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Semin Speech Lang 2014; 35(02): 080-094
DOI: 10.1055/s-0034-1371753
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Temperament and Environmental Contributions to Stuttering Severity in Children: The Role of Effortful Control

Shelly Jo Kraft
1   Department Communication Sciences and Disorders, Wayne State University, Detroit, Michigan
,
Nicoline Ambrose
2   University of Illinois, Urbana-Champaign, Illinois
,
HeeCheong Chon
3   Chosun University, Gwahgju, Korea
› Author Affiliations
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Publication History

Publication Date:
29 April 2014 (online)

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Abstract

We investigated the contribution of temperament and external environment to the severity of children who stutter. Sixty-nine children who stutter, ages 2;4 to 5;9 (years; months), with a mean age of 3;7, were assessed for temperament, home environment, and significant life events. Temperament was assessed using the Children's Behavior Questionnaire. Home environment and life events were assessed using the Confusion, Hubbub and Order Scale (CHAOS) scale and the Life Events Checklist. Results indicated mother (parent)-reported stuttering severity and clinician-reported stuttering severity to be correlated with child temperament scores in the domain of Effortful Control. When temperament, home environment, and life events were combined, no statistically predictive outcomes were evident in corresponding severity ratings. The current study suggests the temperament domain of Effortful Control in children who stutter is a significant underlying mechanism influencing stuttering severity. Clinical implications are discussed.

Keywords

Stuttering - severity - temperament - environment - reactivity - effortful control

* Clinicians used Yairi and Ambrose [3] as a severity guide. This approach takes into account frequency of stutters, duration of stutters, tension observed during stutters, and involvement of secondary behaviors as areas to consider when judging severity.


 

  • References

  • 1 Andrews G, Harris M. The Syndrome of Stuttering. London, UK: Spastics Society Medical Education and Information Unit in association with Heinemann Medical; 1964
    Google Scholar
  • 2 Mansson H. Identification of stuttering in preschool children: a multifactorial, longitudinal study in development. J Fluency Disord 2000; 25 (3) 241
    PubMedGoogle Scholar
  • 3 Yairi E, Ambrose NG. Early Childhood Stuttering. Austin, TX: Pro-Ed; 2005
    Google Scholar
  • 4 Goldsmith HH, Buss KA, Lemery KS. Toddler and childhood temperament: expanded content, stronger genetic evidence, new evidence for the importance of environment. Dev Psychol 1997; 33 (6) 891-905
    CrossrefPubMedGoogle Scholar
  • 5 Bates JE, Freeland CAB, Lounsbury ML. Measurement of infant difficultness. Child Dev 1979; 50 (3) 794-803
    CrossrefPubMedGoogle Scholar
  • 6 Carey WB. A simplified method for measuring infant temperament. J Pediatr 1970; 77 (2) 188-194
    CrossrefPubMedGoogle Scholar
  • 7 Carey WB, McDevitt SC. Revision of the Infant Temperament Questionnaire. Pediatrics 1978; 61 (5) 735-739
    PubMedGoogle Scholar
  • 8 Goldsmith HH. Studying temperament via construction of the Toddler Behavior Assessment Questionnaire. Child Dev 1996; 67 (1) 218-235
    CrossrefPubMedGoogle Scholar
  • 9 Irwin JR, Carter AS, Briggs-Gowan MJ. The social-emotional development of “late-talking” toddlers. J Am Acad Child Adolesc Psychiatry 2002; 41 (11) 1324-1332
    CrossrefPubMedGoogle Scholar
  • 10 Jaffee SR. Sensitive, stimulating caregiving predicts cognitive and behavioral resilience in neurodevelopmentally at-risk infants. Dev Psychopathol 2007; 19 (3) 631-647
    CrossrefPubMedGoogle Scholar
  • 11 Saudino KJ. Behavioral genetics and child temperament. J Dev Behav Pediatr 2005; 26 (3) 214-223
    CrossrefPubMedGoogle Scholar
  • 12 Davidson RJ, Jackson DC, Kalin NH. Emotion, plasticity, context, and regulation: perspectives from affective neuroscience. Psychol Bull 2000; 126 (6) 890-909
    CrossrefPubMedGoogle Scholar
  • 13 Kinsbourne M. A model of adaptive behavior related to cerebral participation in emotional control. In: Gainnotti G, Caltagrione C, , eds. Emotions and the Dual Brain. Heidelberg, Germany: Springer Verlag; 1989: 248-260
    CrossrefGoogle Scholar
  • 14 Foundas AL, Corey DM, Angeles V, Bollich AM, Crabtree-Hartman E, Heilman KM. Atypical cerebral laterality in adults with persistent developmental stuttering. Neurology 2003; 61 (10) 1378-1385
    CrossrefPubMedGoogle Scholar
  • 15 Ozge A, Toros F, Cömelekoğlu U. The role of hemispheral asymmetry and regional activity of quantitative EEG in children with stuttering. Child Psychiatry Hum Dev 2004; 34 (4) 269-280
    PubMedGoogle Scholar
  • 16 Sommer M, Koch MA, Paulus W, Weiller C, Büchel C. Disconnection of speech-relevant brain areas in persistent developmental stuttering. Lancet 2002; 360 (9330) 380-383
    CrossrefPubMedGoogle Scholar
  • 17 Fowlie GM, Cooper EB. Traits attributed to stuttering and nonstuttering children by their mothers. J Fluency Disord 1978; 3.4: 233-246
    PubMedGoogle Scholar
  • 18 Glasner P. Personality characteristics and emotional problems in stutterers under the age of five. J Speech Hear Disord 1949; 14: 135-138
    CrossrefPubMedGoogle Scholar
  • 19 Guitar B. Stuttering: An Integrated Approach to Its Nature and Treatment. 3rd ed. Baltimore, MD: Williams & Wilkins; 2006
    Google Scholar
  • 20 Zebrowski PM, Conture EG. Influence of non-treatment variables on treatment effectiveness for school-age children who stutter. In: Treatment Efficacy for Stuttering: A Search for Empirical Bases. San Diego, CA: Singular Publishing Group; 1998
    Google Scholar
  • 21 Riley J, Riley G. Speech motor training. In: Onslow M, Packman A, , eds. The Handbook of Early Stuttering Intervention. San Diego, CA: Singular; 1999: 139-158
    Google Scholar
  • 22 Kagan J. Galen's Prophecy: Temperament in Human Nature. New York, NY: Westview Press; 1997
    Google Scholar
  • 23 Kagan J. Handbook of child psychology: social, emotional and personality development. In: Damon W, , ed. Biology and the Child. 5th ed. New York, NY: John Wiley & Sons; 1998
    Google Scholar
  • 24 Oyler ME. Temperament: stuttering and the behaviorally inhibited child. Seminar presented at the American Speech-Language-Hearing Association Annual Convention. Seattle, WA; December 1996
    Google Scholar
  • 25 Oyler ME. Nature-nurture controversy: temperamental sensitivity in children who stutter. Technical session presented at the American Speech-Language-Hearing Association Annual Convention. San Francisco, CA; November 1999
    Google Scholar
  • 26 Oyler ME. Sensitivity and Sensory Integration Abilities in Children Who Stutter. Technical session presented at the American Speech-Language-Hearing Association Annual Convention. New Orleans, LA; November 2001
    Google Scholar
  • 27 Aron EN, Aron A. Sensory-processing sensitivity and its relation to introversion and emotionality. J Pers Soc Psychol 1997; 73 (2) 345-368
    CrossrefPubMedGoogle Scholar
  • 28 Aron EN. The Highly Sensitive Child. New York, NY: Broadway Books; 2002
    Google Scholar
  • 29 Embrechts M, Ebben H, Franke P, van de Poel C. Temperament: a comparison between children who stutter and children who do not stutter. In: Proceedings of the Third World Congress on Fluency Disorders: Theory, Research, Treatment, and Self-Help. University of Mijmegen, The Netherlands: Nimegen Press; 2000: 557-562
    Google Scholar
  • 30 Anderson JD, Pellowski MW, Conture EG, Kelly EM. Temperamental characteristics of young children who stutter. J Speech Lang Hear Res 2003; 46 (5) 1221-1233
    CrossrefPubMedGoogle Scholar
  • 31 Bush AL. Effects of childhood stuttering on attention regulation in emotionally arousing situations. Vanderbilt Undergraduate Research Journal 2006; 2 (1) 1-14
    PubMedGoogle Scholar
  • 32 Karrass J, Walden TA, Conture EG , et al. Relation of emotional reactivity and regulation to childhood stuttering. J Commun Disord 2006; 39 (6) 402-423
    CrossrefPubMedGoogle Scholar
  • 33 Walden TA, Frankel CB, Buhr AP, Johnson KN, Conture EG, Karrass JM. Dual diathesis-stressor model of emotional and linguistic contributions to developmental stuttering. J Abnorm Child Psychol 2012; 40 (4) 633-644
    CrossrefPubMedGoogle Scholar
  • 34 Johnson KN, Walden TA, Conture EG, Karrass J. Spontaneous regulation of emotions in preschool children who stutter: preliminary findings. J Speech Lang Hear Res 2010; 53 (6) 1478-1495
    CrossrefPubMedGoogle Scholar
  • 35 Seery CH, Watkins RV, Mangelsdorf SC, Shigeto A. Subtyping stuttering II: contributions from language and temperament. J Fluency Disord 2007; 32 (3) 197-217
    CrossrefPubMedGoogle Scholar
  • 36 Putnam SP, Rothbart MK. Development of short and very short forms of the Children's Behavior Questionnaire. J Pers Assess 2006; 87 (1) 102-112
    CrossrefPubMedGoogle Scholar
  • 37 Kopp CB. Antecedents of self-regulation: a developmental perspective. Dev Psychol 1982; 18 (2) 199
    CrossrefPubMedGoogle Scholar
  • 38 Gralinski JH, Kopp CB. Everyday rules for behavior: mothers' requests to young children. Dev Psychol 1993; 29 (3) 573-584
    CrossrefPubMedGoogle Scholar
  • 39 Higgins ET. Knowledge accessibility and activation: subjectivity and suffering from unconscious sources. In: Uleman JS, Bargh JA, , eds. Unintended Thoughts: The Limits of Awareness, Attention, and Control. New York, NY: Guilford; 1989: 75-123
    CrossrefGoogle Scholar
  • 40 Vaughn BE, Kopp CB, Krakow JB. The emergence and consolidation of self-control from eighteen to thirty months of age: normative trends and individual differences. Child Dev 1984; 55 (3) 990-1004
    CrossrefPubMedGoogle Scholar
  • 41 Holden GW, West MJ. Proximate regulation by mothers: a demonstration of how differing styles affect young children's behavior. Child Dev 1989; 60 (1) 64-69
    CrossrefPubMedGoogle Scholar
  • 42 Manian N, Strauman TJ, Denney N. Temperament, recalled parenting styles, and self-regulation: testing the developmental postulates of self-discrepancy theory. J Pers Soc Psychol 1998; 75 (5) 1321-1332
    CrossrefPubMedGoogle Scholar
  • 43 Raver CC. Relations between social contingency in mother-child interaction and 2-year-olds' social competence. Dev Psychol 1996; 32(5): 850
    CrossrefPubMedGoogle Scholar
  • 44 Derryberry D, Rothbart MK. Reactive and effortful processes in the organization of temperament. Dev Psychopathol 1997; 9 (4) 633-652
    PubMedGoogle Scholar
  • 45 Rothbart MK, Bates JE. Temperament. In: Damon W, Eisenberg N, eds. Handbook of Child Psychology: Social, Emotional and Personality Development. 4th ed. New York, NY: Wiley; 2000: 105-176
    Google Scholar
  • 46 Plomin R, Asbury K. Nature and nurture: genetic and environmental influences on behavior. Ann Am Acad Pol Soc Sci 2005; 600 (1) 86-98
    CrossrefPubMedGoogle Scholar
  • 47 Coldwell J, Pike A, Dunn J. Household chaos—links with parenting and child behaviour. J Child Psychol Psychiatry 2006; 47 (11) 1116-1122
    CrossrefPubMedGoogle Scholar
  • 48 Garmezy N, Masten A. The adaptation of children to a stressful world: mastery of fear. In: Arnold LE, , ed. Childhood Stress. New York, NY: Wiley; 1990: 459-473
    Google Scholar
  • 49 Jackson Y, Frick PJ. Negative life events and the adjustment of school-age children: testing protective models. J Clin Child Psychol 1998; 27 (4) 370-380
    CrossrefPubMedGoogle Scholar
  • 50 Mezulis AH, Hyde JS, Abramson LY. The developmental origins of cognitive vulnerability to depression: temperament, parenting, and negative life events in childhood as contributors to negative cognitive style. Dev Psychol 2006; 42 (6) 1012-1025
    CrossrefPubMedGoogle Scholar
  • 51 Rose DT, Abramson L. Developmental predictors of depressive cognitive style: research and theory. In: Cicchetti D, Toth SL, , eds. Developmental Perspectives on Depression. Vol. 4. New York, NY: University of Rochester Press; 1992: 323-349
    Google Scholar
  • 52 Weisz JR, Sweeney L, Proffitt V, Carr T. Control-related beliefs and self-reported depressive symptoms in late childhood. J Abnorm Psychol 1993; 102 (3) 411-418
    CrossrefPubMedGoogle Scholar
  • 53 Donaldson D, Prinstein MJ, Danovsky M, Spirito A. Patterns of children's coping with life stress: implications for clinicians. Am J Orthopsychiatry 2000; 70 (3) 351-359
    CrossrefPubMedGoogle Scholar
  • 54 Höök B, Hägglöf B, Thernlund G. Life events and behavioural deviances in childhood: a longitudinal study of a normal population. Eur Child Adolesc Psychiatry 1995; 4 (3) 153-164
    CrossrefPubMedGoogle Scholar
  • 55 Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res 1967; 11 (2) 213-218
    CrossrefPubMedGoogle Scholar
  • 56 Heisel JS, Ream S, Raitz R, Rappaport M, Coddington RD. The significance of life events as contributing factors in the diseases of children. 3. A study of pediatric patients. J Pediatr 1973; 83 (1) 119-123
    CrossrefPubMedGoogle Scholar
  • 57 Beautrais AL, Fergusson DM, Shannon FT. Family life events and behavioral problems in preschool-aged children. Pediatrics 1982; 70 (5) 774-779
    PubMedGoogle Scholar
  • 58 Beautrais AL, Fergusson DM, Shannon FT. Life events and childhood morbidity: a prospective study. Pediatrics 1982; 70 (6) 935-940
    PubMedGoogle Scholar
  • 59 Starkweather CW, Gottwald SR, Halfond MM. Stuttering prevention: a clinical method. Englewood Cliffs, NJ: Prentice Hall; 1990
    Google Scholar
  • 60 Starkweather CW. The epigenesis of stuttering. J Fluency Disord 2002; 27 (4) 269-287 , quiz 287–288
    CrossrefPubMedGoogle Scholar
  • 61 Helson R. The self in middle age. In: Lachman E, James JB, , eds. Multiple Paths of Midlife Development. Chicago, IL: University of Chicago Press; 1997
    Google Scholar
  • 62 Nesselroade JR, Featherman DL. Establishing a reference frame against which to chart age-related changes. In: Hardy MA, , ed. Studying Aging and Social Change: Conceptual and Methodological Issues. Thousand Oaks, CA: Sage; 1997: 191-205
    Google Scholar
  • 63 Johnson JH, McCutcheon SM. Assessing life stress in older children and adolescents: preliminary findings with the life events checklist. Stress and Anxiety 1980; 7: 111-125
    PubMedGoogle Scholar
  • 64 Sarason IG, Johnson JH, Siegel JM. Assessing the impact of life changes: development of the Life Experiences Survey. J Consult Clin Psychol 1978; 46 (5) 932-946
    CrossrefPubMedGoogle Scholar
  • 65 Matheny AP, Wachs TD, Ludwig JL, Phillips K. Bringing order out of chaos: psychometric characteristics of the confusion, hubbub, and order scale. J Appl Dev Psychol 1995; 16 (3) 429-444
    CrossrefPubMedGoogle Scholar
  • 66 Gray MJ, Litz BT, Hsu JL, Lombardo TW. Psychometric properties of the life events checklist. Assessment 2004; 11 (4) 330-341
    CrossrefPubMedGoogle Scholar
  • 67 Brand AH, Johnson JH. Note on reliability of the Life Events Checklist. Psychol Rep 1982; 50(3c): 1274
    CrossrefPubMedGoogle Scholar
  • 68 DeVellis RF. Scale Development: Theory and Applications. Newbury Park, CA: Sage; 1991
    Google Scholar
  • 69 Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika 1965; 52(3/4): 591-611
    CrossrefPubMedGoogle Scholar
  • 70 Posne MI, Rothbart MK. Developing mechanisms of self-regulation. Dev Psychopathol 2000; 12 (3) 427-441
    CrossrefPubMedGoogle Scholar
  • 71 Newman JP, Wallace JF. Psychopathy and cognition. In: Kendall PC, Dobson KS, , eds. Psychopathology and Cognition. New York, NY: Academic Press; 1993: 293-349
    Google Scholar
  • 72 Rothbart MK, Ahadi SA, Hershey K. Temperament and social behavior in childhood. Merrill-Palmer Q 1994; 40: 21-39
    PubMedGoogle Scholar
  • 73 Eisenberg N, Spinrad TL. Emotion-related regulation: sharpening the definition. Child Dev 2004; 75 (2) 334-339
    CrossrefPubMedGoogle Scholar
  • 74 Valiente C, Eisenberg N, Fabes RA, Shepard SA, Cumberland A, Losoya SH. Prediction of children's empathy-related responding from their effortful control and parents' expressivity. Dev Psychol 2004; 40 (6) 911-926
    CrossrefPubMedGoogle Scholar
  • 75 Achenbach TM. Taxonomy and comorbidity of conduct problems: evidence from empirically based approaches. Dev Psychopathol 1993; 5: 51
    CrossrefPubMedGoogle Scholar
  • 76 Grills AE, Ollendick TH. Multiple informant agreement and the anxiety disorders interview schedule for parents and children. J Am Acad Child Adolesc Psychiatry 2003; 42 (1) 30-40
    CrossrefPubMedGoogle Scholar
  • 77 Offord DR, Boyle MH, Racine Y , et al. Integrating assessment data from multiple informants. J Am Acad Child Adolesc Psychiatry 1996; 35 (8) 1078-1085
    CrossrefPubMedGoogle Scholar
  • 78 Shoda Y, Mischel W, Wright JC. Intuitive interactionism in person perception: effects of situation—behavior relations on dispositional judgments. J Pers Soc Psychol 1989; 56 (1) 41-53
    CrossrefPubMedGoogle Scholar
  • 79 Shoda Y, Mischel W, Write JC. Links between personality judgments and contextualized behavior patterns: situation-behavior profiles of personality prototypes. Soc Cogn 1993; 11(4): 399-429
    CrossrefPubMedGoogle Scholar