整合性治療模式對成人口吃者療效之探討

Study on Treatment Effects of Integrated Approach for Stuttering Adults

曾鳳菊(Feng-Chu Tseng) ； 楊淑蘭(Shu-Lan Yang)

《台灣復健醫學雜誌》 33卷3期 (2005/09) Pp. 137-147

https://doi.org/10.6315/2005.33(3)03

摘要

台灣有20萬口吃人口，除了口語的不流暢之外，也可能有社交、工作適應等問題。本研究旨在探討結合口吃修正療法和流暢塑造療法的整合性治療法，對成人口吃在言語行為、溝通態度和自評嚴重度之治療效果。實驗組11名，4女7男，平均年齡是26.7±7.4歲。控制組6名，5男1女，平均年齡26.7±8.0歲。實驗組參加二天共14小時的口吃工作坊和每週150分鐘團體治療，出租期十週共25小時，總計39小時的整合性口吃治療方案，所使用的評量工具包括：內外控量表、溝通品質量表、S-24溝通態度量表、自評量尺和整合性治療模式總回績表。結果顯示，經過治療後，實驗組在口語訪談和朗讀時，口吃式不順暢的發生頻率都有顯著性降低。在內外控量表、S-24溝通態度量表和溝通品質量表，自評今天的嚴重度和一般日子的嚴重度則沒有顯著差異。經過三個月口吃團體治療，口吃患者在言語表現上已有顯著改善，至於口吃態度的改變可能需要較長時間。

關鍵字

口吃 ； 整合性治療 ； 團體治療

並列摘要

There are 200 thousand stutterers in Taiwan. In addition to disfluency, they may have social or work adaptation problem. The purpose of this research is to study the efficacy of integrated approach combining stuttering modification therapy and fluency shaping therapy in stuttering adults. Seventeen stuttering adults were included in this study. The experimental group consisted of 7 males and 4 females with average age of 26.73 (SD=7.37). The average age of the control group was 26.67 (SD=7.92), which consisted of 5 males and 1 female. The members of experimental group attended a two-day stuttering workshop for 14 hours, then participated 10 sessions of group therapy for 25 hours. Total duration of treatment was 39 hours. Evaluation of efficacy of treatment included Locus of Control, Modified Erickson Scale of Communication Attitudes (S-24), Quality of Communication Scale and self-evaluation. Covariance analysis was applied in our data management. The results showed that integrated approach for stuttering adults decreased the frequency of stuttering significantly on their interview and reading task. However there was no significant improvement in Locus of Control, S-24, Quality of Communication Scale and self-evaluation. According to our study the integrated approach was effective in the treatment of stuttering adults in three months, but it may need longer to change the attitude of stuttering.

並列關鍵字

stuttering ； integrated approach ； group therapy