Preschoolers who stutter may have difficulty controlling their emotions, suggesting that emotional factors contribute to the speech disorder.

Three general differences between the two groups emerged. Children who stuttered showed greater emotional 'reactivity' to everyday stresses, like having a toy taken away; it took them longer to settle down once they were excited or upset; and they were less adept at shifting their attention away from the stressor, often becoming fixated on it instead. The researchers suspect that poor attentional control, leading to higher levels of emotional reactivity may contribute to the development of stuttering in children who are predisposed to the speech problem.The findings are in line with what parents often tell their child's doctor or speech therapist: that emotional outbursts or excitement seem to trigger stuttering episodes. Parents should tell their doctors if they notice that their child regularly has strong emotional reactions to everyday challenges or changes in their daily routine.
Parents may be able to help their child by demonstrating ways to calmly cope with stressful situations. Parents should not feel guilty about any role emotional control might play in stuttering. There is no evidence that parents cause their children to stutter.
June 2006
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