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Gepubliceerd in: Quality of Life Research 1/2017

12-07-2016

Quality of life in aphasic patients 1 year after a first stroke

Auteurs: Michèle Koleck, Kamel Gana, Claire Lucot, Bénédicte Darrigrand, Jean-Michel Mazaux, Bertrand Glize

Gepubliceerd in: Quality of Life Research | Uitgave 1/2017

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Abstract

Purpose

This study had twofold objective: (1) assessing change and dynamic processes over time between severity of aphasia and functional autonomy and (2) examining the temporal relationships between functional autonomy, depressive mood and quality of life in stroke patients with aphasia.

Method

Prospective study of patients with aphasia consecutively included after a first stroke and examined 1 year later at home (n = 101). Assessment included a visual analogical scale assessing QoL, a functional autonomy scale, a severity of aphasia scale, a communication questionnaire and a depression scale. Structural equation modeling was used to estimate competitive models, in which depressive mood or QoL was the ultimate endogenous variable (i.e., vulnerability vs. scar model).

Results

One year after stroke, there were a slight improvement in language impairment (stability coefficient = .61, p < .001) and a moderate improvement in functional autonomy (stability coefficient = .44, p < .001). There were prospective reciprocal effects between severity of aphasia and functional autonomy, i.e., each state exerted a temporal dynamic prediction on the other over time. Cross-sectional results from path analysis showed that depressive mood negatively predicted QoL (i.e., scar model); there was no evidence of the reverse association.

Conclusion

Results and their practical relevance in treatment were discussed. Predicting as soon as possible which factors would be related to late QoL in stroke patients with aphasia is of major importance.

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Voetnoten
1
Throughout this article, depression and depressive mood are used interchangeably as a dimensional, not categorical construct [29, 30]. Thus, we are interested in individual differences in depressive mood rather than a clinical category such as major depressive disorder.
 
2
This study was based on patient responses and not on patient–proxy responses whose validity could be problematic.
 
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Metagegevens
Titel
Quality of life in aphasic patients 1 year after a first stroke
Auteurs
Michèle Koleck
Kamel Gana
Claire Lucot
Bénédicte Darrigrand
Jean-Michel Mazaux
Bertrand Glize
Publicatiedatum
12-07-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1361-z