Influencing factors of children with developmental stuttering

YU Yabin; WANG Jianhong; XU Qi; WANG Lei; ZHOU Bo; ZHANG Lili; WANG Xi; WANG Lin

doi:10.11852/zgetbjzz2022-1487

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (6) : 674-677. DOI: 10.11852/zgetbjzz2022-1487

Clinical Research

Influencing factors of children with developmental stuttering

YU Yabin, WANG Jianhong, XU Qi, WANG Lei, ZHOU Bo, ZHANG Lili, WANG Xi, WANG Lin

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Abstract

Objective To analyze the related influencing factors of children with developmental stuttering, in order to provide scientific basis for reasonable clinical intervention. Methods A case control study design was adopted. The clinical data of 189 children with developmental stuttering (stuttering group) in the Center of Children's Healthcare, Children's Hospital, Capital Institute of Pediatrics from October 2020 to April 2022 and 388 typically developed children (control group) who underwent physical examination during the same period were analyzed. χ² test and multivariate Logistic regression were used to analyze the association between developmental stuttering and potential influential factors. Results There were significant differences in terms of whether only-child or not (χ²=5.353), relationship among family members (χ²=7.107), family history of stuttering (χ²=6.248), parent-child reading (χ²=4.492) and daily screen time (χ²=6.005) between children in stuttering group and control group (P <0.05). Logistic regression analysis showed that only-child (OR=1.702, 95%CI: 1.153 - 2.514, P=0.007),family history of stuttering (OR=1.814, 95%CI: 1.028 - 3.201, P=0.04), non-parent-child reading (OR=1.663, 95%CI: 1.120 - 2.471, P=0.012), screen time≥1h/d (OR=1.517, 95%CI: 1.025 - 2.246, P=0.037) were risk factors for developmental stuttering in children. Conclusions The occurrence of developmental stuttering in children is related to multiple factors. More attention should be paid to only-child and children with family history of stuttering. Besides, parent-child reading time should be increased, responsive care should be enhanced and screen time should be controlled.

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children / developmental stuttering / screen time / parent-child reading

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YU Yabin, WANG Jianhong, XU Qi, WANG Lei, ZHOU Bo, ZHANG Lili, WANG Xi, WANG Lin. Influencing factors of children with developmental stuttering[J]. Chinese Journal of Child Health Care. 2023, 31(6): 674-677 https://doi.org/10.11852/zgetbjzz2022-1487

References

[1] 美国精神医学学会.精神障碍诊断与统计手册[M].张道龙,刘春宇,童慧琦,等,译.5 版. 北京:北京大学出版社,2015:38-40.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders[M]. Zhang DL, Liu CY, Tong HQ, et al. 5th Edition. Beijing: Peking University press, 2015:38-40.(in Chinese)
[2] Qiao J, Wang Z, Zhao G, et al. Functional neural circuits that underlie developmental stuttering[J]. PLoS One, 2017,12(7):e0179255
[3] Chang SE, Garnett EO,Etchell A, et al. Functional and neuroanatomical bases of developmental stuttering:Current insights[J]. Neuroscientist, 2019, 25(6):566-582.
[4] Smith A, Weber C. How stuttering develops: the multifactorial dynamic pathways theory[J]. J Speech Lang Hear Res, 2017, 60(9):2483-2505.
[5] Perez HR,Stoeckle JH. Stuttering:Clinical and research update[J]. Can Fam Physician, 2016, 62(6):479-484.
[6] Lindström E, Nilsson E, Nilsson J, et al. Swedish outcomes of the overall assessment of the speaker's experience of stuttering in an international perspective[J]. Logoped Phoniatr Vocol, 2020, 45(4):181-189.
[7] Choo AL, Smith SA. Bilingual children who stutter: Convergence, gaps and directions forresearch[J]. J Fluency Disord, 2020, 63:105741.
[8] Tumanova V, Backes N. Autonomic nervous system response to speech production in stuttering and normally fluent preschool-age children[J]. J Speech Lang Hear Res, 2019, 62(11):4030-4044.
[9] 马丹,张文丽,曹玲,等.发育性口吃的机制、评估和干预进展[J].中国儿童保健杂志,2022,30(7):751-754.
MaD,Zhang WL,Cao L,et al.Advances in the mechanism,assessment and intervention of developmental stuffering[J].Chin J Child Health Care,2022,30(7):751-754.(in Chinese)
[10] 万勤,李金花,惠芬芬.上海市240例5~12岁正常儿童的言语流利性特征研究[J].听力学及言语疾病杂志,2020,28(2):133-137.
Wan Q,Li JH,Hui FF.The characteristics of speech fluency of 240 normal children aged 5~12 in Shanghai[J].Journal of Audiology and Speech Pathology,2020,28(2):133-137.(in Chinese)
[11] 李卫君, 刘梦, 张政华,等. 口吃者加工汉语歧义短语的神经过程[J]. 心理学报, 2018, 50:1323-1335.
Li WJ,Liu M,Zhang ZH,et al.Neural Processes of Chinese ambiguous Phrases in stutterers[J].Acta Psychologica Sinica,2018, 50:1323-1335.(in Chinese)
[12] Leech KA, Bernstein Ratner N, Brown B, et al. Preliminary evidence that growth in productive language differentiates childhood stuttering persistence and recovery[J]. J Speech Lang Hear Res, 2017, 60(11):3097-3109.
[13] Costa JB,Ritto AP, Juste F, et al. Risk factors for the development of persistent stuttering: What every pediatrician should know[J]. Int J Environ Res Public Health,2022,19(9):5225.
[14] Walsh B, Christ S, Weber C. Exploring relationships among risk factors for persistence in early childhood stuttering[J]. J Speech Lang Hear Res, 2021,64(8):2909-2927.
[15] Walsh B,Usler E, Bostian A, et al. What are predictors for persistence in childhood stuttering?[J]. Semin Speech Lang,2018,39(4):299-312.
[16] Xu M, Liang X,Ou J, et al. Sex differences in functional brain networks for language[J]. Cereb Cortex, 2020,30(3):1528-1537.
[17] Mohammadi H, Joghataei MT, Rahimi Z, et al. Sex steroid hormones and sex hormone binding globulin levels, CYP17 MSP AI (-34T:C) and CYP19 codon 39 (Trp:Arg) variants in children with developmental stuttering[J]. Brain Lang, 2017,175:47-56.
[18] Smith A, Weber C. How stuttering develops: The multifactorial dynamic pathways theory[J]. J Speech Lang Hear Res,2017,60(9):2483-2505.
[19] 程硕,贾存显.独生子女大学生与非独生子女大学生焦虑和抑郁症状的比较[J].中国心理卫生杂志, 2019, 33(10):783-787.
Cheng S,Jia CX.Discrimination of Anxiety and depression symptoms between only-child and non-only-child coolege students[J].Chin Ment Health J,2019, 33(10):783-787.(in Chinese)
[20] Choi D,Conture EG,Walden TA,et al.Emotional diathesis,emotional stress,and childhood stuttering[J].J Speech Lang Hear Res,2016,59(4):616-630.
[21] Nippold MA. Language development in children who stutter: A review of recent research[J]. Int J Speech Lang Pathol. 2019,21(4):368-376.
[22] 季玥. 亲子阅读与儿童气质类型的关系[J]. 新世纪图书馆,2019(2):52-54.
Ji Y. The Relationship between Parent-Child Reading and Children's Temperament Type[J]. New Century Library,2019(2):52-54.(in Chinese)
[23] Zhao J, Yu Z, Sun X, et al. Association between screen time trajectory and early childhood development in Children in China[J]. JAMA Pediatr, 2022,176(8):768-775.
[24] Sanders T, Parker PD, Del PozoCruz B, et al. Type of screen time moderates effects on outcomes in 4013 children: evidence from the Longitudinal Study of Australian Children[J]. Int J Behav Nutr Phys Act, 2019, 16(1):117.
[25] Chaudhary C, Maruthy S, Guddattu V, et al. A systematic review on the role of language-related factors in the manifestation of stuttering in bilinguals[J]. J Fluency Disord,2021,68:105829.
[26] 林媛媛,章依文,刘雪曼,等.家庭方言环境对儿童语言发育的影响[J].中国儿童保健杂志,2020,28(8):849-853.
Lin YY,Zhang YW,Liu XM,et al.Influence of domestic dialect on language development of children[J].Chin J Child Health Care,2020,28(8):849-853.(in Chinese)