Safety behaviors and speech treatment for adults who stutter

Helgadottir, FD; Menzies, RG; Onslow, M; Packman, A; O'Brian, S

Safety behaviors and speech treatment for adults who stutter

Helgadottir, FD Menzies, RG Onslow, M

Packman, A

O'Brian, S

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Publisher:: AMER SPEECH-LANGUAGE-HEARING ASSOC
Publication Type:: Journal Article
Citation:: Journal of Speech, Language, and Hearing Research, 2014, 57, (4), pp. 1308-1313
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Helgadottir, FD
dc.contributor.author	Menzies, RG
dc.contributor.author	Onslow, M https://orcid.org/0000-0003-2629-2390
dc.contributor.author	Packman, A https://orcid.org/0000-0001-7378-326X
dc.contributor.author	O'Brian, S https://orcid.org/0000-0002-0882-1909
dc.date.accessioned	2025-01-30T12:20:38Z
dc.date.available	2025-01-30T12:20:38Z
dc.date.issued	2014-01-01
dc.identifier.citation	Journal of Speech, Language, and Hearing Research, 2014, 57, (4), pp. 1308-1313
dc.identifier.issn	1092-4388
dc.identifier.issn	1558-9102
dc.identifier.uri	http://hdl.handle.net/10453/184698
dc.description.abstract	Purpose: Those with anxiety use safety behaviors when attempting to prevent negative outcomes. There is evidence that these behaviors contribute to the persistence of anxiety disorders. Safety behaviors have been prominent in the cognitive behavior therapy literature during the last decade, particularly with social phobia management. However, nothing is known of safety behavior use by those who stutter. This is surprising given the high prevalence of social phobia in the stuttering population who seek clinical help. Method: Clinical psychologists and speech-language pa-thologists (SLPs) created a list of safety behaviors that might be used by adults during treatment for stuttering. Participants were 160 SLPs who were asked whether they advised adults who stutter to use any of these safety behaviors. Results: SLPs commonly recommend safety behaviors during stuttering management. Factor structures were found for the following 5 safety behavior categories: (a) general safety behaviors, (b) practice and rehearsal, (c) general avoidance, (d) choosing safe and easy people, and (e) control-related safety behaviors. Conclusions: There is a need to determine the frequency with which adults who receive stuttering treatment follow these clinician recommendations. In addition, there is a need to experimentally determine whether following such recommendations prevents fear extinction at long-term follow-up. © American Speech-Language-Hearing Association.
dc.format	Print
dc.language	eng
dc.publisher	AMER SPEECH-LANGUAGE-HEARING ASSOC
dc.relation.ispartof	Journal of Speech, Language, and Hearing Research
dc.relation.isbasedon	10.1044/2014_JSLHR-S-13-0041
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1702 Cognitive Sciences, 2004 Linguistics
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	4704 Linguistics
dc.subject.classification	5204 Cognitive and computational psychology
dc.subject.mesh	Adult
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Phobia, Social
dc.subject.mesh	Safety
dc.subject.mesh	Social Behavior
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Speech-Language Pathology
dc.subject.mesh	Stuttering
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Stuttering
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Social Behavior
dc.subject.mesh	Speech-Language Pathology
dc.subject.mesh	Safety
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Phobia, Social
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Adult
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Phobia, Social
dc.subject.mesh	Safety
dc.subject.mesh	Social Behavior
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Speech-Language Pathology
dc.subject.mesh	Stuttering
dc.subject.mesh	Surveys and Questionnaires
dc.title	Safety behaviors and speech treatment for adults who stutter
dc.type	Journal Article
utslib.citation.volume	57
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1702 Cognitive Sciences
utslib.for	2004 Linguistics
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Australian Stuttering Research Centre (ASRC)
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2025-01-30T12:20:36Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	57
utslib.citation.issue	4

Abstract:

Purpose: Those with anxiety use safety behaviors when attempting to prevent negative outcomes. There is evidence that these behaviors contribute to the persistence of anxiety disorders. Safety behaviors have been prominent in the cognitive behavior therapy literature during the last decade, particularly with social phobia management. However, nothing is known of safety behavior use by those who stutter. This is surprising given the high prevalence of social phobia in the stuttering population who seek clinical help. Method: Clinical psychologists and speech-language pa-thologists (SLPs) created a list of safety behaviors that might be used by adults during treatment for stuttering. Participants were 160 SLPs who were asked whether they advised adults who stutter to use any of these safety behaviors. Results: SLPs commonly recommend safety behaviors during stuttering management. Factor structures were found for the following 5 safety behavior categories: (a) general safety behaviors, (b) practice and rehearsal, (c) general avoidance, (d) choosing safe and easy people, and (e) control-related safety behaviors. Conclusions: There is a need to determine the frequency with which adults who receive stuttering treatment follow these clinician recommendations. In addition, there is a need to experimentally determine whether following such recommendations prevents fear extinction at long-term follow-up. © American Speech-Language-Hearing Association.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/184698