Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Konuşma Sesi Bozukluğu Olan 48-72 Aylık Çocukların Yürütücü İşlev Becerilerinin İncelenmesi: Kesitsel Araştırma
The Investigation of Executive Functions of 48-72 Month-Old Children with Speech Sound Disorders: A Cross-Sectional Research
Gizem Nur GÖRa , Nurdan CANKUVVETb
aErzincan Binali Yıldırım Üniversitesi Mengücek Gazi Eğitim ve Araştırma Hastanesi, Dil ve Konuşma Terapisi Birimi, Erzincan, Türkiye
bAnadolu Üniversitesi Sağlık Bilimleri Fakültesi, Dil ve Konuşma Terapisi Bölümü, Eskişehir, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(3):593-602
doi: 10.5336/healthsci.2024-107843
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmada, konuşma sesi bozukluğu (KSB) olan çocukların yürütücü işlev beceri performanslarının, yaş, cinsiyet ve KSB şiddet düzeyine göre incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Nicel araştırma yöntemlerinden kesitsel tarama deseniyle yürütülen çalışmanın katılımcıları, ana dili Türkçe olan, 48-72 aylık 21 kız ve 45 erkek çocuğudur. Türkçe Erken Dil Gelişim Testi ve Sesletim Sesbilgisi Testi'nin Sesletim Alt Testi kullanılarak belirlenen katılımcılara, Çocukluk Dönemi Yürütücü İşlev Envanteri (ÇDYİE)-Öğretmen Formu uygulanmıştır. Veriler, Jamovi yazılımı ile bağımsız örneklem t-testi, Mann-Whitney U testi ve tek yönlü varyans analizi kullanılarak analiz edilmiştir. Bulgular: Yürütücü işlev puanlarında (toplam, çalışan bellek, ketleyici kontrol) yaşa, cinsiyete ve KSB şiddetine göre anlamlı farklar bulunmuştur. 48-59 aylık çocukların yürütücü işlev performanslarının 60-72 aylık gruptan daha düşük olduğu görülmüştür. Erkek çocuklarının yürütücü işlev performansının kız çocuklarından daha düşük olduğu tespit edilmiştir. Yaş ve cinsiyete ek olarak, KSB şiddet düzeyi arttıkça yürütücü işlev performanslarının düştüğü sonucuna ulaşılmıştır. Sonuç: Bulgular, KSB olan çocukların yürütücü işlev performanslarının yaş, cinsiyet ve KSB şiddet düzeyine göre anlamlı şekilde farklılaştığını göstermektedir. Yürütücü işlev performansları, 45-59 aylık, erkek ve KSB şiddeti yüksek çocuklarda, 60-72 aylık, kız ve KSB şiddeti düşük çocuklara göre daha düşüktür. Bu değişkenler göz önünde bulundurularak yürütücü işlev becerilerinin değerlendirilmesi ve desteklenmesi, terapi sürecinin verimliliğini artırabilir.

Anahtar Kelimeler: Konuşma sesi bozukluğu; yürütücü fonksiyon; konuşma ve dil patolojisi
ABSTRACT
 Objective: This study aimed to examine the executive function skill performances of children with speech sound disorder (SSD) based on age, gender, and severity level of SSD. Material and Methods: The study participants included 21 girls and 45 boys, aged 48 to 72 months, who spoke Turkish as their mother tongue. The research was conducted using a cross-sectional survey design based on quantitative methods. The participants, who were identified using the Turkish Early Language Development Test and the Articulation Subtest of the Turkish Articulation and Phonology Test, were administered the Childhood Executive Function Inventory-Teacher Form. Data were analyzed using independent sample t-test, Mann-Whitney U test, and one-way analysis of variance with Jamovi software. Results: Significant differences were found in executive function scores (total, working memory, inhibitory control) according to age, gender, and severity of SSD. The executive function performance of 48-59-month-old children was lower than that of the 60-72-month-old group. The executive function performance of boys was found to be lower than that of girls. In addition to age and gender, it was concluded that executive function performance decreased as the severity of SSD increased. Conclusion: The findings show that the executive function performances of children with SSD differ significantly according to age, gender, and severity level of SSD. Executive function performances were lower in 45-59-month-old, male children and, with high severity of SSD compared to 60-72-month-old, female children, and with low severity of SSD. Evaluating and supporting executive function skills by considering these variables may increase the efficiency of the therapy.

Keywords: Speech sound disorder; executive function; speech-language pathology
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