Higher Frequency of Stuttered Disfluencies Negatively Affects Communicative Participation in Parkinson's Disease.
Purpose: Up to 90% of people with Parkinson's disease (PD) develop communication difficulties over the course of the disease. While the negative effect of dysarthria on communicative participation has been well-documented, the impact of the occurrence of acquired stuttered disfluencies on communicat...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 67; no. 10; pp. 3631 - 3643 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Speech-Language-Hearing Association
Oct2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=180161834&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 180161834 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Oct2024 vid: 67 iid: 10 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 180161834 10.1044/2024_JSLHR-24-00018 ppf: 3631 ppct: 12 formats: fmt: @attributes: type: P size: 803KB tig: atl: Higher Frequency of Stuttered Disfluencies Negatively Affects Communicative Participation in Parkinson's Disease. aug: au: Gooch, Eloïse Melzer, Tracy R. Horne, Kyla-Louise Grenfell, Sophie Livingston, Leslie Pitcher, Toni Dalrymple-Alford, John C. Anderson, Tim J. McAuliffe, Megan J. Theys, Catherine affil: Te Kura Mahi ā-Hirikapo School of Psychology, Speech, and Hearing, University of Canterbury, Christchurch, New Zealand New Zealand Brain Research Institute, Christchurch, New Zealand Department of Medicine, University of Otago, Christchurch, New Zealand Neurology Department, Christchurch Hospital, Te Whatu Ora Health New Zealand Te Kāhu Roro Reo New Zealand Institute of Language, Brain and Behaviour, University of Canterbury, Christchurch, New Zealand su: New Zealand Speech Interviewing Communication Dysarthria Research funding Data analysis Parkinson's disease Descriptive statistics Stuttering Speech evaluation Statistics Data analysis software sug: subj: Speech Interviewing Communication New Zealand Dysarthria Research funding Data analysis Parkinson's disease Descriptive statistics Stuttering Speech evaluation Statistics Data analysis software ab: Purpose: Up to 90% of people with Parkinson's disease (PD) develop communication difficulties over the course of the disease. While the negative effect of dysarthria on communicative participation has been well-documented, the impact of the occurrence of acquired stuttered disfluencies on communication in different speech situations is unknown. This study aimed to determine if the frequency of occurrence of stuttered disfluencies affects communicative participation in individuals with PD, and whether such a relationship is mediated by examiner- and self-rated measures of disease severity. Method: Conversational speech samples were collected from 100 people with PD aged 53-91 years to calculate the frequency of occurrence of stuttered disfluencies. Participants completed the Communicative Participation Item Bank to assess participation in communicative situations. Information on overall speech, cognitive, and motor performance was collected using both self-rated and examiner-rated methods. Results: Participants with PD presented with 0.2%-9.9% stuttered disfluencies during conversation. Overall, participants with PD reported their communicative participation to be impacted "a little" (19.5 ± 7.0), but there was considerable interindividual variation. A higher frequency of stuttered disfluencies was associated with significantly lower communicative participation (1 = -0.32, p < .01). In addition, examiner-rated frequency of stuttered disfluencies (p < .01), speech (p < .01), and motor severity (p = .04) were all significant predictors of communicative participation. Using self-ratings, speech (p < .01) and cognitive (p < .01) measures significantly predicted communicative participation. Conclusions: In people with PD, communicative participation was significantly worse for those with a higher frequency of stuttered disfluencies. Examiner- and self-rated measures of disease severity contributed different information related to communicative constraints. Together, these results highlight the importance of individualized and holistic speech therapy that considers a wide variety of symptoms, including stuttered disfluencies, to ensure positive functional outcomes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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