Bivariate genetic analyses of stuttering and nonfluency in a large sample of 5-year old twins

Purpose: Behavioral genetic studies of speech fluency have focused on participants who present with clinical stuttering. Knowledge about genetic influences on the development and regulation of normal speech fluency is limited. The primary aims of this study were to identify the heritability of stuttering and high nonfluency and to assess the relative contribution of genetic and environmental factors to the correlation between these 2 fluency phenotypes. Method: Information on 6 specific speech fluency behaviors was obtained by maternal report for over 10, 500 5-year-old Dutch twin pairs. Results: Genetic analyses revealed that both fluency phenotypes were moderately heritable, with heritability estimates of 42% and 45% for probable stuttering and high nonfluency, respectively. Shared environmental factors were also significant, explaining 44% of the individual differences in probable stuttering and 32% in nonfluency. For both phenotypes, the magnitude of the genetic and environmental influences did not differ between boys and girls. The overlap between the 2 traits was substantial (tetrachoric correlation was .72). A bivariate genetic analysis showed that this overlap was due to both overlapping genetic and environmental influences. Conclusions: These findings provide a foundation to justify further studies in normal fluency control, a scientific area that has received little cross-disciplinary attention. © American Speech-Language-Hearing Association.