Preliminary study of disfluency in school‐aged children with autism
Open accessAbstract
Background: In recent years, there has been increased identification of disfluencies in individuals with autism, but limited examination of disfluencies in the school‐age range of this population. We currently lack information about whether the disfluencies of children with autism represent concomitant stuttering, normal disfluency, excessive normal disfluency, or some form of disfluency unique to the school‐age population of children with autism. Aims: This paper explores the nature of disfluencies in school‐aged children with autism in comparison with matched children who stutter and controls. It explores stuttering‐like disfluencies, non‐stuttering‐like disfluencies and word‐final disfluencies. Methods & Procedures: This study compared disfluency patterns in 11 school‐aged children with Asperger's syndrome (AS), 11 matched children who stutter (CWS), and 11 matched children with no diagnosis (ND). Analyses were based on speech samples collected during an expository discourse task. Outcomes & Results: Results reveal statistically significant differences between children with AS and CWS and between children with AS and those with ND for the percentage of words containing stuttering‐like disfluencies. In the AS group, four out of 11 (36%) met the common diagnostic criteria for a fluency disorder. Disfluencies in the AS group differed qualitatively and quantitatively from the CWS, and included a larger distribution of word‐final disfluencies. Conclusions & Implications: This study provides initial data regarding patterns of disfluency in school‐aged children with AS that, with careful consideration and the cautious application of all findings, can assist therapists in making more evidence‐based diagnostic decisions. Findings offer evidence that when working with children with AS, disfluencies both similar and dissimilar to those of CWS may be identified in at least a subset of those with AS. Therefore, children with AS should be screened for fluency disorders during their initial evaluation and treated if it is determined that the fluency disorder negatively impacts the effectiveness of communication.
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Children and adults with ASD produce unusually high rates of various speech disfluencies.
“A significant body of research suggests that children and adults with ASD produce unusually high rates of various speech disfluencies [16, 35, 42, 50, 51, 54], but only three studies have specifically examined UM and UH.”
From Linguistic camouflage in girls with autism spectrum disorder (2017) · cites this paper as [50]
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- Authors
- Scaler Scott, K., Tetnowski, J. A., Flaitz, J. R., & Yaruss, J. S.
- Affiliations
- Misericordia University Department of Speech–Language Pathology Dallas PA USA
- University of Louisiana at Lafayette (US)
- University of Pittsburgh (US)
- Venue
- International Journal of Language & Communication Disorders
- Publisher
- Wiley
- Published
- 2013-09-11
- Volume
- 49
- Issue
- 1
- Pages
- 75-89
- ISSN
- 1368-2822 (ISSN-L)
- 1460-6984
- OpenAlex
- W1949831792
- Cited by
- 56
- References
- 70
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 3 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Language & Communication Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Stuttering Research and Treatment
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- autism spectrum disorder, Asperger syndrome, stuttering, disfluency, school-aged children, stuttering-like disfluencies, speech screening, expository discourse
- MeSH terms
- Autistic Disorder, Child, Humans, Male, Pilot Projects, Speech, Speech Production Measurement, Speech Therapy, Stuttering, Verbal Behavior, Asperger Syndrome, Evidence-Based Practice
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