with frequency of stuttering. Results suggest PWS show an attentional bias to threat words similar to that found in people with anxiety disorder. In addition, this bias appears to be contingent on engaging the speech production system as a response modality. No evidence was found to indicate that emotional reactivity during the Stroop task constrains or destabilises, perhaps via arousal mechanisms, speech motor adjustment or execution for PWS.
Cognitive anxiety as a function of speaker role for fluent speakers and persons who stutter
Journal of Fluency Disorders, 2003
Fransella [Personal change and reconstruction. London: Academic Press] suggested that persons who stutter experience a lack of meaningfulness of their fluent speaker role and demonstrated that a Personal Construct Psychology approach to therapy with persons who stutter may be useful. Few studies, however, have investigated her claims. This study investigated the "meaningfulness" with which fluent and disfluent persons were able to construe themselves in stuttering and non-stuttering speaker roles. Results indicated that persons who stuttered displayed greater cognitive anxiety (difficulty integrating their experience meaningfully) in a fluent speaking role than in a stuttering role, whereas the reverse was found for fluent speakers. These results suggest the relevance of assessing and addressing the meaningfulness of the "dominant" disfluent speaker role in treating persons who stutter, insofar as a tendency to maintain the predictability of this familiar role may contribute to stuttering maintenance and relapse. The refined guidelines developed for applying the Cognitive Anxiety Scale to the content analysis of self-descriptions of persons who stutter can make a practical contribution to this effort. The reader will learn about and be able to (1) describe the potential influence of speaker roles in the maintenance of stuttering; (2) define cognitive anxiety and how it relates to meaningful interpretations of experience; (3) detect potential signs that a person who stutters may be engaged in "defending" a stutterer role; and (4) describe the clinical implications of this view of stuttering maintenance.
The relationship between anxiety and stuttering: a multidimensional approach
Journal of Fluency Disorders, 2004
The relationship between anxiety and stuttering is equivocal from both clinical and empirical perspectives. This study examined the relationship within the framework of the multidimensional interaction model of anxiety that includes an approach to general anxiety in specific situations [J. ]. In addition, after performing speech and non-speech tasks, participants evaluated their level of anxiety on a subjective scale, labeled Task-Related Anxiety-TRA. The stuttering group also evaluated the level of severity of their stuttering. Findings indicate that trait anxiety is higher among people who stutter compared to fluent speakers, thus indicating that anxiety is a personality trait of people who stutter. State anxiety in social communication is higher among severe stutterers as compared to mild stutterers and fluent speakers. Thus, state anxiety is related to stuttering severity. The results are discussed in the frame of the multidimensional model of anxiety.