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Autism Spectrum Disorder

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Stuttering as a spectrum disorder: A hypothesis.

Shahriar SheikhBahaei1, Marissa Millwater1, Gerald A Maguire2

  • 1Neuron-Glia Signaling and Circuits Unit, National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health (NIH), Bethesda, 20892, MD, USA.

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Childhood-onset fluency disorder (stuttering) affects millions globally. Research shows stuttering is heterogeneous, requiring personalized therapy approaches for diverse causes.

Keywords:
Childhood-onset fluency disorderNeurodevelopmentSpectrum disorderStuttering

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Area of Science:

  • Speech and Language Pathology
  • Neuroscience
  • Genetics

Background:

  • Childhood-onset fluency disorder, or stuttering, impacts over 70 million adults worldwide.
  • Stuttering typically begins in childhood, is more common in males, and manifests during conversational speech.
  • Existing research often treats stuttering as a uniform condition, potentially masking underlying etiological diversity.

Purpose of the Study:

  • To emphasize that stuttering is a heterogeneous condition with varied etiologies.
  • To advocate for personalized therapy approaches based on individual causes.
  • To highlight the need for research and clinical practices to acknowledge this variability.

Main Methods:

  • Consolidation of historical and recent observations on stuttering.
  • Analysis of clinical manifestations and potential underlying causes.
  • Application of precision medicine principles to stuttering treatment.

Main Results:

  • Evidence suggests stuttering arises from diverse etiologies, not a single cause.
  • Viewing stuttering as a spectrum disorder acknowledges its inherent variability.
  • Heterogeneity in stuttering necessitates tailored treatments for specific subgroups.

Conclusions:

  • Stuttering is a heterogeneous condition with diverse underlying causes.
  • Personalized therapeutic approaches are crucial for effective stuttering treatment.
  • Recognizing stuttering as a spectrum disorder aligns with precision medicine principles.