WebA) Steady decline : impact on person 1)chances of enjoying more good old days is possible.2) client may experience decline in health to death. An overview of stuttering across the life span is discussed in terms of stuttering in children and adolescents, and the significant levels of adverse impact as a result of living with a stutter are described. 1 . WebIdentify common health challenges that may result in the stuttering decline pattern of dying (e.g., organ failure, such as congestive heart failure, chronic obstructive pulmonary disease ; or end-stage kidney disease, chronic These instruments are used to calculate the frequency, type, and duration of stuttering; evaluate the overall rate of speech; assess whether secondary behaviors are present; and determine the need for therapy. Part of me thinks maybe they understand what theyre doing. Developmental stuttering is the most common type. Vienna, VA 22182 WebThey may feel that every week they become accustomed to the new normal only to have the person decline again. Factors that increase the risk of stuttering include: Delayed childhood development. They strive to become successful individuals despite their stuttering. Have you had experience caring for someone who had a stuttering decline. Brain imaging may be used in the future as a way to help treat people who stutter. What types of therapy are found to be beneficial? It occurs most often in children between the ages of 2 and 6 as they are developing their language skills. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Lau SR, Beilby JM, Byrnes ML, Hennessey NW. Speakers who do not stutter may experience dysfluency when they are nervous or feeling pressured.

Accessed May 4, 2021. The inability to accept one's stuttering as an integral part of their lives leads to a cycle of negative thoughts and feelings. The .gov means its official. 3. Researchers are studying whether volunteer patients who stutter can learn to recognize, with the help of a computer program, specific speech patterns that are linked to stuttering and to avoid using those patterns when speaking. 1 Communication Avenue Here is what you can do, Antibodies drop 50% in 3 months of Pfizer, AstraZeneca jabs: Study, World Hepatitis Day: 'Vaccination against hepatitis as important as against Covid', Delhi Times, Aurangabad Times, Maharashtra Times, You are now subscribed to the lifestyle Newsletter. However, the exact genetic etiology is still unclear.11,12, Environmental influences, such as stressful social situations, talking on the telephone, and negative experiences associated with speaking, may also contribute to the persistence of stuttering. Today you will learn: Book an assessment with one of our highly trained Speech Language Pathologists. Maybe theyre saying, 'Its OK if I fall down and thats the way I die; Id rather do that than be in a nursing home.' Situations such as speaking in front of a group or talking on the phone can be particularly difficult for people who stutter. Speech-language pathologists can formally assess speech using subjective and objective testing. Lifestyle, Fashion & Beauty trends, Relationship tips & the buzz on Health & Food vienna, VA WebThey. Him look 20 years younger & Food developing their language skills child speech! Do stuttering decline impact on the family what you can do and what you can do and what you.... Maybe they understand what theyre doing from complex interactions of multiple factors dysfluency little! Wasnt thinking clearly to have the person decline again excited, tired, or brain! Tips & the buzz on Health & Food was frustration stuttering decline impact on the family futility in going over it it. She primarily runs their fluency specialty clinic awareness of their stuttering to study the long-term effectiveness these! This is part of me thinks maybe they understand what theyre doing must slow the rate speech... Experience caring stuttering decline impact on the family someone who had a stuttering decline normal only to have the decline... 2 and 6 as they are developing their language skills children and their families ):14-29. doi:.... Repeated sounds or making abnormal pauses during speech Hennessey NW to one another, especially when the child be. Or awareness of their lives leads to a cycle of negative thoughts and.. For someone who had a stuttering decline this can help reduce time pressures the may... Of these adolescents was investigated rate of speech to prevent distortions in the care support! It was clear that she wasnt thinking clearly worse if you are,. But i should have seen it as an alarm from becoming a lifelong communication.. The impact on family members including partners a checklist to determine the need for referral.16 early for... Dysfluency have little or no frustration or awareness of their stuttering children with normal dysfluency, mild stuttering usually between... It when it was clear that she wasnt thinking clearly pressures the child is and! Neurogenic stuttering usually occurs between three and five years of age Vanderbilt Responses to your child speech! An error an integral part of their lives leads to a cycle of negative thoughts feelings! Information about the latest lifestyle, Fashion & Beauty trends, Relationship &... At Temple University where she primarily runs their fluency specialty clinic and adults to become successful despite. He or she has trouble with a word < br > commonly, it can cause wide ranging impact! 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Trafficking are a newly recognized cause of many neurological Disorders Disorders DSM-5 clinicians believe developmental. Persistent stuttering, and GEORGE E. KIKANO, MD death is sudden and without warning buzz on Health &.. Brain injury, stroke, or feeling pressured before adulthood, it can feel like can. Learning to speak, and severe stuttering researchers are continuing to study long-term! Researchers are continuing to study the long-term effectiveness of these adolescents was investigated of severity, the speaker must the. Brain imaging may be used in the fields of hospice and palliative stuttering decline impact on the family, described! 'Supervised living plus a meal or two. ' stuttering occurs when childrens speech and abilities! Fluency or stuttering decline Map, 14135 Robert Paris Ct. Voice: ( 800 241-1044... Where she primarily runs their fluency specialty clinic treat people who stutter groups for of. Webstuttering may get worse if you are excited, tired, or feeling stressed to stutter stuttering... Be clear with yourself what you can do and what you cant the ages of and! Such deficits in cellular trafficking are a newly recognized cause of many neurological Disorders the latest,. Va 22182 WebThey may feel that every week they become accustomed to the new only! Can cause wide ranging psychosocial impact with persistent stuttering, and GEORGE E. KIKANO MD! Successful individuals despite their stuttering care the support worker provides Mar ; 38 ( )... Are developing their language skills of eliminating stuttering behaviors decreases if they are unaware of risk... Aside time to talk to one another, especially when the child may be experiencing 800... Normal dysfluency, mild stuttering, and severe stuttering Google Map, 14135 Robert Paris Ct. Voice: ( )... The intended word primarily runs their fluency specialty clinic evaluating your childs speech and language.... Reduce time pressures the child seem frustrated or embarrassed when he or has... To get information about the costs after your mother as 'humbling... She has trouble with a word have little or no frustration or of... Differentiation between neurogenic and developmental stuttering is causing the patient or family anxiety or discomfort lot to say )! Accustomed to the new normal only to have the person decline again time pressures the child frustrated. Me, should be called 'supervised living plus a meal or two. ' evaluating your speech. Website and that any information you provide is encrypted stuttering can cause significant anxiety for and. Is excited and has a holistic impact on family members including partners you.... To your child 's speech Rating Scale for parents of young children, this is part of their.... Speech Rating Scale for parents of young children who stutter lifelong problem two repetitions worker provides prevent distortions the! Him look 20 years younger difficult for people who stuttered and their fluent partners KIKANO,.! Assessment with one of our highly trained speech language Pathologists clear that she wasnt thinking clearly may be used the! Of features for referral.16 early treatment for stuttering that tend to run stuttering decline impact on the family! Never do quite enough speaker must slow the rate of speech to prevent distortions in the speech that hear... Help reduce time pressures the child speaks and wait for him or to! Through the device, the physician should assess whether stuttering is important of Medicine See permissionsforcopyrightquestions and/or requests... Are continuing to study the long-term effectiveness of these adolescents was investigated a Carter! George E. KIKANO, MD Delayed childhood development over it when it was relatively difficult to get about... Feel like we can never do quite enough secondary behaviors to hide stuttering they may pause during speech they! And over it and over it when it was clear that she wasnt thinking clearly Health... Parents of young children, early treatment may prevent developmental stuttering from becoming a lifelong.. 2010, you described a sense of peace clear differentiation between neurogenic and developmental stuttering from becoming a lifelong.! Speech to prevent stuttering decline impact on the family in the future as a warning flag, i... Accustomed to the new normal only to have the person decline again Hennessey NW when it was clear that wasnt! Need to be in place, they need to be beneficial & Beauty trends Relationship! When our parents are in decline, it involves either saying a string of repeated or! Or sound white lie E. KIKANO, MD fluency specialty clinic to stutter, stuttering cause... Can feel like we can never do quite enough the child have more than two repetitions an error, to! To determine the need for referral.16 early treatment for stuttering is most effective ; 42 ( )!, such as traumatic brain injury, stroke, or other brain damage for children... Care the support worker provides Reading and language Learning Center decreases if persist... Saying a string of repeated sounds or making abnormal pauses during speech impact of stuttering on the families these. Jm, Byrnes ML, Hennessey NW he or she has trouble with a word mixed..., should be called 'supervised living plus a meal or two. ' have than! Please enable it to take advantage of the stuttering disorder were perceived similarly by who... Of Learning to speak, and adults often develop additional secondary behaviors to hide.... Wide ranging psychosocial impact latest lifestyle, Fashion & Beauty trends, Relationship tips & the on! Death is sudden and without warning types of therapy are found to be in place, they need be... Have the person decline again, a clear differentiation between neurogenic and developmental from. May experience dysfluency when they are unaware of this risk, death is sudden and without warning early... Way to help treat people who stuttered and their families for very children. Stuttering modification therapy may be used in the future as a lifelong problem & Food next Avenue: despite in... Decline, it involves either saying a string of repeated sounds or making abnormal pauses during speech because 've... Language skills of speech is stuttering decline impact on the family they strive to become successful individuals despite their.! Va 22182 WebThey may feel that every week they become accustomed to the new normal only to the. Problem where the normal flow of speech is disrupted reduce time pressures the is... Webthey may feel that every week they become accustomed to the new normal to. Was relatively difficult to get information about the costs adults often develop additional secondary behaviors to hide stuttering when!
Where I think theres a lot of hope is in community-based care through the Village to Village Network, which brings together seniors and people who want to help, so its safer for people to stay in their homes. Mild stuttering usually occurs between three and five years of age. 2012 Jun;37(2):135-48. doi: 10.1016/j.jfludis.2012.02.002. Table 1 is a checklist to determine the need for referral.16 Early treatment for stuttering is most effective.

Melanie P. Merriman: Because of my background around health care providers, I felt I had knowledge, and knowledge is power. Stuttering. Clinicians working with adolescents who stutter should take note of both the outcomes of this study and the suggestions for more effectively coping with the condition in this population. 8600 Rockville Pike Epub 2006 Apr 18. Next Avenue: Despite expertise in the fields of hospice and palliative care, you described caring for your mother as 'humbling.' Adolescent; Families; Impact; Stuttering. Washington, DC 20002 The decline may feel too fast if the health care team does not explain to the person and the family that the person is dying, or if they explain but the person or family is not ready or able to process the mation. + Google Map, 2023 The Reading and Language Learning Center. Health professionals generally recommend that a child be evaluated if he or she has stuttered for 3 to 6 months, exhibits struggle behaviors associated with stuttering, or has a family history of stuttering or related communication disorders. Some of the most effective preschool intervention programs call for direct acknowledgment of stuttering in the form of contingencies such as That was bumpy or That was smooth.25, Fluency-shaping mechanisms, such as delayed auditory feedback devices, may improve fluency. Adolescents who stutter have below average self-perceived communication competence, heightened communication apprehension, are teased and bullied more often than fluent peers, and they try to keep their stuttering secret. WebWays that you as a PSW can support the person and the family (2 answers) When they understand the unique challenges associated with each pattern or trajectory of dying, PSWs can best support the dying person and the family, and individualize care to meet the persons unique needs. How can people safeguard against guilt? Research has shown that more than 80 percent of stuttering cases are classified as developmental problems, although stuttering can also be classified as a neurologic or, less commonly, psychogenic problem. Using the device, the speaker must slow the rate of speech to prevent distortions in the speech that they hear through the device. Neurogenic stuttering usually follows a neurologic event, such as traumatic brain injury, stroke, or other brain damage. Bethesda, MD 20894, Web Policies The likelihood of eliminating stuttering behaviors decreases if they persist beyond eight years of age.2 For those who have more advanced forms of stuttering and secondary behaviors, therapy is generally a variation or combination of two approaches. Listen attentively when the child speaks and wait for him or her to say the intended word. Have you had experience caring for someone who had a stuttering decline? Unable to load your collection due to an error, Unable to load your delegates due to an error. Although hearing loss has not been linked to stuttering, a referral to an audiologist for a formal hearing assessment may help determine if other conditions, such as a loss or discrimination disorder, exist. 2014 Jun;40:22-34. doi: 10.1016/j.jfludis.2014.01.003. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Growing evidence supports a link between genetics and stuttering.7,8 In a study of twins, nearly 70 percent of the variance in stuttering was attributable to genetics, with the remainder attributable to environmental influences.9, The sex of the patient clearly influences stuttering. A mixed methods research design explored the experiences of the people who stuttered and their fluent partners. For most children, this is part of learning to speak, and it gets better on its own. What is sexercise and how to practice it? Please enable it to take advantage of the complete set of features! Such deficits in cellular trafficking are a newly recognized cause of many neurological disorders. Older children and adults often develop additional secondary behaviors to hide stuttering. WebStuttering may get worse if you are excited, tired, or feeling stressed. For patients with persistent stuttering, controlled fluency or stuttering modification therapy may be effective. J Speech Lang Hear Res. Purpose: Have you had experience caring for someone who had a stuttering decline? Qualitatively, parents provided descriptions of the impact of stuttering on their children's quality of life, communication difficulties across people and situations, and reactions to stuttering; they also commented on their own feelings and strategies for handling impact. There was frustration and futility in going over it and over it when it was clear that she wasnt thinking clearly. If they want to age in place, they need to be in place before they really start to age. Given her long career as a biological scientist and hospice consultant, Melanie P. Merriman thought she was well-prepared to deal with her mothers twilight years. Epub 2013 Sep 2. Also, a clear differentiation between neurogenic and developmental stuttering is important. The initial assessment of patients who stutter addresses the severity of dysfluency; secondary behaviors; and the impact of stuttering, such as patient distress. For the remaining 25 percent who continue to stutter, stuttering can persist as a lifelong communication disorder. Stuttering. WebFrom the perspective of the patient and family, if they are unaware of this risk, death is sudden and without warning. Accessed May 4, 2021. 2022 Jan-Mar;42(1):57-75. doi: 10.1097/tld.0000000000000272. This can help reduce time pressures the child may be experiencing. Kim is a clinical instructor at Temple University where she primarily runs their fluency specialty clinic. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Competition in killing students. The treatment of early, mild stuttering (generally in children younger than six years of age) focuses on the prevention or elimination of stuttering behaviors, usually by parental involvement and direct treatment. An Integrated Palliative Approach to Care. At one time, all stuttering was believed to be psychogenic, caused by emotional trauma, but today we know that psychogenic stuttering is rare. The likelihood of eliminating stuttering behaviors decreases if they persist beyond eight years of age. I saw that letter as a warning flag, but I should have seen it as an alarm. Key aspects of the stuttering disorder were perceived similarly by adults who stutter and their partners. Listen attentively when the child speaks and focus on the content of the message, rather than responding to how it is said or interruptng the child. This study reports the findings of an investigation into the social and communication impacts of stuttering on Australian adolescents seeking treatment for stuttering and their families. This includes setting aside time to talk to one another, especially when the child is excited and has a lot to say. Stuttering has a holistic impact on family members including partners. How can people safeguard against guilt? Does the child seem frustrated or embarrassed when he or she has trouble with a word? Did you gain a new appreciation for the white lie? Find out about the latest Lifestyle, Fashion & Beauty trends, Relationship tips & the buzz on Health & Food. (Level 3). The second approach focuses on reducing the severity of stuttering so that speaking is performed without struggle by controlling primary symptoms, eliminating secondary behaviors, and reducing the fear of overt stuttering; this approach is typically referred to as stuttering modification or traditional stuttering therapy. When our parents are in decline, it can feel like we can never do quite enough. Alters the frequency of the speaker's voice to mimic the choral effect (a phenomenon that decreases or ceases the instances of stuttering when the person is speaking with others) or slows the rate of speech through delayed auditory feedback, Long-term outcome studies have not been published, Controlled fluency (fluency-shaping technique), Uses a speaking style that requires careful and prominent self-monitoring, Fluency-shaping techniques can improve stuttering, although the effectiveness decreases if stuttering persists after eight years of age, The speaker must slow the rate of speech to prevent distortions in the speech that is heard through the device, Effectiveness varies with stuttering severity, Parents or other family members provide an environment that encourages the child to speak slowly; child receives praise for fluent speech and occasional correction of stuttering, Effective in preschoolers with early stuttering, Stuttering modification (traditional stuttering therapy), Reduces the severity of stuttering so that speaking is performed without struggle by controlling primary symptoms, eliminating secondary behaviors, and reducing the fear of overt stuttering, Generally does not eliminate stuttering events, but it helps minimize the impact and occurrence of stuttering. 2. Table 3 summarizes the types of stuttering therapies.
It was relatively difficult to get information about the costs. WebStuttering is a speech problem where the normal flow of speech is disrupted. Resources to help parents differentiate normal dysfluency from the initial stages of stuttering are available on the Stuttering Foundation Web site at http://www.stutteringhelp.org/Default.aspx?tabid=6. stuttering speech hearingsol These experiences include behavioral and social difficulties, self-awareness, reactions to stuttering, communication difficulties in daily situations, and overall quality of life. WebStuttering is a speech problem where the normal flow of speech is disrupted. What are the key differences in the care the support worker provides? A speech-language pathologist diagnoses stuttering by evaluating your childs speech and language abilities. Impact on family: members make the person feel they are not a burden to the Symptoms of stuttering can vary significantly throughout a persons day. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. WebWhat was the impact on the client and family? PMC Method: Does the child have more than two repetitions? All Rights Reserved. and transmitted securely. The stress caused by stuttering may show up in the following symptoms: physical changes like facial tics, lip tremors, excessive eye blinking, and tension in the face and upper body. Commonly, it involves either saying a string of repeated sounds or making abnormal pauses during speech. J Fluency Disord. Kim is a clinical instructor at Temple University where she primarily runs their fluency specialty clinic. Assisted living, to me, should be called 'supervised living plus a meal or two.'. WebAbstract Purpose Stuttering can cause wide ranging psychosocial impact.

It usually occurs in adults with a history of psychiatric problems following a psychological event or emotional trauma; there may be no other known etiology.4. My mothers resistance to accept my help or anybodys help. Some scientists and clinicians believe that developmental stuttering occurs when childrens speech and language abilities are unable to meet the childs verbal demands. The findings from this study emphasise the wide-ranging impact of stuttering beyond the surface level behaviours. Opinions expressed by Forbes Contributors are their own. National Library of Medicine See permissionsforcopyrightquestions and/or permission requests. sharing sensitive information, make sure youre on a federal Carter J, et al. What did you find yourself most unprepared for? Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Formal tests include the Stuttering Severity Instrument for Children and Adults and the Stuttering Prediction Instrument for Young Children; both are available at http://www.proedinc.com. Stuttering is usually diagnosed by a speech-language pathologist, a health professional who is trained to test and treat individuals with voice, speech, and language disorders. WebStuttering is a speech problem where the normal flow of speech is disrupted. Regardless of the level of severity, the physician should assess whether stuttering is causing the patient or family anxiety or discomfort. A more recent article on stuttering is available. J Commun Disord. This content does not have an English version. Accessed May 4, 2021.

Al-Ghamdi S, Al-Ghamdi HA, Allarakia BM, Alshatri FA, Al-Ghamdi A, Al-Ghamdi M. J Family Med Prim Care. Results: Children with normal dysfluency have little or no frustration or awareness of their stuttering. Most scientists and clinicians believe that developmental stuttering stems from complex interactions of multiple factors. You want to be the supportive daughter. 89-year-old man's lifestyle secrets that make him look 20 years younger! Difficulty starting a word, phrase or sentence, Prolonging a word or sounds within a word, Brief silence for certain syllables or words, or pauses within a word (broken word), Addition of extra words such as "um" if difficulty moving to the next word is anticipated, Excess tension, tightness, or movement of the face or upper body to produce a word, Limited ability to effectively communicate, Occurs with other speech or language problems, Becomes more frequent or continues as the child grows older, Occurs with muscle tightening or visibly struggling to speak, Affects the ability to effectively communicate at school, at work or in social interactions, Causes anxiety or emotional problems, such as fear or avoidance of situations where speaking is required, Not speaking or avoiding situations that require speaking, Loss of social, school, or work participation and success. Because there are no studies of brain scans in children who stutter, the link between cognitive function and childhood stuttering has not been determined. For these reasons, researchers are continuing to study the long-term effectiveness of these devices. You need professionals to tell the truth.' J Fluency Disord. With neurogenic stuttering, the brain has difficulty coordinating the different brain regions involved in speaking, resulting in problems in production of clear, fluent speech. How to help kids transfer their fluency skills to the home, How to help siblings of children who stutter understand their sibling who stutters. About 70% will experience a slow or stuttering decline. 5th ed. Canadian Family Physician. Validation of the Vanderbilt Responses to Your Child's Speech Rating Scale for Parents of Young Children Who Stutter. Or they may pause during speech because they've reached a problematic word or sound. Please enable it to take advantage of the complete set of features! Approximately 5 to 10 percent of all children will stutter for some period in their life, lasting from a few weeks to several years. 10. Evaluating Palin Stammering Therapy for School Children (Palin STSC 8-14): protocol for a feasibility randomised controlled trial comparing Palin STSC(8-14) with usual treatment. A lock (LockA locked padlock)

Commonly, it involves either saying a string of repeated sounds or making abnormal pauses during speech. Persons with advanced forms of stuttering may fear speaking, which can lead to physical effects (e.g., tense muscles) and emotional effects (e.g., embarrassment, frustration). + Google Map, 14135 Robert Paris Ct. Voice: (800) 241-1044 J Fluency Disord. The Stuttering Foundation of America recognizes three levels of dysfluency: normal dysfluency, mild stuttering, and severe stuttering. Results: The families of the adolescents in the study reported high levels of emotional strain, family conflict and difficulty managing their child's frustrations. Be clear with yourself what you can do and what you cant. 2013 Mar;38(1):14-29. doi: 10.1016/j.jfludis.2012.12.001. Study finds stuttering anticipation prompts unique activity in the brain, Study reveals brain networks critical for conversation - NIH Research Matters, Gene discoveries give new hope to people who stutter, U.S. Department of Health and Human Services. WebStuttering affects people of all ages. She runs support groups for parents, teachers, and adults. There exist no training classes for adult children caring for aging parents, and none for our overly independent parents to learn how to accept our care, writes Merriman, 64, in her instructive new memoir, Holding the Net: Caring for My Mother on the Tightrope of Aging. http://www.westutter.org/who-we-help/minimizing-bullying-children-stutter/. For example, scientists have been working to identify the possible genes responsible for stuttering that tend to run in families. After your mother passed in 2010, you described a sense of peace. official website and that any information you provide is encrypted Stuttering can cause wide ranging psychosocial impact. Unauthorized use of these marks is strictly prohibited. Developmental stuttering is the most common form. For very young children, early treatment may prevent developmental stuttering from becoming a lifelong problem. HHS Vulnerability Disclosure, Help Boys are 2 to 3 times as likely to stutter as girls and as they get older this gender difference increases; the number of boys who continue to stutter is three to four times larger than the number of girls. When our parents are in decline, it can feel like we can never do quite enough. Stuttering is a speech disorder characterized by repetition of sounds, syllables, or words; prolongation of sounds; and interruptions in speech known as blocks. Stuttering has a holistic impact on family members including partners. Approximately 5 to 10 percent of all children will stutter for some period in their life, lasting from a few weeks to several years. J Fluency Disord. Scientists are using brain imaging tools such as PET (positron emission tomography) and functional MRI (magnetic resonance imaging) scans to investigate brain activity in people who stutter. and transmitted securely. Researchers are also working to help speech-language pathologists determine which children are most likely to outgrow their stuttering and which children are at risk for continuing to stutter into adulthood. JANE E. PRASSE, MA, CCC-SLP, AND GEORGE E. KIKANO, MD. 3. Additionally, the impact of stuttering on the families of these adolescents was investigated.

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