بررسی نگرش ارتباطی دانش آموزان دارای لکنت شهرستان بابل

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری گفتاردرمانی، گروه گفتاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

2 مربی، گروه گفتاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی بابل، بابل، ایران

3 استادیار، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی بابل، بابل، ایران

4 کارشناس ارشد گفتاردرمانی، ساری، ایران

5 گفتاردرمانگر، بابل، ایران

چکیده

مقدمه و اهداف
در میان رویکردهای نظری مربوط به لکنت، توافق عمومی بر سر این مسئله وجود دارد که لکنت به چندین عامل مرتبط با گفتار از جمله تنظیم هیجانات و عواطف نسبت داده می­شود. بر همین اساس، نظریه­پردازان مختلف به اهمیت نقش نگرش منفی به گفتار و توانایی­های گفتاری در شروع، وقوع و پیشرفت لکنت اشاره می­کنند. ضمن اینکه فرهنگ یک گروه می­تواند بر نگرش افراد به گفتار تاثیرگذار باشد. هدف از تحقیق حاضر، بررسی نگرش دانش­آموزان دارای لکنت رشدی 8 تا 15 ساله شهرستان بابل و سپس بررسی فاکتورهای سن و جنس بر نگرش ارتباطی آنها می­باشد.
مواد و روش­ ها
مطالعه توصیفی و مقطعی حاضر بر روی 261 دانش­آموز دارای لکنت که به روش نمونه­گیری چندمرحله­ای از میان دانش­آموزان شهر بابل انتخاب شدند، انجام شد. پس از معرفی نمونه­ها، تحلیل فراوانی ناروانی و سپس تشخیص لکنت رشدی، آزمون نگرش ارتباطی (CAT) بر روی هر شرکت­کننده اجرا شد و نمره نگرش (نمرات 1 تا 35) هر فرد به دست آمد.
یافته­ ها
یافته­ها نشان داد میانگین نمره نگرش دانش­آموزان دختر و پسر دارای لکنت به ترتیب 46/7±5/22 و 98/7±71/22 به دست آمد که در طبقه نگرشی متوسط می­باشد. همچنین، نمره نگرش دانش­آموزان دارای لکنت بین دو جنس و در 8 گروه سنی تفاوت معناداری نداشت (P>0.05). در مورد تاثیر همزمان این دو متغیر بر نمره نگرش، تفاوت معناداری در نمره نگرش دانش­آموزان دختر و پسر در هر هشت گروه سنی وجود داشت (P=0.03).
نتیجه ­گیری
به نظر می‌رسد علی­رغم اینکه میانگین نمره نگرش دانش­آموزان شهر بابل در طبقه متوسط می­باشد، اما نیاز برای طراحی و برنامه­ریزی درمانی مربوط به نگرش­های منفی نسبت به گفتار خصوصا در دانش­آموزان 12 ساله دارای لکنت ضروری می­باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Communication Attitude in Stuttering Students in Babol City

نویسندگان [English]

  • Tabassom Azimi 1
  • mehdi dehghan 2
  • Soraya Khafri 3
  • Abbas Pouebrahim Omran 4
  • Vahid Shoari 5
  • Sara Ahmadi 5
1 Ph.D Student in Speech Therapy, Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 Lecturer, Department of Speech Therapy, Babol University of Bedical Sciences, Babol, Iran
3 Assistant Professor, Department of Social Medicine, Babol University of Medical Sciences, Babol, Iran
4 MSc in Speech Therapy, Sari, Iran
5 Speech Therapist, Babol, Iran
چکیده [English]

Background and Aims: Among the theoretical approaches to stuttering, there is a general agreement that developmental stuttering is attributed to several factors related to speech, including emotional regulation. Accordingly, different theorists point to the importance of the role of negative attitudes toward speech and speech abilities in the onset, occurrence, and developmet of stuttering. Considering that the culture of a group can influence the attitude to speech, the purpose of the present study was to investigate the communicative attitude of 8-15 year-old students who stutter (SWS) in Babol city and studying the effect of age and sex on their attitude scores.
Materials and Methods: The current descriptive-analytical and cross-sectional study was performed on 261 individuals. The participants were students with stuttering who were selected via multi-stage sampling from among students in Babol city. First, the teachers introduced SWS and then their nonfluency frequency analysis was carried out. After comfirmation of stutter detection, communicative attitudes test (CAT) was performed on each participant and the attitude score of each person was obtained.
Results: The mean of attitude score of SWS girls and boys were 22.5±7.46 and 22.71±7.98, respectively. Attitude score of SWS had no significant difference between the two sexes and between eight age groups (p>0.05). Regarding the simultaneous effect of these two variables on attitude scores, there was a significant difference in the attitude score of male and female students in each eight age group (p=0.03).
Conclusion: According to the results, although the mean score of attitude score in SWS is in the middle class, attention to the aspect of communicative attitude in assessing, treatming, and planning of SWS, especially in 12-year-old students, is important and necessary.

کلیدواژه‌ها [English]

  • Communication
  • Attitude
  • Developmental Stuttering
  • Gender
  1. Yaruss. J.S, Quesal. R. Overall Assessment of the Speaker’s Experience of Stuttering (OASES): Documenting multiple outcomes in stuttering treatment. Journal of Fluency Disorders.2006; 31: 90–115.##
  2. Guitar. B. Stuttering: An integrated approach to its nature and treatment (3rd ed.). Philadelphia: Lippincott Williams & Wilkins.2006. ##
  3. Van Riper. C. The nature of stuttering (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.1982. ##
  4. Vanryckeghem. M, Brutten. G. A normative and comparative investigation of the communication attitude of nonstuttering and stuttering adults. 2011;44: 200-206. ##
  5. G, Vanryckeghem. M. Behavior Assessment Battery: A multi-dimensional and evidence-based approach to diagnostic and therapeutic decision making for children who stutter. Destelbergen, Belgium: Stichting Integratie Gehandicapten & Acco Publishers.2003. ##
  6. Bloodstein. O, Bernstein Ratner. N. A Handbook on stuttering (Sixth ed.). Clifton Park: Delmar, Cengage Learning. 2008. ##
  7. Bernardini, S, Vanryckeghem. M, Brutten. G, Cocco. L, Zmarich. C. Communication attitude of Italian children who do and do not stutter. Journal of Communication Disorders.2009; 42: 155–161##.
  8. Vanryckeghem M, Brutten G, & Hernandez L. A comparative investigation of speech-associated attitude of preschool and kindergarten children who do and do not stutter. J Fluency Disord.2005; 30: 307–318##
  9. 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. ##

10. Guttormsen L, Kefalianos E, Næss KA. Communication attitudes in children who stutter: A meta-analytic review. J Fluency Disord. 2015 ;46:1-14##

11. Yadegari.F, Daroee.A, Farazi.M, Heidari. M.A. communication attitude in stuttering and non stuttering students. Journal of andishe va rafter.2005;11(1): 155-161.[In Persian] ##

12. Hossein Zadeh. N, Shahbodaghi. M.R, Jalaei. S. Reliability and Validity of " Behavioral Checklist " and " Communication Attitude Test" in stuttering children and comparison with non stutters at 6-11 years old. Modern Rehabilitation, 2010; 4(1): 30-37.[ In Persian] ##

13. Taghipur. M, Dehghan. M, Khafri. S, Basi. M, Shoari. V, Hosseinian. N. effect of age and gender on stuttering in the students of babol(iran) in educational year 2010-2011. J babol univ med sci. 2012; 15(2): 88-94.[In Persian]. ##

14. Nilipour R. Linguistics & Language Pathology. 2nd ed. Tehran: Hermes; 2014 [In Persian] ##

15. Ambrose N G, Yairi E. normative disfluency data for early childhood stuttering. J speech lang hear res 1999; 42(4): 895-909. ##

16. Yadegari F, Salehi A. differential diagnosis of primary stuttering and normal non fluency in children to referring to saba clinic.J rehab. 2004; 4(14-15): 48-8. [In Persian] ##

17. Silverman R.W, Shank K.H. communication attitudes of women who stutter. Journal of speech and hearing disorders.1973; 16: 584-585. ##

18. De Nil. L, Brutten. G. Speech-associated attitudes of stuttering and nonstuttering children. Journal of Speech and Hearing Research.1991; 34: 60–66. ##

19. Rahimi S, Farazi M, Daroui E, Bakhshi E, Valinejad V, Abdi S. the relationship between severity and communication attitude in adults who stutter. Modern Rehabilitation, 2016; 9(5): 58-64. [In Persian] ##

20. Smith A, Kelly E. Stuttering: A dynamic, multifactorial model: Nature and treatment of stuttering: New directions (2nd ed., pp. 204–217).Needham Heights, MA: Allyn & Bacon 1997. ##