Evaluation of the impact of aphasia on communication and social participation in persons with stroke

Czech version

Authors: Z. Cséfalvay ¹; M. Horňáková ²; P. Janoško ²; V. Čiernik Kevická ¹
Authors‘ workplace: Katedra logopédie, Pedagogická, fakulta, Univerzita Komenského, Bratislava, Slovensko ¹; Katedra liečebnej pedagogiky, Pedagogická fakulta, Univerzita, Komenského, Bratislava, Slovensko ²
Published in: Cesk Slov Neurol N 2024; 87(6): 417-422
Category: Original Paper
doi: https://doi.org/10.48095/cccsnn2024417

Overview

Aim: The research aimed to determine the relationship between the severity of aphasia and patients’ self-assessment of the impact of the speech disorder on their daily communication, participation, and emotional state. Sample and methods: The sample consisted of 32 patients with aphasia lasting for at least 6 months following stroke onset, including 17 women, with a mean age of 59.9 years (standard deviation 12.7). We used the standardized language battery Diagnostics of Aphasia, Alexia, and Agraphia (DgAAA) to assess language impairment, and a subjective pictorial self-report questionnaire, the Slovak adaptation of the Aphasia Impact Questionnaire 21 (AIQ21sk), to evaluate the impact of aphasia. Results: We did not find a statistically significant relationship between the total score on AIQ21sk and the result of the total score of language deficits on the DgAAA test. However, the results indicated a moderately strong and significant relationship between good performance on the language comprehension subtest and lower scores across all AIQ domains, reflecting a milder negative impact of aphasia. Conclusion: Patients’ evaluation of the impact of aphasia revealed that the severity of aphasia alone does not significantly affect their activities, participation, or emotional state in daily life. Therefore, comprehensive care for patients with aphasia should address not only therapy targeting linguistic deficits but also broader aspects of communication.

Keywords:

aphasia – functional communication – Aphasia Impact Questionnaire (AIQ21) – social participation

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