Recovery from stuttering in preschool-age children: 9 year outcomes in a clinical population

• Published in: Journal of fluency disorders 2018-12, Vol.58, p.35-46
• Main Authors: Franken, Marie-Christine J.P., Koenraads, Simone P.C., Holtmaat, Carike E.M., van der Schroeff, Marc P.
• Format: Article
• Language: English
• Subjects: Child; Child, Preschool; Children & youth; Clinical outcomes; Female; Fluency; Follow-Up Studies; Humans; Longitudinal Studies; Longitudinal study; Male; Medical personnel; Prospective Studies; Recovery (Medical); Recovery rate; Self evaluation; Self Report; Speech disorders; Speech-language pathologists; Stuttering; Stuttering - epidemiology; Stuttering - therapy
• ISSN: 0094-730X; 1873-801X
• DOI: 10.1016/j.jfludis.2018.09.003

•Children’s self-report on recovery from stuttering should not replace traditional criteria (expert rating and parental report).•Children’s self-report needs to be added when considering the status of stuttering.•Future studies on recovery should add self-reports to improve the validity of the stuttering recovery rate estimates.•Clinicians are recommended to take into account children’s self-report on stuttering status. The first purpose was to define the recovery rate in children who stutter in a clinical sample, adding self-report to validate recovery status. The second purpose was to explore whether children who were judged to be recovered showed subjective experiences that might be interpreted as coping behaviors used to control speech fluency. In this longitudinal study, preschool-age children whose parents consulted a speech-language pathologist about stuttering were followed for 9 years. At follow-up, children’s self-reports on stuttering were reported, as well as traditional criteria on recovery (parental and expert judgment). The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) was used to collect children’s experiences with speaking. Eleven of the 15 children (73%) were judged by parents and clinicians to have recovered from stuttering. However, when considering children’s self-reports, 9 children (60%) might be considered to have recovered. In addition, 3 children who were judged to be recovered reported experiences with speaking that were uncommon, even compared to children who continued to stutter. In this exploratory study of a clinical population, the recovery rate in children that received treatment for stuttering appeared to be comparable to a non-clinical population. Considering self-reports can improve validity of assessing the “recovery rate”. Moreover, recovery in children may not be effortless; instead, it may be the result of conscious or unconscious coping behavior. Future studies are recommended to consider self-reports to improve validity of recovery, and to document experiences with speaking to explore effortless, spontaneous fluency versus controlled fluency.