Stuttering and anxiety: The difference between stutterers and nonstutterers in verbal apprehension and physiologic arousal during the anticipation of speech and non-speech tasks

To test if stressful anticipation of speech situations is a factor in eliciting stuttering behavior, the difference between 24 stutterers and 24 nonstutterers in verbal apprehension and physiologic activity was studied before and during speech tasks (reading and conversation), and nonspeech tasks (motor and intelligence task).Results indicate that the difference between stutterers and nonstutterers mainly were restricted to anxiety ratings assessed after each task. Heart rate, vasomotor responses, and electrodermal activity recorded before and during speech tasks were higher compared with the physiologic activity before and during nonspeech tasks but, unexpectedly, this was also the case for nonstutterers. It is concluded that stuttering is not elicited by anxiety.     

Attention and stuttering: Do stutterers think too much about speech?

In this investigation the ability of stutterers and nonstutterers to simultaneously perform speech and nonspeech tasks was compared. Subjects were 10 stutterers and 10 nonstutterers. Two experiments were conducted. In the first, subjects performed a non-attention-demanding gross-motor task while they read aloud. In the second, subjects performed an attention-demanding task (reading comprehension) during speech. Results indicated that there was no significant change in the disfluency values of stutterers during the motor activity or as a result of the reading comprehension task. However, stutterers were found to perform significantly poorer than nonstutterers on the reading comprehension task. This finding was taken as evidence that stutterers devote more attention to speech than do nonstutterers.     

Dichotic speech perception: A comparison between stuttering and nonstuttering children

A stop consonant-vowel dichotic listening task was administered to 90 right- handed boys, 30 in each age group of 5, 7, and 9 yr. Half in each group were stutterers, half nonstutterers. Two and a half times as many stutterers as nonstutterers were found to display either a left-ear advantage (LEA) or no ear advantage (NEA). This finding suggested a greater tendency on the part of stutterers, as opposed to nonstutterers, for reversed or bilateral representation of the auditory speech areas of the brain. In addition, both stutterers and nonstutterers displayed significant developmental increases in the number of times they were able to identify both dichotic speech stimuli, thereby supporting the hypothesis of an age-related increase in children's total information processing capacity. The results are discussed in terms of the differences between stutterers and nonstutterers with respect to the issues of motor representation, cognitive modes, and higher-order linguistic processes.     

Speech and bimanual hand organization in adult stutterers and nonstutterers

A multivariate approach was used to investigate the relationship between speech fluency and bimanual handwriting in right-handed male stutterers and nonstutterers. Handedness was determined by the Harris Test of Lateral Dominance. Subjects were required to write the numbers 1 through 12 simultaneously, as quickly as possible. Speech measures were derived from the Stuttering Severity Instrument and from a reading passage. Stutterers performed more poorly than nonstutterers on all speech measures. There were no differences in bimanual handwriting performance for the dominant hand. However, stutterers performed more poorly than nonstutterers in nondominant handwriting. There were no relationships between speech measures and bimanual handwriting for stutterers or nonstutterers. Some stutterers performed better on the handwriting task than did some nonstutterers. It is suggested that disorganization in interhemispheric integration functions may be a more fundamental problem in stuttering than is incomplete cerebral dominance.     

Variability in the initiation of articulatory movements in the speech of stutterers and normal speakers

This study was designed to investigate the differences between stutterers and normal speakers in phonatory and articulatory timing during the initiation of fluent utterances of monosyllabic words. Electromyographic recordings of four articulatory muscles and recordings of glottal vibrations were made of repetitive utterances of a series of monosyllabic words by 15 stutterers and 17 nonstutterers. These data were analyzed in terms of average interval times between voice onset and onset of EMG activity and between onset of EMG activity in each articulator and in terms of the intrasubject variability of these durational measures. Results showed that there were no significant differences between stutterers and nonstutterers in average interval times and that stutterers, in general, were significantly more variable in their speech onset timing. Findings are discussed in terms of recent hypotheses concerning the role of timing disturbances as the main source of speech disruption in stutterers.     

Adaptation effect in nonfluent speech behavior of controlled stutterers and nonstutterers

The adaptation effect in stuttering behavior has received considerable attention. Adaptation effect is defined as the reduction in the frequency of nonfluencies in the speech of subjects during successive readings of the same passage. The objective of this investigation was to assess the adaptation effect of nonfluent speech behavior of controlled stutterers and nonstutterers. The subjects included 35 controlled stutterers and 35 nonstutterers matched for factors of sex, grade level, and age. Results suggest a significant mean difference between the number of nonfluencies between trials of controlled stutterers with evidence of adaptation in the speech of nonstutterers. Nonstutterers demonstrate significant mean differences in nonfluencies among replicated testing occasions. Findings of this investigation suggest that both controlled stutterers and nonstutterers demonstrate similar adaptation regarding their nonfluent speech behavior. Issues and import for future research are offered.     

Voice reaction time of stuttering and nonstuttering children and adults

The voice reaction time (VRT) of 5-yr old, 9-yr old, and adult stutterers and nonstutterers was investigated. Subjects initiated the sound / Λ / in response to fifty-five 1000-Hz tones of 1 sec duration. The tones were presented in five equal sets of 11 tones each with the silent intervals between the tones randomly selected to be 3, 4, 5, or 6 sec. Data analysis was based on responses 2–11 for each set. The VRTs for both the stutterers and the nonstutterers decreased significantly as an inverse function of age, with the largest decrease in reaction time occuring between 5 and 9 yr. The VRTs for the stutterers, however, were significantly slower than those of the nonstutterers at each of the three age levels. The results suggest that observed disruption in the laryngeal behavior for at least some stutterers may not result from the development of stuttering with age, but may contribute to early difficulty in the child's ability to produce fluent speech. Consideration of central factors are discussed.     

Bimanual handedness in adults who stutter

25 adult stutterers and 29 nonstutterers who were right-handed as defined by a positive Laterality Quotient on the Edinburgh Handedness Inventory were compared with respect to their pattern of hand use in performing seven common tasks that involve bimanual cooperation. Among the stutterers was a higher proportion of participants who showed anomalies in how they carried out the two tasks that required synchronous manipulation by the two hands. On two other tasks that required speeded performance, the groups were similar in dealing playing cards with the right or left hands, but the stutterers were slower than nonstutterers and did not show a right-hand advantage on a task requiring removal of a nut from a bolt. The results were interpreted as indicating difficulty by stutterers in carrying out synchronously different response elements of motoric tasks.     

The mean fundamental frequency in stutterers and nonstutterers during reading and spontaneous speech

Corresponding to the higher tension of muscles involved in speech production, a higher mean fundamental frequency should be expected in stutterers as compared to nonstutterers. It could be shown by the change scores of the mean fundamental frequency from reading to free conversation that stutterers tend to have a higher fundamental frequency during spontaneous speech.     

Profiles of stutterers' and nonstutterers' affective, cognitive, and behavioral communication attitudes

The purposes of this investigation were 1) to profile the affective, cognitive, and behavioral attitudinal dimensions of stutterers' and nonstutterers' communication attitudes and 2) to describe membership characteristics of each profile. To this end, 76 stutterers and 81 nonstutterers completed the Inventory of Communication Attitudes. This self-report inventory obtained ratings of different types of speaking situations, using five response scales reflecting behavioral, affective, and cognitive aspects of attitudes. Exploratory cluster analysis identified six attitudinal clusters or profiles. Some profiles were more typical either of stuttering respondents or of nonstuttering respondents, whereas one profile reflected attitudes of proportionately equal numbers of stutterers and nonstutterers. Examination of profile membership characteristics revealed two significant discriminators, classification as a stutterer or nonstutterer and an overall speech rating. Nondiscriminatory characteristics included sex, age, education, therapy experiences, stuttering severity self-rating, onset of stuttering, total therapy time, current therapeutic status, and familial history.     

Effects of stimulus ear presentation on the voice reaction time of adult stutterers and nonstutterers

The initial and optimum voice reaction times (VRT) to auditory stimuli presented separately to the left and right ears of ten adult stutterers and ten nonstutterers was investigated. Subjects initiated the neutral vowel sound /Λ/ in response to one hundred 4000 Hz tones of 2.5 sec in duration. The silent intervals between the tones varied randomly. The stimulus cues were divided into five equal response sets of 20 tones each with 10 tones in each set being presented to the right ear and 10 tones to the left ear alternating back and forth. No significant differences were reported between the VRTs for cues presented to the left or right ears for either group. However, the stutterers exhibited voice reaction times which were significantly longer and more variable than those of the nonstutterers. The between- group differences were observed for what appeared to be the “optimum” level of voice initiation for the experimental task. These results lend to the speculative hypothesis that the observed difficulty for adult stutterers to promptly and consistently initiate vocalization may in part be attributable to inherent rather than learned factors.     

Sequence initiation performance by stutterers under conditions of response competition

Male stutterers and nonstutterers were compared on their performance of a task that required tapping keys as rapidly and accurately as possible to reproduce different sequences of finger movements as soon as they had been demonstrated on a visual display panel. Testing using the right hand alone confirmed previous findings that stutterers are significantly slower than nonstutterers in initiating new movement sequences and make significantly more errors on initial sequences. Subjects were also tested on this sequence reproduction task while they performed concurrently a manual task with the left hand that required turning a knob in response to signal tones. The hypothesis underlying the study was that associated with stuttering is a dysfunction in the mechanisms regulating interhemispheric communication, and it was predicted that the concurrent task would interfere more with the sequence reproduction task performance of stutterers than with that of nonstutterers. A joint analysis of the speed and accuracy aspects of performance of the two tasks confirmed the prediction. Additional research required to clarify whether the effects are in fact due to the hypothesized interhemispheric mechanisms or to a generally greater susceptibility of stutterers to interference from any concurrent motor or cognitive activity is discussed.     

Perceptual evaluation of the speech before and after fluency shaping stuttering therapy

An often-cited criterion for assessing the effect of a stuttering therapy is the ability of the stutterers to produce normally fluent speech. Many modern stuttering therapies use special techniques that may produce stutter-free speech that does not sound completely normal. The present study investigates this problem in the framework of the Dutch adaptation of the Precision Fluency Shaping Program.

Pre-, post-, and -year follow-up therapy speech samples of 32 severe stutterers who were treated in a four-week intensive therapy are compared with comparable samples of 20 nonstutterers. For that aim the samples were rated on 14 bipolar scales by groups of about 20 listeners. The results show that the speech of the stutterers in all three conditions differs significantly from the speech of the nonstutterers. The pretherapy speech takes an extreme position on a Distorted Speech dimension, due to the large proportion of disfluencies. The posttherapy speech has extremely low scores on a Dynamics/Prosody dimension, a‘1 while the follow-up therapy speech differs from the normal speech on both dimensions, but now the distances are smaller. These results are discussed in relation to the severity of the stuttering problem in the group of treated stutterers. Finally, implications for future research on therapy evaluation are discussed.     

Performance differences between stuttering and nonstuttering subjects on a sound fusion task

This study investigated the possibility that there are central auditory level processing differences between stutterers and nonstutterers. The experimental subjects were eight male and three female stutterers ranging in age from 20–45 yr, with a mean age of 31.2 yr. The control group consisted of the same number of males and females, ranging in age from 20–45 yr, with a mean age of 30.1 yr. Each subject participated in a sound fusion task under three variable conditions: 1) group performance (nonstutterers vs. stutterers); 2) ears (right vs. left); and 3) lead-time presentation (0–100 msec). Statistically significant differences were found for lead-time presentation.     

A perceptual comparison between paired stimulus and single stimulus methods of presentation of the fluent utterances of stutterers

This investigation compared tape recordings containing the fluent utterances of treated stutterers with those of normal speakers as paired stimuli and single stimuli as presented to 20 sophisticated judges. Fluent utterances were obtained from stutterers successfully treated in one of the following programs: (1) Van Riperian, (2) metronome-conditioning speech retraining, (3) delayed auditory feedback, (4) operant conditioning, (5) precision fluency shaping program, and (6) holistic therapy. In addition, a group of partially treated stutterers were included. The original tape recordings containing matched samples of the fluent utterances of a stutterer and normal speaker were presented as paired stimuli. These paired samples were then separated, randomized, and assembled individually on another tape recording and presented as single stimuli to the same judges. The results of the statistical analysis indicated that the fluent utterances of treated stutterers was perceptibly different from the fluent utterances of nonstutterers, regardless of the method of stimulus presentation.     

A dual-task investigation of young stutterers and nonstutterers

Twenty right-handed grade-school stutterers and nonstutterers matched for sex, handedness, and age were the subjects of this neuromotor investigation. They were required to tap a button as rapidly as possible in a single-task control condition, in three increasingly demanding dual-task conditions in which finger-tapping and speech occured concurrently, and in a dual-task condition in which the subjects finger-tapped and vocalized the sound of a siren. The conditions were randomized, and hand order was counterbalanced. The overall tapping rate of the nonstutterers was statistically faster than that of the stutterers for both the right and left hand. Relative to the single-task silent control condition, the tapping rates of both groups decreased as the dual-task speech conditions became more demanding. However, the tapping rate of the nonstutterers was significantly faster across the speech conditions. Neither the group by hand, group by condition, or group by hand by condition interaction was statistically significant. The stutterers responded like the nonstutterers, though more slowly, providing support for the current contentions that the neuromotor system of stutterers is less robust than that of nonstutterers and more affected by the demands of speech production.     

The effects of pacing and masking on stutterers' and nonstutterers' speech initiation times

The present study was undertaken to determine whether pacing and masking would facilitate improved speech initiation times (SITs) both for stutterers and for nonstutterers. All subjects were tested in control, pacing, and masking conditions. The results showed that both stutterers and nonstutterers (1) improved their SITs during the pacing condition as compared with the control condition (p = 0.01), (2) had slower SITs in the masking condition as compared with the control condition (p = 0.05), and (3) had faster SITs during the pacing as compared with the masking condition (p = 0.01). The SIT between-group findings demonstrated that stutterers were slower than nonstutterers across all SIT conditions (p = 0.08). The discussion of these results centers on the facilatory nature of novel stimulation in modifying speech-system functioning.     

The effects of simulated stuttering and prolonged speech on the neural activation patterns of stuttering and nonstuttering adults

Functional magnetic resonance imaging was used to investigate the neural correlates of passive listening, habitual speech and two modified speech patterns (simulated stuttering and prolonged speech) in stuttering and nonstuttering adults. Within-group comparisons revealed increased right hemisphere biased activation of speech-related regions during the simulated stuttered and prolonged speech tasks, relative to the habitual speech task, in the stuttering group. No significant activation differences were observed within the nonstuttering participants during these speech conditions. Between-group comparisons revealed less left superior temporal gyrus activation in stutterers during habitual speech and increased right inferior frontal gyrus activation during simulated stuttering relative to nonstutterers. Stutterers were also found to have increased activation in the left middle and superior temporal gyri and right insula, primary motor cortex and supplementary motor cortex during the passive listening condition relative to nonstutterers. The results provide further evidence for the presence of functional deficiencies underlying auditory processing, motor planning and execution in people who stutter, with these differences being affected by speech manner.     

Visual information processing in the left and right hemispheres during unilateral tachistoscopic stimulation of stutterers

Tachistoscopy was used to investigate 42 stutterers and a corresponding control group for their speech dominance. A bilateral cortical responsibility for speech was equally frequent in the two groups. However, 2.5 times as many stutterers showed a superiority in the information processing in the right hemisphere than did nonstutterers.     

Concurrent task interference in stutterers: dissociating hemispheric specialization and activation

Using all four combinations of hand and foot, adult stutterers and nonstutterers performed a unimanual sequential finger tapping task together with a stimulus-contingent foot responding task. The two groups were similar in that both demonstrated more dual-task interference when using the ipsilateral than contralateral limb pairs. Contrary to a prediction based on a hypothesis that attributes stuttering to neural interference due to an ungated or unregulated activity flow between the hemispheres, stutterers did not show more interference than nonstutterers when using the contralateral limb pairs. The groups did differ, however, in terms of finger tapping interference associated with right- versus left-foot concurrent task responding. Nonstutterers showed more interference when using the left than right foot. This was interpreted in terms of the attentional demands that the foot responding task placed on a system with an inherent left-hemisphere attentional bias. The lack of a reliable difference in stutterers with respect to interference by the two feet is consistent with indications from other research that stutterers have a relatively labile system of hemispheric attention or activation. The results of the study are placed into the context of a general model of the brain mechanisms associated with stuttering.