말소리와 음성과학 (Phonetics and Speech Sciences)

  • 제8권3호
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  • Pages.79-90
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  • 2016
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  • 2005-8063(pISSN)
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  • 2586-5854(eISSN)
한국음성학회 (Korean Society of Speech Sciences)
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취학 전 말더듬 아동의 말더듬 중증도에 따른 발화 형태 별 조음속도 비교

Effects of stuttering severity on articulation rate in fluent and dysfluent utterances of preschool children who stutter

  • 투고 : 2016.08.02
  • 심사 : 2016.09.12
  • 발행 : 2016.09.30
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초록

The purpose of this study was to investigate the effects of stuttering severity on articulation rate measured from different types of utterances in preschool children who stutter. Participants were 40 boys who stutter (CWS) and age-matched 10 boys who do not stutter (CWNS). CWS were sub-grouped based on the severity of their stuttering: 15 mild, 13 moderate, and 12 severe. Utterances were categorized as "overall utterance" including all utterances that children spoke and "fluent utterance" which did not contain any disfluencies. Utterances containing abnormal disfluencies were categorized as "SLD utterance" for CWS. The results revealed no significant difference among groups in any type of utterance. There were significant positive correlations in articulation rates between utterance types. Stuttering severity was not a factor for characterizing the articulation rate of each type of utterance. Also, current findings suggest that articulation rate may not predict speech motor control ability in preschool CWS.

키워드

참고문헌

  1. Abbeduto, L. (1985). The effects of linguistic complexity on children's and adult's motor programming of speech. Language and Speech, 28, 361-375. https://doi.org/10.1177/002383098502800402
  2. Ambrose, N. G. & Yairi, E. (1999). Normative disfluency data for early childhood stuttering. Journal of Speech, Language, and Hearing Research, 42, 895-909. https://doi.org/10.1044/jslhr.4204.895
  3. Andrade, C. R. F., Cervone, L. M., & Sassi, F. C. (2003). Relationship between the stuttering severity index and speech rate. Sao Paulo Medical Journal, 121, 81-84. https://doi.org/10.1590/S1516-31802003000200010
  4. Arcuri, C. F., Osborn, E., Schiefer, A. M., & Chiari, B. M. (2009). Speech rate according to stuttering severity (original title: Taxa de elocucao de fala segundo a gravidade da gagueira). Pro-Fono Revista de Atualizacao Cientifica, 21(1), 45-50. https://doi.org/10.1590/S0104-56872009000100008
  5. Bloodstein, O. & Bernstein Ratner, N. (2008). A handbook on stuttering (6th edition). Clifton Park, NY: Thomson/Delmar Learning.
  6. Boersma, P. & Weenink, D. (2015). Praat: Doing phonetics by computer (Version 5.4.18) [Computer program]. Retrieved from www.praat.org on September 10, 2015.
  7. Chon, H. (2014). Comparisons of stuttering severity as measured by Paradise-Fluency Assessment (P-FA-II) and Stuttering Severity Instrument (SSI-4) and correlations among factors in each instrument. Journal of Speech-Language & Hearing Disorders, 23, 109-122. (전희정 (2014). 파라다이스-유창성검사(P-FA-II)와 말더듬 중증도 검사(SSI-4)를 사용한 말더듬인의 말더듬 중증도 비교 및 검사 요인들 간 상관 분석. 언어치료연구, 23, 109-122.)
  8. Chon, H. (2015). Measuring overall speech rate and articulation rate. In D. Ko (Ed.), Experimental phonetics for speech-language pathologists (pp. 293-314). Seoul: Hakjisa. (전희정 (2015). 전체 말속도 및 조음속도 측정. 고도흥 외 (2015). 음성언어의 측정, 분석 및 평가 (pp. 293-314). 서울: 학지사.)
  9. Chon, H., Ko, D., & Shin, M. (2004). Disfluency characteristics and speech rate of stuttering children. Korean Journal of Communication Disorders, 9, 102-115. (전희정.고도흥.신문자 (2004). 유창성장애 아동과 정상 아동의 비유창성과 말속도에 관한 비교 연구. 언어청각장애연구, 9, 102-115.)
  10. Chon, H., Sawyer, J., & Ambrose, N. (2012). Differences of articulation rate and utterance length in fluent and disfluent utterances of preschool children who stutter. Journal of Communication Disorders, 45, 455-467 https://doi.org/10.1016/j.jcomdis.2012.08.003
  11. Conture, E. & Melnick, K. (1999). The parent-child group approach to stuttering in preschool children. In M. Onslow & A. Packman (Eds.), The handbook of early stuttering intervention (pp. 17-52). San Diego: Singular.
  12. Craig, C. (2013). Goldwave (Version 5.70) [Computer software]. St. John's, NF, Canada: Goldwave Inc.
  13. Gaines, N. D., Runyan, C. M., & Meyers, S. C. (1991). A comparison of young stutterers' fluent versus stuttered utterances on measures of length and complexity. Journal of Speech and Hearing Research, 34, 37-42. https://doi.org/10.1044/jshr.3401.37
  14. Gottwald, S. (2010). Stuttering prevention and early intervention: A multidimensional approach. In B. Guitar & R. McCauley (Eds.), Treatment of stuttering: Established and emerging interventions (pp. 91-117). Philadelphia: Wolters-Kluwer.
  15. Guitar, B. (2006). Stuttering: An integrated approach to its nature and treatmen (3rd edition). Baltimore, MD: Lippincott Williams & Wilkins.
  16. Hall, K. D., Amir, O., & Yairi, E. (1999). A longitudinal investigation of speaking rate in preschool children who stutter. Journal of Speech, Language, and Hearing Research, 42, 1367-1377. https://doi.org/10.1044/jslhr.4206.1367
  17. Hall, N., Wagovich, S., & Bernstein Ratner, N. (2007). Language considerations in developmental stuttering. In E. Conture & R. Curlee (Eds.), Stuttering and related disorders of fluency (3rd edition) (pp. 153-167). NY: Thieme.
  18. Hutt, D. (1985). The relative speech rates of mothers and their children. M.A. Thesis, Temple University.
  19. Ingham, J. C. & Riley, G. (1998). Guidelines for documentation efficacy for young children who stutter. Journal of Speech, Language, and Hearing Research, 41, 753-770. https://doi.org/10.1044/jslhr.4104.753
  20. Kelly, E. M. (1994). Speech rates and turn-taking behaviors of children who stutter and their fathers. Journal of Speech and Hearing Research, 37, 1284-1294. https://doi.org/10.1044/jshr.3706.1284
  21. Kelly, E. M. & Conture, E. G. (1992). Speaking rates, response time latencies, and interrupting behaviors of young stutterers, nonstutterers, and their mothers. Journal of Speech and Hearing Research, 35, 1256-1267. https://doi.org/10.1044/jshr.3506.1256
  22. Kim, J. (2001). Development of speech rate in normal children of ages 3, 4 and 5 years. M.A. Thesis, Ewha Womans University. (김지연 (2001). 3-5 세 정상 아동의 말속도 발달 연구. 이화여자대학교 석사학위 논문.)
  23. Kim, T., Chang, K., & Lee, P. (2006). Increase in speaking rate by 3-8-year-old Korean children. Korean Journal of Speech Sciences, 13(3), 83-95. (김태경.장경희.이필영 (2006). 한국어 발화 속도의 연령별 증가에 관한 연구-만 3-8 세 아동을 대상으로. 음성과학, 13(3), 83-95.)
  24. Kleinow, J. & Smith, A. (2000). Influences of length and syntactic complexity on the speech motor stability of the fluent speech of adults who stutter. Journal of Speech, Language, and Hearing Research, 43, 548-559. https://doi.org/10.1044/jslhr.4302.548
  25. Kowal, S., O'Connell, D. C., & Sabin, E. J. (1975). Development of temporal patterning and vocal hesitations in spontaneous narratives. Journal of Psycholinguistic Research, 4, 195-207. https://doi.org/10.1007/BF01066926
  26. Lee, K., Shin, J., Kim, H., & Sim, H. (2003). The effects of changes of speech rate on the frequency of stutters in pre-school stuttering children. Korean Journal of Communication Disorders, 8, 134-148. (이경재.신지철.김향희.심현섭 (2003). 대화 상대자의 말속도 변화에 따른 말더듬 아동의 변화: 학령전기 말더듬 아동의 말속도와 말더듬 발생비율을 중심으로. 언어청각장애연구, 8, 134-148.)
  27. Lee, S. (2012). A study on prosodic characteristics of stutteringchildren. M.A. Thesis, Chungnam National University. (이송이 (2012). 말더듬 아동의 운율특성. 충남대학교 석사학위 논문.)
  28. Lee, S., Pae, S., Sim, H., Kim, Y., Kim, H., Shin, M., Han, J., Kim. J., & Lee, J. (2000). Introduction to communication disorders. Seoul: Hana Medical Publishing Company. (이승환.배소영.심현섭.김영태.김향희.신문자.한재순.김진숙.이정학 (2000). 의사소통 장애학 개론. 서울: 하나의학사.)
  29. Lee, S. & Sim, H. (2015). A longitudinal study of utterance length in morphemes as a predictor of treatment outcome in early childhood stuttering. Communication Sciences & Disorders, 20, 189-201. (이수복.심현섭 (2015). 초기 말더듬아동의 치료 후 말더듬회복 예측요인에 관한 종단연구: 발화길이를 중심으로. 언어청각장애연구, 20, 189-201.) https://doi.org/10.12963/csd.15245
  30. Lee, S. & Sim, H. (2016). Fluency predictor variables in early stuttering intervention for children. Communication Sciences & Disorders, 21, 382-396. (이수복.심현섭 (2016). 초기 말더듬아동의 치료효과 예측변인 연구. 언어청각장애연구, 21, 382-396.) https://doi.org/10.12963/csd.16311
  31. Logan, K. J. & Conture, E. (1995). Length, grammatical complexity, and rate differences in stuttered and fluent conversational utterances of children who stutter. Journal of Fluency Disorders, 20, 35-61. https://doi.org/10.1016/0094-730X(94)00008-H
  32. MacPherson, M. & Smith, A. (2012). Influences of sentence length and syntactic complexity on the speech motor control of children who stutter. Journal of Speech, Language, and Hearing Research, 56, 89-102.
  33. Malecott, A., Johnston, R., & Kizziar, P. A. (1972). Syllabic rate and utterance length in French. Phonetica, 26, 235-251. https://doi.org/10.1159/000259414
  34. Manning, W. H. (2010). Clinical decision making in fluency disorders (3rd edition). Clifton Park, NY: Delmar Cengage Learning.
  35. Manning, W. H. & Shirkey, E. A. (1981). Fluency and the aging process. In D. S. Beasley & G. A. Davis (Eds.), Aging: Communication processes and disorders. New York: Grune & Stratton.
  36. Meyers, S. C. & Freeman, F. (1985). Interruptions as a variable in stuttering and disfluency. Journal of Speech and Hearing Disorders, 28(3), 428-435. https://doi.org/10.1044/jshr.2803.435
  37. Millard, S. K., Nicholas, A., & Cook, F. M. (2008). Is parent-child interaction therapy effective in reducing stuttering? Journal of Speech, Language, and Hearing Research, 51, 636-650. https://doi.org/10.1044/1092-4388(2008/046)
  38. O'Keefe, D. (2007). Post hoc power, observed power, a priori power, retrospective power, prospective power, achieved power: Sorting out appropriate uses of statistical power analyses. Communication methods and measures, 1(4), 291-299. https://doi.org/10.1080/19312450701641375
  39. Olsen, W. C. & Koetzle, V. S. (1936). Amount and rate of talking of young children. Journal of Experimental Education, 5, 175-179. https://doi.org/10.1080/00220973.1936.11010038
  40. Onwuegbuzie, A. J. & Leech, N. L. (2004). Post hoc power: A concept whose time has come. Understanding Statistics, 3(4), 201-230. https://doi.org/10.1207/s15328031us0304_1
  41. Park, J. & Kwon, D. (2010). According to the severity of stuttering adults of speed rate characteristics comparison study. Journal of Special Education: Theory and Practice, 11, 129-146. (박진원.권도하 (2010). 말더듬 성인의 심한정도에 따른 구어속도 특성 비교연구. 특수교육저널: 이론과 실천, 11, 129-146.)
  42. Pellowski, M. (2010). Speech-language pathologists' knowledge of speaking rate and its relationship to stuttering. Contemporary Issues in Communication Science and Disorders, 37, 50-57.
  43. Pindzola, R. H., Jenkins, M. M., & Lokken, K. J. (1989). Speaking rates of young children. Language, Speech, and Hearing Services in Schools, 20, 133-138. https://doi.org/10.1044/0161-1461.2002.133
  44. Riley, G. (2009). Stuttering severity instrument for children and adults (4th edition). Austin, TX: Pro-ed.
  45. Ryan, B. P. (1992). Articulation, language, rate, and fluency characteristics of stuttering and nonstuttering preschool children. Journal of Speech and Hearing Research, 35, 333-342. https://doi.org/10.1044/jshr.3502.333
  46. Sadagopan, N. & Smith, A. (2008). Developmental changes in the effects of utterance length and complexity on speech movement variability. Journal of Speech, Language, and Hearing Research, 51, 1138-1151. https://doi.org/10.1044/1092-4388(2008/06-0222)
  47. Sawyer, J., Chon, H., & Ambrose, N. G. (2008). Influences of rate, length, and complexity on speech disfluency in a single speech sample in preschool children who stutter. Journal of Fluency Disorders, 33, 220-240. https://doi.org/10.1016/j.jfludis.2008.06.003
  48. Sawyer, J. & Yairi, E. (2010). Characteristics of disfluency clusters over time in preschool children who stutter. Journal of Speech, Language, and Hearing Research, 53, 1191-1205. https://doi.org/10.1044/1092-4388(2010/09-0067)
  49. Sim, H., Shin, M., & Lee, E. (2010). Paradise-fluency assessment (2nd edition). Seoul: Paradise Welfare Foundation. (심현섭.신문자.이은주 (2010). 파라다이스-유창성검사-II. 서울: 파라다이스 복지재단.)
  50. Tasko, S., McClean, M., & Runyan, C. (2007). Speech motor correlates of treatment-related changes in stuttering severity and speech naturalness. Journal of Communication Disorders, 40, 42-65. https://doi.org/10.1016/j.jcomdis.2006.04.002
  51. Tumanova, V., Zebrowski, P., Throneburg, R., & Kayikci, M. (2011). Articulation rate and its relationship to disfluency type, duration and temperament in preschool children who stutter. Journal of Communication Disorders, 44, 116-129. https://doi.org/10.1016/j.jcomdis.2010.09.001
  52. van Lieshout, P. H. H. M., Hulstijn, W., & Peters, H. F. M. (2004). Searching for the weak link in the speech production chain of people who stutter: A motor skill approach. In B. Maassen, R. Kent, H. Peters, P. van Lieshout, & W. Hulstijn (Eds.), Speech motor control in normal and disordered speech (pp. 313-356). New York: Oxford University Press.
  53. Walker, J. & Archibald, L. (2006). Articulation rate in preschool children: A 3-year longitudinal study. International Journal of Language & Communication Disorders, 41, 541-565. https://doi.org/10.1080/10428190500343043
  54. Walker, J., Archibald, L., Cherniak, S., & Fish, V. G. (1992). Articulation rate in 3- and 5-year-old children. Journal of Speech and Hearing Research, 35, 4-13. https://doi.org/10.1044/jshr.3501.04
  55. Walsh, B., Mettel, K. M., & Smith, A. (2015). Speech motor planning and execution deficits in early childhood stuttering. Journal of Neurodevelopmental Disorders, 7(1), 1-12. https://doi.org/10.1186/1866-1955-7-1
  56. Weiss, A. L. & Zebrowski, P. M. (1992). Disfluencies in the conversations of young children who stutter: Some answers about questions. Journal of Speech and Hearing Research, 35, 1230-1238. https://doi.org/10.1044/jshr.3506.1230
  57. Wexler, K. B. & Mysak, E. D. (1982). Disfluency characteristics of 2-, 4- and 6-year-old males. Journal of Fluency Disorders, 7, 37-46. https://doi.org/10.1016/0094-730X(82)90036-5
  58. Yairi, E. & Ambrose, N. G. (2005). Early Childhood Stuttering: For clinicians by clinicians. Austin, TX: Pro-Ed.
  59. Yairi, E. & Seery, C. H. (2011). Stuttering: Foundations and clinical applications. Boston: Pearson.
  60. Yaruss, J. S. & Conture, E. G. (1995). Mother and child speaking rates and utterance lengths in adjacent fluent utterances: Preliminary observations. Journal of Fluency Disorders, 20, 257-278. https://doi.org/10.1016/0094-730X(94)00013-J
  61. Yaruss, J. S. & Quesal, R. W. (2004). Stuttering and the international classification of functioning, disability, and health (ICF): An update. Journal of Communication Disorders, 37(1), 35-52. https://doi.org/10.1016/S0021-9924(03)00052-2
  62. Zackheim, C. T. & Conture, E. (2003). Childhood stuttering and speech disfluencies in relation to children's mean length of utterance: A preliminary study. Journal of Fluency Disorders, 28, 115-142. https://doi.org/10.1016/S0094-730X(03)00007-X
  63. Zebrowski, P. M. (1994). Stuttering. In J. B. Tomblin, H. L. Morris, & D. C. Spriestersbach (Eds.), Diagnosis in speech-language pathology. San Diego: Singular Publishing Group.