{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:31:07Z","timestamp":1790829067280,"version":"4.1.0"},"reference-count":66,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cluttering is a fluency disorder characterized by an abnormally fast or irregular speech delivery rate along with disfluencies that are frequent but are not judged to be stuttering. Data on cluttering prevalence in the general population are scarce, as well as its association with psychological well\u2010being indices, such as anxiety, and depressive symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To estimate cluttering prevalence among undergraduates, as well as its relationship with psychological and well\u2010being indicators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>To address these issues, a large sample (<jats:italic>n<\/jats:italic> = 1582) of undergraduates completed a questionnaire that provided a lay definition of cluttering and were asked to identify themselves as clutterers (SI\u2010Clut), as well as to indicate the presence of several psychological and mental well\u2010being indices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>A total of 276 respondents (23%) self\u2010identified as clutterers (now or in the past), with 55.1% of those being male. Only 56 respondents (3.5% of the total sample; about 21% of SI\u2010Clut) reported having received speech therapy for cluttering. Relative to students self\u2010identifying as non\u2010clutterers, self\u2010identification of cluttering was associated with higher levels of psychosomatic symptoms, depressive symptoms and stress, indicating a tendency toward internalizing psychopathology, along with lower self\u2010esteem, and lower subjective happiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>The current findings point to the high prevalence of students self\u2010identifying as clutterers, along with a significant link between cluttering and mental distress. Therefore, it is important to increase public awareness of cluttering, its diagnosis and treatment. From the clinical perspective, the elevated levels of somatic complaints, anxiety and depression may represent internalizing psychopathology, associated with more covert rather than overt symptomatology. Such symptom manifestation calls for special attention from the speech\u2013language pathologists providing cluttering therapy, using designated well\u2010being or mental health screening tools. Although data on standard cluttering treatment are limited, it should be customized to the client's unique difficulties. Speech\u2013language pathologists\u2019 understanding of cluttering, which includes both speech characteristics as well as psychological and social aspects of well\u2010being, may assist them in implementing effective treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Cluttering is a fluency disorder characterized by an abnormally fast or irregular speech rate, along with various disfluencies and articulatory imprecision. It may co\u2010occur with other disorders, such as learning disabilities, and attention\u2010deficit\/hyperactivity disorder. Data on cluttering prevalence and its association with psychological well\u2010being indices, such as anxiety and depression, are limited.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>A total of 276 undergraduates (23%) self\u2010identified as clutterers, of whom 55.1% were males. A total of 56 respondents (3.5% of the total sample, and about 21% of undergraduates self\u2010identified as clutterers) reported having received speech therapy for cluttering. Psychosomatic symptoms, depressive symptoms and stress levels were higher among these students, suggesting a tendency toward internalizing psychopathology, along with a lower sense of self\u2010esteem and subjective happiness.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The high prevalence of students self\u2010identifying as clutterers, along with the low percentage of respondents who received speech therapy for cluttering, emphasize the need to raise public awareness of the problem, its diagnosis and treatment (Reichel et\u00a0al., 2010). The association between cluttering and mental distress requires speech\u2013language pathologists to be aware that cluttering may have covert symptomatology, similar to stuttering, which should be addressed in therapy.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12917","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T10:08:51Z","timestamp":1687342131000},"page":"2022-2032","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["There is more to cluttering than meets the eye: The prevalence of cluttering and association with psychological well\u2010being indices in an undergraduate sample"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9228-309X","authenticated-orcid":false,"given":"Michal","family":"Icht","sequence":"first","affiliation":[{"name":"Department of Communication Disorders Ariel University Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Zukerman","sequence":"additional","affiliation":[{"name":"Department of Communication Disorders Ariel University Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avi","family":"Zigdon","sequence":"additional","affiliation":[{"name":"Department of Health Systems Management, School of Health Sciences Ariel University Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liat","family":"Korn","sequence":"additional","affiliation":[{"name":"Department of Health Systems Management, School of Health Sciences Ariel University Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.85.6.1275"},{"key":"e_1_2_7_3_1","first-page":"3","volume-title":"Cluttering: a handbook of research, intervention and education","author":"Alm P.A.","year":"2011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2006.04.001"},{"key":"e_1_2_7_5_1","unstructured":"American Speech\u2013Language\u2013Hearing Association. 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