The Effectiveness of a Mindfulness-Based Program in Reducing Stuttering Severity and Improving Emotion Regulation in a Sample of Stuttering Students

Document Type : Original Article

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Abstract

Abstract:
     The current research aimed to reduce stuttering severity in stuttering students and improve their emotion regulation through a mindfulness-based program. The research sample consisted of (11) male university students who suffer from moderate stuttering. Their ages ranged between (18-23) years of age with an average age (20.1). The following tools were used: Stuttering Severity Scale (prepared by Al-Rifai), Stuttering Early Awareness Scale (translated by the researcher), Mindfulness Scale (prepared by the researcher), Emotion Regulation scale (prepared by the researcher), and the Mindfulness-based Program (prepared by the researcher). The results of the research indicated the effectiveness of the program used in reducing the severity of stuttering among the study sample and improving their fluency, as well as improving the emotion regulation of the research sample. The results of the research recommended conducting more research and studies on the use of mindfulness techniques in remediating stuttering with different ages, including mindfulness within stuttering remedial programs, and providing the necessary intervention programs to remediate stuttering at an early age before the problem gets worse

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American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed). Washington, DC: American Psychiatric Association .
Arnold, H. S., Conture, E. G., Key, A. P., & Walden, T. (2011). Emotional reactivity, regulation and childhood stuttering: A behavioral and electrophysiological study. Journal of communication disorders44(3), 276-293.‏
 Sünbül, Z. A., & Güneri, O. Y. (2019). The relationship between mindfulness and resilience: The mediating role of self compassion and emotion regulation in a sample of underprivileged Turkish adolescents. Personality and Individual Differences139, 337-342. https://doi.org/10.1016/j.paid.2018.
Baltzell, A., & Summers, J. (2018). The power of mindfulness: Mindfulness Meditation Training in Sport (MMTS). In The Power of Mindfulness: Mindfulness Meditation Training in Sport (MMTS). https://doi.org/10.1007/978-3-319-70410-4
Bang, K. S., Kim, S., Korpela, K. M., Song, M. K., Lee, G., & Jeong, Y. (2019). Evaluating the reliability and validity of the children’s vitality-relaxation scale. International Journal of Environmental Research and Public Health, 16(18). https://doi.org/10.3390/ijerph16183369.
Battle, D. E. (2012). Communication disorders in multicultural populations-E-book. London. Elsevier Health Sciences.‏
Bauerly, K. R. (2018). The Effects of Emotion on Second Formant Frequency Fluctuations in Adults Who Stutter. Folia Phoniatrica et Logopaedica70(1), 13-23.‏
Beaulac, J., Sandre, D., & Mercer, D. (2019). Impact on mindfulness, emotion regulation, and emotional overeating of a DBT skills training group: a pilot study. Eating and Weight Disorders, 24(2), 373–377. https://doi.org/10.1007/s40519-018-0616-9
Behan, C. (2020). The benefits of Meditation and Mindfulness practices during times of crisis such as Covid-19. Irish Journal of Psychological Medicine, 3–5. https://doi.org/10.1017/ipm.2020.38.
Bothe, A. K (2004). Evidence-based treatment of stuttering: Empirical bases and clinical applications . London, Lawrence Erlbaum Associates Inc.
Boyle, M. P. (2011). Mindfulness training in stuttering therapy: A tutorial for speech-language pathologists. Journal of Fluency Disorders, 36(2), 122–129. https://doi.org/10.1016/j.jfludis.2011.04.005
Brockman, R., Ciarrochi, J., Parker, P., & Kashdan, T. (2017). Emotion regulation strategies in daily life: mindfulness, cognitive reappraisal and emotion suppression. Cognitive Behaviour Therapy, 46(2), 91–113. https://doi.org/10.1080/16506073.2016.1218926.
Brocklehurst, P. (2016). Mindfulness and Stuttering : How can mindfulness help? Welcome to the Stammering Self-Empowerment Programme (SSEP), 1–12. Retrieved from http://www.stammeringresearch.org.
Burnham, E. (2017). Mindfulness training for adults who stutter: an overview for speech-language pathologists (Doctoral dissertation).‏Texas, University of Texas at Austin, Faculty of the Graduate School.
Cholin, J., Heiler, S., Whillier, A., & Sommer, M. (2016). Premonitory awareness in stuttering scale (PAiS). Journal of fluency disorders49, 40-50.
Gherardi-Donato, E. C. S., Moraes, V. S., & Esper, L. H. (2020). Mindfulness Measurement Instruments: A Systematic Review. Int J Psychiatr Res3(4), 1-12.‏
Damico, J. S., Müller, N., & Ball, M. J. (Eds.). (2010). The handbook of language and speech disorders. West Sussex: Wiley-Blackwell.
De Veer, S., Brouwers, A., Evers, W., & Tomic, W. (2010). A Pilot Study of the Psychological Impact of the Mindfulness-Based Stress-Reduction Program On People Who Stutter. Journal of European Psychotherapy. 9, 1, 39-56.
De Vibe, F., Bjørndal, A., Fattah, S., Dyrdal, M., Halland, E., & Tanner-Smith, E. (2017). Mindfulness-based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta-analysis,  8(1), 1-12.
Druker, K., Mazzucchelli, T., Hennessey, N., & Beilby, J. (2020). An evaluation of an integrated stuttering and parent-administered self-regulation program for early developmental stuttering disorders. Journal of Speech, Language, and Hearing Research, 63(9), 2894–2912. https://doi.org/10.1044/2020_JSLHR-19-00310.
Emge, G., & Pellowski, W. (2019). Incorporating a Mindfulness Meditation Exercise Into a Stuttering Treatment Program. Communication Disorders Quarterly, 40(2), 125-128.
Erus, S. M., & Tekel, E. (2020). Development of interpersonal mindfulness scale-TR (IMS-TR): A validity and reliability study. European Journal of Educational Research, 9(1), 103–115. https://doi.org/10.12973/eu-jer.9.1.103
Frank, J., Seifert, G., Schroeder, R., Gruhn, B., Stritter, W., Jeitler, M., … Voss, A. (2020). Yoga in school sports improves functioning of autonomic nervous system in young adults: A non-randomized controlled pilot study. PLoS ONE, 15(4), 1–18. https://doi.org/10.1371/journal.pone.0231299.
Felver, J. C., Celis-de Hoyos, C. E., Tezanos, K., & Singh, N. N. (2016). A systematic review of mindfulness-based interventions for youth in school settings. Mindfulness7(1), 34-45.
Freudenthaler, L., Turba, J. D., & Tran, U. S. (2017). Emotion Regulation Mediates the Associations of Mindfulness on Symptoms of Depression and Anxiety in the General Population. Mindfulness, 8(5), 1339–1344. https://doi.org/10.1007/s12671-017-0709-y.
Ghandi, F., Sadeghi, A., Bakhtyari, M., Imani, S., Abdi, S., & Banihashem, S. S. (2018). Comparing the efficacy of mindfulness-based stress reduction therapy with emotion regulation treatment on quality of life and symptoms of irritable bowel syndrome. Iranian Journal of Psychiatry, 13(3), 176–184.
Graepel, J. L. (2015). Mindfulness Attributes as Predictors of Treatment Outcomes in Children Who Stutter. ProQuest Dissertations and Theses, (January), 68. Retrieved from https://search.proquest.com.
Gross, J. J., & John, O. P. (2003). Emotion Regulation Questionnaire. NeuroImage, 48(10), 9–9. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18342544.
Gullone, E., & Taffe, J. (2012). The Emotion Regulation Questionnaire for Children and Adolescents (ERQ–CA): A psychometric evaluation. Psychological assessment24(2), 409.
‏Guitar, B.(2013) Stuttering: An Integrated Approach to its Nature and Treatment. 4th ed. Baltimore: Lippincott Williams & Wilkins.
Gupta, K. (2015). Mindfulness-based cognitive therapy in early adolescents who stutter. Delhi Psychiatry Journal18(2), 452-455.‏
Gupta, S. K., Yashodhara Kumar, G. Y., &, & Vasudha, H. H. (2016). Cognitive behavior therapy and mindfulness training in the treatment of adults who stutter. The International Journal of Indian Psychology, 3(3), 78–87. https://doi.org/18.01.010/20160303.
‏Haeyen, S. (2018). Art Therapy and Emotion Regulation Problems: Theory and Workbook.New York,  Springer.‏
Hwa-Froelich, D. A. (2015). Social communication development. Social communication development and disorders, London, Pearsonse.‏
Hambour, V. K., Zimmer-Gembeck, M. J., Clear, S., Rowe, S., & Avdagic, E. (2018). Emotion regulation and mindfulness in adolescents: Conceptual and empirical connection and associations with social anxiety symptoms. Personality and Individual Differences, 134(May), 7–12. https://doi.org/10.1016/j.paid.2018.05.037.
Harley, J. (2018). The role of attention in therapy for children and adolescents who stutter: Cognitive behavioral therapy and mindfulness-based interventions. American journal of speech-language pathology27(3S), 1139-1151.‏
Howells, L. (2018). Cognitive behavioural therapy for adolescents and young adults: An emotion regulation approach. New York. Routledge.
Humeniuk, E., & Tarkowski, Z. (2019). Temperament characteristics of adults with chronic stuttering. Neuropsychiatria i Neuropsychologia14(1-2), 17.
Jaksic, S. J., & Onslow, M. (Eds.). (2012). The science and practice of stuttering treatment: a symposium. John Wiley & Sons.
‏ Kauffman, H. (2016). Yoga: Potential benefits for persons who stutter. Perceptual and motor skills122(1), 193-199.
Khazan, I. Z. (2013). The clinical handbook of biofeedback: A step-by-step guide for training and practice with mindfulness. New York, John Wiley & Sons.
Klemmensen, C. B. (2018). Integrating the Participants’ Perspective in the Study of Language and Communication Disorders: Towards a New Analytical Approach.New york, Springer.‏
Klonsky, E. D., Victor, S. E., Hibbert, A. S., & Hajcak, G. (2019). The Multidimensional Emotion Questionnaire (MEQ): Rationale and Initial Psychometric Properties. Journal of Psychopathology and Behavioral Assessment, 41(3), 409–424. https://doi.org/10.1007/s10862-019-09741-2.
Kordell, J. (2015). Outcomes of a Combined Mindfulness, Stuttering Modification, and Fluency Shaping Intervention for Children Who Stutter. Master Theses, College of Behavioral and Community Sciences University of South Florida.
Kostiuk, L. M. (2011). Adolescent Emotion Regulation Questionnaire: Development and Validation of a Measure of Emotion Regulation for Adolescents, New York.  LAP LAMBERT Academic Publishing.
Li, M. J., Black, D. S., & Garland, E. L. (2016). The Applied Mindfulness Process Scale (AMPS): A process measure for evaluating mindfulness-based interventions. Personality and Individual Differences93, 6-15.‏
Mace, C. (2008). mindfulness and mental health: therapy, theory and science. London: Routledge Taylor & Francis Group.
McCulloch, J., Swift, M. C., & Wagnitz, B. (2017). Case file audit of Lidcombe program outcomes in a student-led stuttering clinic. International Journal of Speech-Language Pathology, 19(2), 165–173.  https://doi.org/10.3109/17549507.2016.1159336.
Mongia, M., Gupta, A. K., Vijay, A., & Sadhu, R. (2019). Management of stuttering using cognitive behavior therapy and mindfulness meditation. Industrial Psychiatry Journal28(1), 4.‏
Monteagudo, E., Sawyer, J., & Sivek-Eskra, A. (2017). The effects of actors vocal exercises for relaxation on fluency: A preliminary study. Journal of fluency disorders, 54, 50-57.
Nang, C., Hersh, D., Milton, K., & Lau, S. R. (2018). The impact of stuttering on development of self-identity, relationships, and quality of life in women who stutter. American journal of speech-language pathology27(3S), 1244-1258.‏
Neacsiu, A. D., Bohus, M., & Linehan, M. M. (2014). Dialectical behavior therapy: An intervention for emotion dysregulation.(In). Gross, J. J. (Ed.). Handbook of emotion regulation. Guilford publications.491-507.
Neale, M. (2009). Mindfulness meditation: An integration of perspectives from Buddhism, science and clinical psychology(Doctoral dissertation).University of California‏
Owens, R. E. (2012). Language development. An introduction, London, Pearson .
Peach, R. K., & Shapiro, L. P. (2012). Cognition and Acquired Language Disorders-E-Book: An Information Processing Approach.New York, Elsevier Health Sciences.‏
Pertijs, M. A. J., Oonk, L. C., Beer de JJ, B. E., & Bast, E. J. (2014). Clinical guideline stuttering in children, adolescents and adults. Woerden: Nederlandse Vereniging voor Logopedie en Foniatrie, 1-17.‏
Pratscher, S. D., Wood, P. K., King, L. A., & Bettencourt, B. A. (2019). Interpersonal Mindfulness: Scale Development and Initial Construct Validation. Mindfulness, 10(6), 1044–1061. https://doi.org/10.1007/s12671-018-1057-2
Preece, D. A., Becerra, R., Robinson, K., & Gross, J. J. (2020). The Emotion Regulation Questionnaire: Psychometric Properties in General Community Samples. Journal of Personality Assessment, 102(3), 348–356. https://doi.org/10.1080/00223891.2018.1564319
‏ Prelock, P. A., & Hutchins, T. L. (2018). Clinical Guide to Assessment and Treatment of Communication Disorders.New Yor, Springer International Publishing.
Shafiei, B., Faramarzi, S., Abedi, A., Dehqan, A., & Scherer, R. C. (2019). Effects of the Lidcombe Program and Parent-Child Interaction Therapy on Stuttering Reduction in Preschool Children. Folia Phoniatrica et Logopaedica, 71(1), 29–41.
Shafir, T. (2015). Movement-based strategies for emotion regulation, In T. Shafir (ed), Handbook of emotion regulation: Processes, cognitive effects and social consequences, (pp.231-249).‏ Nova Science Publishers, Inc.
Sheppes, G. (2014). Emotion regulation choice: Theory and findings, in  Gross, J. (Ed), Handbook of emotion regulation, (pp.126-139). The Guilford Press.
Smith, B. H., Lyons, M. D., & Esat, G. (2019). Yoga Kernels: A Public Health Model for Developing and Disseminating Evidence-Based Yoga Practices. International Journal of Yoga Therapy, 29(1), 119–126. https://doi.org/10.17761/2019-00024.
Sønsterud, H., Kirmess, M., Howells, K., Ward, D., Feragen, K. B., & Halvorsen, M. S. (2019). The working alliance in stuttering treatment: a neglected variable?. International journal of language & communication disorders54(4), 606-619.‏
Spaapen, D. L., Waters, F., Brummer, L., Stopa, L., & Bucks, R. S. (2014). The emotion regulation questionnaire: Validation of the erq-9 in two community samples. Psychological Assessment, 26(1), 46–54. https://doi.org/10.1037/a0034474.
Stromsta, C. (2008). Stuttering: Its Nature and Management. Stuttering Foundation of America: Memphis, Tennesse.‏
Sun, M., Vinograd, M., Miller, G. A., & Craske, M. G. (2017). Research Domain Criteria (RDoC) and emotion regulation.(In) Essau, C. A., LeBlanc, S. S., & Ollendick, T. H. (Eds.). Emotion regulation and psychopathology in children and adolescents.(Pp61-101) Oxford University Press.
Tang, Y. Y., Tang, R., & Posner, M. I. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse. Drug and Alcohol Dependence, 163, S13–S18. https://doi.org/10.1016/j.drugalcdep.2015.11.041.
Tarkowski, Z(2017). A New Approach to Stuttering: Diagnosis and Therapy. New York, Nova Science Publishers, Inc.
Tichenor, S. E., & Yaruss, J. S. (2019). Group experiences and individual differences in stuttering. Journal of Speech, Language, and Hearing Research62(12), 4335-4350.‏
Uysala, A. A., & Yaşar, Ö. C. (2018). Premonitory awareness scale in children who stutter: PAIS-TR. Journal of Experimental & Clinical Medicine35(2).
Van Eerdenbrugh, S., Packman, A., Onslow, M., O’brian, S., & Menzies, R. (2017). Development of an internet version of the Lidcombe Program of early stuttering intervention: A trial of Part 1. International Journal of Speech-Language Pathology19(6), 637-637.
Verdonk, C., Trousselard, M., Canini, F., Vialatte, F., & Ramdani, C. (2020). Toward a Refined Mindfulness Model Related to Consciousness and Based on Event-Related Potentials. In Perspectives on Psychological Science (Vol. 15). https://doi.org/10.1177/1745691620906444
‏White, S. (2010). New fluency, cognition diagnosis codes. The ASHA Leader15(11), 8-9.
‏ Williams, D. F. (2006). Stuttering recovery: Personal and empirical perspectives. New York, Psychology Press.
‏ Williams, R. E., & Kraft, J. S. (2012). The mindfulness workbook for addiction: A guide to coping with the grief, stress and anger that trigger addictive behaviors. New Harbinger Publications.
Williams, W. C., Morelli, S. A., Ong, D. C., & Zaki, J. (2018). Interpersonal emotion regulation: Implications for affiliation, perceived support, relationships, and well-being. Journal of Personality and Social Psychology115(2), 224.
Xiaohang, H., Shuangxia, P., & Han, B. (2007). A new image matching algorithm based on the relative position of intensity. Proceedings of 2007 10th IEEE International Conference on Computer Aided Design and Computer Graphics, CAD/Graphics 2007, 197–201. https://doi.org/10.1109/CADCG.2007.4407880.
Yairi, E., & Seery, C. H. (2015). Stuttering: Foundations and clinical applications. Boston: Pearson.
Young, J. H. (2016). Mindfulness-based strategic awareness training: A complete program for leaders and individuals .New York, John Wiley & Sons.‏