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Associations between self-rated stuttering severity and multidimensional stuttering impact
1Department of Communication Sciences and Disorders, Fort Hays State University, Hays, KS, United States.
Journal of Fluency Disorders
|July 21, 2026
Summary
Self-rated severity (SRS) in stuttering is linked to the overall impact of stuttering on daily life for Chinese adults. While related, SRS and the Overall Assessment of the Speaker's Experience of Stuttering (OASES) are not interchangeable measures.
Area of Science:
- Speech and Language Pathology
- Psycholinguistics
- Clinical Psychology
Background:
- Stuttering severity and impact research shows inconsistent findings due to varied measurement methods.
- Understanding the relationship between perceived severity and lived experience is crucial for effective intervention.
Purpose of the Study:
- To examine associations between self-rated severity (SRS) and multidimensional stuttering impact (OASES) in Chinese adults.
- To investigate bivariate and covariate-adjusted relationships between these measures.
Main Methods:
- An anonymous online survey collected data from 346 Chinese adults who stutter.
- Participants completed the Simplified Chinese OASES-Adults (OASES-A-SC) and a 7-point SRS.
- Pearson correlations and multiple linear regression analyses were performed, controlling for demographic and treatment variables.
Main Results:
- SRS showed moderate to strong positive associations with the OASES Overall Impact Score and all section scores (rs =.49-.67).
- These associations remained significant after adjusting for covariates.
- Support group participation correlated with lower stuttering impact scores.
Conclusions:
- Self-rated severity (SRS) is a valid indicator of stuttering's multidimensional impact, but not a substitute for comprehensive assessments like the OASES.
- Brief SRS measures can offer a practical, speaker-centered perspective, valuable for large-scale or cross-cultural studies.
- Findings highlight the importance of considering subjective experience alongside objective measures in stuttering research and practice.
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