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http://hdl.handle.net/11531/86472
Title: | Impact of post-stroke aphasia on functional communication, quality of life, perception of health and depression: A case–control study |
Authors: | Bueno Guerra, Nereida Provencio, Marta Tarifa-Rodríguez, Aida Navarro Meléndez, Ana Sempere-Iborra, Cristian Jordi, Pablo de Celis Ruiz, Elena Alonso de Leciñana, María Martín Alonso, Marta Rigual, Ricardo Ruiz-Ares, Gerardo Rodríguez-Pardo, Jorge Virués-Ortega, Javier Fuentes, Blanca |
Issue Date: | 14-Dec-2023 |
Abstract: | . Post-stroke aphasia is associated with a reduced quality of life (QoL) and higher risk of depression. Few studies have addressed the effect of coping with aphasia. Our aim is to evaluate the impact of post-stroke aphasia on self-reported QoL and symptoms of depression. Methods This was a cross-sectional prospective case–control study. Cases involved patients with post-stroke aphasia included in the DULCINEA trial (NCT04289493). Healthy controls were recruited using snowball sampling. All subjects completed the following questionnaires: General Health Questionnaire (GHQ-12), Stroke Aphasia Quality of Life Scale (SAQOL-39), Communicative Activity Log (CAL) and Stroke Aphasic Depression Questionnaire (SADQ-10). Results Twenty-three patients (eight women; mean age 62.9 years) and 73 controls (42 women; mean age 53.7 years) were included. Cases scored lower than controls in perception of health (GHQ-12: median 3 [IQR 1; 6] vs. 0 [IQR 0; 2]) and perception of QoL (SAQOL-39: median 3.6 [IQR 3.3; 40] vs. 4.6 [IQR 4.2; 4.8]). Functional communication (CAL: median 135 [IQR 122; 148] vs. 94 [IQR 74; 103]) and SAQOL-39 communication subscale (median 2.7 [IQR 2.1; 3.2] vs. 4.8 [IQR 4.6; 5.0]) were also significantly lower in the case group. Notably, cases reported fewer depressive symptoms than controls (SADQ-10: median 11 [IQR 9; 15] vs. 13 [IQR 11; 16]; p = 0.016). A mediational analysis revealed that the relationship between post-stroke aphasia and depression was not mediated by functional communication. Conclusions Although communication difficulties impact the QoL of patients with post-stroke aphasia, such patients report fewer depressive symptoms on the SADQ-10 scale than healthy people, with no differences in scores related to social participation. |
Description: | Artículos en revistas |
URI: | https://doi.org/10.1111/ene.16184 |
ISSN: | 1351-5101 |
Appears in Collections: | Artículos |
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Impact of post stroke aphasia on functional communication quality of life.pdf | 1,73 MB | Adobe PDF | View/Open |
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