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학령전 말더듬아동과 어머니 간 상호작용 시 끼어들기 특성 종단적 분석

A longitudinal analysis on interruption in preschool children who stutter during interactions with their mothers

  • 곽효정 (이화여자대학교 언어병리학과) ;
  • 황시현 (이화여자대학교 언어병리학과) ;
  • 송푸름 (우송대학교 언어치료청각재활학과) ;
  • 심현섭 (이화여자대학교 언어병리학과) ;
  • 이수복 (우송대학교 언어치료청각재활학과)
  • Kwak, Hyo-Jung (Department of Communication Disorders, Ewha Womans University) ;
  • Hwang, Si-Hyeon (Department of Communication Disorders, Ewha Womans University) ;
  • Song, Pu-Reum (Department of Speech Language Therapy and Aural Rehabilitation, Woosong University) ;
  • Sim, Hyun-Sub (Department of Communication Disorders, Ewha Womans University) ;
  • Lee, Soo-Bok (Department of Speech Language Therapy and Aural Rehabilitation, Woosong University)
  • 투고 : 2021.11.10
  • 심사 : 2021.12.12
  • 발행 : 2021.12.31

초록

본 연구는 학령전 말더듬아동과 어머니의 자연스러운 상호작용에서 나타나는 아동과 어머니의 끼어들기 특성을 분석하고 아동의 비유창성과의 관련성을 종단적으로 살펴보고자 하였다. 연구대상은 만 2-5세 말더듬아동과 어머니 6쌍, 일반아동과 어머니 6쌍을 대상으로 하였다. 자연스러운 상호작용 상황에서 나타난 발화를 총 두 차례(평가 시점, 평가 후 12개월 시점) 수집하여 아동의 ND(normal disfluency) 빈도와 AD(abnormal disfluency) 빈도, 아동과 어머니의 끼어들기 빈도 및 끼어들기 시 동시에 말한 시간을 분석하였다. 연구 결과, (1) 평가시점에 말더듬아동 집단과 일반아동 집단 간에 비유창성 빈도에서 유의한 차이를 보였다. (2) 평가 시점과 평가 후 12개월 시점에 말더듬아동 집단과 일반아동 집단 간의 끼어들기 빈도와 끼어들기 시 동시에 말한 시간에 유의한 차이가 없었다. 그러나 말더듬아동 집단은 평가 시점보다 평가 후 12개월 시점에 끼어들기 빈도가 유의하게 증가하였다. (3) 평가 시점에 말더듬아동 어머니 집단과 일반아동 어머니 집단 간 끼어들기 빈도에서 유의한 차이가 나타났으나 끼어들기 시 동시에 말한 시간에 유의한 차이가 없었다. (4) 말더듬아동·어머니 집단에서 시점별(평가 시점, 평가 후 12개월 시점) 아동의 비유창성 빈도와 아동과 부모의 끼어들기 특성 간 상관관계를 살펴본 결과, 평가 시점과 평가 후 12개월 시점에서 아동의 ND 및 AD 빈도와 상관관계를 보인 요인은 없었다. 이러한 결과는 아동과 부모의 상호작용 시 나타나는 끼어들기 특성을 대화 상대방의 발화를 방해하는 부정적인 상호작용의 증거로 해석하여 말더듬아동·부모 상호작용 치료 시 끼어들기 행동에 대한 조언이 적절한지에 대해 고려해볼 필요가 있음을 시사한다.

The purpose of this study was to investigate, longitudinally, interruption behavior which children who do stutter (CWS), children who do not stutter (CWNS) and their mothers and relationship with disfluency of children showed during interactions with their mothers. Subjects for this study consisted of 2-5 year old CWS (male 2 and female 4), an age-matched group of CWNS (male 3 and female 3), and their mothers. Frequencies of normal disfluency (ND) and abnormal disfluency (AD) in children group and frequency of interruption and simultalk duration in children and mothers group were measured two times (initial visit and 12 months later) over the course of one year. As a result, no significant difference was observed in frequency of interruption and simultalk duration both between two mother groups and between two child groups at initial visit and 12 months later. However, frequency of interruption increased significantly over the course of one year in CWS group. A significant group difference was found in frequency of interruption of mothers but, no significant difference was observed in simultalk duration of mothers at initial visit. In the CWS·mothers group, no factors were related with disfluency of children at initial visit and 12 months later. These findings suggest that interruption is not just negative behavior, and that reducing interruption should be considered in child·parent interaction therapy for CWS.

키워드

과제정보

이 논문은 2018년 대한민국 교육부와 한국연구재단의 지원을 받아 수행된 연구임(NRF-2018S1A5A2A03036976).

참고문헌

  1. Allan, F. E., & Williams, C. L. (1974). Interaction patterns of families containing a stuttering sibling. Australian Journal of Human Communication Disorders, 2(1), 32-40. https://doi.org/10.3109/asl2.1974.2.issue-1.07
  2. Ambrose, N. G., & Yairi, E. (1999). Normative disfluency data for early childhood stuttering. Journal of Speech, Language, and Hearing Research, 42(4), 895-909. https://doi.org/10.1044/jslhr.4204.895
  3. Boersma, P., & Weenink, D. (2012). Praat: Doing phonetics by computer (version 5.3.16) [Computer program]. Retreived from http://www.praat.org
  4. Conture, E. G. (1990). Stuttering (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.
  5. Craig, C. (2013). Goldwave (version 5.70) [Computer software]. St. John's, NF: Goldwave.
  6. Egolf, D. B., Shames, G. H., Johnson, P. R., & Kasprisin-Burrelli, A. (1972). The use of parent-child interaction patterns in therapy for young stutterers. Journal of Speech and Hearing Disorders, 37(2), 222-232. https://doi.org/10.1044/jshd.3702.22
  7. Garvey, C., & Berninger, G. (1981). Timing and turn taking in children's conversations. Discourse Processes, 4(1), 27-57. https://doi.org/10.1080/01638538109544505
  8. Heo, H., & Lee, Y. K. (2012). Conversational turn-taking and topic manipulation skills in conversations of school-age low-achievers in language learning. Communication Sciences & Disorders, 17(1), 66-78.
  9. Kasprisin-Burrelli, A., Egolf, D. B., & Shames, G. H. (1972). A comparison of parental verbal behavior with stuttering and nonstuttering children. Journal of Communication Disorders, 5(4), 335-346. https://doi.org/10.1016/0021-9924(72)90004-4
  10. Kelly, E. M. (1993). Speech rates and turn-taking behaviors of children who stutter and their parents. Seminars in Speech and Language, 14(3), 203-214. https://doi.org/10.1055/s-2008-1064171
  11. Kelly, E. M., & Conture, E. G. (1992). Speaking rates, response time latencies, and interrupting behaviors of young stutterers, nonstutterers, and their mothers. Journal of Speech, Language, and Hearing Research, 35(6), 1256-1267. https://doi.org/10.1044/jshr.3506.1256
  12. Kim, Y. T., & Shin, M. J. (2004). Urimal test of articulation and phonology (U-TAP). Seoul, Korea: Hakjisa.
  13. Kim, Y., Hong, G., Kim, K., Jang, H., & Lee, J. (2009). Receptive & Expressive Vocabulary Test (REVT). Seoul, Korea: Seoul Community Rehabilitation Center.
  14. Kwak, H. J., Sim H. S., & Lee, S. B. (2021). A longitudinal analysis on the duration of utterance in a conversational turn and turn-switching pause in preschool children who stutter during interactions with their mothers. Communication Sciences & Disorders, 26(3), 700-717. https://doi.org/10.12963/csd.21846
  15. Kwak, H., Hwang, S., Song, P., Kim, H., Lee, S., & Sim, H. (2020, November). A longitudinal study on the interruption in preschool children who stuttering and parent interactions. Proceedings of the 2020 online Conferences on The Korean Academy of Speech Language Pathology and Audiology (pp. 301-304).
  16. Lee, E. J. (2003). Children who stutter assessment and practice. Paper presented at the Workshop for the 6th International Stuttering Awareness Day.
  17. Lee, E., & Sim, H. S. (2007). Temperament of preschool children who stutter and mother's temperament and parenting style. Korean Journal of Communication & Disorders, 12(2), 279-295.
  18. Lee, S. B., & Sim, H. S. (2016). Fluency predictor variables in early stuttering intervention for children. Communication Sciences & Disorders, 21(2), 382-396. https://doi.org/10.12963/csd.16311
  19. Lee, S. B., Lee, D. Y., Sim, H. S., & Yim, D. S. (2019). The potential usage of language skills for predicting recovery from persistent group in Korean speaking children who stutter. Communication Sciences & Disorders, 24(1), 141-153. https://doi.org/10.12963/csd.18554
  20. Lee, S., & Sim, H. S. (2015). A longitudinal study of utterance length in morphemes as a predictor of treatment outcome in early childhood stuttering. Communication Sciences & Disorders, 20(2), 189-201. https://doi.org/10.12963/csd.15245
  21. Livingston, L. A., Flowers, Y. E., Hodor, B. A., & Ryan, B. P. (2000). The experimental analysis of interruption during conversation for three children who stutter. Journal of Developmental and Physical Disabilities, 12(4), 235-266. https://doi.org/10.1023/A:1009465828258
  22. Meyers, S. C., & Freeman, F. J. (1985). Interruptions as a variable in stuttering and disfluency. Journal of Speech, Language, and Hearing Research, 28(3), 428-435. https://doi.org/10.1044/jshr.2803.435
  23. Min, K. (2007). Variability in the frequency of disfluenices produced by stuttering and nonstuttering children in three speaking tasks (Master's thesis). Ewha Womans University, Seoul, Korea.
  24. Mordecai, D. R. (1979). An investigation of the communicative styles of mothers and fathers of stuttering versus nonstuttering preschool children during a triadic interaction (Doctoral dissertation). Northwestern University, Evanston, IL.
  25. Park, H. Y., Lee, S. B., & Sim, H. S. (2015). Communication behaviors of stuttering recovery and stuttering persistent groups. Journal of Speech-Language & Hearing Disorders, 24(4), 237-248. https://doi.org/10.15724/jslhd.2015.24.4.022
  26. Park, Y. R., & Choi, S. Y. (2019). The effects of conversational skills intervention through group program on conversational turn-taking and topic manipulation skills of school-age children with language delay. Journal of Speech-Language & Hearing Disorders, 28(2), 115-128. https://doi.org/10.15724/jslhd.2019.28.2.115
  27. Ramig, P. R. (1993). Parent-clinician-child partnership in the therapeutic process of the preschool-and elementary-aged child who stutters. Seminars in Speech and Language, 14, 226-237. https://doi.org/10.1055/s-2008-1064173
  28. Riley, G. D. (1980). Stuttering severity instrument. Tigard, OR: C. C. Publications.
  29. Sacks, H., Schegloff, E. A., & Jefferson, G. (1974). A simplest systematics for the organization of turn-taking for conversation. Language, 50(4), 696-735. https://doi.org/10.1353/lan.1974.0010
  30. Savelkoul, E. M., Zebrowski, P. M., Feldstein, S., & Cole-Harding, S. (2007). Coordinated interpersonal timing in the conversations of children who stutter and their mothers and fathers. Journal of Fluency Disorders, 32(1), 1-32. https://doi.org/10.1016/j.jfludis.2006.12.001
  31. Sim, H., Shin, M., & Lee, E. (2010). Paradise-fluency assessment (2nd ed.). Seoul, Korea: Paradise Welfare Foundation.
  32. Smith, A., & Kelly, E. M. (1997). Stuttering: A dynamic, multifactorial model. In G. M. Siegel, & R. F. Curlee (Eds.), Nature and treatment of stuttering: New directions (2nd ed., pp. 204-217). Boston, MA: Allyn & Bacon.
  33. Starkweather, C. W., & Gottwald, S. R. (1990). The demands and capacities model II: Clinical applications. Journal of Fluency Disorders, 15(3), 143-157. https://doi.org/10.1016/0094-730X(90)90015-K
  34. Van Riper, C. (1982). The nature of stuttering (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.
  35. Vanryckeghem, M., & Brutten, G. (2002). KiddyCAT: A measure of stuttering and nonstuttering preschoolders' attitude. ASHA Leader, 7(15), 104.
  36. Weiss, A. (2004). Why we should consider pragmatics when planning treatment for children who stutter. Language, Speech, and Hearing Services in Schools, 35(1), 34-45. https://doi.org/10.1044/0161-1461(2004/005)
  37. Weiss, A. L. (1995). Conversational demands and their effects on fluency and stuttering. Topics in Language Disorders, 15(3), 18-31. https://doi.org/10.1097/00011363-199505000-00004
  38. Yairi, E., & Ambrose, N. G. (2005). Early childhood stuttering. Austin: PRO-ED.
  39. Zebrowski, P. M. (1995). Temporal aspects of the conversations between children who stutter and their parents. Topics in Language Disorders, 15(3), 1-17. https://doi.org/10.1097/00011363-199505000-00003
  40. Zebrowski, P. M., & Kelly, E. M. (2002). Manual of stuttering intervention. Clifton Park, NY: Thomson Delmas Learning.
  41. Zebrowski, P. M., Weiss, A. L., Savelkoul, E. M., & Hammer, C. S. (1996). The effect of maternal rate reduction on the stuttering, speech rates and linguistic productions of children who stutter: Evidence from individual dyads. Clinical linguistics & phonetics, 10(3), 189-206. https://doi.org/10.3109/02699209608985171