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Updated: Sep 30, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
The role of temperament in stuttering frequency and impact in children under 7
Sarah Delpeche1, Sharon Millard1, Elaine Kelman2
1City, University of London, Northampton Square, Clerkenwell, London EC1V 0HB, United Kingdom; Michael Palin Centre, 13-15 Pine St, Farringdon, London EC1R 0JG, United Kingdom.
Insights
Temperament, specifically negative reactivity, impacts how stuttering affects preschool children. This finding suggests that emotional reactions should be a focus in early stuttering therapy for children who stutter.
Area of Science:
- Child Psychology
- Speech-Language Pathology
- Developmental Psychology
Background:
- Emotional reactivity and regulation are linked to stuttering severity in preschool children.
- Understanding temperament's role is crucial for clinical decisions in treating stuttering.
- Previous research on temperament and stuttering impact focused on older children, not preschoolers.
Purpose of the Study:
- To examine the connection between temperament (emotional reactivity and regulation) and stuttering frequency.
- To investigate the relationship between temperament and the impact of stuttering on preschool children.
- To explore how temperament influences both the child's and parents' perspectives on stuttering.
Main Methods:
- Analysis of data from 119 preschool children who stutter (CWS) aged 3-6 years.
- Utilized standardized measures including the Children's Behaviour Questionnaire and Palin Parent Rating Scales.
- Assessed stuttering frequency, parent-reported impact, and child-reported communication attitudes.
Main Results:
- No significant association found between emotional reactivity/regulation and stuttering frequency.
- Higher negative reactivity correlated with greater parent-reported stuttering impact.
- Negative affect predicted parent-reported stuttering impact, even after controlling for age.
Conclusions:
- Temperament, particularly negative reactivity, plays a role in the impact of stuttering during early childhood.
- The findings suggest that addressing emotional reactions in therapy may benefit young children who stutter.
- Further research is needed to clarify the directionality of the relationship between negative reactivity and stuttering impact.
Introduction:
Increased emotional reactivity and decreased regulation have been associated with increased stuttering severity and frequency in preschool children who stutter (CWS) and may be predictors for the development of negative reactions to stuttering in young children. Understanding which children are likely to be impacted to a greater or lesser degree has implications for clinical decision making. Associations between temperament and stuttering impact have been explored with older CWS, but not with preschool CWS.
Aim:
To investigate the relationship between temperament (specifically emotional reactivity and regulation) and both stuttering frequency and stuttering impact in preschool CWS.
Methods:
Data collected at initial assessment for 119 young CWS (age range= 3;00-6;11 years) at a specialist centre for stuttering in London, UK were analysed. The following measures were completed: The Children's Behaviour Questionnaire-Short Form (Putnam & Rothbart, 2006); Palin Parent Rating Scales (Millard & Davis, 2016); The Communication Attitude Test for Preschool and Kindergarten Children Who Stutter (Vanryckeghem & Brutten, 2007); and a stuttering frequency measure.
Results:
Emotional reactivity and regulation were not significantly associated with stuttering frequency. Higher scores on negative reactivity were significantly associated with an increased impact of stuttering on the child (from parents' perspective), but not significantly associated with child-reported communication attitude. Positive reactivity was not significantly associated with parent-reported impact of stuttering or child-reported communication attitude. Additional investigation revealed negative affect as a significant predictor of parent-reported impact of stuttering before and after adjusting for age.
Discussion:
The results provide evidence to support the role of temperament on the impact that stuttering has in the early years. While the directionality of the relationship between negative reactivity and impact of stuttering is unknown, the importance of targeting emotional reactions in therapy for young CWS is implicated.
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