Skip to main content
Log in

Behavioral, Emotional, and Social Well-Being in Children Who Stutter: Evidence from the National Health Interview Survey

  • ORIGINAL ARTICLE
  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

Stuttering is a disorder that has been associated with anxiety and other aspects of negatively impacted well-being due to disruptions in the communicative process. The objective of this study was to explore behavioral, emotional and social well-being among children who stutter (CWS) and children who do not stutter (CWNS), using national data. Data from the National Health Interview Survey (NHIS) (2010-2015) were analyzed to examine behavioral, emotional, and social well-being in CWS compared to CWNS using responses from the Strength and Difficulties Questionnaire (SDQ). Chi-square tests of independence were used for comparing categorical variables and independent samples t-tests for comparing continuous variables. Multiple logistic regression analyses were used for determining odds of reporting symptoms of the SDQ. This sample included 48,319 children of which 503 were CWS. CWS were far more likely to: have worries or often seems worried (OR = 1.86), be unhappy/depressed (OR = 2.14), and have difficulties with emotions (OR = 3.26) than their non-stuttering peers. Similarly, CWS were less likely to: be well behaved/do what was requested (OR = .305) or have good attention and complete tasks (OR = .470). Finally, CWS with coexisting developmental disabilities had higher scores on all subscales of the SDQ when compared to CWS without developmental disabilities. Problems associated with well-being issues appear more common among CWS than CWNS in this national sample. These observed problems were even greater in CWS with coexisting developmental disabilities. These issues should be carefully considered and addressed as part of a comprehensive management plan for CWS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alm, P. A. (2014). Stuttering in relation to anxiety, temperament, and personality: review and analysis with focus on causality. Journal of Fluency Disorders, 40, 5–21.

    Article  PubMed  Google Scholar 

  • Arndt, J., & Healey, E. C. (2001). Concomitant disorders in school-age children who stutter. Language, Speech, and Hearing Services in Schools, 32, 68–78.

    Article  PubMed  Google Scholar 

  • Blood, G. W., & Blood, I. M. (2007). Preliminary study of self-reported experience of physical aggression and bullying of boys who stutter: relation to increased anxiety. Perceptual and Motor Skills, 104, 1060–1066.

    Article  PubMed  Google Scholar 

  • Blood, G. W., Ridenour Jr., V. J., Qualls, C. D., & Hammer, C. S. (2003). Co-occurring disorders in children who stutter. Journal of Communication Disorders, 36, 427–448.

    Article  PubMed  Google Scholar 

  • Center for Disease Control and Prevention, National Center for Health Statistics. (2014) National Health Interview Survey. 2014. http://childhealthdata.org. Accessed 24 Jan 2018.

  • Center for Disease Control and Prevention. National Center for Health Statistics. (2010-2013). National Health Interview Survey. 2010-2013. http://childhealthdata.org. Accessed 24 Jan 2018.

  • Center for Disease Control and Prevention. National Center for Health Statistics. (2015). National Health Interview Survey. https://www.cdc.gov/nchs/nhis/nhis_2015_data_release.htm. Accessed 24 Jan 2018.

  • Center for Disease Control and Prevention. National Center for Health Statistics. (2016). Well-being concepts. https://www.cdc.gov/hrqol/wellbeing.htm. Accessed 7 Dec 2017.

  • Craig, A., & Tran, Y. (2014). Trait and social anxiety in adults with chronic stuttering: conclusions following meta-analysis. Journal of Fluency Disorders, 40, 35–43.

    Article  PubMed  Google Scholar 

  • Craig, A., Blumgart, E., & Tran, Y. (2009). The impact of stuttering on the quality of life in adults who stutter. Journal of Fluency Disorders, 34, 61–71.

    Article  PubMed  Google Scholar 

  • Erickson, S., & Block, S. (2013). The social and communication impact of stuttering on adolescents and their families. Journal of Fluency Disorders, 38, 311–324.

    Article  PubMed  Google Scholar 

  • Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38, 581–586.

    Article  PubMed  Google Scholar 

  • Guitar, B. (2014). Stuttering: An integrated approach to its nature and treatment (4th ed.). Baltimore: Lippincott Williams & Wilkins.

    Google Scholar 

  • Gunn, A., Menzies, R. G., O’Brian, S., Onslow, M., Packman, A., Lowe, R., et al. (2014). Axis I anxiety and mental health disorders among stuttering adolescents. Journal of Fluency Disorders, 40, 58–68.

    Article  PubMed  Google Scholar 

  • Hayhow, R., Cray, A. M., & Enderby, P. (2002). Stammering and therapy views of people who stammer. Journal of Fluency Disorders, 27, 1–17.

    Article  PubMed  Google Scholar 

  • IBM SPSS Complex Samples. (2013). Available at: http://www.sussex.ac.uk/its/pdfs/SPSS_Complex_Samples_22.pdf.

  • Iverach, L., & Rapee, R. M. (2014). Social anxiety disorder and stuttering: current status and future directions. Journal of Fluency Disorders, 40, 69–82.

    Article  PubMed  Google Scholar 

  • Iverach, L., Jones, M., McLellan, L. F., Lyneham, H. J., Menzies, R. G., Onslow, M., & Rapee, R. M. (2016). Prevalence of anxiety disorders among children who stutter. Journal of Fluency Disorders, 49, 13–28.

    Article  PubMed  Google Scholar 

  • Iverach, L., Rapee, R. M., Wong, Q. J., & Lowe, R. (2017). Maintenance of social anxiety in stuttering: a cognitive-behavioral model. American Journal of Speech-Language Pathology, 26, 540–556.

    Article  PubMed  Google Scholar 

  • Kefalianos, E., Onslow, M., Packman, A., Vogel, A., Pezic, A., Mensah, F., et al. (2017). The history of stuttering by 7 years of age: follow-up of a prospective community cohort. Journal of Speech, Language, and Hearing Research, 60, 1–12.

    Article  Google Scholar 

  • Langevin, M., & Prasad, N. N. (2012). A stuttering education and bullying awareness and prevention resource: a feasibility study. Language, Speech, and Hearing Services in Schools, 43, 344–358.

    Article  PubMed  Google Scholar 

  • Langevin, M., Packman, A., & Onslow, M. (2009). Peer responses to stuttering in the preschool setting. American Journal of Speech-Language Pathology, 18, 264–276.

    Article  PubMed  Google Scholar 

  • Langevin, M., Packman, A., & Onslow, M. (2010). Parent perceptions of the impact of stuttering on their preschoolers and themselves. Journal of Communication Disorders, 43, 407–423.

    Article  PubMed  Google Scholar 

  • Lau, S. R., Beilby, J. M., Byrnes, M. L., & Hennessey, N. W. (2012). Parenting styles and attachment in school-aged children who stutter. Journal of Communication Disorders, 45, 98–110.

    Article  PubMed  Google Scholar 

  • McAllister, J. (2016). Behavioural, emotional and social development of children who stutter. Journal of Fluency Disorders, 50, 23–32.

    Article  PubMed  Google Scholar 

  • McAllister, J., Kelman, E., & Millard, S. (2015). Anxiety and cognitive bias in children and young people who stutter. Procedia-Social and Behavioral Sciences, 193, 183–191.

    Article  Google Scholar 

  • Messenger, M., Packman, A., Onslow, M., Menzies, R., & O’Brian, S. (2015). Children and adolescents who stutter: further investigation of anxiety. Journal of Fluency Disorders, 46, 15–23.

    Article  PubMed  Google Scholar 

  • Mulcahy, K., Hennessey, N., Beilby, J., & Byrnes, M. (2008). Social anxiety and the severity and typography of stuttering in adolescents. Journal of Fluency Disorders, 33, 306–319.

    Article  PubMed  Google Scholar 

  • NHIS Survey Description. (2002). Appendix V. The brief Strengths and Difficulties Questionnaire (SDQ). ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2002/srvydesc.pdf. Accessed 7 Dec 2017.

  • O’Brian, S., Jones, M., Packman, A., Menzies, R., & Onslow, M. (2011). Stuttering severity and educational attainment. Journal of Fluency Disorders, 36, 86–92.

    Article  PubMed  Google Scholar 

  • Reilly, S., Onslow, M., Packman, A., Cini, E., Conway, L., Ukoumunne, O. C., et al. (2013). Natural history of stuttering to 4 years of age: a prospective community-based study. Pediatrics, 132, 460–467.

    Article  PubMed  Google Scholar 

  • Ringeisen, H., Aldworth, J., Colpe, L. J., Pringle, B., & Simile, C. (2015). Estimating the prevalence of any impairing childhood mental disorder in the national health interview survey. International Journal of Methods in Psychiatric Research, 24, 266–274.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yaruss, J. S., Coleman, C. E., & Quesal, R. W. (2012). Stuttering in school-age children: a comprehensive approach to treatment. Language, Speech, and Hearing Services in Schools, 43, 536–548.

    Article  PubMed  Google Scholar 

  • Youth in Mind. (2012). What is the SDQ? http://www.sdqinfo.com/a0.html. Accessed 6 Dec 2017.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Charles Ellis.

Ethics declarations

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Informed Consent

This study was completing using deidentified data and was classified exempt by the institional review board (IRB). For this type of study formal consent is not required.

Conflict of Interest

The authors have no conflicts of interest to declare.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Briley, P.M., O’Brien, K. & Ellis, C. Behavioral, Emotional, and Social Well-Being in Children Who Stutter: Evidence from the National Health Interview Survey. J Dev Phys Disabil 31, 39–53 (2019). https://doi.org/10.1007/s10882-018-9625-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10882-018-9625-x

Keywords

Navigation