Julie D. Anderson

Relationships among linguistic processing speed, phonological working memory, and attention in children who stutter.

UNLABELLED Relatively recently, experimental studies of linguistic processing speed in children who stutter (CWS) have emerged, some of which suggest differences in performance among CWS compared to children who do not stutter (CWNS). What is not yet well understood is the extent to which underlying cognitive skills may impact performance on timed tasks of linguistic performance. The purpose of this study was to explore possible relationships between measures of linguistic processing speed and two aspects of cognition: phonological working memory and attention. Participants were 9 CWS and 14 CWNS between the ages of 3;6 and 5;2. Children participated in a computerized picture naming task (an index of linguistic processing speed) and a nonword repetition task (an index of phonological working memory). Parents completed a temperament behavior questionnaire, from which information about the childrens attentional skills was collected. Findings revealed that the groups did not differ from each other on speed of picture naming or attention; however, the CWS performed significantly worse in nonword repetition. In addition, after partialling out the effects of age, (a) for CWS only, there was a significant negative relationship between picture naming speed and nonword repetition; (b) there were no significant relationships for either group between aspects of attention and picture naming speed; and (c) only the CWNS showed a significant relationship between nonword repetition and focused attentional skills. These results underscore the need to consider the underlying skills associated with lexically related aspects of language production when examining the task performances of CWS and CWNS. EDUCATIONAL OBJECTIVES The reader will be able to: (a) summarize findings from previous studies examining the speech and language performance of children who do (CWS) and do not stutter (CWNS); (b) describe findings of previous studies related to nonword repetition and attention in CWS; (c) compare the results of the present study with previous work in this area; and (d) discuss speculations concerning the relationship between linguistic processing speed, phonological working memory, and attention in CWS and CWNS.

Age of acquisition and repetition priming effects on picture naming of children who do and do not stutter

UNLABELLED The effects of age of acquisition and repetition priming on picture naming latencies and errors were studied in 22 children who stutter (CWS) and 22 children who do not stutter (CWNS) between the ages of 3;1 and 5;7. Children participated in a computerized picture naming task where they named pictures of both early and late acquired (AoA) words in two consecutive stages. Findings revealed that all childrens picture naming latencies and errors were reduced following repetition priming and in response to early AoA words relative to late AoA words. AoA and repetition priming effects were similar for children in both talker groups, with one exception. Namely, CWS benefitted significantly more, in terms of error reduction, than CWNS from repetition priming for late AoA words. In addition, CWNS exhibited a significant, positive association between linguistic speed and measures of vocabulary, but CWS did not. These findings were taken to suggest that the (a) semantic-phonological connections of CWS may not be as strong as those of CWNS, and (b) existing lexical measures may not be sensitive enough to differentiate CWS from CWNS in lexically related aspects of language production. EDUCATIONAL OBJECTIVES After reading this article, the learner will be able to: (a) describe the effects of repetition priming and age of word acquisition in speech production; (b) summarize the performance similarities and differences of children who stutter and children who do not stutter on a computerized picture naming task; and (c) compare the results of the present study with previous work in this area.

Nonword repetition and phoneme elision in adults who do and do not stutter.

UNLABELLED The purpose of the present study was to explore the phonological working memory of adults who stutter through the use of a non-word repetition and a phoneme elision task. Participants were 14 adults who stutter (M=28 years) and 14 age/gender matched adults who do not stutter (M=28 years). For the non-word repetition task, the participants had to repeat a set of 12 non-words across four syllable lengths (2-, 3-, 4-, and 7-syllables) (N=48 total non-words). For the phoneme elision task, the participants repeated the same set of non-words at each syllable length, but with a designated target phoneme eliminated. Adults who stutter were significantly less accurate than adults who do not stutter in their initial attempts to produce the longest non-words (i.e., 7-syllable). Adults who stutter also required a significantly higher mean number of attempts to accurately produce 7-syllable non-words than adults who do not stutter. For the phoneme elision task, both groups demonstrated a significant reduction in accuracy as the non-words increased in length; however, there was no significant interaction between group and syllable length. Thus, although there appear to be advancements in the phonological working memory for adults who stutter relative to children who stutter, preliminary data from the present study suggest that the advancements may not be comparable to those demonstrated by adults who do not stutter. EDUCATIONAL OBJECTIVES At the end of this activity the reader will be able to (a) summarize the nonword repetition data that have been published thus far with children and adults who stutter; (b) describe the subvocal rehearsal system, an aspect of the phonological working memory that is critical to nonword repetition accuracy; (c) employ an alternative means to explore the phonological working memory in adults who stutter, the phoneme elision task; and (d) discuss both phonological and motoric implications of deficits in the phonological working memory.

Executive function and childhood stuttering: Parent ratings and evidence from a behavioral task

PURPOSE The purpose of this study was to examine the executive function (EF) abilities of preschool children who do (CWS) and do not stutter (CWNS) using a parent-report questionnaire and a behavioral task. METHOD Participants were 75 CWS and 75 CWNS between the ages of 3;0 and 5;11 (years; months). Parents rated their childrens EF abilities using the Behavioral Rating Inventory of Executive Function-Preschool Version (BRIEF-P; Gioia, Espy, & Isquith, 2003). Childrens ability to integrate cognitive flexibility, inhibitory control, and working memory was measured using a behavioral task, the Head-Toes-Knees-Shoulders (HTKS; Cameron Ponitz, McClelland, Matthews, & Morrison, 2009). RESULTS The CWS were judged by their parents as being less proficient in working memory, shift/flexibility, and overall EF than the parents of the CWNS. Children in the CWS group were also 2½ to 7 times more likely than children in the CWNS group to exhibit clinically significant difficulties with EF. Behavioral task findings revealed that 3-year old CWS performed more poorly than their peers on the HTKS. Parental ratings of executive function and working memory were significantly and moderately correlated with receptive and expressive vocabulary skills only for the CWNS group. CONCLUSION CWS have more difficulty with EF in everyday life and may experience early delays in their ability to integrate aspects of attention and EF compared to CWNS.