Stuttering treatment for a school-age child with Down syndrome: A descriptive case report

BackgroundLittle is known about optimal treatment approaches and stuttering treatment outcomes for children with Down syndrome.Aims and methodThe purpose of this study was to investigate outcomes for a child with Down syndrome who received a combination of fluency shaping therapy and parent delivered contingencies for normally fluent speech, prolonged speech, and stuttered speech.ResultsIn-clinic speech measures obtained at post-treatment and at 4 months follow-up reflected improvements in fluency of 89.0% and 98.6%, respectively. The participant's beyond-clinic follow-up sample reflected an improvement of 95.5%. Following treatment, the participant demonstrated improved self-confidence, self-esteem, and improved participation and functioning at school.ConclusionsFindings suggest that fluency shaping with parental contingencies may be a viable treatment approach to reduce stuttering in children with Down syndrome. Future research using an experimental research design is warranted.Educational objectives: Readers will be able to describe (a) prevalence estimates of stuttering in individuals with Down syndrome, (b) the main components of a fluency shaping program for a child with Down syndrome who stutters and has co-occurring speech and language delays, and (c) speech and parent-, teacher-, and self-report treatment outcomes.     

Auditory driving and affective influences

Past research has shown that variations in musical tempo influence the perceived rate of visual motion. The goal here was to investigate whether this effect is influenced by audiovisual affect. Participants were presented with montages (slideshows) of positive or negative scenes accompanied by positive or negative music whose rate was either the same as, or 15% faster or slower than that of the montage. The results of a subsequent recognition task showed a higher false alarm rate to faster and slower visual scenes in the presence of accelerated and decelerated soundtracks, respectively. Moreover, the magnitude of these effects significantly increased when music–montage pairs displayed a positive and negative affect, respectively. In contrast, variations in visual rate exerted no influence on auditory rate recognition. These findings have implications for audiovisual art forms as well as theories of cross‐modal perception.     

Preliminary relation between followers' locus of control and organizational citizenship behaviors

This study estimated the relationship between followers' locus of control and organizational citizenship behaviors for a sample of 375 government employees, whose M age was 46 yr. 53% were women; 42% earned bachelor's degrees. Analyses showed a significant positive correlation of .35 between followers' locus of control and their organizational behaviors. More complex models and research designs are necessary to generalize.     

The relationship between pre-treatment clinical profile and treatment outcome in an integrated stuttering program

A procedure for subtyping individuals who stutter and its relationship to treatment outcome is explored. Twenty-five adult participants of the Comprehensive Stuttering Program (CSP) were classified according to: (1) stuttering severity and (2) severity of negative emotions and cognitions associated with their speech problem. Speech characteristics (percentage of stuttered syllables, distorted speech score, and the number of correctly produced syllables on a diadochokinesis task) and emotional/cognitive states (emotional reaction, speech satisfaction, and attitudes toward speaking) were assessed before and after treatment, and at a 1- and 2-year follow-up. The results showed that: (a) there was no relationship between stuttering severity and the severity of negative emotions and cognitions, (b) the severe stuttering group had the largest treatment gains but also the highest level of regression, and (c) at post-treatment and both follow-up assessments the differences on measures of emotions between the mild and severe emotional group had disappeared, chiefly due to a large decrease in the latter group's negative emotions and cognitions. Our findings show that, based on treatment gains, specific subgroups can be identified, each requiring different treatment approaches. This underlines the necessity of developing a better understanding of how various dimensions of stuttering relate to treatment outcome. Educational objectives: The reader will be able to: (1) describe why stuttering severity and negative emotions and cognitions that are related to stuttering should be investigated separately and (2) describe how treatment outcome relates to subtypes of persons who stutter.     

Temporal concepts and predicted duration judgments

The present research investigated whether certain conceptualizations of time influence the planning fallacy or the tendency to underestimate predicted task durations. In Experiment 1, participants were presented with one of three types of primes (video, linguistic, video + linguistic) that reflected either an ego or time motion perspective (i.e. an individual moving through time vs. time moving toward an individual). Afterwards, all participants predicted the amount of time required to sort and shelve a stack of journals before actually completing the task. The results showed that across all priming conditions, subjects in the ego motion condition underestimated to a greater extent than those in the time motion condition. Experiment 2 replicated this effect and also found that underestimations are reduced when the implied duration of the experimental session is short vs. long. As a set, these findings have relevant theoretical implications and suggest some potential de-biasing techniques.     

Efficacy of Cognitive Rehabilitation Therapies for Mild Cognitive Impairment (MCI) in Older Adults: Working Toward a Theoretical Model and Evidence-Based Interventions

To evaluate the efficacy of cognitive rehabilitation therapies (CRTs) for mild cognitive impairment (MCI). Our review revealed a need for evidence-based treatments for MCI and a lack of a theoretical rehabilitation model to guide the development and evaluation of these interventions. We have thus proposed a theoretical rehabilitation model of MCI that yields key intervention targets–cognitive compromise, functional compromise, neuropsychiatric symptoms, and modifiable risk and protective factors known to be associated with MCI and dementia. Our model additionally defines specific cognitive rehabilitation approaches that may directly or indirectly target key outcomes–restorative cognitive training, compensatory cognitive training, lifestyle interventions, and psychotherapeutic techniques. Fourteen randomized controlled trials met inclusion criteria and were reviewed. Studies markedly varied in terms of intervention approaches and selected outcome measures and were frequently hampered by design limitations. The bulk of the evidence suggested that CRTs can change targeted behaviors in individuals with MCI and that CRTs are associated with improvements in objective cognitive performance, but the pattern of effects on specific cognitive domains was inconsistent across studies. Other important outcomes (i.e., daily functioning, quality of life, neuropsychiatric symptom severity) were infrequently assessed across studies. Few studies evaluated long-term outcomes or the impact of CRTs on conversion rates from MCI to dementia or normal cognition. Overall, results from trials are promising but inconclusive. Additional well-designed and adequately powered trials are warranted and required before CRTs for MCI can be considered evidence-based.