Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Kekemeliği Olan Erişkinlerde Olumsuz Düşünce ve İnançlar ile Kekemelik Sıklığı Arasındaki İlişkinin İncelenmesi: Tanımlayıcı Araştırma
Examining the Relationship Between Negative Thoughts and Beliefs and Stuttering Frequency in Adults Who Stutter: A Descriptive Research
Gülkader TEMİZa , Ramazan Sertan ÖZDEMİRa
aİstanbul Medipol Üniversitesi Sağlık Bilimleri Fakültesi, Dil ve Konuşma Terapisi Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(1):44-51
doi: 10.5336/healthsci.2023-99130
Article Language: TR
Full Text
ÖZET
Amaç: Kekemeliği olan bireyler tarafından deneyimlenen olumsuz dinleyici tepkileri, bireylerin kekemeliğe yönelik yararlı olmayan düşünceler geliştirmelerine neden olabilmektedir. Kekemelik şiddeti yüksek olan bireyler, kekemelik şiddetinin az olduğu bireylere göre daha çok olumsuz yorumlara ve etiketlemeye maruz kalmaktadır. Mevcut araştırmanın amacı, kekemeliği olan erişkin bireylerin sahip olduğu olumsuz ve yararlı olmayan düşünce ve inançlar ile kekemelik sıklığı değişkenleri arasındaki ilişkiyi incelemektir. Çalışmanın ikinci amacı ise olumsuz düşünce ve inançlar ile yaş değişkeni arasındaki ilişkinin yordanmasıdır. Gereç ve Yöntemler: Çalışmanın katılımcıları 18-56 yaş aralığında kekeleyen 50 bireyden oluşmaktadır. Kekemeliğe yönelik olumsuz ve yararlı olmayan düşünce ve inançları ölçmek amacıyla Kekemeliğe İlişkin Yararlı Olmayan Düşünce ve İnançlar ÖlçeğiTürkçe Versiyonu [Unhelpful Thoughts and Beliefs Scale-Turkish Version (UTBAS-TR)] kullanılmıştır. Kekemelik sıklığı kekelenen hece yüzdesi hesaplanarak elde edilmiştir. UTBAS-TR puanları, yaş ve kekelenen hece yüzdesi arasındaki ilişki Pearson korelasyon analizi ile SPSS programı kullanılarak analiz edilmiştir. Bulgular: Kekemeliği olan erişkinlerde olumsuz düşünce ve inançlar ve kekemelik sıklığı arasında anlamlı bir ilişki bulunmamıştır (p>0,05). Çalışmanın ikinci amacı olan yaş değişkeni açısından da anlamlı bir ilişki elde edilmemiştir (p>0,05). Sonuç: Çalışmanın bulgularından hareketle kekemelik sıklığı yüksek olan bireylerin kekemeliğe yönelik daha çok olumsuz düşünce ve inanç geliştirebileceği söylenemeyebilir. Kekemeliği olan bir bireyin geliştirdiği düşünceler, kekemeliğin görünür semptomlarının şiddetinden bağımsız olarak daha olumsuz veya olumlu olabilir.

Anahtar Kelimeler: Kekemelik; anksiyete; erişkin
ABSTRACT
Objective: Negative listener reactions experienced by individuals with stuttering may cause individuals to develop unhelpful thoughts about stuttering. Individuals with severe stuttering severity are exposed to more negative comments and labeling than individuals with mild stuttering severity. The aim of the current study is to examine the relationship between negative or unhelpful thoughts and beliefs of adults with stuttering and stuttering frequency variables. The second aim of the study is to predict the relationship between negative thoughts and beliefs and the age variable. Material and Methods: The participants of the study consisted of 50 adults who stuttered between the ages of 18-56. In order to measure negative or unhelpful thoughts and beliefs about stuttering, the Unhelpful Thoughts and Beliefs ScaleTurkish Version (UTBAS-TR) was used. The frequency of stuttering was obtained by calculating the percentage of stuttered syllables. The relationship between UTBAS-TR scores, age, and percentage of stuttered syllables were analyzed using Pearson correlation analysis and SPSS program. Results: There was no significant relationship between negative thoughts and beliefs and the frequency of stuttering in adults with stuttering (p>0.05). No significant relationship was found in terms of age variable, which is the second aim of the study (p>0.05). Conclusion: Based on the findings of the study, it cannot be said that individuals with a high frequency of stuttering may develop more negative thoughts and beliefs about stuttering. The thoughts developed by an individual who stutters may be more negative or positive, regardless of the severity of the visible symptoms of stuttering.

Keywords: Stuttering; anxiety; adult
REFERENCES:
  1. Iverach L, Jones M, O'Brian S, Block S, Lincoln M, Harrison E, et al. Screening for personality disorders among adults seeking speech treatment for stuttering. J Fluency Disord. 2009;34(3):173-86. [Crossref]  [PubMed] 
  2. Snyder GJ. Exploratory research in the measurement and modification of attitudes toward stuttering. J Fluency Disord. 2001;26(2):149-60. [Crossref] 
  3. Peters HF, Starkweather CW. Development of stuttering throughout life. J Fluency Disord. 1989;14(5):303-21. [Crossref] 
  4. Iverach L, Menzies RG, O'Brian S, Packman A, Onslow M. Anxiety and stuttering: continuing to explore a complex relationship. Am J Speech Lang Pathol. 2011;20(3):221-32. [Crossref]  [PubMed] 
  5. Menzies RG, Onslow M, Packman A. Anxiety and stuttering. Am J Speech Lang Pathol. 1999;8(1):3-10. [Crossref] 
  6. Guitar B. Stuttering: an Integrated Approach to Its Nature and Treatment. 4th ed. Baltimore: Lippincott Williams & Wilkins; 2006.
  7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013. [Crossref] 
  8. Iverach L, O'Brian S, Jones M, Block S, Lincoln M, Harrison E, et al. Prevalence of anxiety disorders among adults seeking speech therapy for stuttering. J Anxiety Disord. 2009;23(7):928-34. [Crossref]  [PubMed] 
  9. Blood GW, Blood IM. Preliminary study of self-reported experience of physical aggression and bullying of boys who stutter: relation to increased anxiety. Percept Mot Skills. 2007;104(3 Pt 2):1060-6. [Crossref]  [PubMed] 
  10. Blumgart E, Tran Y, Craig A. Social anxiety disorder in adults who stutter. Depress Anxiety. 2010;27(7):687-92. [PubMed] 
  11. Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg RG, Liebowitz MR, Hope DA, Schneier FR, eds. Social Phobia: Diagnosis, Assessment, and Treatment. 1st ed. New York: The Guilford Press; 1995. p.69-93.
  12. Rapee RM, Heimberg RG. A cognitive-behavioral model of anxiety in social phobia. Behav Res Ther. 1997;35(8):741-56. [Crossref]  [PubMed] 
  13. Iverach L, Rapee RM, Wong QJJ, Lowe R. Maintenance of social anxiety in stuttering: a cognitive-behavioral model. Am J Speech Lang Pathol. 2017;26(2):540-56. [Crossref]  [PubMed] 
  14. Iverach L, Menzies R, Jones M, O'Brian S, Packman A, Onslow M. Further development and validation of the Unhelpful Thoughts and Beliefs About Stuttering (UTBAS) scales: relationship to anxiety and social phobia among adults who stutter. Int J Lang Commun Disord. 2011;46(3):286-99. [Crossref]  [PubMed] 
  15. Manning W, Gayle Beck J. The role of psychological processes in estimates of stuttering severity. J Fluency Disord. 2013;38(4):356-67. Erratum in: J Fluency Disord. 2014;40:4. [Crossref]  [PubMed] 
  16. Susca M, Healey EC. Perceptions of simulated stuttering and fluency. J Speech Lang Hear Res. 2001;44(1):61-72. [Crossref]  [PubMed] 
  17. Gabel RM. Effects of stuttering severity and therapy involvement on attitudes towards people who stutter. J Fluency Disord. 2006;31(3):216-27. [Crossref]  [PubMed] 
  18. Cangi ME, Alpay C. Turkish individuals' listener reactions to the person who stutters: a cross-cultural comparative study. Uluslararası Toplum Araştırmaları Dergisi Int J Soc Res. 2021;17(34):831-54. [Crossref] 
  19. St Clare T, Menzies RG, Onslow M, Packman A, Thompson R, Block S. Unhelpful thoughts and beliefs linked to social anxiety in stuttering: development of a measure. Int J Lang Commun Disord. 2009;44(3):338-51. [Crossref]  [PubMed] 
  20. Menzies RG, Onslow M, Packman A, O'Brian S. Cognitive behavior therapy for adults who stutter: a tutorial for speech-language pathologists. J Fluency Disord. 2009;34(3):187-200. [Crossref]  [PubMed] 
  21. Aydın Uysal A, Ege P. Reliability and validity of the UTBAS-TR (The Unhelpful Thoughts and Beliefs Scale-the Turkish version) in the Turkish population. Int J Speech Lang Pathol. 2020;22(1):24-9. [Crossref]  [PubMed] 
  22. IBM SPSS Statistics for Windows, Version 20.0.Armonk, NY: IBM Corp; 2011. Erişim tarihi: 03.05.2020 [Link] 
  23. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Boston, MA: Pearson; 2013. p.61-92.
  24. Menzies RG, O'Brian S, Onslow M, Packman A, St Clare T, Block S. An experimental clinical trial of a cognitive-behavior therapy package for chronic stuttering. J Speech Lang Hear Res. 2008;51(6):1451-64. [Crossref]  [PubMed] 
  25. Iverach L, Jones M, Lowe R, O'Brian S, Menzies RG, Packman A, et al. Comparison of adults who stutter with and without social anxiety disorder. J Fluency Disord. 2018;56:55-68. [Crossref]  [PubMed] 
  26. Alm PA. Stuttering in relation to anxiety, temperament, and personality: review and analysis with focus on causality. J Fluency Disord. 2014;40:5-21. [Crossref]  [PubMed] 
  27. Craig A. An investigation into the relationship between anxiety and stuttering. J Speech Hear Disord. 1990;55(2):290-4. [Crossref]  [PubMed] 
  28. Craig A, Hancock K, Tran Y, Craig M. Anxiety levels in people who stutter: a randomized population study. J Speech Lang Hear Res. 2003;46(5):1197-206. [Crossref]  [PubMed] 
  29. Uysal AA, Ege P. Türkiyede yaşayan 18-41 yaş arası kekeleyen bireylerde anksiyete ve depresyon düzeylerinin incelenmesi: ankara örneklemi [An investigation of anxiety and depression levels of individuals who stutter living in Turkey: sample of Ankara]. Türkiye Klinikleri J Health Sci. 2021;6(4):745-51. [Crossref] 
  30. Freud D, Kichin-Brin M, Ezrati-Vinacour R, Roziner I, Amir O. The relationship between the experience of stuttering and demographic characteristics of adults who stutter. J Fluency Disord. 2017;52:53-63. [Crossref]  [PubMed] 

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