The Relationship between Anxiety and Stuttering: A Multidimensional Approach
Abstract
Unlabelled The relationship between anxiety and stuttering is equivocal from both clinical and empirical perspectives. This study examined the relationship within the framework of the multidimensional interaction model of anxiety that includes an approach to general anxiety in specific situations [J. Pers. Soc. Psychol. 60 (1991) 919]. Ninety-four males aged 18-43, half disfluent speakers and half fluent speakers completed two questionnaires: The Trait Anxiety Inventory [C.D. Spielberger, R.L. Gorsuch, R.E. Lushene, Manual for the State-Trait Anxiety Inventory (Self Evaluation Questionnaire), Consulting Psychologists Press, Palo Alto, CA, 1970] and the Speech Situation Checklist [G.J. Brutten, Neurolinguistic Approaches to Stuttering, Mouton, The Hague; G.J. Brutten, Stuttering: A Second Symposium, Harper and Row, New York, 1973; G.J. Brutten, P. Janssen, Proceedings 18th Congress of the International Association of Logopedics and Phoniatrists, Washington, DC, 1975; M. Vanryckeghem, Proceedings of the XXIVth Congress of the International Association of Logopedists and Phoniatrists, Nijmegen University Press, Nijmegen, 1981]. In addition, after performing speech and non-speech tasks, participants evaluated their level of anxiety on a subjective scale, labeled Task-Related Anxiety--TRA. The stuttering group also evaluated the level of severity of their stuttering. Findings indicate that trait anxiety is higher among people who stutter compared to fluent speakers, thus indicating that anxiety is a personality trait of people who stutter. State anxiety in social communication is higher among severe stutterers as compared to mild stutterers and fluent speakers. Thus, state anxiety is related to stuttering severity. The results are discussed in the frame of the multidimensional model of anxiety.Educational objectives The reader will be able to: (1) describe the multidimensional anxiety model; (2) extend the model to the relations between stuttering and anxiety; (3) describe stuttering severity in relation to the levels of anxiety within the model.
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Adults who stutter may experience emotional struggles, shyness, social-avoidance behaviours, and high levels of chronic anxiety, particularly social anxiety.
“AWS may have to cope on a daily basis with emotional struggles during stuttering, as well as shyness and social-avoidance behaviours that result from fear of coping with communication in certain social situations, and high levels of chronic anxiety, particularly social anxiety [3,7,8].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [8]
Some of the psychological adverse symptoms associated with stuttering are manifested by high levels of chronic anxiety, particularly social anxiety.
“Some of the psychological adverse symptoms associated with stuttering are manifested by high levels of chronic anxiety, particularly social anxiety [3,7,8].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [8]
Awareness is beneficial to self-acceptance of adults who stutter and contributes to acceptance of stuttering.
“Awareness is beneficial to self-acceptance of the AWS and contributes to acceptance of the stuttering [1,3,8,17,18,19].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [8]
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The concentrations of bioelements in the hair samples of Jordanian children who stutter
Alqhazo, M. T., & Rashaid, A. B. (2018) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2018.06.045 · Cited by 16 · see citing works
Craig, A. R., Blumgart, E., & Tran, Y. (2015) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2015.03.001 · Cited by 15 · see citing works
Cognitive behaviour language therapy for speech anxiety among stuttering school adolescents
Nnamani, A. P., Akabogu, J., Otu, M. S., Ukoha, E., Uloh-Bethels, A. C., Omile, J. C., Obiezu, M. N., Dike, A. E., Ike, C. V., & Iyekekpolor, O. M. (2019) · Journal of International Medical Research · doi:10.1177/0300060519853387 · Cited by 15 · see citing works
Rowley, D. (2012) · doi:10.1002/9781118702796.ch14 · Cited by 15 · see citing works
Manning, W., & Beck, J. G. (2010) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2010.09.001 · Cited by 15 · see citing works
Testosterone levels of children with a diagnosis of developmental stuttering
Selçuk, E. B., Erbay, L. G., Özcan, Ö., Kartalcı, Ş., & Batçıoğlu, K. (2015) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s83129 · Cited by 14 · see citing works
The Stammering Information Programme: A Delphi study
Berquez, A., Cook, F. M., Millard, S. K., & Jarvis, E. (2011) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2011.02.007 · Cited by 15 · see citing works
Vanryckeghem, M., Ruddy, B. H., & Lehman, J. J. (2015) · Journal of Voice · doi:10.1016/j.jvoice.2015.03.007 · Cited by 14 · see citing works
Feldman, O., Goldstien, E., Rolnik, B., Ganz, A. B., & Lev-Ari, S. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10102187 · Cited by 13 · see citing works
“Some of the psychological adverse symptoms associated with stuttering are manifested by high levels of chronic anxiety, particularly social anxiety [3,7,8].”
BackgroundFactors Associated With Symptoms of Anxiety and Depression in Children Who Stutter
Bernard, R., & Norbury, C. (2023) · Language Speech and Hearing Services in Schools · doi:10.1044/2022_lshss-22-00086 · Cited by 15 · see citing works
The Association Between Stuttering Burden and Psychosocial Aspects of Life in Adults
Engelen, M. M., Franken, M.-C. J. P., Stipdonk, L. W., Horton, S. E., Jackson, V. E., Reilly, S., Morgan, A. T., Fisher, S. E., van Dulmen, S., & Eising, E. (2024) · Journal of Speech Language and Hearing Research · doi:10.1044/2024_jslhr-23-00562 · Cited by 18 · see citing works
Rosenberg, H., & Kohn, A. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.04.008 · Cited by 13 · see citing works
Mood state sub-types in adults who stutter: A prospective study
Tran, Y., Blumgart, E., & Craig, A. R. (2017) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2017.10.001 · Cited by 14 · see citing works
Major controversies in Fluency Disorders: Clarifying the relationship between anxiety and stuttering
Craig, A. R. (2014) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2014.05.001 · Cited by 13 · see citing works
Effects of Stuttering on Quality of Life in Adults Who Stutter
Kasbi, F., Mokhlesin, M., Maddah, M., Noruzi, R., Monshizadeh, L., & Mir Mohammad Khani, M. (2015) · Middle East Journal of Rehabilitation and Health · doi:10.17795/mejrh-25314 · Cited by 23 · see citing works
Chard, I., Zalk, N. V., & Picinali, L. (2023) · Frontiers in Virtual Reality · doi:10.3389/frvir.2023.1159549 · Cited by 12 · see citing works
Autonomic nervous system imbalance in young adults with developmental
Doruk, A., Türkbay, T., Yelboğa, Z., Çiyiltepe, M., İyisoy, A., Sütçigil, L., & Özşahin, A. (2008) · Psychiatry and Clinical Psychopharmacology · Cited by 11 · see citing works
The Influence of Stuttering Severity on Acoustic Startle Responses
Ellis, J. B., Finan, D. S., & Ramig, P. R. (2008) · Journal of Speech Language and Hearing Research · doi:10.1044/1092-4388(2008/061 · Cited by 11 · see citing works
de Veer, S., Brouwers, A. H., Evers, W. J. G., & Tomic, W. (2009) · DSpace (Open University in the Netherlands) · Cited by 11 · see citing works
Self-esteem and anxiety in stuttering children and attitude of their parents
Chérif, L., Boudabous, J., Khmakhem, K., Kammoun, S., Kacem, I., Ayadi, H., & Moalla, Y. (2018) · Health Education and Care · doi:10.15761/hec.1000138 · Cited by 10 · see citing works
Rodgers, N. H., Lau, J. Y. F., & Zebrowski, P. M. (2021) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2021.106179 · Cited by 10 · see citing works
Effortful control and adaptive functioning in school-age children who stutter
Hollister, J., Zebrowski, P. M., Horne, A. O. V., McGregor, K., Vispoel, W., & Walden, T. A. (2015) · doi:10.17077/etd.1z9h6ynb · Cited by 10 · see citing works
Stuttering severity and social anxiety among adults who stutter: A multilevel analysis
Lei, X., Nguyen‐Feng, V. N., & Sasisekaran, J. (2024) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2024.106088 · Cited by 9 · see citing works
Personality Dimensions of Speech-Language Pathologists Who Work With Clients Who Stutter
Freud, D., Zukerman, G., & Icht, M. (2019) · Communication Disorders Quarterly · doi:10.1177/1525740119886538 · Cited by 9 · see citing works
Svenning, A., Panzarino, R. W., Vanryckeghem, M., & Vestner, T. (2020) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2020.105821 · Cited by 9 · see citing works
Anxiety, Social Phobia, Depression, and Suicide among People Who Stutter; A Review Study
Rezaeian, M., Akbari, M., Shirpoor, A. H., moghadasi, Z., zadeh, N. C., Nikdel, Z., & Hejri, M. (2020) · Journal of Occupational Health and Epidemiology · doi:10.29252/johe.9.2.98 · Cited by 9 · see citing works
Comparison of Stuttering Severity and Anxiety During Standard and Challenge Phone Calls
O’Brian, S., Onslow, M., Jones, M., Lowe, R., Packman, A., & Menzies, R. G. (2022) · Journal of Speech Language and Hearing Research · doi:10.1044/2021_jslhr-21-00365 · Cited by 8 · see citing works
Burgoon, J. K., Wang, R. X., Chen, X., Ge, T. S., & Dorn, B. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.781487 · Cited by 8 · see citing works
Communication-Related and General Locus of Causality of Male Adults Who Stutter
Shin, M., & Lee, K. (2013) · Eon'eo cheong'gag jang'ae yeon'gu/Communication sciences & disorders · doi:10.12963/csd.14130 · Cited by 8 · see citing works
O que fonoaudiólogos e estudantes de fonoaudiologia entendem por fluência e disfluência
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Evaluation of disfluent speech by means of automatic acoustic measurements
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Memory for vocal tempo and pitch
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Izazovi i perspektive svakodnevnog života iz iskustva žena koje mucaju
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Weak Vestibular Response in Persistent Developmental Stuttering
Gattie, M., Lieven, E., & Kluk, K. (2021) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2021.662127 · Cited by 6 · see citing works
The sound of uncertainty: Examining managerial acoustic uncertainty in conference calls
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Cummins, R. (2018) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-017-0039-z · Cited by 5 · see citing works
Age-related changes in word retrieval vary by self-reported anxiety but not depression symptoms
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- Authors
- Ezrati-Vinacour, R., & Levin, I.
- Affiliations
- Sheba Medical Center (IL)
- Tel Aviv University (IL)
- Corresponding author
- Ezrati-Vinacour, Ruth
- ORCID
- Levin, Iris
- Venue
- Journal of Fluency Disorders
- Publisher
- Elsevier BV
- Published
- 2004-01
- Volume
- 29
- Issue
- 2
- Pages
- 135-148
- ISSN
- 0094-730X (ISSN-L)
- OpenAlex
- W2027429995
- Cited by
- 193
- References
- 55
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 9 · 2023: 8 · 2022: 13 · 2021: 12 · 2020: 7 · 2019: 7 · 2018: 9 · 2017: 11 · 2016: 15 · 2015: 15 · 2014: 12 · 2013: 8 · 2012: 4
- FWCI
- 5.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Fluency Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Stuttering Research and Treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Communication in Education and Healthcare
- Keywords
- stuttering, anxiety, trait anxiety, state anxiety, stuttering severity
- MeSH terms
- Adolescent, Adult, Anxiety, Humans, Male, Surveys and Questionnaires, Speech Production Measurement, Stuttering, Reproducibility of Results
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