Axis I anxiety and mental health disorders among stuttering adolescents |
| |
| Institution: | 1. Australian Stuttering Research Centre, The University of Sydney, Australia;2. Department of Psychology, Macquarie University, Australia;3. Behavioural and Social Sciences in Health, The University of Sydney, Australia;4. School of Human Communication Sciences, La Trobe University, Australia;1. University of Toronto, Speech-Language Pathology, Oral Dynamics Lab (ODL), Canada;2. Department of Psychology, Canada;3. Institute of Biomaterials and Biomedical Engineering, Canada;4. Graduate Department of Rehabilitation Science, Canada;5. Toronto Rehabilitation Institute, Canada;6. Interdisciplinary Center (IDC) Herzliya, School of Psychology, Communication, Aging and Neuropsychology Lab (CANlab), Israel;1. John Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Sydney Medical School-Northern, The University of Sydney, St Leonards, NSW 2065, Australia;2. Key University Centre for Health Technologies, University of Technology, Sydney, Broadway, NSW 2007, Australia |
| |
| Abstract: | PurposeThe purpose of this study was to evaluate anxiety and psychological functioning among adolescents seeking speech therapy for stuttering using a structured, diagnostic interview and psychological questionnaires. This study also sought to determine whether any differences in psychological status were evident between younger and older adolescents.MethodParticipants were 37 stuttering adolescents seeking stuttering treatment. We administered the Computerized Voice Version of the Diagnostic Interview Schedule for Children, and five psychometric tests. Participants were classified into younger (12–14 years; n = 20) and older adolescents (15–17 years; n = 17).ResultsThirty-eight percent of participants attained at least one diagnosis of a mental disorder, according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; APA, 2000), with the majority of these diagnoses involving anxiety. This figure is double current estimates for general adolescent populations, and is consistent with our finding of moderate and moderate–severe quality of life impairment. Although many of the scores on psychological measures fell within the normal range, older adolescents (15–17 years) reported significantly higher anxiety, depression, reactions to stuttering, and emotional/behavioral problems, than younger adolescents (12–14 years). There was scant evidence that self-reported stuttering severity is correlated with mental health issues. There are good reasons to believe these results are conservative because many participants gave socially desirable responses about their mental health status.DiscussionThese results reveal a need for large-scale, statistically powerful assessments of anxiety and other mental disorders among stuttering adolescents with reference to control populations.Educational Objectives: The reader will be able to: (a) explain the clinical importance of assessing for mental health with stuttering adolescents, (b) state the superior method for adolescent mental health assessment and (c) state a major issue with determining the genuineness of stuttering adolescent responses to psychological assessment. |
| |
| Keywords: | Stuttering Adolescents Anxiety Mental health DSM assessment Axis I |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
