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Self-Compassion and Quality of Life in Adults Who Stutter
Abstract
Purpose
The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter.
Method
Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter.
Results
Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life.
Conclusions
Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.
... It begins in childhood and can continue into adulthood (American Psychiatric Association, 2013;Prasse & Kikano, 2008). There are several studies that support the adverse effects in psychosocial characteristics, resilience skills, quality of life and emotional regulation in Adults Who Stutter (AWS) (Chu et al., 2020;Croft & Byrd, 2020;Nicolai et al., 2018;Tran, Blumgart, & Craig, 2018). Temperament differences are also important in AWS and impact the quality of life (Lucey, Evans, & Maxfield, 2019;Tichenor & Yaruss, 2020). ...
Speech-Language Therapists (SLT) may have negative approaches toward Adults Who Stutter (AWS). There is no consensus about the SLT perspectives on AWS. This study aimed to investigate the SLT approach to AWS and assessment-therapy components in their practices. SLT (N=209) were included in the study. The survey consisted of four sections: demographic information, assessment-therapy components, and attitudes. The results are reported through boxplot graphics. The majority of the SLT were female (86.6%) and aged in the young group (20-29 years) (81.2%). SLT noted that they frequently used non-standard tools in the assessments and traditional or contemporary methods are preferred in the therapy components. The participants mentioned that important to AWS's quality of life, resilience, and psychosocial characteristics. SLT are more likely to utilize non-standard approaches while evaluating AWS. Traditional methods, as well as current approaches, are preferred by the SLT. SLT cares about AWS's resilience and temperament differences.
... The SCS is a 26-item 5-point Likert-response scale that focuses on the respondent's opinions of self-worth, thought to be a function of emotional regulation. Self-compassion is a core component of cognitive and affective therapies for adults who stutter and included as part of the Blank Center treatment approach (see Croft & Byrd, 2020, for correlation with the OASES). The SCS demonstrates impressive internal reliability and temporal stability (interitem, Cα = .92; ...
The purpose of this study was to examine the benefits of a treatment approach for adults who stutter that focuses on core communication competencies rather than attempt to modify speech fluency. Eleven adults who stutter completed a 12-week treatment program at The Arthur M. Blank Center for Stuttering Education and Research. Pre-and posttreatment measures included (a) self-reported cognitive and affective aspects of stuttering (Overall Assessment of the Speaker's Experience of Stuttering [OASES], Self-Perceived Communication Competence [SPCC], Devereux Adult Resilience Survey [DARS], and Self-Compassion Scale [SCS]) and (b) ratings of 9 core communication competencies by an unfamiliar clinician blind to pre/posttreatment status. Participants reported significant mitigation of the adverse impact of stuttering (OASES) and greater resilience (DARS) after treatment. Participants also demonstrated significant gains in 8 of the 9 clinician-perceived communication competencies. Lower pretreatment stuttering frequencies were not significantly associated with posttreatment gains in clinician-perceived communication competencies. Preliminary findings suggest that, similar to findings for children and adolescents who stutter in previous studies, significant psychosocial and communicative benefit can be obtained for adults who stutter following treatment designed to focus on communication effectiveness rather than fluency, and that these gains are not contingent on the participants' stuttering frequency prior to enrollment.
Background and Aim: Allied health professionals play an important role in therapy of stammering. So, this study was to assess the perception of health professionals regarding different dominant personality traits of stammerers as they devise the therapy and counselling techniques accordingly. Methodology: This observational study was conducted at the department of Developmental and Behavioral Pediatrics; Children Hospital Lahore. The 25 bipolar semantic differential scales developed by Woods and William, was used in this study. A total of 100 health professionals were given the questionnaire. The health professionals involved in this study were Speech and Language Pathologists, Dev. Pediatricians, Occupational Therapists, Physiotherapists, Clinical Psychologists, Special Educationist and Nurses. Results: Sample size of this study was 100. Percentage of females was greater than males (88% vs 12%). Results showed that majority of the participants perceive stammerers as nervous, shy, cooperative, friendly, talkative, sensitive, anxious, fearful, perfectionist, intelligent, emotional, aggressive, self-conscious, self-pitying, guarded, introvert. Conclusion: In this study many health professionals considered that there are many negative personality traits that are dominant among stammerers that had to be addressed seriously. Along with negative traits, there are some positive dominant traits of stammerers according health professionals’ perception.
Background & Objectives: Autism Spectrum Disorders (ASDs) are neurodevelopmental conditions, i.e., characterized by impairments in
domains, such as social interaction and communication across multiple contexts as well as the presence of repetitive and stereotyped behaviors.
ASD imposes high stress on parents or caregivers. The stress negatively impacts parents’ Quality of Life (QoL) and coping styles, and disrupts
their daily and social functioning. Findings indicate that caregivers, especially the mothers of children with autism, experience a poor QoL.
Considering the effects of caregiving for a child with ASD on the family members and particularly parents and their QoL, it is essential to provide
a solution to improve their QoL. Therefore, the present study aimed to investigate the effects of mindful self–compassion training with a focus
on the Islamic–Iranian lifestyle on the QoL of the mothers of children with ASD.
Methods: This was a quasi–experimental study with a pretest–posttest and three–month follow–up and a control group design. The statistical
population of the study was all the mothers of children with ASD who were registered in the Autism Association of Kashan City, Iran, in 2019.
The statistical sample included 24 mothers who volunteered to participate in the current study. They were divided into two groups of test and
control (n=12/group). The inclusion criteria for the mothers were holding high school diploma or higher degrees, being married, not being
pregnant, not having respiratory and cardiovascular diseases (according to their medical records), not receiving any psychological or psychiatric
treatments (according to their medical and psychological records), and scoring ≤50 in the World Health Organization Quality of Life
(WHOQOL–BREF) (1996). Absence in two training sessions and not performing homework assignments were the exclusion criteria for the
mothers. To develop a mindful self–compassion program focused on Islamic–Iranian lifestyle, based on the theoretical framework of cognitive–
behavioral approach and Islamic teachings, the material was firstly extracted from works of Kabat–Zinn on mindfulness (2003), Neff and Germer
on self–compassion (2013), Germer and Neff mindful self–compassion (2020), Gilbert and Procter on the compassionate mind (2006), Kalhori
et al.’s mindfulness–based on Islamic–Iranian Teachings (2020), as well as the Islamic sources and texts, the Holy Quran, Nahj al–Balaghah,
Bihar al–Anwar, Mizan al–Hikmah, Ghurar al–Hikam, the Masnavi by Rumi, the Divan by Hafez, and Saadi’s Divan. Subsequently, they were
organized using the content analysis method and the content and tasks of each session were designed under the supervision of the advisors of
this research. To evaluate the content validity, the program was presented to 9 specialists (6 clinical, general, & exceptional children’s
psychologists with the academic rank of professor and assistant professor and >10 years of clinical experience, 2 specialist in theology, religions,
and mysticism with the academic rank of assistant professor, and 1 Persian literature expert with the academic rank of an assistant professor).
After obtaining the opinions of experts and applying them, to quantify the content validity of the program, the Content Validity Ratio (CVR),
proposed by Lawshe (1975) and Waltz and Bausell’s Content Validity Index (CVI) (1983) were used per session. The CVR and CVI amounts
were approved at 0.78 and 0.88, respectively. The program was first applied to a preliminary single–group study, consisting of 5 mothers of
children with ASD, and a poor QoL; then, it was prepared for the final implementation. To measure the explored mothers’ QoL, the WHOQOL–
BREF, a short version of QoL, i.e., developed by the World Health Organization was used in the pretest, posttest, and follow–up stages of this
study. The experimental group received an 8–session training, one session per week, and each session lasted two and a half hours; the training
was performed by the first researcher and the control group remained on a waiting list for training. A 15–minute break was included in all
sessions. First, the obtained data were analyzed by descriptive statistical measures, such as mean and standard deviation. The collected data were
also analyzed by Student's t–test, Bonferroni test, Chi–squared test, and repeated–measures Analysis of Variance (ANOVA) in SPSS. The
significance level of statistical tests was α=0.05.
Results: The repeated–measures ANOVA results for the QoL components indicated that in physical health, mental health, and social
relationships, group factor (p<0.001), time factor (p<0.001), and time and group relation (p<0.001) was significant. In environment health, group
factor (p=0.440), time factor (p=0.875), and time and group relation (p=0.071) were not significant. The results of Bonferroni post–hoc test
suggested a significant difference between the mean scores of physical health, mental health, and social relationships in the pretest and posttest
stages (p≤0.001), also in the pretest and follow–up stages (p≤0,001); however, no significant difference was found between the mean scores in
the posttest and follow–up stages. Plus, there was no significant difference between the mean values of environment health, in the pretest and
posttest stages (p=0.077), as well as the pretest and follow–up stages (p=0.091).
Conclusion: The present research findings revealed that the mindful self–compassion with a focus on Islamic–Iranian lifestyle program training
was effective in improving the QoL of mothers of children with ASD. Therefore, educational and medical centers can use this training to improve
the individual and social functions of the parents and caregivers of children with ASD or other developmental disorders.
Keywords: Mindful self–compassion, Islamic–Iranian lifestyle, Quality of life, Mothers, Autism, Child.
A key challenge for people who struggle with major depressive disorder (MDD) is the prevention of recurrence, given that the risk of recurrence increases significantly with each episode. Recently, it has been suggested that low levels of self-compassion may be an enduring risk factor for depression recurrence; however, surprisingly little research has examined the pathways through which self-compassion and recurrent depressive symptoms are linked. Thus, our study examined how self-compassion may be protective in the recurrence of depressive symptoms through four emotion regulation strategies associated with depression: brooding rumination, experiential avoidance, cognitive reappraisal, and acceptance. A sample of 100 participants with a history of recurrent depression were recruited using Amazon’s Mechanical Turk (MTurk). Simple and multiple mediation analyses were conducted. Results from the simple mediation models indicated that higher levels of self-compassion were associated with lower depressive symptoms through brooding rumination, experiential avoidance, and acceptance, while cognitive reappraisal did not mediate the relation. The multiple mediation model revealed that brooding rumination was the only significant mediator, when controlling for other emotion regulation strategy variables. Theoretical implications are discussed.
Meta-analytic research suggests that women have slightly lower levels of self-compassion than men, but the contribution of gender role orientation has not been carefully explored. The current study examines the joint associations of self-identified gender and gender role orientation with self-compassion in undergraduate (N = 504) and community adult (N = 968) samples, using two measures of gender role orientation. The Bem Sex Role Inventory (BSRI) and the Personal Attributes Questionnaire (PAQ) were used to classify each participant into a single gender role orientation category based on relative scores on the masculinity and femininity subscales, with respect to the sample, and average scores for each continuous subscale were also retained. The categorical gender role orientation classifications were used in mean comparisons of self-compassion across groups, and the average masculinity and femininity subscale scores were used in regression modeling. Results replicated the small effect size for gender differences in self-compassion for both samples, with self-identified men having significantly higher levels of self-compassion than self-identified women. Results also consistently showed that the impact of self-identified gender on self-compassion was smaller than the impact of masculine gender role orientation, suggesting that socialization plays a strong role, and that those high in both femininity and masculinity tended to have the highest levels of self-compassion. Effect sizes and specific findings differed by gender, sample, and gender role orientation measure. Therefore, a nuanced understanding of differences in self-compassion based on gender and gender role orientation is needed.
Purpose:
The experiences of women who stutter have been underresearched. Clinicians have little guidance from the research literature on issues specific to women who stutter and are likely to have less clinical contact with this group than with men who stutter because of the higher prevalence of stuttering in men. This study explored the experiences of a small group of women who stutter with a particular focus on what the main current issues are and how gender may have influenced experiences with stuttering.
Method:
This qualitative study involved recruitment of 9 women who stutter (aged 35-80 years) through a support network of people who stutter in Western Australia. All the women had received some form of speech therapy for stuttering, and they came from diverse cultural backgrounds. Individual, semistructured interviews were conducted, recorded, and transcribed verbatim. Data were managed with NVivo 10, and thematic analysis was used to identify recurring themes across the data. Data were coded independently by the researchers and refined through group discussion. Participants also completed the Overall Assessment of the Speaker's Experience of Stuttering.
Results:
A core theme of "gendered sense of self in society" emerged from the data. This related to 3 broad themes: perceptions of self that were primarily negative, the impact of stuttering on relationships and social connection with others (relationships with family, peers, colleagues, and intimate partners), and the management of stuttering (internal coping, motivations, and experiences with external support).
Conclusions:
Stuttering has a pervasive impact on all aspects of women's lives and affects how they view themselves, their relationships, their career potential, and their perceptions of how others view them in society. The women interviewed in this study often had negative self-perceptions and felt that their quality of life had been impacted by their stuttering. However, the women's stories and experiences of stuttering were shaped by a broader context of perceived sociocultural expectations of females in society. Strong verbal communication was highlighted as a crucial factor in developing identity and forming relationships. This study highlights the need to be aware of the experiences of, and issues facing, women who stutter for clinicians to be more equipped, focused, and successful in their stuttering interventions for women.
Self-compassion has increasingly been recognized to buffer stress and promote emotional health. However, few studies have examined the influences of self-compassion on physiological stress response. The current study aimed to investigate the impact of self-reported self-compassion on physiological stress response and negative affect induced in a laboratory setting. Healthy male participants (N = 34, Asians) were grouped into high (N = 17, age: mean = 19.65, SD = 0.59) or low (N = 17, age: mean = 19.71, SD = 0.82) self-compassion groups based on the Self-Compassion Scale. They were subjected to the Trier Social Stress Test, with electrocardiography recorded and negative affect assessed by the Positive and Negative Affect Schedule. Results demonstrated that self-compassionate individuals showed higher vagally mediated heart rate variability (vmHRV) at baseline (CI = [0.30, 0.91], p = 0.01). Interestingly, self-compassionate individuals demonstrated higher vmHRV to an acute stressor after an anticipated decrease in vmHRV (CI = [0.02, 0.67], p = 0.04). Moreover, self-compassionate individuals reported less negative affect in response to stress (CI = [− 8.29, − 0.42], p = 0.03). Our results demonstrate the role of self-compassion in the flexible adjustment of physiological and psychological responses to stress.
Compassion for others and self-compassion are assumed to be closely related concepts. Yet, as they have been mostly studied separately, little is known about their relationship and to what extent they differ or resemble each other with respect to their correlates. This cross-sectional study aimed to gain knowledge on their mean levels, interrelationship, and relationships to psychological well-being and demographic factors. A community sample of 328 adults completed a series of standardized self-report questionnaires to assess compassion for others, self-compassion, depressive symptoms, negative affect, and positive affect. Results showed that compassion for others and self-compassion were not significantly related. Self-compassion was more strongly related to negative and positive indicators of affect than compassion for others. Compassion for others was higher in women than in men, and in low educated individuals compared to higher educated individuals. In contrast, self-compassion was lower in low educated individuals. Future research can build up on these findings to enlarge the understanding of how compassion for others and self-compassion relate and differ from each other.
Less than 1/3 of college men seek psychological help per year when experiencing mental health concerns. Many believe this is because socialized masculine norms are incongruent with help-seeking decisions. In line with this, adherence to masculine norms, like emotional control and self-reliance, is consistently linked to factors associated with lower use of counseling. Identifying constructs that buffer, or reduce, the relationship between masculine norm adherence and common barriers to seeking help, like helpseeking self-stigma and resistance to self-disclosing, could shed light on mechanisms through which effective interventions could be developed. As such, this study examined whether self-compassion, or the ability to show oneself kindness and understanding in the face of challenges, moderated the relationship between masculine norm adherence and both help-seeking self-stigma and the risks associated with self-disclosing to a counselor in a sample of 284 undergraduate men (Mage = 19.68, range = 18-30). Results indicate that self-compassion is associated with lower levels of help-seeking self-stigma and disclosure risks. Additionally, and perhaps more importantly, self-compassion buffered the relationship between overall masculine norm adherence and each of these barriers. Furthermore, when specific masculine norms were examined, self-compassion buffered the relationship between emotional control and disclosure risks. These results support the need for future research focused on the development and assessment of self-compassion based interventions aimed at decreasing the barriers undergraduate men experience toward seeking psychological help.
Background:
Compassion fatigue and burnout can impact on performance of nurses. This paper explores the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life, and wellbeing among community nurses.
Aim:
To measure associations between self-compassion, compassion fatigue, wellbeing, and burnout in community nurses.
Method:
Quantitative data were collected using standardised psychometric questionnaires: (1) Professional Quality of Life Scale; (2) Self-Compassion Scale; (3) short Warwick Edinburgh Mental Wellbeing Scale; (4) Compassion For Others Scale, used to measure relationships between self-compassion, compassion fatigue, wellbeing, and burnout.
Participants:
A cross sectional sample of registered community nurses (n=37) studying for a postgraduate diploma at a University in the North of England took part in this study.
Results:
Results show that community nurses who score high on measures of self-compassion and wellbeing, also report less burnout. Greater compassion satisfaction was also positively associated with compassion for others, and wellbeing, whilst also being negatively correlated with burnout.
Conclusion:
High levels of self-compassion were linked with lower levels of burnout. Furthermore when community nurses have greater compassion satisfaction they also report more compassion for others, increased wellbeing, and less burnout. The implications of this are discussed alongside suggestions for the promotion of greater compassion.
Objective:
Mood difficulties are common among patients with diabetes and are linked to poor blood glucose control and increased complications. Evidence on psychological treatments that improve both mood and metabolic outcomes is limited. Greater self-compassion predicts better mental and physical health in both healthy and chronically ill populations. Thus, the purpose of this randomized controlled trial (RCT) was to evaluate the effects of self-compassion training on mood and metabolic outcomes among patients with diabetes.
Research design and methods:
This RCT tested the effects of a standardized 8-week mindful self-compassion (MSC) program (n = 32) relative to a wait-list control condition (n = 31) among patients with type 1 and type 2 diabetes. Measures of self-compassion, depressive symptoms, diabetes-specific distress, and HbA1c were taken at baseline (preintervention), at week 8 (postintervention), and at 3-month follow-up.
Results:
Repeated-measures ANOVA using intention to treat showed that MSC training increased self-compassion and produced statistically and clinically significant reductions in depression and diabetes distress in the intervention group, with results maintained at 3-month follow-up. MSC participants also averaged a clinically and statistically meaningful decrease in HbA1c between baseline and follow-up of >10 mmol/mol (nearly 1%). There were no overall changes for the wait-list control group.
Conclusions:
This initial report suggests that learning to be kinder to oneself (rather than being harshly self-critical) may have both emotional and metabolic benefits among patients with diabetes.
Within positive psychology, researchers and clinicians vocalize the need to expand upon how the treatment for major depressive disorder is conceptualized and implemented. The impetus of the current study was to examine preliminary criteria for identifying savouring and self-compassion as protective factors for depression. Undergraduate students (N = 133) completed a series of surveys at two points in time, 5 weeks apart. Results revealed that savouring and self-compassion were inversely related to depression scores cross-sectionally and prospectively. However, savouring was the only positive psychological variable to predict changes in depression scores across time. Cross-sectionally, savouring was also found to moderate the relation between negative life events and depression, such that the strength of the relation between negative life events and depression decreased when higher savouring was present. However, this same effect was not significant prospectively. There was no evidence, cross-sectionally or prospectively, that self-compassion moderated the relation between negative life events and depression. Taken together, results provide preliminary support for savouring as a protective factor for depressive symptoms. Mental health professionals should consider teaching savouring strategies to help at-risk clients stimulate and sustain positive affect as a means of preventing and reducing depressive symptoms. Copyright © 2016 John Wiley & Sons, Ltd.
Cognitive reappraisal has been shown to be an effective strategy to regulate depressed mood in healthy and remitted depressed individuals. However, individuals currently suffering from a clinical depression often experience difficulties in utilizing this strategy. Therefore, the goal of this study was to examine whether the efficacy of explicit cognitive reappraisal in major depressive disorder can be enhanced through the use of self-compassion and emotion-focused acceptance as preparatory strategies. Thereby, explicit cognitive reappraisal refers to purposefully identifying, challenging, and modifying depressiogenic cognitions to reduce depressed mood. To test our hypotheses, we induced depressed mood at four points in time in 54 participants (64.8% female; age M = 35.59, SD = 11.49 years) meeting criteria for major depressive disorder. After each mood induction, participants were instructed to either wait, or employ self-compassion, acceptance, or reappraisal to regulate their depressed mood. Depressed mood was assessed before and after each mood induction and regulation period on a visual analog scale. Results indicated that participants who had utilized self-compassion as a preparatory strategy experienced a significantly greater reduction of depressed mood during reappraisal than did those who had been instructed to wait prior to reappraisal. Participants who had used acceptance as a preparatory strategy did not experience a significantly greater reduction of depressed mood during subsequent reappraisal than those in the waiting condition. These findings provide preliminary evidence that the efficacy of explicit cognitive reappraisal is moderated by the precursory use of other emotion regulation strategies. In particular, they suggest that depressed individuals might benefit from using self-compassion to facilitate the subsequent use of explicit cognitive reappraisal.
Growing evidence suggests that positive mental health or wellbeing protects against psychopathology. How and why those who flourish derive these resilient outcomes is, however, unknown. This exploratory study investigated if self-compassion, as it continuously provides a friendly, accepting and situational context for negative experiences, functions as a resilience mechanism and adaptive emotion regulation strategy that protects against psychopathology for those with high levels of positive mental health. Participants from the general population (n = 349) provided measures at one time-point on positive mental health (MHC-SF), self-compassion (SCS-SF), psychopathology (HADS) and negative affect (mDES). Self-compassion significantly mediated the negative relationship between positive mental health and psychopathology. Furthermore, higher levels of self-compassion attenuated the relationship between state negative affect and psychopathology. Findings suggest that especially individuals with high levels of positive mental health possess self-compassion skills that promote resilience against psychopathology. These might function as an adaptive emotion regulation strategy and protect against the activation of schema related to psychopathology following state negative affective experiences. Enhancing self-compassion is a promising positive intervention for clinical practice. It will not only impact psychopathology through reducing factors like rumination and self-criticism, but also improve positive mental health by enhancing factors such as kindness and positive emotions. This may reduce the future risk of psychopathology.
Recently, the Self-Compassion Scale (SCS) has been criticized for problems with psychometric validity. Further, the use of an overall self-compassion score that includes items representing the lack of self-compassion has been called into question. I argue that the SCS is consistent with my definition of self-compassion, which I see as a dynamic balance between the compassionate versus uncompassionate ways that individuals emotionally respond to pain and failure (with kindness or judgment), cognitively understand their predicament (as part of the human experience or as isolating), and pay attention to suffering (in a mindful or over-identified manner). A summary of new empirical evidence is provided using a bi-factor analysis, which indicates that at least 90 % of the reliable variance in SCS scores can be explained by an overall self-compassion factor in five different populations, justifying the use of a total scale score. Support for a six-factor structure to the SCS was also found; however, suggesting the scale can be used in a flexible manner depending on the interests of researchers. I also discuss the issue of whether a two-factor model of the SCS—which collapses self-kindness, common humanity, and mindfulness items into a “self-compassion” factor and self-judgment, isolation, and over-identification items into a “self-criticism” factor—makes theoretical sense. Finally, I present new data showing that self-compassion training increases scores on the positive SCS subscales and decreases scores on the negative subscales, supporting the idea that self-compassion represents more compassionate and fewer uncompassionate responses to suffering.
The aim of this study was to test social mentality theory, which views self-compassion/reassurance as a form of intrapersonal relating in which the interpersonal mentalities of care-seeking and caregiving are activated. Self-report measures of motivations, cognitions, and behaviors related to seeking and receiving care from others were administered to 195 students. Self-compassion/reassurance was predicted by the interaction of care-seeking and caregiving, with the positive effect of care-seeking intensified at high caregiving. As hypothesized, the combination of high care-seeking and high caregiving predicted the highest level of self-compassion/reassurance. The lowest level of self-compassion/reassurance was predicted by the combination of low care-seeking and high caregiving consistent with the concept of compulsive caregiving. Findings suggest that fostering a kinder way of relating to oneself may be achieved through more effective care-seeking and caregiving with others.
While research suggests strong associations of self-compassion with mental health and well-being, gender norms may hinder the development of self-compassion by women on one hand, and men on the other. This study represents one of the first systematic analyses of potential gender differences in self-compassion using meta-analytic techniques, including whether such gender differences are moderated by age or ethnic minority status. Fixed-effects models were used to estimate the average effect size (ES) of gender differences in self-compassion scores across 71 journal articles and dissertations providing a total of 88 estimates. Results revealed that males had slightly higher levels of self-compassion than females, with a small ES observed (d = .18). This difference was larger in samples with a higher percentage of ethnic minorities. Researchers and practitioners should take these group differences into account in future studies and interventions focused on self-compassion, while not overemphasizing gender differences in self-compassion as being large in size.
A recent review suggested that self-compassion promotes use of adaptive rather than maladaptive coping. Less is known about how self-compassion is linked to stress and coping in the context of a chronic stressor. Across two primarily female chronic illness samples, inflammatory bowel disease (N = 155) and arthritis (N = 164), a model linking self-compassion to lower stress through coping styles and coping efficacy was tested. Path analyses revealed significant indirect effects for adaptive coping styles (active, positive reframing, and acceptance), and negatively for maladaptive coping styles (behavioral disengagement and self-blame) in both samples. Findings suggest that the relative balance of adaptive and maladaptive coping strategies used by self-compassionate people is associated with better coping outcomes in the context of chronic illness.
Body dissatisfaction is a major source of suffering among women of all ages. One potential factor that could mitigate body dissatisfaction is self-compassion, a construct that is garnering increasing research attention due to its strong association with psychological health. This study investigated whether a brief 3-week period of self-compassion meditation training would improve body satisfaction in a multigenera-tional group of women. Participants were randomized either to the meditation intervention group (N=98; M age=38.42) or to a waitlist control group (N=130; M age=36.42). Results sug-gested that compared to the control group, intervention par-ticipants experienced significantly greater reductions in body dissatisfaction, body shame, and contingent self-worth based on appearance, as well as greater gains in self-compassion and body appreciation. All improvements were maintained when assessed 3 months later. Self-compassion meditation may be a useful and cost-effective means of improving body image in adult women.
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Childhood-onset stuttering is a complex and multifaceted disorder. Intervention for adults who stutter has historically addressed speech fluency more so than psychosocial aspects of the disorder, including the nature of the individual’s self-efficacy beliefs concerning their confidence in their capacity to enact change. Self-efficacy is an important construct related to quality of life, resilience, and maintenance of treatment gains for adults who stutter. The purpose of this qualitative study is to explore the nature of the self-efficacy beliefs expressed by adults who stutter in order to inform efficacious and holistic intervention for these individuals.
Semi-structured interviews were conducted with 29 adults who stutter to describe their experiences as a person who stutters and elucidate the nature of their self-efficacy beliefs.
Thematic analysis identified several major themes that provided novel insight into the complex nature of the self-efficacy beliefs experienced by adults who stutter: speaker experiences shaped communicative confidence, there was a conflict between communication and fluency, stuttering was viewed as more than fluency, and individual perspectives shaped communicative confidence, as did the pervading influence of self. The notion that fluency and confidence are inextricably linked was evident within and across each major theme.
These preliminary findings provide further support for a multidimensional approach to the treatment of adults who stutter. Findings will be used to inform a novel integrated fluency and psychosocial intervention for adults who stutter that addresses fluency and self-efficacy concurrently, with a view of engendering durable improvements in speech fluency and communicative confidence.
Purpose:
The purpose of the present study was to evaluate self-acceptance and satisfaction with life with people who stutter and the influence of coping and resilience on the two factors.
Method:
Forty-seven people who stutter (PWS) and 47 people who do not stutter (PWNS) participated in an online survey. Participants completed a survey assessing 6 main areas: (a) background information, (b) satisfaction with life, (c) coping, (d) avoidance, (e) self-acceptance, and resilience.
Results:
Avoidant coping and maladaptive coping moderated the association between stuttering and self- acceptance but not satisfaction with life. Resilience was found to moderate the association between stuttering and self-acceptance as well as satisfaction with life.
Conclusion:
Stuttering was associated with lower self-acceptance at higher levels of avoidant coping and maladaptive coping. PWS who have lower levels of resilience were more likely to have a lower satisfaction with life indicating that higher levels of resilience could serve as a protective factor for having a greater satisfaction with life. Further, stuttering was associated with lower self-acceptance at lower levels of resilient attitude. Resilience and coping appear to protect against having diminished self-acceptance and satisfaction with life for PWS.
Purpose:
Stuttering behaviors and moments of stuttering are typically defined by what a listener perceives. This study evaluated participants' perceptions of their own experience of moments of stuttering.
Method:
Thirteen adults who stutter participated in a phenomenological qualitative study examining their experience of moments of stuttering. Analysis yielded several common themes and subthemes culminating in an essential structure describing the shared experience.
Results:
Speakers experience anticipation and react in action and nonaction ways. Many speakers experience a loss of control that relates to a lack of a well-formed speech plan or agency. The experience of moments of stuttering changes through therapy, over time, with self-help, and across situations. Many speakers experience so-called typical stuttering behaviors as reactions rather than direct consequences of trying to speak. Interactions with listeners can affect the experience of stuttering.
Conclusion:
Although research recognizes that the experience of the stuttering disorder involves more than just speech behaviors, people who stutter experience stuttering behaviors in time as involving more than just the disruption in speech. This finding has implications for both the theoretical understanding of stuttering and the clinical evaluation and treatment of the stuttering disorder.
Purpose:
Method:
This clinical discussion paper will explore two aspects of attention in relation to young people who stutter and their parents: (a) what we attend to as human beings and (b) how we attend. It will draw on research and clinical practice informed by CBT and MBIs. Specifically, information-processing theory in CBT explains psychological well-being partly in terms of what individuals focus their attention on, whereas MBIs focus on the relationship between how individuals attend to their internal experiences and their psychological well-being.
Conclusions:
Although a nascent field, MBIs may be useful as a part of therapy for children and adolescents who stutter. The concepts highlighted by MBIs may also help to resolve some clinical issues.
Purpose: This study investigated the disclosure practices of people who stutter, and the relationship between disclosure of stuttering and quality of life. Method: Participants were 322 adults who stutter recruited from speech-language pathologists and support group leaders. Participants completed a survey that contained items measuring level of disclosure of stuttering, as well as a global measure of self-rated quality of life. Participants were grouped into low, average, and high quality of life subgroups. Analysis of variance tests compared disclosure levels among these subgroups. Results: The low quality of life subgroup reported significantly lower levels of disclosure compared to both the average and high quality of life subgroups. Participants with self-help/support group experience for stuttering demonstrated significantly higher levels of disclosure of stuttering compared to individuals without such experience. In addition, a substantial number of participants in the overall sample reported that they more than rarely feel the need to conceal stuttering from others (40%), and that no one knows that they stutter in many areas of life (37%). Conclusions: Attempts to conceal stuttering in at least some life situations are not uncommon among adults who stutter. However, being involved in self-help support groups may be a helpful way of increasing disclosure of stuttering. Speech-language pathologists should become aware of the positive relationship between disclosure of stuttering and quality of life and its relevance in assessment and treatment when working with people who stutter.
The current study examined the relationship between college students’ perception of cohesive-flexible family functioning and anxiety and depression and whether positive family communication and self-compassion mediated this relationship. Gender differences among these relationships were also explored. Five hundred college students from a southeastern public university completed an online survey (78% females, 46% Caucasian, 55% 18–19 years old). Multiple-sample latent structural equation modeling analyses revealed that cohesive-flexible family functioning was related to higher levels of positive communication, positive communication was related to higher levels of self-compassion, and that higher levels of self-compassion were related to lower levels of depression and anxiety. Positive communication and self-compassion mediated the relationship between cohesive-flexible family functioning and anxiety and depression. Moderation analyses revealed no significant differences between males and females. Implications for practitioners who work with college students are discussed.
Background and objectives: This study evaluates the process and consequence of inducing self-compassion during recovery from social performance stressors. Though interest in self-compassion as an intervention target is growing, extant findings suggest that initially cultivating self-compassion can be challenging for those with high self-criticism and anxiety, common features of social anxiety disorder (SAD).
Design: Quasi-experimental design.
Methods: The current study evaluates the feasibility, content, and outcomes of a brief written self-compassion induction administered after consecutive laboratory social stressors, among adults with SAD (n = 21) relative to healthy controls (HC; n = 35).
Results: Findings demonstrate the feasibility of employing a written self-compassion induction among adults with (and without) SAD, reveal group differences in written responses to the induction, and suggest that the SAD group benefitted more from the induction than the HC group, based on greater reductions in state anxiety and greater increases in self-compassion during stressor recovery. Greater use of negative affect words within written responses to the self-compassion induction, but not during general writing, predicted lower subsequent state anxiety across groups, by a medium effect size.
Conclusions: Collectively, the findings support the feasibility and utility of cultivating self-compassion among adults with SAD.
A mindfulness meditation exercise was incorporated into a stuttering treatment program for an adult male who stutters. Speech disfluencies were analyzed before and after mindfulness meditation and implementation of fluency shaping techniques. Findings suggested that including a mindfulness meditation exercise into a treatment program may be helpful for people who stutter.
Purpose:
The aim of this study was to (1) document the experiences of enacted stigma (external stigma, experienced discrimination) and felt stigma (anticipation and expectation of discrimination or negative treatment by others) in adults who stutter, (2) investigate their relationships to each other, and (3) investigate their relationships to global mental health.
Method:
Participants were 324 adults who stutter recruited from clinicians and self-help group leaders in the United States. Participants completed an anonymous web survey consisting of measures of enacted stigma, felt stigma, and global mental health. Data analysis focused on obtaining descriptive statistics for enacted stigma and felt stigma, and performing correlational analysis between these variables, and also between these variables and global mental health.
Results:
Most participants reported experiencing several different forms of social devaluation and negative treatment from other people at some point in their lives (i.e., enacted stigma), although they rarely experienced these events during the past year. Most participants agreed that they anticipate future stigmatizing experiences (i.e., felt stigma). Enacted stigma in the past year demonstrated a significant positive relationship to felt stigma. Both enacted stigma in the past year and felt stigma demonstrated significant negative relationships with global mental health. Enacted stigma in the past year and felt stigma were unique predictors of participants' global mental health.
Conclusions:
People who stutter experience discrimination and social devaluation, and they anticipate future stigmatizing experiences. Both of these types of stigma, enacted and felt, are associated with reduced mental health in adults who stutter. Assessment and therapy with adults who stutter should address these aspects of stuttering.
Aim: Competency-based medical education aims to foster mastery goals in learners. We examined medical students’ mastery approach (beneficial) and mastery avoidance (maladaptive) goals and their associations with students’ basic psychological needs, self-compassion, and self-efficacy.
Methods: This was a cross-sectional study employing an online questionnaire. Two hundred medical students in all four years of the medical program completed the questionnaire, containing measures of mastery goals, basic psychological needs (autonomy, competence, relatedness), self-compassion, and self-efficacy. Regression analyses were performed.
Results: Of the three basic psychological needs, the need for competence was significant in explaining both types of mastery goals. Self-efficacy and self-compassion were significant in explaining mastery approach and mastery avoidance goals, respectively.
Conclusions: Creating learning environments that are supportive of students’ need for competence, raising students’ awareness of the value of learning from mistakes in competency acquisition, and providing opportunities for students to experience self-efficacy may foster beneficial mastery approach goals in medical students.
Post-event processing refers to negative and repetitive thinking following anxiety provoking social situations. Those who engage in post-event processing may lack self-compassion in relation to social situations. As such, the primary aim of this research was to evaluate whether those high in self-compassion are less likely to engage in post-event processing and the specific self-compassion domains that may be most protective. In study 1 (N = 156 undergraduate students) and study 2 (N = 150 individuals seeking help for social anxiety and shyness), participants completed a battery of questionnaires, recalled a social situation, and then rated state post-event processing. Self-compassion negatively correlated with post-event processing, with some differences depending on situation type. Even after controlling for self-esteem, self-compassion remained significantly correlated with state post-event processing. Given these findings, self-compassion may serve as a buffer against post-event processing. Future studies should experimentally examine whether increasing self-compassion leads to reduced post-event processing.
Purpose:
The aim of this study was to identify potential relationships between self-stigma (stigma awareness and stigma application) and stress, physical health, and health care satisfaction among a large sample of adults who stutter. It was hypothesized that both stigma awareness and stigma application would be inversely related to measures of physical health and health care satisfaction, and positively related to stress. Furthermore, it was anticipated that stress mediated the relationship between self-stigma and physical health.
Method:
A sample of adults who stutter in the United States (n=397) completed a web survey that assessed levels of stigma awareness and stigma application, stress, physical health, and health care satisfaction. Correlational analyses were conducted to determine the relationships between these variables.
Results:
Higher levels of stigma awareness and stigma application were associated with increased stress, decreased overall physical health, and decreased health care satisfaction (i.e., discomfort obtaining health care due to stuttering, and adverse health care outcomes due to stuttering), and these relationships were statistically significant. Stress was identified as a mediator between stigma application and physical health.
Conclusion:
Because adults who stutter with higher levels of self-stigma are at risk for decreased physical health through increased stress, and lower satisfaction with their health care experiences as a result of stuttering, it is important for professionals to assess and manage self-stigma in clients who stutter. Self-stigma has implications for not only psychological well-being, but stress, physical health, and health care satisfaction as well.
Background:
There are over 400,000 individuals living with Multiple Sclerosis (MS) in the U.S. These individuals experience unpredictable relapses of disabling conditions and poorer quality of life than the general population. Recent literature suggests self-compassion and resilience may improve wellness in this population.
Objective:
The purpose of this study was to examine the roles of self-compassion and resilience on perceived health-related quality of life for individuals with Multiple Sclerosis (MS) using mediation analysis.
Methods:
Two hundred fifty-nine adults with MS from MS advocacy, support, exercise, and education groups around the United States participated in the study. Participants' self-compassion, health-related quality of life (HRQoL), and resilience were assessed using self-report measures. A simple mediation analysis was conducted to examine the relationships between the independent variable, self-compassion, the depended variable, HRQoL, and the mediating variable, resilience.
Results:
Results showed a significant direct effect between self-compassion and health-related quality of life (β = 0.49, p < 0.0001, CI = 0.37-0.61), as well as an indirect relationship through resilience (β = 0.18 p < 0.0001, CI: 0.17, 0.47).
Conclusion:
These results contribute to the theoretical knowledge of how self-compassion influences HRQoL in this population. For individuals with MS, engaging in self-compassion may provide a strategy to cope with debilitating conditions and reframe perceptions of their health. Additionally, increasing resilience may help individuals overcome stressful and traumatic events and experience quality of life with disability. Self-compassion and resilience are both modifiable constructs that can be targeted by programs seeking to improve overall wellness.
Purpose
The purpose of the present study was to explore the clinical utility of self-disclosure, particularly, whether disclosing in an informative manner would result in more positive observer ratings of the speaker who stutters than either disclosing in an apologetic manner or choosing not to self-disclose at all.
Method
Observers (N = 338) were randomly assigned to view one of six possible videos (i.e., adult male informative self-disclosure, adult male apologetic self-disclosure, adult male no self-disclosure, adult female informative self-disclosure, adult female apologetic self-disclosure, adult female no self-disclosure). Observers completed a survey assessing their perceptions of the speaker they viewed immediately after watching the video.
Results
Results suggest that self-disclosing in an informative manner leads to significantly more positive observer ratings than choosing not to self-disclose. In contrast, use of an apologetic statement, for the most part, does not yield significantly more positive ratings than choosing not to self-disclose.
Conclusion
Clinicians should recommend their clients self-disclose in an informative manner to facilitate more positive observer perceptions.
Purpose:
The aim of this study was to evaluate the usefulness of the Speech Situation Checklist for adults who stutter (SSC) in differentiating people who stutter (PWS) from speakers with no stutter based on self-reports of anxiety and speech disruption in communicative settings. The SSC's psychometric properties were examined, norms were established, and suggestions for treatment were formulated.
Method:
The SSC was administered to 88 PWS seeking treatment and 209 speakers with no stutter between the ages of 18 and 62. The SSC consists of 2 sections investigating negative emotional reaction and speech disruption in 38 speech situations that are identical in both sections.
Results:
The SSC-Emotional Reaction and SSC-Speech Disruption data show that these self-report tests differentiate PWS from speakers with no stutter to a statistically significant extent and have great discriminative value. The tests have good internal reliability, content, and construct validity. Age and gender do not affect the scores of the PWS.
Conclusions:
The SSC-Emotional Reaction and SSC-Speech Disruption seem to be powerful measures to investigate negative emotion and speech breakdown in an array of speech situations. The item scores give direction to treatment by suggesting speech situations that need a clinician's attention in terms of generalization and carry-over of within-clinic therapeutic gains into in vivo settings.
Note: The OASES is a published test protocol that is available for purchase at www.StutteringTherapyResources.com. Free full-text is not available.
The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) measures the impact of stuttering on a person’s life.
This easy-to-use instrument is designed to be used throughout the diagnostic and treatment process to show how stuttering affects your clients. The OASES is also valuable for research evaluating treatment outcomes.
Unlike other instruments, which focus mainly on the observable stuttering events, this brief, yet comprehensive self-report measure allows you to assess the impact of stuttering in multiple life situations. The evidence-based OASES, which is founded upon a solid theoretical framework, supports your clinical decision-making for providing diagnoses, qualifying individuals for therapy, justifying third-party payment, documenting change in therapy, and evaluating treatment efficacy.
Available at www.StutteringTherapyResources.com
Purpose:
Voluntary stuttering is a strategy that has been suggested for use in the clinical literature but has minimal empirical data regarding treatment outcomes. The purpose of the present study is to explore client perspectives regarding the impact of the use of this strategy on the affective, behavioral, and cognitive components of stuttering.
Method:
The present study used an original survey designed to explore the intended purpose. A total of 206 adults who stutter were included in the final data corpus. Responses were considered with respect to the type of voluntary stuttering the participants reportedly produced and the location of use.
Results:
A client perceives significantly greater affective, behavioral, and cognitive benefits from voluntary stuttering when the production is closely matched to the client's actual stutter and when it is used outside the clinical environment.
Conclusions:
To enhance client perception of associated benefits, clinicians should encourage use of voluntary stuttering that closely matches the client's own stuttering. Clinicians should also facilitate practice of voluntary stuttering outside of the therapy room. Finally, clinicians should be aware that clients, at least initially, may not perceive any benefits from the use of this strategy.
Arch et al. (2014) demonstrated that brief self-compassion meditation training (SCT) dampened sympathetic (salivary alpha-amylase) and subjective anxiety responses to the Trier Social Stress Test (TSST), relative to attention and no-instruction control conditions. The present study examined baseline predictors and moderators of these SCT intervention effects. Baseline characteristics included two stress vulnerability traits (social anxiety and rumination) and two potential resiliency traits (non-attachment and self-compassion). We investigated how these traits moderated the effects of SCT on response to the TSST, relative to the control conditions. We also tested how these individual differences predicted TSST responses across conditions in order to uncover characteristics that confer increased vulnerability and resiliency to social stressors. Trait non-attachment, rumination (for sympathetic TSST response only), and social anxiety (for subjective TSST response only) interacted with training condition to moderate TSST responses such that following SCT, lower attachment and lower social anxiety predicted lower TSST stress responses, relative to those scoring higher on these traits. In contrast, trait self-compassion neither moderated nor predicted responses to the TSST. Thus, although SCT had robust effects on buffering stress across individuals with varying levels of trait self-compassion, other psychological traits enhanced or dampened the effect of SCT on TSST responses. These findings support the importance of examining the role of relevant baseline psychological traits to predict sympathetic and subjective responses to social evaluative threat, particularly in the context of resiliency training.
This chapter addresses the possible implications of making intention explicit in self-regulation theory. The chapter responds to the question, “Intention toward what,” by developing a model of intentional systemic mindfulness (ISM). ISM provides a comprehensive and integrative approach to self-regulation and health. Through directing intention toward the two components of the model, mindfulness qualities and systemic perspectives, a more accepting, compassionate, and systemic approach is brought to self-regulation practices and techniques. A challenge for future research is to develop instruments that measure intentionality and health systemically (for example, biopsychosocial–spiritually) and to determine whether ISM techniques lead to more systemic improvements in overall health and well-being. The evolution of self-regulation theory toward ISM expands the simple stress management and symptom reduction intention of self-regulation techniques toward a more comprehensive approach to human intention.
This is my review of the textbook, not the textbook itself. ResearchGate keeps crediting me with citations to the textbook.
The research literature on stuttering is extensive, spanning etiology, natural history, phenomenology, and treatment. In this review, existing empirical knowledge is distilled by attending only to replicated findings. These are designated as "facts." Facts concerning the natural history of idiopathic stuttering highlight early childhood onset, probability of recovery, and importance of a positive family history of stuttering. Corroborated evidence on stutterer-nonstutterer differences concerns intelligence distribution, speech development, central auditory function, and sensory-motor response. Predictable changes in stuttering frequency, and even total elimination of stuttering, occur under a remarkable variety of conditions. Review of therapies revealed two that satisfied the most stringent criteria for good treatment. Various theoretical positions are examined for their fit with the established facts. A model of stuttering as a genetically determined reduction in central capacity for efficient sensory-motor integration is preferred, provided acquisition of secondary symptoms is attributed to instrumental learning.
To examine the relationship of social support, empowerment, self-help support group participation, and group identification to quality of life in adults who stutter.
Two-hundred and forty-nine adults who stutter completed a Web based survey including measures of social support, empowerment, self-help support group participation, group identification, and quality of life.
After controlling for demographic and stuttering parameters, both empowerment in the self-esteem/self-efficacy domain and social support from family significantly predicted quality of life in adults in the sample.
Increased self-esteem/self-efficacy and social support from family relates to improved quality of life in adults who stutter, independent of stuttering severity. Treatments that increase feelings of self-esteem/self-efficacy and strengthen social support from the family should be considered for individuals who struggle to cope with stuttering in order to enhance their quality of life.
The present study investigates the role of coping, experiential avoidance, and self‐compassion on psychological distress prediction (i.e., depression, anxiety, and stress symptoms). A battery of self‐report questionnaires was used to assess coping, experiential avoidance, self‐compassion, and psychological distress in 103 adults with chronic pain from Portuguese primary health care units. Hierarchical regression analyses were performed and showed that experiential avoidance and self‐compassion are the factors that mostly explain psychological distress. Our results suggest that when people with chronic pain are willing to remain in contact with particular private experiences without attempting to control them, they reported less depression, anxiety, and stress. Implications for clinical practice were discussed, suggesting the importance of helping people with chronic pain to increase their willingness to pain rather than avoiding it.
Purpose
The relationship between chronic stuttering and anxiety has been a matter of some debate over the past two decades, with a major emphasis of research focused on examining whether people who stutter have abnormally elevated levels of trait or social anxiety. The major goal of this paper was to perform a systematic literature review and perform meta-analyses on research that has assessed (i) trait anxiety, and (ii) social anxiety, in adults who stutter.
Method
Only studies that met strict inclusion criteria were selected for the meta-analyses. Two meta-analyses were conducted, the first for trait anxiety, and the second for social anxiety. Meta-analysis combines statistically the results of selected studies that meet strict design criteria, thereby clarifying the size of differences in trait and social anxiety between adults who stutter and adults who do not stutter.
Results
Meta-analytic results confirmed that adults with chronic stuttering do have substantially elevated trait and social anxiety. The overall effect size for trait and social anxiety was calculated to be .57 and .82 respectively.
Conclusions
Trait and social anxiety are definite problems for many adults who stutter. Clinical implications of these findings for the diagnosis and treatment of adult who stutter are discussed.
G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
To compare adults who stutter with and without support group experience on measures of self-esteem, self-efficacy, life satisfaction, self-stigma, perceived stuttering severity, perceived origin and future course of stuttering, and importance of fluency.
Participants were 279 adults who stutter recruited from the National Stuttering Association and Board Recognized Specialists in Fluency Disorders. Participants completed a Web-based survey comprised of various measures of well-being including the Rosenberg Self-Esteem Scale, Generalized Self-Efficacy Scale, Satisfaction with Life Scale, a measure of perceived stuttering severity, the Self-Stigma of Stuttering Scale, and other stuttering-related questions.
Participants with support group experience as a whole demonstrated lower internalized stigma, were more likely to believe that they would stutter for the rest of their lives, and less likely to perceive production of fluent speech as being highly or moderately important when talking to other people, compared to participants with no support group experience. Individuals who joined support groups to help others feel better about themselves reported higher self-esteem, self-efficacy, and life satisfaction, and lower internalized stigma and perceived stuttering severity, compared to participants with no support group experience. Participants who stutter as an overall group demonstrated similar levels of self-esteem, higher self-efficacy, and lower life satisfaction compared to averages from normative data for adults who do not stutter.
Findings support the notion that self-help support groups limit internalization of negative attitudes about the self, and that focusing on helping others feel better in a support group context is linked to higher levels of psychological well-being. Educational objectives: At the end of this activity the reader will be able to: (a) describe the potential psychological benefits of stuttering self-help support groups for people who stutter, (b) contrast between important aspects of well-being including self-esteem self-efficacy, and life satisfaction, (c) summarize differences in self-esteem, self-efficacy, life satisfaction, self-stigma, perceived stuttering severity, and perceptions of stuttering between adults who stutter with and without support group experience, (d) summarize differences in self-esteem, self-efficacy, and life satisfaction between adults who stutter and normative data for adults who do not stutter.
We examined the hypothesis that self-compassion is associated with lower levels of stress-induced inflammation. On two consecutive days, plasma concentrations of interleukin-6 (IL-6) were assessed at baseline and at 30 and 120 minutes following exposure to a standardized laboratory stressor in a sample of 41 healthy young adults. Participants who were higher in self-compassion exhibited significantly lower day 1 IL-6 responses, even when controlling for self-esteem, depressive symptoms, demographic factors, and distress. Self-compassion was not related to day 2 IL-6 response but was inversely related to day 2 baseline IL-6 levels, and to increase in baseline IL-6 from day 1 to day 2. These findings suggest that self-compassion may serve as a protective factor against stress-induced inflammation and inflammation-related disease.
This qualitative study investigated the experiences of eight adults who stutter. An initial 60- to-90-minute interview, using open-ended questions and probes elicited the participants’ narratives of their experiences of stuttering. A second 60-minute interview assessed the credibility of the investigator’s preliminary interpretations. Suffering was the primary theme that emerged from the analysis of the transcripts. The four key elements of suffering were helplessness, shame, fear, and avoidance. The findings are discussed within the context of the literature on helplessness, stigma, and suffering. The clinician–client relationship is seen as the critical element in the relief of suffering.