Introduction: The study aimed to investigate the relationship between pragmatic language skills of children who stutter (CWS) and the frequency of stuttering, with a focus on the development of these skills through peer interaction in the school years. It is well-known that CWS may face social disadvantages at school due to their limited peer interaction, which may pose a risk to the development of their pragmatic language skills. Method: The study involved 64 CWS aged between 60 and 106 months. Stuttering frequency was determined by analyzing children’s spontaneous speech recordings during playtime with their parents. The children’s language development was assessed using the Turkish School Age Language Development Assessment Test (TODİL), while speech sound disorders were evaluated using the Turkish Articulation and Phonology Test (SST). Teachers of children whose language and speech sound development were typical were contacted to evaluate the pragmatic language skills of the children using the Pragmatic Language Skills Inventory (PLSI). Results: The results of the evaluation showed that 51.6% of the children had below-average pragmatic language skills. Additionally, a negative correlation was observed between the frequency of stuttering and PLSI (p < 0.05), suggesting that as the frequency of stuttering increased, pragmatic language skills scores decreased. Conclusion: CWS may face challenges in communicating effectively, despite their formal language assessment results falling within the normal range. The findings support that pragmatic language skills should be considered when treating stuttering due to their critical role in academic and social outcomes.

1.
Ntourou
K
,
Conture
EG
,
Lipsey
MW
.
Language abilities of children who stutter: a meta-analytical review
.
Am J Speech Lang Pathol
.
2011
;
20
(
3
):
163
79
.
2.
Luckman
C
,
Wagovich
SA
,
Weber
C
,
Brown
B
,
Chang
SE
,
Hall
NE
, et al
.
Lexical diversity and lexical skills in children who stutter
.
J Fluency Disord
.
2020
;
63
:
105747
.
3.
Spencer
C
,
Weber-Fox
C
.
Preschool speech articulation and nonword repetition abilities may help predict eventual recovery or persistence of stuttering
.
J Fluency Disord
.
2014
;
41
:
32
46
.
4.
Weiss
AL
.
Why we should consider pragmatics when planning treatment for children who stutter
.
Lang Speech Hear Serv Sch
.
2004
;
35
(
1
):
34
45
.
5.
Bohn
M
,
Frank
MC
.
The pervasive role of pragmatics in early language
.
Annu Rev Dev Psychol
.
2019
;
1
:
223
49
.
6.
Bloodstein
O
.
Some empirical observations about early stuttering: a possible link to language development
.
J Commun Disord
.
2006
;
39
(
3
):
185
91
.
7.
Watkins
RV
,
Johnson
BW
.
Language abilities in children who stutter: toward improved research and clinical applications
.
Lang Speech Hear Serv Sch
.
2004
;
35
(
1
):
82
9
.
8.
Anderson
JD
,
Conture
EG
.
Language abilities of children who stutter: a preliminary study
.
J Fluency Disord
.
2000
;
25
(
4
):
283
304
.
9.
Yairi
E
.
The formative years of stuttering: a changing portrait
.
Contemp Issues Commun Sci Disord
.
2004
;
31
:
92
104
.
10.
Richels
C
,
Buhr
A
,
Conture
E
,
Ntourou
K
.
Utterance complexity and stuttering on function words in preschool-age children who stutter
.
J Fluency Disord
.
2010
;
35
(
3
):
314
31
.
11.
Arndt
J
,
Healey
EC
.
Concomitant disorders in school-age children who stutter
.
J Speech Lang Hear Res
.
2001
;
32
(
2
):
68
78
.
12.
Choo
AL
,
Burnham
E
,
Hicks
K
,
Chang
S-E
.
Dissociations among linguistic, cognitive, and auditory-motor neuroanatomical domains in children who stutter
.
J Commun Disord
.
2016
;
61
:
29
47
.
13.
Smith
A
,
Weber
C
.
How stuttering develops: the multifactorial dynamic pathways theory
.
J Speech Lang Hear Res
.
2017
;
60
(
9
):
2483
505
.
14.
Pelczarski
KM
,
Yaruss
JS
.
Phonological encoding of young children who stutter
.
J Fluency Disord
.
2014
;
39
:
12
24
.
15.
Elrefaie
D
,
Hassan
SM
,
Abouella
EI
,
Ibrahim
EA
.
Language assessment in children with stuttering
.
Ain Shams Med J
.
2023
;
74
(
1
):
133
42
.
16.
Spencer
E
,
Packman
A
,
Onslow
M
,
Ferguson
A
.
The effect of stuttering on communication: a preliminary investigation
.
Clin Linguist Phon
.
2009
;
23
(
7
):
473
88
.
17.
Shaheen
EA
,
Anter
AA-E
,
Hussin
NF
.
Pragmatic assessment in Egyptian stuttering children
.
Egypt J Otolaryngol
.
2012
;
28
(
2
):
127
35
.
18.
Hassan
SM
,
Sallam
YAN
,
Khodeir
MS
,
Mahmoud
OS
.
Correlation between stuttering severity and pragmatic development in Egyptian children who stutter
.
Egypt J Otolaryngol
.
2017
;
33
(
4
):
670
8
.
19.
Pollack
J
,
Lubinski
R
,
Weitzner-Lin
B
.
A pragmatic study of child dysfluency
.
J Fluency Disord
.
1986
;
11
(
3
):
231
9
.
20.
Prutting
CA
,
Kirchner
DM
.
A clinical appraisal of the pragmatic aspects of language
.
J Speech Hear Disord
.
1987
;
52
(
2
):
105
19
.
21.
Adams
C
,
Baxendale
J
,
Lloyd
J
,
Aldred
C
.
Pragmatic language impairment: case studies of social and pragmatic language therapy
.
Child Lang Teach Ther
.
2005
;
21
(
3
):
227
50
.
22.
Adams
C
.
Practitioner review: the assessment of language pragmatics
.
J Child Psychol Psychiatry
.
2002
;
43
(
8
):
973
87
.
23.
Russell
RL
,
Grizzle
KL
.
Assessing child and adolescent pragmatic language competencies: toward evidence-based assessments
.
Clin Child Fam Psychol Rev
.
2008
;
11
(
1–2
):
59
73
.
24.
Weiss
AL
,
Zebrowski
PM
.
The narrative productions of children who stutter: a preliminary view
.
J Fluency Disord
.
1994
;
19
(
1
):
39
63
.
25.
Scott
LA
,
Healey
EC
,
Norris
JA
.
A comparison between children who stutter and their normally fluent peers on a story retelling task
.
J Fluency Disord
.
1995
;
20
(
3
):
279
92
.
26.
Topbaş
S
,
Güven
O
.
Türkçe okul çağı dil gelişim testi
.
Ankara
:
Detay Yayıncılık
;
2017
.
27.
Topbaş
S
.
Türkçe sesletim-sesbilgisi testi: geçerlik-güvenirlik ve standardizasyon çalışması
.
2006
.
28.
Jones
M
,
Onslow
M
,
Packman
A
,
Gebski
V
.
Guidelines for statistical analysis of percentage of syllables stuttered data
.
J Speech Lang Hear Res
.
2006
;
49
(
4
):
867
78
.
29.
Alev
G
,
Diken
IH
,
Ardıç
A
.
Adaptation and examining psychometrical properties of Pragmatic Language Skills inventory (PLSI) in Turkey
.
Ilk Online
.
2014
;
13
(
1
).
30.
Cekaite
A
,
Blum-Kulka
S
,
Grøver
V
,
Teubal
E
.
Children’s peer talk and learning: uniting discursive, social, and cultural facets of peer interactions
.
Children’s peer talk: learning from each other
.
2014
; p.
3
19
. Editor’s introduction.
31.
Ribeiro
LA
,
Zachrisson
HD
,
Dearing
E
.
Peer effects on the development of language skills in Norwegian childcare centers
.
Early Child Res Q
.
2017
;
41
:
1
12
.
32.
Erickson
S
,
Block
S
.
The social and communication impact of stuttering on adolescents and their families
.
J Fluency Disord
.
2013
;
38
(
4
):
311
24
.
33.
Berchiatti
M
,
Badenes-Ribera
L
,
Ferrer
A
,
Longobardi
C
,
Giovanna Maria Gastaldi
F
.
School adjustment in children who stutter: the quality of the student-teacher relationship, peer relationships, and children’s academic and behavioral competence
.
Child Youth Serv Rev
.
2020
;
116
:
105226
.
34.
Davis
S
,
Howell
P
,
Cooke
F
.
Sociodynamic relationships between children who stutter and their non-stuttering classmates
.
J Child Psychol Psychiatry
.
2002
;
43
(
7
):
939
47
.
35.
Yaruss
JS
,
Reardon
NA
.
Successful communication for children who stutter: finding the balance
.
Semin Speech Lang
.
2002
;
23
(
3
):
195
204
.
36.
Bishop
DV
,
Baird
G
.
Parent and teacher report of pragmatic aspects of communication: use of the Children’s communication checklist in a clinical setting
.
Dev Med Child Neurol
.
2001
;
43
(
12
):
809
18
.
37.
Schwab
S
,
Rossmann
P
.
Peer integration, teacher-student relationships and the associations with depressive symptoms in secondary school students with and without special needs
.
Educ Stud
.
2020
;
46
(
3
):
302
15
.
38.
Guttormsen
LS
,
Yaruss
JS
,
Næss
K-AB
.
Caregivers’ perceptions of stuttering impact in young children: agreement in mothers’, fathers’ and teachers’ ratings
.
J Commun Disord
.
2020
;
86
:
106001
.
39.
Hoffmann
A
,
Martens
MA
,
Fox
R
,
Rabidoux
P
,
Andridge
R
.
Pragmatic language assessment in williams syndrome: a comparison of the test of Pragmatic Language –2 and the children’s communication checklist – 2
.
Am J Speech Lang Pathol
.
2013
;
22
(
2
):
198
204
.
40.
Brundage
SB
,
Graap
K
,
Gibbons
KF
,
Ferrer
M
,
Brooks
J
.
Frequency of stuttering during challenging and supportive virtual reality job interviews
.
J Fluency Disord
.
2006
;
31
(
4
):
325
39
.
41.
Healey
EC
,
Trautman
LS
.
Clinical applications of a multidimensional approach for the assessment and treatment of stuttering
.
Contemp Issues Commun Sci Disord
.
2004
;
31
:
40
8
.
42.
Smith
A
,
Weber
C
.
How stuttering develops: the multifactorial dynamic pathways theory
.
J Speech Lang Hear Res
.
2017
;
60
(
9
):
2483
505
.
43.
Boey
RA
,
Van de Heyning
PH
,
Wuyts
FL
,
Heylen
L
,
Stoop
R
,
De Bodt
MS
.
Awareness and reactions of young stuttering children aged 2–7 years old towards their speech disfluency
.
J Commun Disord
.
2009
;
42
(
5
):
334
46
.
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