Can Stuttering on Content Versus Function Words Predict Stuttering Persistence in Young Children?

Purpose: The widely cited shift from function to content word stuttering is based largely on cross-sectional studies using broad binary word-class distinctions, which may obscure group differences. This study tested whether the distribution of stuttering-like disfluencies (SLDs) by finer grained par...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 7; pp. 3162 - 3179
Autores principales: Rosvold, Carly, Bernstein Ratner, Nan
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jul2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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      pub: American Speech-Language-Hearing Association
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        10.1044/2026_JSLHR-25-00530
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        atl: Can Stuttering on Content Versus Function Words Predict Stuttering Persistence in Young Children?
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        au:
          Rosvold, Carly
          Bernstein Ratner, Nan
        affil: Department of Hearing and Speech Sciences, University of Maryland, College Park.
      su:
        Maryland
        Linguistics
        Analysis of variance
        Language acquisition
        Children
        Repeated measures design
        Grammar
        Research funding
        Statistical hypothesis testing
        Secondary analysis
        Data analysis
        Logistic regression analysis
        Fisher exact test
        Stuttering
        Descriptive statistics
        Chi-squared test
        Longitudinal method
        Odds ratio
        Statistics
        Speech evaluation
        Convalescence
        Data analysis software
        Confidence intervals
        Comparative studies
        Inter-observer reliability
      sug:
        subj:
          Linguistics
          Analysis of variance
          Language acquisition
          Children
          Maryland
          Repeated measures design
          Grammar
          Research funding
          Statistical hypothesis testing
          Secondary analysis
          Data analysis
          Logistic regression analysis
          Fisher exact test
          Stuttering
          Descriptive statistics
          Chi-squared test
          Longitudinal method
          Odds ratio
          Statistics
          Speech evaluation
          Convalescence
          Data analysis software
          Confidence intervals
          Comparative studies
          Inter-observer reliability
      ab: Purpose: The widely cited shift from function to content word stuttering is based largely on cross-sectional studies using broad binary word-class distinctions, which may obscure group differences. This study tested whether the distribution of stuttering-like disfluencies (SLDs) by finer grained part-of-speech– defined grammatical categories and utterance position distinguishes children who persist in stuttering (CWSP) from those who recover (CWSR) and whether alternative measurement definitions offer insight beyond the traditional function/ content dichotomy. Method: Spontaneous language samples were drawn from 57 children (12 CWSP, 45 CWSR) in the Illinois International Stuttering Research Project at three time points across 3 years postonset. SLDs were identified and analyzed by binary lexical class (content vs. function), part-of-speech–defined grammatical categories, and utterance position (initial, medial, final) using Computerized Language Analysis tools. Statistical analyses included repeated-measures analysis of variance, mixed-effects modeling, and Firth logistic regression. Results: Children stuttered more frequently on function words than content words across groups and time points. The combined influence of grammatical class and utterance position yielded the clearest differentiation between groups. Utterance-final disfluencies were more strongly associated with persistent stuttering, whereas variation in metric definition (tendency vs. occurrence) reflected different analytic perspectives without altering the overall pattern of results or differentiating recovery outcomes. Conclusions: While the content/function distinction captures general stuttering patterns in early childhood, it does not differentiate recovery status. Analyses incorporating utterance position and explicit measurement definitions reveal that fluency breakdowns are best understood as emerging from structural and positional pressures within the utterance rather than from categorical word-type effects. These findings highlight the value of moving beyond coarse word-class divisions to better characterize variability in early stuttering and to support more precise, linguistically informed models of fluency development.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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