SLPOtherJournal of communication disorders2018

Young children's family history of stuttering and their articulation, language and attentional abilities: An exploratory study.

Dahye Choi, Edward G Conture, Victoria Tumanova and 3 others

PMID 29223492

WHAT IT FOUND

Young children who stuttered and those who did not did not differ significantly in family history of stuttering.

Among children who did not stutter, a positive family history of stuttering was associated with family history of ADHD and lower language scores within normal range.

Key findings

01Children who stuttered and children who did not did not differ significantly in family history of stuttering (24% versus 12%).

02Of 92 caregivers with family-history data across three consecutive time points, 81.5% consistently reported either presence or absence of family history of stuttering across those time points.

03Among children who did not stutter, a positive family history of stuttering was associated with family history of ADHD (50% versus 2.6%) and lower language abilities, while children who stuttered showed no significant language difference.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was small, especially the 25 children who stuttered, so null findings may reflect limited power rather than no effect. The study was exploratory and did not adjust for multiple statistical tests, so some positive findings could be chance. Family history came mainly from one caregiver and was not verified by genetic testing or multiple informants, so false-positive or false-negative reports are possible. Children were excluded if caregiver reports were inconsistent across 16 months, which lowered the positive family history percentage; adding those children back raised it to 42.4% among children who stuttered. The children who stuttered group had many more boys than girls, so gender imbalance may affect comparisons. Recruitment may have attracted caregivers of children who do not stutter because of family history concerns, which could inflate positive family history in that group. The study did not measure genetic or environmental causes, so it cannot show why family history relates to language or attention. The language difference was found in a normal-range sample, so it does not indicate a language disorder.

Declared interests

The paper is tagged as supported by NIH extramural and non-U.S. government research support. No author conflict-of-interest declaration appears in the supplied text.

The easy way to misread this

Do not read a positive family history of stuttering as identifying children who will stutter. The CWS and CWNS groups did not differ significantly. The language finding was within a normal-range sample and is exploratory, not a tested predictor.

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The study

Participants
75 monolingual English-speaking children aged 36 to 71 months (25 who stutter, 50 who do not); fewer for some family-history questions
Certainty of evidence
Low

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Dahye Choi, Edward G Conture, Victoria Tumanova, et al. Young children's family history of stuttering and their articulation, language and attentional abilities: An exploratory study. Journal of communication disorders. 2018.

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