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Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency
Abstract
Unlabelled The aim of the present study was to assess the effectiveness of an Acceptance and Commitment Therapy group intervention program for adults who stutter (N=20). The program consisted of 2-h therapeutic sessions conducted weekly for eight consecutive weeks. It was an integrated program designed to improve: (a) psychosocial functioning, (b) readiness for therapy and change, (c) utilisation of mindfulness skills and psychological flexibility, and (d) frequency of stuttering. The findings provide innovative evidence for Acceptance and Commitment Therapy as an effective intervention with statistically significant improvements in psychosocial functioning, preparation for change and therapy, utilisation of mindfulness skills, and overall speech fluency. Follow-up data collected at three months post-treatment revealed that therapeutic gains were successfully maintained over time. These findings enhance the understanding of the impact of stuttering on psychological wellbeing and offer a new perspective on what might constitute successful stuttering treatment. Further, clinical research support is provided for Acceptance and Commitment Therapy delivered in a group format as a promising and novel intervention for adults who stutter.Educational objectives The reader will be able to: (a) appreciate the potential for Acceptance and Commitment Therapy for adults who stutter; (b) identify the improvements participants experienced in psychosocial functioning and frequency of stuttered speech; (c) appreciate the six core processes of Acceptance and Commitment Therapy; and (d) appreciate the differences between an ACT model of intervention for adults who stutter compared to a CBT approach.
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“Similar findings were reported by Beilby and colleagues (2012) who investigated the effect of the psychological–behavioral intervention, ACT, on adults who stutter. Their results demonstrated an improvement in the OASES instrument and major reductions in the adverse impact of stuttering on the lives of the participants, following participation in the program [50].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [50]
In the citing paper
“Other well-documented, effective approaches include the Comprehensive Stuttering Therapy Program (Langevin et al., 2010) and the Integrated Fluency and Acceptance and Commitment Therapy Intervention approach of Beilby et al. (2012) and Hart et al. (2024).”
From Multidimensional Individualized Stuttering Therapy Outcomes At 24 Months Post Clinic: An Embodiment and Awareness Perspective. (2025) · cites this paper as Beilby et al. (2012)
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“Most recently, a review of Acceptance and Commitment Therapy (ACT) programs has highlighted the potential usefulness of this clinical initiative for individuals who stutter (Beilby & Byrnes, 2012).”
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Trait and social anxiety in adults with chronic stuttering: Conclusions following meta-analysis
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Stuttering as Defined by Adults Who Stutter
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Self-citationEnacted stigma and felt stigma experienced by adults who stutter
Boyle, M. (2018) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2018.03.004 · Cited by 161
Blood, G. W., & Blood, I. M. (2016) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2016.10.002 · Cited by 124
Variability of Stuttering: Behavior and Impact
Tichenor, S. E., & Yaruss, J. S. (2021) · American Journal of Speech-Language Pathology · doi:10.1044/2020_ajslp-20-00112 · Cited by 105
“…treatment seek to help speakers understand their thoughts associated with stuttering and to defuse their emotional reactions from those thoughts (Beilby et al., 2013, 2012; Blood, 1995; Boyle, 2011; Cheasman, 2013; Emerick, 1988; Gupta et al., 2016; Harley, 2018; Helgadóttir et al., 2014;…”
BackgroundSelf-citation
Metadata
- Authors
- Beilby, J. M., Byrnes, M. L., & Yaruss, J. S.
- Affiliations
- Curtin University (AU)
- The University of Western Australia (AU)
- University of Pittsburgh (US)
- Corresponding author
- Beilby, Janet M.
- Venue
- Journal of Fluency Disorders
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 37
- Issue
- 4
- Pages
- 289-299
- ISSN
- 0094-730X (ISSN-L)
- OpenAlex
- W2071779407
- Cited by
- 188
- References
- 56
- Citations by year
- 2026: 16 · 2025: 21 · 2024: 13 · 2023: 17 · 2022: 23 · 2021: 13 · 2020: 15 · 2019: 11 · 2018: 11 · 2017: 8 · 2016: 18 · 2015: 11 · 2014: 6 · 2013: 3 · 2012: 1
- FWCI
- 7.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Fluency Disorders (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Stuttering Research and Treatment
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- acceptance and commitment therapy, stuttering, adults who stutter, group intervention, psychosocial adjustment, speech fluency, mindfulness, psychological flexibility, readiness to change, maintenance therapy, psychological well-being
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Psychotherapy, Surveys and Questionnaires, Social Adjustment, Speech, Stuttering, Treatment Outcome, Mind-Body Therapies, Young Adult
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