Research Article

Evaluating the Word/Non-Word Repetition in Adults With Stuttering Based on Stuttering Severity and Length of Words/Non-Words

Abstract

Introduction: Stuttering is a speech disorder examined in many studies on motor speech deficiency in people with stuttering. In the area of language, some studies have also shown that people with stuttering are different from people without stuttering in terms of phonological, lexical, and syntactic processing .In this area, studies on the evaluation of phonological processing in Iranian people with stuttering are a few. One of the tasks for evaluating phonological processing is anon-word repetition task. This study aimed to examine the ability of adults who stutter to repeat words/non-words compared with those with fluent speech.
Materials and Methods: This research is across-sectional descriptive-correlational study. The participants included 20 adults with stuttering (18-30 years old) selected by the convenience sampling method from those referred to speech therapy centers and hospitals in Tehran Province. Besides, 30 age-matched peers participated in this study as the control. The phonological processing of participants was examined in terms of reaction time and word/non-word repetition accuracy. To detect stuttering, we asked the subjects to read a text in Persian, and its severity was detected by stuttering severity instrument-3. For measuring reaction time, DMDX software was used, and data were analyzed in SPSS V. 21.
Results: Mann-Whitney test results showed a significant difference between adults with and without stuttering in terms of repetition accuracy (P<0.05), but no significant difference was found between them in terms of reaction time (P>0.05).
Conclusion: Phonological processing in adults who stutter is different compared with those with speech fluency, but this difference is non-significant. Results indicated slow phonological processing in an adult with stuttering. This can raise the awareness of therapists during the evaluation and treatment of stutterers in terms of phonological processing and phonological working memory.

1. Kent RD. Research on speech motor control and its disorders: A review and prospective. Journal of Communication Disorders. 2000; 33(5):391-428. [DOI:10.1016/S0021-9924(00)00023-X]
2. van Lieshout PHHM, Hulstijn W, Peters HFM. Searching for the weak link in the speech production chain of people who stutter: A motor skill approach. In: Maassen B, editor. Speech Motor Control in Normal and Disordered Speech. Oxford: Oxford University Press; 2004. https://books.google.com/books?lr=&id=KbVrAAAAMAAJ&dq
3. Brocklehurst PH. A review of evidence for the covert repair hypothesis of stuttering. Contemporary Issues in Communication Science and Disorders. 2008; 35:25-43. [DOI:10.1044/cicsd_35_S_25]
4. Fava E, editor. Clinical linguistics: Theory and applications in speech pathology and therapy. Amsterdam: John Benjamins Publishing Company; 2002. [DOI:10.1075/cilt.227]
5. Anderson JD, Byrd CT. Phonotactic probability effects in children who stutter. Journal of Speech, Language, and Hearing Research. 2008; 51(4):851-66. [DOI:10.1044/1092-4388(2008/062)]
6. Ntourou K, Conture EG, Lipsey MW. Language abilities of children who stutter: A meta-analytical review. American Journal of Speech-Language Pathology. 2011; 20(3):163-79. [DOI:10.1044/1058-0360(2011/09-0102)]
7. Farazi M, Gholami Tehrani L, Khodabakhshi Koolaee A, Shemshadi H, Rahgozar M. [The effect of a combination of cognitive therapy and speech in stutterers (Persian)]. Thought and Behavior in Clinical Psychology. 2014; 8(30):37-46. https://www.magiran.com/paper/1319998
8. Newman RS, Ratner NB. The role of selected lexical factors on confrontation naming accuracy, speed, and fluency in adults who do and do not stutter. Journal of Speech, Language, and Hearing Research. 2007; 50(1):196-213. [DOI:10.1044/1092-4388(2007/016)]
9. Sasisekaran J, De Nil LF, Smyth R, Johnson C. Phonological encoding in the silent speech of persons who stutter. Journal of Fluency Disorders. 2006; 31(1):1-21. [DOI:10.1016/j.jfludis.2005.11.005] [PMID]
10. Montgomery JW, Magimairaj BM, Finney MC. Working memory and specific language impairment: An update on the relation and perspectives on assessment and treatment. American Journal of Speech-Language Pathology. 2010; 19(1):78-94. [DOI:10.1044/1058-0360(2009/09-0028)]
11. Anderson JD, Wagovich SA. Relationships among linguistic processing speed, phonological working memory, and attention in children who stutter. Journal of Fluency Disorders. 2010; 35(3):216-34. [DOI:10.1016/j.jfludis.2010.04.003] [PMID] [PMCID]
12. Bajaj A. Working memory involvement in stuttering: Exploring the evidence and research implications. Journal of Fluency Disorders. 2007; 32(3):218-38. [DOI:10.1016/j.jfludis.2007.03.002] [PMID]
13. Sasisekaran J. Nonword repetition and nonword reading abilities in adults who do and do not stutter. Journal of Fluency Disorders. 2013; 38(3):275-89. [DOI:10.1016/j.jfludis.2013.06.001] [PMID] [PMCID]
14. Byrd CT, Vallely M, Anderson JD, Sussman H. Nonword repetition and phoneme elision in adults who do and do not stutter. Journal of Fluency Disorders. 2012; 37(3):188-201. [DOI:10.1016/j.jfludis.2012.03.003] [PMID]
15. Ludlow C, Siren K, Zikria M, Hulstijn W, Peters H, van Lieshout P. Speech production learning in adults with chronic developmental stuttering. In: Hulstijn W, Peters HFM, Van Lieshout PHHM, editors. Speech Production: Motor Control, Brain Research and Fluency Disorders. Amsterdam: Elsevier; 1997. https://books.google.com/books?id=Xa5rAAAAMAAJ&dq
16. Logan KJ. The effect of syntactic structure upon speech initiation times of stuttering and nonstuttering speakers. Journal of Fluency Disorders. 2003; 28(1):17-35. [DOI:10.1016/S0094-730X(03)00003-2]
17. Riecker A, Brendel B, Ziegler W, Erb M, Ackermann H. The influence of syllable onset complexity and syllable frequency on speech motor control. Brain and Language. 2008; 107(2):102-13. [DOI:10.1016/j.bandl.2008.01.008] [PMID]
18. Smith A, Sadagopan N, Walsh B, Weber-Fox C. Increasing phonological complexity reveals heightened instability in inter-articulatory coordination in adults who stutter. Journal of Fluency Disorders. 2010; 35(1):1-18. [DOI:10.1016/j.jfludis.2009.12.001] [PMID] [PMCID]
19. Watson BC, Alfonso PJ. Foreperiod and stuttering severity effects on acoustic laryngeal reaction time. Journal of Fluency Disorders. 1983; 8(3):183-205. [DOI:10.1016/0094-730X(83)90033-5]
20. Loucks TM, Luc F, Sasisekaran J. Jaw-phonatory coordination in chronic developmental stuttering. Journal of Communication Disorders. 2007; 40(3):257-72. [DOI:10.1016/j.jcomdis.2006.06.016] [PMID]
21. Bakhtiar M, Seifpanahi S, Ansari H, Ghanadzade M, Packman A. Investigation of the reliability of the SSI-3 for preschool Persian-speaking children who stutter. Journal of Fluency Disorders. 2010; 35(2):87-91. [DOI:10.1016/j.jfludis.2010.02.003] [PMID]
22. Forster, K. I., Forster, J.C. (2012). DMDX (Version 4.0.6.0) [Computer software]. Retrieved from http://www.u.arizona.edu/~jforster/dmdx.htm
23. Mozafar Zangeneh A, Pooladi Sh, Mahmoudi Bakhtiari B, Haghani H. [Investigation of nonfluency frequency on words and nonwords in Persian speaking adults who stutter (Persian)]. Research in Rehabilitation Sciences. 2012; 8(5):905-12. http://jrrs.mui.ac.ir/index.php/jrrs/article/view/529
24. Dayalu VN, Kalinowski J, Stuart A. Stuttering frequency on meaningful and nonmeaningful words in adults who stutter. Folia Phoniatrica et Logopaedica. 2005; 57(4):193-201. [DOI:10.1159/000085187] [PMID]
25. Au-Yeung J, Howell P. Non-word reading, lexical retrieval and stuttering: Comments on Packman, Onslow, Coombes and Goodwin (2001). Clinical Linguistics & Phonetics. 2002; 16(4):287-93. [DOI:10.1080/02699200210128981] [PMID]
26. Pelczarski K. Phonological processing abilities of adults who stutter [PhD dissertation]. Pittsburgh, PA: University of Pittsburgh; 2011. http://d-scholarship.pitt.edu/10735/
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IssueVol 13 No 4 (2019) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.32598/JMR.13.4.199
Keywords
Stuttering Phonological processing Stuttering severity Non word repetition Word repetition
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How to Cite
1.
Choopanian F, Farazi M, Qoreishi Z, Rahmati A, Ghaedamini G, Ilkhani Z. Evaluating the Word/Non-Word Repetition in Adults With Stuttering Based on Stuttering Severity and Length of Words/Non-Words. jmr. 2019;13(4):199-206.