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Executive function in preschool children who stutter: a behavioral assessment study.
Kohei Kakuta1,2, Akihiro Kawasaki3
1Department of Rehabilitation, Language and Hearing Therapy, Hospital, National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa, 359-8555, Saitama, Japan. kakuta-kouhei@rehab.go.jp.
Scientific Reports
|May 9, 2025
Summary
Preschool children who stutter may have underlying executive function challenges. This study found lower verbal and visual working memory performance in children with developmental stuttering.
Area of Science:
- Speech-language pathology
- Developmental psychology
- Cognitive neuroscience
Background:
- Developmental stuttering involves speech disfluencies like repetitions and prolongations.
- Executive function, crucial for goal-directed behavior and regulation, is hypothesized to be impaired in children who stutter.
- Limited research exists on specific executive function deficits in preschool-aged children with stuttering.
Purpose of the Study:
- To investigate executive function subcomponents in preschool children with developmental stuttering.
- To compare executive function performance between children who stutter and their typically developing peers.
- To identify specific cognitive factors contributing to stuttering in early childhood.
Main Methods:
- An age- and gender-matched case-control study design was employed.
- Behavioral experiments were conducted to assess various executive function subcomponents.
- Participants included preschool children diagnosed with developmental stuttering and a control group without stuttering.
Main Results:
- Preschool children who stutter demonstrated significantly lower performance in both verbal and visual working memory tasks.
- Findings extend previous research by indicating broader working memory system impairments, not just verbal short-term memory.
- Deficits were observed in central executive functions within the working memory system.
Conclusions:
- Preschool children with developmental stuttering exhibit deficits across the working memory system, including central executive functions.
- These findings highlight the role of executive function impairments in the etiology or maintenance of stuttering.
- Further research should explore targeted interventions for executive function in early stuttering treatment.

