Social and Cognitive Impressions of Adults Who Do and Do Not Stutter Based on Listeners' Perceptions of Read-Speech Samples

Stuttering is a neurodevelopmental disorder characterized by frequent and involuntary disruptions during speech production. Adults who stutter are often subject to negative perceptions. The present study examined whether negative social and cognitive impressions are formed when listening to speech, even without any knowledge about the speaker. Two experiments were conducted in which naïve participants were asked to listen to and provide ratings on samples of read speech produced by adults who stutter and typically-speaking adults without knowledge about the individuals who produced the speech. In both experiments, listeners rated speaker cognitive ability, likeability, anxiety, as well as a number of speech characteristics that included fluency, naturalness, intelligibility, the likelihood the speaker had a speech-and-language disorder (Experiment 1 only), rate and volume (both Experiments 1 and 2). The speech of adults who stutter was perceived to be less fluent, natural, intelligible, and to be slower and louder than the speech of typical adults. Adults who stutter were also perceived to have lower cognitive ability, to be less likeable and to be more anxious than the typical adult speakers. Relations between speech characteristics and social and cognitive impressions were found, independent of whether or not the speaker stuttered (i.e., they were found for both adults who stutter and typically-speaking adults) and did not depend on being cued that some of the speakers may have had a speech-language impairment

Characteristics of Patients with Non-Cancer Pain and Perceived Severity of COVID-19 Related Stress

UNLABELLED: Synopsis Patients with non-cancer pain reported increased pain and pain interference during the first months of the COVID-19 pandemic. We determined if pain, prescription opioid use, and comorbidities were associated with perceived COVID-19-related stress as the pandemic peaked. Analysis of survey data revealed that depression/anxiety, pain severity, and pain interference were most strongly and consistently associated with greater stress due to COVID-19 related changes in lifestyle, worsening of emotional/mental health and worsening pain. Identifying specific stressful experiences that most impacted patients with non-cancer pain may help target public health and treatment interventions. BACKGROUND: During the first months of the COVID-19 pandemic, patients with chronic pain reported increased pain severity and interference. This study measured the association between pain, prescription opioid use, and comorbidities with perceived COVID-19-related stress as the pandemic peaked in the United States. METHODS: From 9/2020 to 3/2021, the first 149 subjects from a prospective cohort study of non-cancer pain, completed a survey which contained the Complementary and Integrative Research (CAIR) Pandemic Impact Questionnaire (C-PIQ). Respondents also reported whether the pandemic has contributed to their pain or opioid use. Bivariate comparisons explored patient characteristics with each CAIR domain. RESULTS: Respondents mean age was 54.6 (±11.3) years, 69.8% were female, 64.6% were White. Respondent characteristics were not associated with reading/watching/thinking about the pandemic or with worry about health. Depression/anxiety (p=0.003), using any prescription opioid in the prior three months (p=0.009), higher morphine milligram equivalent used (p=0.005), higher pain severity (p=0.011), and higher pain interference (p=0.0004) were all positively and significantly associated with moderate to severe stress due to COVID-19 related lifestyle changes. Depression/anxiety, pain severity, and pain interference were positively associated with COVID-19-related worsening emotional/mental health. Depression/anxiety were significantly (p CONCLUSION: Depression, anxiety, pain severity, and pain interference were most strongly and consistently associated with COVID-19 changes in way of life, worsening of emotional/mental health, and worsening pain. Identifying specific stressful experiences that most impacted patients with noncancer pain may inform public health and treatment interventions