Research Notes
Kurt Eggers, Ghent U, Thomas More, & Turku U
Robin Jones, Vanderbilt University Medical Center
The constitutional component to temperament should be viewed as its biological basis (i.e., it is something you are born with), but it is important to note that it is influenced over time by maturation and experience (e.g., Saudino, 2005).
Temperament plays an important role in the experience and expression of emotions and also exerts an important influence on the child’s social-emotional development, personality development, and family system as well as a profound effect on the way in which children interact with their environments (Rothbart et al., 2000).
Over the last two decades, several studies have been conducted focusing on the relation between temperament and stuttering. For a comprehensive overview, see review articles (Jones, et al., 2014; Kefalianos et al., 2012) as well as our recent book chapter (Jones et al., in press) on the topic. The main findings from these studies have indicated that children who stutter, compared to children who do not stutter, may: 1) be more emotionally reactive and exhibit more negative emotions (e.g., Eggers et al., 2010; Karrass et al., 2006), and 2) have lower self-regulation (e.g., Eggers et al, 2010; Jones et al., 2014) or difficulties in processes supporting self-regulation, such as attentional focusing/shifting and inhibitory control (e.g., Eggers et al., 2012, 2013). Findings from studies in adults who stutter have been less unequivocal (e.g., Lucey et al., 2019).
In addition to studying between group-differences, several studies have shown that increased positive or negative reactivity is associated with increased stuttering frequency and/or stuttered utterances (e.g., Choi et al., 2016; Jones et al., 2014). Similarly, studies on self-regulation have found decreased regulation to be associated with increased stuttering frequency and/or severity (e.g., Jones et al., 2017; Kraft et al., 2019). A recent series of studies also explored associations between temperament, anxiety and the impact of stuttering. Children with higher positive reactivity (i.e., more extraverted and less fearful/shy), experienced a lower overall impact of their stuttering while children with higher negative reactivity (i.e., more irritable and easily frustrated), experienced a higher overall impact (Eggers et al., 2021). Further, higher negative reactivity and lower positive reactivity and self-regulation were associated with elevated levels of anxiety and depression in CWS (Eggers et al., in press).
Based on a growing body of research, evidence seems to suggest that temperament may play a salient role in the onset, development, and possibly the chronicity (e.g., Koenraads et al., 2021) of stuttering for at least some people who stutter. From a clinical point of view, assessing temperament (e.g., through parent- or child questionnaires, interviews, observations) in a child who stutters, may increase the understanding of how a child reacts in certain situations and regulates his/her emotions. Therapeutically, we suggest to proceed with caution until the underlying mechanisms between temperament and stuttering have been unraveled. However, clinicians may be able to suggest strategies to optimize parent-child alliance as well as ideal problem solving/coping strategies to apply, as already described in recent evidence-based treatment approaches (e.g., Kelman et al., 2020).