SLPCase-ControlJournal of fluency disorders2018

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

Katerina Ntourou, Julie D Anderson, Stacy A Wagovich

PMID 29443692

WHAT IT FOUND

Preschool children who stutter did not differ from fluent peers on a behavioral executive function task overall.

Parents rated them lower in working memory and shifting, and flagged more everyday executive function concerns.

Key findings

01After age and receptive vocabulary were taken into account, children who stutter and children who do not stutter had similar total scores on the behavioral executive function task.

02Parents rated children who stutter as having poorer working memory and overall everyday executive function than children who do not stutter.

03A behavioral task difference appeared only among 3-year-old children, with estimated mean scores of 8.08 for children who stutter and 13.88 for fluent peers on a 52-point task.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study compared different children at one time point, so it cannot show that executive function differences cause stuttering or that they change as children grow older. The overall behavioral task result was null, and the difference appeared only in a later age-group analysis, so it should not be treated as the main finding. The behavioral task and parent questionnaire did not agree with each other, so the two measures may reflect different demands rather than one clear executive function profile. Children were required to have speech-language standard scores of 85 or higher on the tests they completed, so the results do not apply to children who stutter with co-occurring language or intellectual difficulties. Four children who stutter were already receiving speech-language services, and the paper does not say how this affected the results. Two children did not complete the hearing screening, so their hearing status was unknown. No intervention was tested, so the study does not show that targeting executive function improves fluency or everyday function.

Declared interests

The supplied metadata lists NIH extramural research support. The supplied text does not include an author conflict-of-interest statement.

The easy way to misread this

Do not conclude that children who stutter have a general executive function problem or that treating executive function will improve fluency. The overall behavioral task showed no difference between groups, the parent-report finding was not linked to stuttering frequency, and no treatment was tested.

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