Bidirectional Associations of Childhood Stuttering With Behavior and Temperament

Author(s):  
Simone P. C. Koenraads ◽  
Pauline W. Jansen ◽  
Robert Jan Baatenburg de Jong ◽  
Marc P. van der Schroeff ◽  
Marie-Christine Franken

Purpose Behavior and temperament (e.g., emotional reactivity, self-regulation) have been considered relevant to stuttering and its developmental course, but the direction of this relation is still unknown. Knowledge of behavior difficulties and temperament in childhood stuttering can improve screening and intervention. The current study examined both directions of the relationship between stuttering and behavior difficulties and temperament and between persistent stuttering and behavior difficulties and temperament across childhood. Method This study was embedded in the Generation R Study, a population-based cohort from fetal life onward in the Netherlands. We analyzed data from 145 children (4.2%) with a history of stuttering (118 recovered, 27 persistent) and 3,276 children without such a history. Behavior and temperament were repeatedly assessed using parental questionnaires (Child Behavior Checklist) and Infant/Child Behavior Questionnaire between 0.5 and 9 years of age. Multiple logistic and linear regression analyses were performed. Results Six-month-old children who were less able to “recover from distress,” indicating poor self-regulation, were more likely to develop persistent stuttering later in childhood (odds ratio = 2.05, 95% confidence interval (CI) [1.03, 4.05], p = .04). In the opposite direction, children with a history of stuttering showed more negative affectivity (β = 0.19, 95% CI [0.02, 0.37], p = .03) at 6 years of age than children without such a history. Stuttering persistence was associated with increased internalizing behaviors (β = 0.38, 95% CI [0.03, 0.74], p = .04) and higher emotional reactivity (β = 0.53, 95% CI [0.09, 0.89], p = .02) at the age of 9 years. Conclusions Behavior and temperament were associated with stuttering persistency—seemingly as both predictor and consequence—but did not predict a history of stuttering. We suggest that children who persist in stuttering should be carefully monitored, and if behavioral or temperamental problems appear, treatment for these problems should be offered. Supplemental Material https://doi.org/10.23641/asha.16869479

1986 ◽  
Vol 59 (3) ◽  
pp. 1255-1259 ◽  
Author(s):  
Leon A. Rosenberg ◽  
Paramjit Joshi

The relationship between indicators of marital discord and differences between parents' reports of the behavior of their children on a symptom/behavior checklist was investigated for a sample of 18 consecutive admissions to an inpatient child psychiatry program. The parents independently and separately were administered the Achenbach and Edelbrock Child Behavior Checklist. An experienced clinician rated the families on three indices of marital discord following a paired-comparison procedure. The findings indicated that the greater the marital difficulty, the greater the difference in the adults' ratings of behavior difficulties in the children. Since marital discord can influence parents' perceptions of their children's behavior, sex of parent cannot be ignored as a variable in studies utilizing behavioral checklists for such purposes as a dependent measure of therapeutic change.


2020 ◽  
Vol 63 (9) ◽  
pp. 2894-2912
Author(s):  
Kerianne Druker ◽  
Trevor Mazzucchelli ◽  
Neville Hennessey ◽  
Janet Beilby

Purpose This study reports findings from a clinical trial that implemented an early stuttering treatment program integrated with evidence-based parenting support (EBPS) to children who stutter (CWS) with concomitant self-regulation challenges manifested in elevated attention-deficit/hyperactivity disorder (eADHD) symptoms and compared those outcomes to CWS receiving stuttering treatment without EBPS. Method Participants were 76 preschool CWS and their parent(s). Thirty-six of these children presented with eADHD and were quasirandomized into two groups: stuttering treatment only (eADHD standard ) or stuttering treatment integrated with EBPS (eADHD integrated ). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHD standard ). Pre, post, and 3-month follow-up measures of stuttering treatment outcomes as well as treatment effects on measures of child behavior difficulties and parenting practices were examined. Results Significant reduction in stuttering was found for all groups. However, the eADHD integrated group showed a greater reduction in stuttering frequency than the eADHD standard group, and at follow-up, stuttering frequencies in the eADHD integrated group matched those of children in the No-eADHD standard group, while stuttering in the eADHD standard group remained significantly higher. Children with eADHD symptoms who received the integrated program also required significantly less stuttering intervention time than those children with eADHD symptoms who received stuttering treatment only. Families in the eADHD integrated group reported large and significant improvements in child behavior and parenting practices. Conclusion This study provides support for an early treatment program for CWS. The integrated stuttering and self-regulation management program for CWS with eADHD symptoms proved successful for fluency and behavioral improvements, which were sustained at follow-up.


2016 ◽  
Vol 50 (1) ◽  
pp. 42 ◽  
Author(s):  
Dwi Fachri Harahap ◽  
Damayanti Rusli Sjarif ◽  
Soedjatmiko Soedjatmiko ◽  
Dwi Putro Widodo ◽  
Mayke Sugianto Tedjasaputra

Background Obesity can result in emotional and behavior problems in school-age children. Child Behavior Checklist (CBCL) is a standard instrument for evaluating behavior problems, however it is considered not practical. The 17-item Pediatric Symptom Checklist (PSC-17) is a more simple instrument but its diagnostic value has never been evaluated in obese children.Objectives To evaluate the diagnostic value of PSC-17 compared to CBCL as the gold standard.Methods This cross-sectional study was done in May - June 2009. Children aged 6-12 years with obesity were included. Parents filled the CBCL and PSC-17 questionnaires. Sensitivity, specificity, predictive values, and likelihood ratios were calculated for PSC-17.Results Most subjects aged 6-9 years (83%). Boys out numbered girls. Emotional and behavior problems detected by CBCL and PSC-17 were identified in 28% and 22% subjects, respectively. The most common problem was internalization (withdrawal, somatic complaints, anxiety/depression). The PSC-17 had sensitivity and specificity of 69.2% and 95.6% respectively. Positive and negative predictive values were 85.7% and 89%, whereas positive and negative likelihood ratios were 15.7 and 0.32.Conclusions The prevalence of emotional and behavior problems detected using CBCL and PSC-17 in obese children was 28% and 22%, respectively. The PSC-17 has moderate sensitivity to screen emotional and behavior problem in obese children.[Paediatr Indones. 2010;50:42-8].


2012 ◽  
Vol 19 (10) ◽  
pp. 895-900 ◽  
Author(s):  
R. Donfrancesco ◽  
M. Innocenzi ◽  
A. Marano ◽  
J. Biederman

2020 ◽  
Vol 40 (3) ◽  
pp. 172-186
Author(s):  
Alexandra Nicole Davis ◽  
Cathy Huaqing Qi

We examined the relations between language skills and behavior problems and whether social skills mediated these relations among preschool children enrolled in Head Start programs. Participants included 242 preschool children and their parents in Head Start programs. Over a 2-year period, parents and teachers reported children’s behavior problems using the Child Behavior Checklist Ages 1½-5, and social skills using the Social Skills Improvement System-Rating Scales. Children’s expressive and receptive language skills were assessed individually using the Preschool Language Scale-5. Results suggested that children’s early receptive language predicted later teacher-reported child internalizing and externalizing behaviors. Social skills did not mediate associations between language skills and parent- or teacher-reported child behavior problems.


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