Constance Dean Qualls

Co-occurring disorders in children who stutter

UNLABELLED This study used a mail survey to determine the (a) percentage of children who stutter with co-occurring non-speech disorders, speech disorders, and language disorders, and (b) frequency, length of sessions, and type of treatment services provided for children who stutter with co-occurring disorders. Respondents from a nationwide sample included 1184 speech-language pathologists (SLPs). Of the 2628 children who stuttered, 62.8% had other co-occurring speech disorders, language disorders, or non-speech-language disorders. Articulation disorders (33.5%) and phonology disorders (12.7%) were the most frequently reported co-occurring speech disorders. Only 34.3% of the children who stuttered had co-occurring non-speech-language disorders. Of those children with co-occurring non-speech-language disorders, learning disabilities (15.2%), literacy disorders (8.2%), and attention deficit disorders (ADD) (5.9%) were the most frequently reported. Chi-square analyses revealed that males were more likely to exhibit co-occurring speech disorders than females, especially articulation and phonology. Co-occurring non-speech-language disorders were also significantly higher in males than females. Treatment decisions by SLPs are also discussed. LEARNING OUTCOMES As a result of this activity, the participant should: (1) have a better understanding of the co-occurring speech disorders, language disorders, and non-speech disorders in children who stutter; (2) identify the speech disorders, language disorders, and non-speech disorders with the highest frequency of occurrence in children who stutter; and (3) be aware of the subgroups of children with co-occurring disorders and their potential impact on assessment and treatment.

Effects of Familiarity on Idiom Comprehension in African American and European American Fifth Graders

In order to test the language experience hypothesis, the comprehension of high-, moderate-, and low-familiarity idioms was examined in African American (N=24) and European American (N= 24) fifth-grade students in the Mid-South. This study was designed to augment the existing literature on cross-cultural idiom comprehension, of which there is a paucity of research, and provide a look from a culturally diverse perspective at idiom comprehension in youth. Results indicate a significant effect of group on idioms rated as low-familiarity, whereas idioms rated as high- and moderate-familiarity did not distinguish the groups. Additionally, the current results indicate a pattern of comprehension that is different from that found in previous studies, based on levels of familiarity (Nippold & Rudzinski, 1993) that were established in a different U.S. geographic location. The influences of social and regional culture on idiom comprehension and familiarity is discussed, and a preliminary hypothesis is proposed to explain these influences.

Lexicalization of idioms in urban fifth graders: a reaction time study

Idioms are an important aspect of language that comprises a sizeable portion of our vocabulary. However, lexical access research has largely been limited to understanding how literal words are accessed and processed in the mental lexicon. Adult data show that idioms are quickly accessed from the lexicon and are likely processed as long words [J. Verbal Learn. Verbal Behav. 18 (1979) 523]. The purpose of this study was to examine lexicalization of idioms in a group of school-aged children. Using a phrase classification design, this research tested the Lexical Representation Hypothesis [J. Verbal Learn. Verbal Behav. 18 (1979) 523] in 19 urban fifth graders (5 boys, 14 girls; M age=10.16 years). On a computer, the students classified 54 phrases, including 24 idioms (high, moderate, and low familiarity [J. Speech Hear. Res. 36 (1993) 728]), 24 grammatical control word strings and 6 unrelated foils as either idioms or nonidioms. The idioms were identified with 62% accuracy. Unexpectedly, the boys tended to show higher rates of accuracy than the girls. Response latencies were shorter on the idioms compared to the controls and high familiarity idioms were processed faster than moderate and low familiarity idioms. These findings provide developmental data for lexicalization of idioms and the relationship between lexicalization and familiarity. At the cocnlusion of this articel, the reader will be able to: (1). discuss the various theories of idiom access and processing, (2). discuss how lexical access relates to idiom knowledge in school-aged children, and (3). consider the association between lexical access and familiarity relative to idiom comprehension in school-aged children.

Double Jeopardy for Children Who Stutter Race and Coexisting Disorders

The primary purpose of this study was to examine the influence of racial and ethnic backgrounds in children who stutter (CWS) with 18 specific coexisting disorders. A sample of 1,184 speech-language pathologists responded to a detailed questionnaire designed to answer questions about the type and prevalence of coexisting disorders in 2,535 CWS. Results suggest that 866 (34.1%) children from diverse racial and cultural backgrounds displayed six major coexisting disorders: learning disabilities, literacy disorders, attention deficit disorders, auditory processing disorders, neuropsychological disorders, and behavioral disorders. Measures of risk, relative risks, and odds ratio for racial and ethnic differences among groups of CWS were calculated. African American CWS show a higher risk for coexisting learning disabilities, literacy disorders, attention deficit disorders, and behavioral disorders than White, non-Hispanic, Hispanic, and Asian CWS. Males who stutter had a significantly greater number of coexisting disorders than females who stutter. A number of alternative interpretations are presented.