Further development and validation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales: Relationship to anxiety and social phobia among adults who stutter

Iverach, Lisa, Menzies, Ross, Jones, Mark, O'Brian, Sue, Packman, Ann and Onslow, Mark (2011) Further development and validation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales: Relationship to anxiety and social phobia among adults who stutter. International Journal of Language and Communication Disorders, 46 3: 286-299. doi:10.3109/13682822.2010.495369


Author Iverach, Lisa
Menzies, Ross
Jones, Mark
O'Brian, Sue
Packman, Ann
Onslow, Mark
Title Further development and validation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales: Relationship to anxiety and social phobia among adults who stutter
Journal name International Journal of Language and Communication Disorders   Check publisher's open access policy
ISSN 1368-2822
1460-6984
Publication date 2011-05
Sub-type Article (original research)
DOI 10.3109/13682822.2010.495369
Volume 46
Issue 3
Start page 286
End page 299
Total pages 14
Place of publication Oxford, United Kingdom
Publisher John Wiley & Sons
Collection year 2012
Language eng
Formatted abstract
Background: In an initial validation study, the Unhelpful Thoughts and Beliefs About Stuttering (UTBAS I) scale, demonstrated excellent psychometric properties as a self-report measure of the frequency of unhelpful cognitions associated with social anxiety for adults who stutter.
Aims: The aim was to further validate the original UTBAS I scale, and to develop two additional scales to assess beliefs (UTBAS II) and anxiety (UTBAS III) associated with negative thoughts.
Methods & Procedures: A total of 140 adults seeking speech-restructuring treatment for stuttering completed the original UTBAS I scale, the newly developed UTBAS II and III scales, and self-report measures of psychological functioning. Participants also completed a first-stage screener for the presence of anxious personality disorder, and a diagnostic assessment to evaluate the presence of social phobia, according to criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Classification of Diseases (ICD-10).
Outcomes & Results: The mean UTBAS I score for the present sample did not differ significantly from the mean score reported in the original UTBAS I validation study. Convergent validity was confirmed by significant correlations between the UTBAS Total score and all anxiety-related measures. Discriminant validity was established by the absence of strong correlations between the UTBAS Total score and some of the self-report measures of unrelated constructs, although it was found to tap into the negative cognitions associated with depression and life problems. Approximately one-quarter of participants met criteria for a diagnosis of DSM-IV or ICD-10 social phobia (23.5% and 27.2% respectively), and nearly one-third met first-stage screening criteria for anxious personality disorder (30%). The mean UTBAS scores for participants who met criteria for these disorders were significantly higher than scores for participants who did not, confirming known-groups validity.
Conclusions & Implications: The present study demonstrates the validity and utility of the UTBAS scales in assessing negative cognitions associated with speech-related anxiety among adults who stutter. Results also confirm previous evidence of a high rate of social phobia among adults who stutter, and reveal that the UTBAS discriminates between adults with and without social phobia. In terms of clinical applications, the UTBAS scales could be used to screen for indicators of social phobia among adults who stutter, and may prove useful in identifying negative cognitions which have the potential to impact treatment outcomes.
Keyword Stuttering
Anxiety
Social phobia
Cognitive behavioural therapy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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Created: Tue, 24 Jan 2012, 11:03:08 EST by Geraldine Fitzgerald on behalf of School of Public Health