Nonword repetition and phoneme elision in adults who do and do not stutter: Vocal versus nonvocal performance differences

PurposeThe purpose of the present study was to enhance our understanding of phonological working memory in adults who stutter through the comparison of nonvocal versus vocal nonword repetition and phoneme elision task performance differences.MethodFor the vocal nonword repetition condition, participants repeated sets of 4- and 7-syllable nonwords (n = 12 per set). For the nonvocal nonword repetition condition, participants silently identified each target nonword from a subsequent set of three nonwords. For the vocal phoneme elision condition, participants repeated nonwords with a target phoneme eliminated. For the nonvocal phoneme elision condition, participants silently identified the nonword with the designated target phoneme eliminated from a subsequent set of three nonwords.ResultsAdults who stutter produced significantly fewer accurate initial productions of 7-syllable nonwords compared to adults who do not stutter. There were no talker group differences for the silent identification of nonwords, but both talker groups required significantly more mean number of attempts to accurately silently identify 7-syllable as compared to 4-syllable nonwords. For the vocal phoneme elision condition, adults who stutter were significantly less accurate than adults who do not stutter in their initial production and required a significantly higher mean number of attempts to accurately produce 7-syllable nonwords with a phoneme eliminated. This talker group difference was also significant for the nonvocal phoneme elision condition for both 4- and 7-syllable nonwords.ConclusionPresent findings suggest phonological working memory may contribute to the difficulties persons who stutter have establishing and/or maintaining fluent speech.Educational Objectives: (a) Readers can describe the role of phonological working memory in planning for and execution of speech; (b) readers can describe two experimental tasks for exploring the phonological working memory: nonword repetition and phoneme elision; (c) readers can describe how the nonword repetition and phoneme elision skills of adults who stutter differ from their typically fluent peers.     

A novel approach for measuring social participation in adults who stutter

This paper reports a preliminary study which trialled a novel approach for measuring speech output and social participation. The amount of phonation was accumulated via an objective measure called an Ambulatory Phonation Monitor (APM).Purpose(1) To establish whether adults who stutter will tolerate wearing an APM for an extended period of time (three days), (2) to test whether the APM can accumulate useful data about the amount of phonation adults who stutter produce in the course of a normal day and (3) to examine a possible relationship between stuttering severity and amount of phonation.MethodThree adults who stutter wore an APM for three consecutive days during their waking hours. Each completed a questionnaire regarding the device and kept a speech diary outlining daily speaking activities and self-reported stuttering severity. APM data regarding amount of phonation was collected, analysed and compared with the participants’ speech diaries.ResultsEach adult tolerated wearing the APM and while they felt comfortable speaking wearing the device, it was somewhat cumbersome. Variations in the amount of speaking across each day and in different speaking situations were evident. For two participants there was a positive correlation between phonation time and severity rating.ConclusionsPreliminary data suggests that the APM can provide valuable information about the amount adults who stutter speak. The APM is sufficiently sensitive to differentiate variations in the amount of phonation during different speaking situations. These favourable preliminary results suggest the value of a larger scale study.Educational Objectives: The reader will be able to: (a) describe the different aspects of stuttering currently routinely measured in clinical practice; (b) discuss the limitations of current measurement procedures; (c) discuss the advantages of speech measures obtained by an Ambulatory Phonation Monitor APM); (d) describe the perspectives of adults who stutter who have worn an APM to measure phonation time.     

A Review of Occupation-Based Life Skills Interventions for Adults with Neurodevelopmental Disorders

Adults with neurodevelopmental disorders are at a higher risk for poverty, unemployment, and difficulties in relationships. Instrumental activities of daily living deficits often go unaddressed and minimal research has explored interventions to address them. The purpose of this study was to synthesize findings about occupation-based life skills interventions for adults with neurodevelopmental disorders. Ten articles met inclusion criteria and the American Occupational Therapy Association level of evidence and quality ratings were identified. Results indicate that occupation-based life skills interventions effectively address limitations experienced by adults with neurodevelopmental disorders but the overall quantity and quality of evidence-based interventions are lacking.     

Sensitivity to spacing changes in faces and nonface objects in preschool-aged children and adults

Sensitivity to variations in the spacing of features in faces and a class of nonface objects (i.e., frontal images of cars) was tested in 3- and 4-year-old children and adults using a delayed or simultaneous two-alternative forced choice matching-to-sample task. In the adults, detection of spacing information was robust against exemplar differences for faces but varied across exemplars for cars (Experiment 1A). The 4-year-olds performed above chance in both face and car discrimination even when differences in spacing were very small (within ±1.6 standard deviations [SDs]) and the task involved memory components (Experiment 1B), and the same was true for the 3-year-olds when tested with larger spacing changes (within ±2.5 SDs) in a task that posed no memory demands (Experiment 2). An advantage in the discrimination of faces over cars was found at 4 years of age, but only when spacing cues were made more readily available (within ±2.5 SDs). Results demonstrate that the ability to discriminate objects based on feature spacing (i.e., sensitivity to second-order information) is present at 3 years of age and becomes more pronounced for faces than cars by 4 years of age.     

Resilience is a good predictor of hopelessness even after accounting for stressful life events, mood and personality (NEO-PI-R)

A better understanding of the relation between protection and vulnerability may advance our understanding of mental health. Therefore the purpose of this study was to examine the incremental validity of the Resilience Scale for Adults (RSA) as a predictor for level of hopelessness. A healthy sample (N = 532) completed the Beck Hopelessness Scale, a list of Stressful Life Events (SLE), the Hopkins Symptom Checklist-25 (HSCL-25), NEO-PI-R (NEO Personality Inventory Revised) and the RSA. The relations between the variables were explored with correlations and multiple hierarchical regression analyses. The results indicated that the RSA measures important protective factors that significantly predict lower levels of hopelessness even when accounting for age, gender, SLE, HSCL-25 and NEO-PI-R. This study supports the notion that the protective resilience factors in the RSA have unique contributions over and above established constructs of stressful life events, depressive and anxiety symptoms and personality in predicting hopelessness, supporting the incremental validity of the RSA.     

Developmental changes in face recognition during childhood: Evidence from upright and inverted faces

Adults are experts at recognizing faces but there is controversy about how this ability develops with age. We assessed 6- to 12-year-olds and adults using a digitized version of the Benton Face Recognition Test, a sensitive tool for assessing face perception abilities. Children's response times for correct responses did not decrease between ages 6 and 12, for either upright or inverted faces, but were significantly longer than those of adults for both face types. Accuracy improved between ages 6 and 12, significantly more for upright than inverted faces. Inverted face recognition improved slowly until late childhood, whereas there was a large improvement in upright face recognition between ages 6 and 8, with a further enhancement after age 12. These results provide further evidence that during childhood face processing undergoes protracted development and becomes increasingly tuned to upright faces.     

When the alternative would have been better: Counterfactual reasoning and the emergence of regret

Counterfactual reasoning about how events could have turned out better is associated with the feeling of regret. However, developmental studies show a discrepancy between the onset of counterfactual reasoning (at 3 years) and the feeling of regret (at 6 years). In four experiments we explored possible reasons. Experiment 1 (3- to 6-year-old children) and Experiment 2 (adult control) show that even when regret is assessed more directly than in previous studies (e.g., Amsel & Smalley, 2000) only adults but not children regret their decision. Experiment 3 (3- to 14-year-old children) suggests that double-questioning—asking children how happy they are with what they got before and after they had seen what they could have got—creates false positive indications of regret in the youngest children and that—when controlling for false positives—regret is not evident before 9 years. However, children before this age make a difference between attractive (three candies) and less attractive (one candy) items (Experiment 4; 6- to 8-year-old children). Taken together, this suggests that before 9 years of age children base their judgements solely on what they got without taking into account what they could have got.     

The role of historical intuitions in children's and adults' naming of artifacts

It is commonly assumed that artifacts are named solely on the basis of properties they currently possess; in particular, their appearance and function. The experiments presented here explore the alternative proposal that the history of an artifact plays some role in how it is named. In three experiments, children between the ages of 4 and 9 years and adults were presented with familiar artifacts whose appearance and function were then radically altered. Participants were tested as to whether they believed that the modified objects were still members of the artifact kind. Results indicate that object history becomes increasingly important over the course of development.     

Utility of virtual reality environments to examine physiological reactivity and subjective distress in adults who stutter

PurposeVirtual reality environments (VREs) allow for immersion in speaking environments that mimic real-life interactions while maintaining researcher control. VREs have been used successfully to engender arousal in other disorders. The purpose of this study was to investigate the utility of virtual reality environments to examine physiological reactivity and subjective ratings of distress in persons who stutter (PWS).MethodSubjective and objective measures of arousal were collected from 10 PWS during four-minute speeches to a virtual audience and to a virtual empty room.ResultsStuttering frequency and physiological measures (skin conductance level and heart rate) did not differ across speaking conditions, but subjective ratings of distress were significantly higher in the virtual audience condition compared to the virtual empty room.ConclusionVREs have utility in elevating subjective ratings of distress in PWS. VREs have the potential to be useful tools for practicing treatment targets in a safe, controlled, and systematic manner.     

Long-term Consequences of Childhood Bullying in Adults who Stutter: Social Anxiety,Fear of Negative Evaluation,Self-esteem,and Satisfaction with Life

Purpose: Psychosocial disorders have been reported in adults who stutter, especially social anxiety disorder. Social anxiety has been linked to childhood victimization. It is possible that recalled childhood victimization could be linked to psychosocial problems reported in some adults who stutter.Method: Participants were 36 adults who stutter and 36 adults who do not stutter (mean age = 21.9 years). The Retrospective Bullying Questionnaire was completed for primary school, secondary school and university environments for physical, verbal, relational and cyber bullying. Participants were categorized into one of five groups (bully, victim, bully-victim, bystander and uninvolved) based ontheir responses. Participants completed four psychosocial scales: social interaction anxiety, fear of negative evaluation, self-esteem and satisfaction with life scales.Results: The two groups differed with adults who stutter having higher social interaction anxiety, fear of negative evaluation and satisfaction with life. Analyses of variance revealed that victims had the highest scores among both groups on all four scales.Conclusion: Adults who recalled being victimized during childhood were more likely, regardless of whether they stutter or did not stutter, to have poorer psychosocial scale scores. These results show the lingering effects of childhood victimization, common in some children who stutter, may contribute to the reported psychosocial problems in adulthood. The need for early intervention for children who are bullied and future research with larger samples is warranted.