Exploring The Efficacy of an Online Self-Help Cognitive-Behavioral Group Therapy for Adults Who Stutter

視訊自助認知行為團體治療對成人口吃者療效之研究

Shu-Lan Yang(楊淑蘭)

《台灣聽力語言學會雜誌》 Issue 52 (2025/06) Pp. 1-24

https://doi.org/10.6143/JSLHAT.202506_(52).0001

Abstracts

This study evaluated the efficacy of an online group-based cognitive behavioral therapy (CBT) program emphasizing self-help features in reducing stuttering severity and related psychological factors among people who stutter (PWS). Three participants who met inclusion criteria (volunteers with at least mild stuttering and without neurological or intellectual disorders) were recruited. A single-case design was employed, comparing pretest, posttest, and one-month follow-up assessments using the Stuttering Severity Instrument-Fourth Edition, Taiwan version (SSI-4-T), the Mandarin Chinese Communication Attitudes Inventory for Adults with Stuttering (CATIA-T), the Mandarin Chinese Communication Anxiety Inventory for Adults with Stuttering (CANIA-T), the Mandarin Chinese Irrational Beliefs about Stuttering Inventory (IRBASI-T), and the Feedback Form of Online Stuttering Cognitive Behavioral Group Therapy (FFOSCBGT). Participants received ten 90-minute sessions of Online Self-Help Cognitive Behavioral Group Therapy (OSCBGT), which integrated self-instruction, relaxation, and self-assertiveness training, along with strategies for identifying and disputing irrational beliefs (IRBs) specific to PWS and replacing them with rational beliefs (RBs). Quantitative and qualitative data indicated notable post-therapy and follow-up improvements in both stuttering severity and associated psychological functioning. The findings are discussed in relation to existing research, with implications, limitations, and directions for future studies outlined.

Keywords

stuttering ； cognitive behavior therapy ； communication attitude ； communication anxiety ； irrational belief ； virtual learning

Parallel abstracts

本研究旨在探討視訊自助認知行為團體治療（OSCBGT）在降低口吃者的嚴重度和相關心理功能的效果，有三名符合標準的口吃成人被納入分析（至少患有輕度口吃，且沒有神經或智力障礙的志願者）。本研究採用單一個案研究法，比較成員在前測、後測和一個月追蹤評量的表現，工具包括：口吃嚴重程度評估工具第四版、中文成人口吃者溝通態度量表、中文成人口吃者溝通焦慮量表、中文成人口吃者非理性信念量表和視訊口吃認知行為團體治療回饋表。三位口吃者接受十次OSCBGT，每次1.5小時，內容有自我教導、放鬆訓練和自我肯定訓練，以及認識非理性信念，使用理性信念取代非理性信念。與前測表現比較，不論量化或質化資料，治療後和追蹤評量顯示：三位口吃者的嚴重程度和相關心理功能皆明顯改善。

Parallel keywords

口吃 ； 認知行為治療 ； 溝通態度 ； 溝通焦慮 ； 非理性信念 ； 線上學習

References

Bothe, A. K.,Davidow, J. H.,Bramlett, R. E.,Ingham, R. J.(2006).Stuttering treatment research 1970-2005: I. Systematic review incorporating trial quality assessment of behavioral, cognitive, and related approaches.American Journal Speech Language Pathology.15,321-324.

Chou, Z. Y.,Yang, S. L.(2019).Development of The Mandarin Chinese Irrational Beliefs about Stuttering Inventory.The 18th Annual General Meeting and conference of the Taiwan Hearing and Speech-Language Association.(The 18th Annual General Meeting and conference of the Taiwan Hearing and Speech-Language Association).:

Ho, D. Y.-F.,Fu, W.,Ng, S. M.(2004).Guilt, shame and embarrassment: Revelations of face and self.Culture & Psychology.10(1),64-84.

Lowe, R.,Menzies, R.,Onslow, M.,Packman, A.,O’Brian, S.(2021).Speech and anxiety management with persistent stuttering: Current status and essential research.Journal of Speech, Language, and Hearing Research.64(1),59-74.

The Albert Ellis Institute (AEI). (n. d.). REBT. https://albertellis.org/rebt-cbt-therapy/