Maintenance of Social Anxiety in Stuttering: A Cognitive-Behavioral Model Purpose Stuttering is a speech disorder frequently accompanied by anxiety in social-evaluative situations. A growing body of research has confirmed a significant rate of social anxiety disorder among adults who stutter. Social anxiety disorder is a chronic and disabling anxiety disorder associated with substantial life impairment. Several influential models have ... Review Article
Newly Published
Review Article  |   March 23, 2017
Maintenance of Social Anxiety in Stuttering: A Cognitive-Behavioral Model
 
Author Affiliations & Notes
  • Lisa Iverach
    Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
    Australian Stuttering Research Centre, The University of Sydney
  • Ronald M. Rapee
    Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
  • Quincy J. J. Wong
    Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
  • Robyn Lowe
    Australian Stuttering Research Centre, The University of Sydney
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Lisa Iverach: lisa.iverach@sydney.edu.au
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Nancy Hall
    Associate Editor: Nancy Hall×
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Attention, Memory & Executive Functions / Newly Published / Review Article
Review Article   |   March 23, 2017
Maintenance of Social Anxiety in Stuttering: A Cognitive-Behavioral Model
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2016_AJSLP-16-0033
History: Received March 7, 2016 , Revised August 23, 2016 , Accepted October 7, 2016
 
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2016_AJSLP-16-0033
History: Received March 7, 2016; Revised August 23, 2016; Accepted October 7, 2016

Purpose Stuttering is a speech disorder frequently accompanied by anxiety in social-evaluative situations. A growing body of research has confirmed a significant rate of social anxiety disorder among adults who stutter. Social anxiety disorder is a chronic and disabling anxiety disorder associated with substantial life impairment. Several influential models have described cognitive-behavioral factors that contribute to the maintenance of social anxiety in nonstuttering populations. The purpose of the present article is to apply these leading models to the experience of social anxiety for people who stutter.

Method Components from existing models were applied to stuttering in order to determine cognitive-behavioral processes that occur before, during, and after social-evaluative situations, which may increase the likelihood of stuttering-related social fears persisting.

Results Maintenance of social anxiety in stuttering may be influenced by a host of interrelated factors, including fear of negative evaluation, negative social-evaluative cognitions, attentional biases, self-focused attention, safety behaviors, and anticipatory and postevent processing.

Conclusion Given the chronic nature of social anxiety disorder, identifying factors that contribute to the persistence of stuttering-related social fears has the potential to inform clinical practice and the development of psychological treatment programs to address the speech and psychological needs of people who stutter with social anxiety.

Acknowledgments
This article was supported by a grant (#1052216) awarded to the first author and grant (#633007) from the National Health and Medical Research Council of Australia.
Order a Subscription
Pay Per View
Entire American Journal of Speech-Language Pathology content & archive
24-hour access
This Article
24-hour access