Social anxiety disorder and stuttering: current status and future directions.
Open accessAbstract
UNLABELLED: Anxiety is one of the most widely observed and extensively studied psychological concomitants of stuttering. Research conducted prior to the turn of the century produced evidence of heightened anxiety in people who stutter, yet findings were inconsistent and ambiguous. Failure to detect a clear and systematic relationship between anxiety and stuttering was attributed to methodological flaws, including use of small sample sizes and unidimensional measures of anxiety. More recent research, however, has generated far less equivocal findings when using social anxiety questionnaires and psychiatric diagnostic assessments in larger samples of people who stutter. In particular, a growing body of research has demonstrated an alarmingly high rate of social anxiety disorder among adults who stutter. Social anxiety disorder is a prevalent and chronic anxiety disorder characterised by significant fear of humiliation, embarrassment, and negative evaluation in social or performance-based situations. In light of the debilitating nature of social anxiety disorder, and the impact of stuttering on quality of life and personal functioning, collaboration between speech pathologists and psychologists is required to develop and implement comprehensive assessment and treatment programmes for social anxiety among people who stutter. This comprehensive approach has the potential to improve quality of life and engagement in everyday activities for people who stutter. Determining the prevalence of social anxiety disorder among children and adolescents who stutter is a critical line of future research. Further studies are also required to confirm the efficacy of Cognitive Behaviour Therapy in treating social anxiety disorder in stuttering. EDUCATIONAL OBJECTIVES: The reader will be able to: (a) describe the nature and course of social anxiety disorder; (b) outline previous research regarding anxiety and stuttering, including features of social anxiety disorder; (c) summarise research findings regarding the diagnostic assessment of social anxiety disorder among people who stutter; (d) describe approaches for the assessment and treatment of social anxiety in stuttering, including the efficacy of Cognitive Behaviour Therapy; and (e) outline clinical implications and future directions associated with heightened social anxiety in stuttering.
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Some self-help psychotherapies (such as Internet-assisted CBT and bibliotherapy CBT) are effective in reducing anxiety symptoms when compared with the wait list condition.
“we also found that some self-help psychotherapies (such as Internet-assisted CBT and bibliotherapy CBT) are effective in reducing anxiety symptoms when compared with the wait list condition”
From Different Types and Acceptability of Psychotherapies for Acute Anxiety Disorders in Children and Adolescents: A Network Meta-analysis (2019) · cites this paper as [40]
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“In our analysis, we have shown that CBT, but not BT,may have a positive association with various domains of a patient’s life, such as mental functioning, social and studyrelated relationships, level of discomfort, and engagement in everyday activities.(44)One theory thatmay explain the difference is that the cognitive…”
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Lidcombe Program telehealth treatment for children 6–12 years of age: A Phase II trial
Johnson, G., Onslow, M., Carey, B., Jones, M., & Kefalianos, E. (2024) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2024.106057 · Cited by 15 · see citing works
Stuttering: Understanding and Treating a Common Disability.
Sander, R. W., & Osborne, C. A. (2019) · PubMed · Cited by 15 · 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
- Authors
- Iverach, L., & Rapee, R. M.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Iverach, Lisa
- Venue
- Journal of Fluency Disorders
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 40
- Pages
- 69-82
- ISSN
- 0094-730X (ISSN-L)
- OpenAlex
- W2072792543
- Cited by
- 337
- References
- 119
- Citations by year
- 2026: 19 · 2025: 25 · 2024: 31 · 2023: 29 · 2022: 28 · 2021: 29 · 2020: 32 · 2019: 26 · 2018: 49 · 2017: 23 · 2016: 24 · 2015: 14 · 2014: 8
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Fluency Disorders (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Health and 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
- social anxiety disorder, stuttering, cognitive behavioral therapy, quality of life, fear of negative evaluation
- MeSH terms
- Anxiety, Emotions, Humans, Interpersonal Relations, Phobic Disorders, Surveys and Questionnaires, Stuttering, Cognitive Behavioral Therapy
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