The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.
The relationship between mental health disorders and treatment outcomes among adults who stutter
Abstract
Unlabelled The ability to reduce stuttering in everyday speaking situations is the core component of the management plan of many who stutter. However, the ability to maintain the benefits of speech-restructuring treatment is known to be compromised, with only around a third of clients achieving this [Craig, A. R., & Hancock, K. (1995). Self-reported factors related to relapse following treatment for stuttering. Australian Journal of Human Communication Disorders, 23, 48-60; Martin, R. (1981). Introduction and perspective: Review of published research. In E. Boberg (Ed.), Maintenance of fluency. New York: Elsevier]. The aim of this study was to determine whether the presence of mental health disorders contributes to this failure to maintain fluency after treatment. Assessments for mental health disorders were conducted with 64 adults seeking speech-restructuring treatment for their stuttering. Stuttering frequency, self-rated stuttering severity and self-reported avoidance were measured before treatment, immediately after treatment and 6 months after treatment. Stuttering frequency and situation avoidance were significantly worse for those participants who had been identified as having mental health disorders. The only subgroup that maintained the benefits of the treatment for 6 months was the third of the participants without a mental health disorder. These results suggest that prognosis for the ability to maintain fluency after speech restructuring should be guarded for clients with mental health disorders. Further research is needed to determine the benefits of treating such disorders prior to, or in combination with, speech-restructuring.Educational objectives The reader will (1) evaluate the impact of one or more mental health disorders on medium-term outcomes from speech-restructuring treatment for stuttering, (2) describe how this finding affects prognosis for certain groups of stuttering clients, (3) evaluate how these finding are consistent with estimates of post-treatment relapse after speech-restructuring treatment, (4) describe two test instruments for detecting mental health disorders, and (5) outline the findings about the relation between pre-treatment stuttering severity and mental health disorders.
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“Stuttering is routinely treated directly by a speech therapist (“direct” treatment); however, according to the literature, this kind of treatment is less effective as an exclusive treatment and may be beneficially combined with”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [10]
Citations
Cites
Stuttering and the basal ganglia circuits: a critical review of possible relations
Alm, P. A. (2004) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2004.03.001 · Cited by 587
A scale to measure locus of control of behaviour
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Assessment and Diagnosis of Personality Disorders
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An Experimental Clinical Trial of a Cognitive-Behavior Therapy Package for Chronic Stuttering
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Detecting Personality Disorders in a Nonclinical Population
Lenzenweger, M. F. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830160073010 · Cited by 250
Meta-Analysis of the Effects of Stuttering Treatment
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The Camperdown Program: outcomes of a new prolonged-speech treatment model.
O'Brian, S., Onslow, M., Cream, A., & Packman, A. (2003) · Journal of Speech, Language and Hearing Research · doi:10.1044/1092-4388(2003/073 · Cited by 196
Social anxiety in stuttering: measuring negative social expectancies
Messenger, M., Onslow, M., Packman, A., & Menzies, R. G. (2004) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2004.06.002 · Cited by 190
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- Martin, 1981, Introduction and perspective: Review of published research
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Social anxiety disorder and stuttering: current status and future directions.
Iverach, L., & Rapee, R. M. (2014) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2013.08.003 · Cited by 337
“In the first study to investigate the relationship between mental disorders and speech treatment outcomes among adults who stutter, Iverach et al. (2009b) found that the only subgroup of participants to maintain speech treatment benefits for six months was the one-third without a mental disorder.”
BackgroundSocial anxiety disorder in adults who stutter
Blumgart, E., Tran, Y., & Craig, A. R. (2010) · Depression and Anxiety · doi:10.1002/da.20657 · Cited by 265
“Iverach et al.([15]) showed that AWS had a high risk of having a co-morbid psychological disorder which was linked to less successful long-term treatment outcomes for stuttering, and stuttering has recently been found to have an elevated risk for personality disorder.”
BackgroundCognitive Behavior Therapy for Adults Who Stutter: A Tutorial for Speech-Language Pathologists
Menzies, R. G., Onslow, M., Packman, A., & O’Brian, S. (2009) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2009.09.002 · Cited by 202
Self-citationNatural History of Stuttering to 4 Years of Age: A Prospective Community-Based Study
Reilly, S., Onslow, M., Packman, A., Cini, E., Conway, L. J., Ukoumunne, O. C., Bavin, E. L., Prior, M. R., Eadie, P. A., Block, S., et al. (2013) · PEDIATRICS · doi:10.1542/peds.2012-3067 · Cited by 188
“A literature review, incorporating the US Preventive Services Task Force systematic review examining preschool speech and language delay (including stuttering),23 identified 12 putative risk factors: male gender (1), perinatal factors (2–4; twin birth, preterm birth, and birth weight), birth order (5), family history…”
BackgroundAlm, P. A. (2014) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2014.01.004 · Cited by 177
Metadata
- Authors
- Iverach, L., Jones, M., O’Brian, S., Block, S., Lincoln, M., Harrison, E., Hewat, S., Cream, A., Menzies, R. G., Packman, A., & Onslow, M.
- Affiliations
- The University of Sydney (AU)
- The University of Queensland (AU)
- La Trobe University (AU)
- Macquarie University (AU)
- University of Newcastle Australia (AU)
- Corresponding author
- Onslow, Mark
- ORCID
- Venue
- Journal of Fluency Disorders
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 34
- Issue
- 1
- Pages
- 29-43
- ISSN
- 0094-730X (ISSN-L)
- OpenAlex
- W1973924569
- Cited by
- 155
- References
- 48
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 5 · 2023: 8 · 2022: 13 · 2021: 13 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 8 · 2015: 15 · 2014: 6 · 2013: 11 · 2012: 11
- FWCI
- 13.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Fluency Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- 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 › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- stuttering, mental illness, maintenance of treatment effects, relapse, stuttering frequency, stuttering severity, prognosis, adults who stutter
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Female, Humans, Longitudinal Studies, Male, Middle Aged, Neuropsychological Tests, Severity of Illness Index, Speech, Speech Production Measurement, Speech Therapy, Stuttering, Treatment Outcome, Young Adult
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