Evidence map›Paper›PMID 28837728›Full record

ReviewJournal of speech, language, and hearing research : JSLHR2017

How Stuttering Develops: The Multifactorial Dynamic Pathways Theory.

Anne Smith, Christine Weber

Abstract readReview
In one paragraph

Review in Journal of speech, language, and hearing research : JSLHR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Clinical Characteristics Associated With Stuttering Persistence: A Meta-Analysis.Journal of speech, language, and hearing research : JSLHR · 2020
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Neural subtypes in developmental stuttering.bioRxiv : the preprint server for biology · 2026
    Article
  10. Stuttering and Dystonia: Is There a Possible Overlap?Movement disorders clinical practice · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Attention Bias in School-Age Children Who Stutter: Evidence From a Dot-Probe Task.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  18. Article
  19. Psychophysiology-aided Perceptually Fluent Speech Analysis of Children Who Stutter.... ACM/IEEE International Conference on Cyber-Physical Systems. IEEE/ACM International Conference on Cyber-Physical Systems · 2025
    Article
  20. Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anne SmithDepartment of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, Indiana.
Christine WeberDepartment of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, Indiana.

Funding

PHYSIOLOGICAL CORRELATES OF STUTTERINGR01DC000559 · NIDCD · PURDUE UNIVERSITY WEST LAFAYETTE · PI SMITH, ANNE, WEBER, CHRISTINE M · 1989 to 2017
$9.4M
NIDCD NIH HHS R01 DC000559
6 · The paper itself

Abstract

Purpose: We advanced a multifactorial, dynamic account of the complex, nonlinear interactions of motor, linguistic, and emotional factors contributing to the development of stuttering. Our purpose here is to update our account as the multifactorial dynamic pathways theory. Method: We review evidence related to how stuttering develops, including genetic/epigenetic factors; motor, linguistic, and emotional features; and advances in neuroimaging studies. We update evidence for our earlier claim: Although stuttering ultimately reflects impairment in speech sensorimotor processes, its course over the life span is strongly conditioned by linguistic and emotional factors. Results: Our current account places primary emphasis on the dynamic developmental context in which stuttering emerges and follows its course during the preschool years. Rapid changes in many neurobehavioral systems are ongoing, and critical interactions among these systems likely play a major role in determining persistence of or recovery from stuttering. Conclusion: Stuttering, or childhood onset fluency disorder (Diagnostic and Statistical Manual of Mental Disorders, 5th edition; American Psychiatric Association [APA], 2013), is a neurodevelopmental disorder that begins when neural networks supporting speech, language, and emotional functions are rapidly developing. The multifactorial dynamic pathways theory motivates experimental and clinical work to determine the specific factors that contribute to each child's pathway to the diagnosis of stuttering and those most likely to promote recovery.

Indexed as

EmotionsHumansLinguisticsModels, BiologicalStuttering

Identifiers

PMID28837728
PMCPMC5831617

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.