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The impact of stroke: are people with aphasia different to those without?
Abstract
PURPOSE: Stroke rehabilitation programmes aim to improve functional outcomes and quality of life. This study explored long-term outcomes in a cohort of people admitted to two acute stroke units with stroke. Comparisons were drawn between people with aphasia (PWA) and people without aphasia. METHODS: People admitted to hospital with a first stroke were assessed at 2-weeks, 3-months and 6-months post-stroke. Measures included: the Barthel Index for Activities of Daily Living (ADL), the Frenchay Aphasia Screening Test, the General Health Questionnaire-12 for emotional well-being and the Stroke and Aphasia Quality of Life Scale-39g. Extended ADL and social support were also measured at 3 and 6 months, with the Frenchay Activities Index and the Social Support Survey, respectively. RESULTS: Of 126 eligible participants, 96(76%) took part and 87(69%) were able to self-report. Self-report data are reported here. Although outcomes improved significantly across time, at 6 months people continued to experience substantial functional limitations (16% aphasic; 32% dependent on basic ADL); participation limitations (79% ≤30 on the FAI); high psychological distress (45%) and compromised quality of life (54% ≤4 on the SAQOL-39g). Levels of social support remained relatively stable. Though at 3-months post-stroke PWA were significantly more likely to experience high psychological distress (93% versus 50% for those without), across time, there were no significant differences between PWA and those without on psychological distress and also ADL and social support. There were, however, significant differences on extended ADL (F(1,68) = 7.80, p < 0.01) and quality of life (F(1,69) = 6.30, p < 0.05). CONCLUSION: PWA participated in fewer activities and reported worse quality of life after stroke than people without aphasia, even when their physical abilities, well-being and social support were comparable. Implications for clinical practice and future research are discussed.
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“As post-stroke aphasia is frequently associated with cognitive-linguistic difficulties impacting directly on psychosocial well-being (Hilari, 2011)”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Hilari, 2011
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Citations
Cites
Stress, social support, and the buffering hypothesis
Cohen, S., & Wills, T. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.98.2.310 · Cited by 18,093
Sherbourne, C. D., & Stewart, A. L. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90150-b · Cited by 6,643
Measurements of acute cerebral infarction: a clinical examination scale.
Brott, T. G., Adams, H. P., Olinger, C. P., Marler, J. R., Barsan, W. G., Biller, J., Spilker, J. A., Holleran, R. S., EBERLE, R. W., & Hertzberg, V. (1989) · Stroke · doi:10.1161/01.str.20.7.864 · Cited by 6,034
The detection of psychiatric illness by questionnaire
Levy, R. (1973) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(73)90039-1 · Cited by 2,707
Frequency of Depression After Stroke: A Systematic Review of Observational Studies
Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005) · Stroke · doi:10.1161/01.str.0000165928.19135.35 · Cited by 1,464
Sprangers, M. A. G., & Aaronson, N. K. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90052-o · Cited by 1,076
Activity, participation, and quality of life 6 months poststroke
Mayo, N. E., Wood-Dauphinée, S., Côté, R., Durcan, L., & Carlton, J. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.33984 · Cited by 868
The influence of gender and age on disability following ischemic stroke: the Framingham study
Kelly‐Hayes, M., Beiser, A., Kase, C. S., Scaramucci, A., D’Agostino, R. B., & Wolf, P. A. (2003) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/s1052-3057(03)00042-9 · Cited by 729
King, R. B. (1996) · Stroke · doi:10.1161/01.str.27.9.1467 · Cited by 595
Aphasia, Depression, and Non-Verbal Cognitive Impairment in Ischaemic Stroke
Kauhanen, M.-L., Korpelainen, J. T., Hiltunen, P., Määttä, R., Mononen, H., Brusin, E., Sotaniemi, K. A., & Myllylä, V. V. (2000) · Cerebrovascular Diseases · doi:10.1159/000016107 · Cited by 452
Sturm, J. W., Donnan, G. A., Dewey, H. M., Macdonell, R. A. L., Gilligan, A. K., Srikanth, V. K., & Thrift, A. G. (2004) · Stroke · doi:10.1161/01.str.0000141977.18520.3b · Cited by 450
Social activities after stroke: Measurement and natural history using the Frenchay Activities Index
Wade, D. T., Legh-Smith, J., & Hewer, R. L. (1985) · International Rehabilitation Medicine · doi:10.3109/03790798509165991 · Cited by 408
Activities, participation and satisfaction one-year post stroke
Maeir, A., Soroker, N., Ring, H., Avni, N., & Katz, N. (2007) · Disability and Rehabilitation · doi:10.1080/09638280600924996 · Cited by 388
Sneeuw, K. C. A., Sprangers, M. A. G., & Aaronson, N. K. (2002) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(02)00479-1 · Cited by 384
Neurodevelopmental Outcomes of Very Low-Birth-Weight Infants With Necrotizing Enterocolitis
Schulzke, S. M., Deshpande, G. C., & Patole, S. (2007) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.161.6.583 · Cited by 347
Living with severe aphasia: Tracking social exclusion
Parr, S. (2007) · Aphasiology · doi:10.1080/02687030600798337 · Cited by 344
Psychosocial function and life satisfaction after stroke.
Aström, M., Asplund, K., & Åström, T. (1992) · Stroke · doi:10.1161/01.str.23.4.527 · Cited by 290
Psychological distress after stroke and aphasia: the first six months
Hilari, K., Northcott, S., Roy, P., Marshall, J., Wiggins, R. D., Chataway, J., & Ames, D. (2010) · Clinical Rehabilitation · doi:10.1177/0269215509346090 · Cited by 264
Self-citationSocial participation through the eyes of people with aphasia
Dalemans, R. J. P., de Witte, L., Wade, D., & van den Heuvel, W. (2010) · International Journal of Language & Communication Disorders · doi:10.3109/13682820903223633 · Cited by 206
Clinical determinants of long-term quality of life after stroke
Patel, M., McKevitt, C., Lawrence, E., Rudd, A. G., & Wolfe, C. D. A. (2007) · Age and Ageing · doi:10.1093/ageing/afm014 · Cited by 186
Quantifying aphasic people's social lives in the context of non‐aphasic peers
Cruice, M. N., Worrall, L. E., & Hickson, L. M. H. (2006) · Aphasiology · doi:10.1080/02687030600790136 · Cited by 184
Social support in people with chronic aphasia
Hilari, K., & Northcott, S. (2006) · Aphasiology · doi:10.1080/02687030500279982 · Cited by 184
Self-citationPredictors of health-related quality of life (HRQL) in people with chronic aphasia
Hilari, K., Wiggins, R. D., Roy, P., Byng, S., & Smith, S. (2003) · Aphasiology · doi:10.1080/02687030244000725 · Cited by 158
Self-citationDeterminants of participation restriction among community dwelling stroke survivors: A path analysis
Chau, J. P. C., Thompson, D. R., Twinn, S. F., Chang, A. M., & Woo, J. (2009) · BMC Neurology · doi:10.1186/1471-2377-9-49 · Cited by 157
Proxy and self-report agreement on the Stroke and Aphasia Quality of Life Scale-39
Hilari, K., Owen, S., & Farrelly, S. J. (2007) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2006.111476 · Cited by 154
Self-citationHilari, K., Lamping, D. L., Smith, S. C., Northcott, S., Lamb, A., & Marshall, J. (2009) · Clinical Rehabilitation · doi:10.1177/0269215508101729 · Cited by 145
Self-citationHealth‐related quality of life in people with severe aphasia
Hilari, K., & Byng, S. (2008) · International Journal of Language & Communication Disorders · doi:10.1080/13682820802008820 · Cited by 135
Self-citationMEASURING QUALITY OF LIFE IN PEOPLE WITH APHASIA THE STROKE SPECIFIC QUALITY OF LIFE SCALE
Hilari, K., & Byng, S. (2001) · International Journal of Language & Communication Disorders · doi:10.3109/13682820109177864 · Cited by 128
Self-citationTownend, E., Brady, M., & McLaughlan, K. (2007) · Stroke · doi:10.1161/strokeaha.107.484238 · Cited by 81
Rehabilitation of Chronically Ill Patients: The Influence of Complications on the Final Goal
MAHONEY, F. I., WOOD, O. H., & BARTHEL, D. W. (1958) · Southern Medical Journal · doi:10.1097/00007611-195805000-00011 · Cited by 73
Access to written information for people with aphasia
Worrall, L. E., Rose, T., Howe, T., Brennan, A., Egan, J., Oxenham, D., & McKenna, K. T. (2005) · Aphasiology · doi:10.1080/02687030544000137 · Cited by 71
Phillips, A. M. (1995) · Elderly Care · doi:10.7748/eldc.7.6.27.s25 · Cited by 26
Research works printed but not linked: 5
- Wade DT, 1994, Health care needs assessments reviews, 111
- Hackett ML, 2005, Stroke, 36, 1340
- Enderby P, 1987, Frenchay Aphasia Screening Test
- Brott T, 1989, Stroke, 20, 964
- Dalemans RJP, 2009, Int J Lang Commun Disord
Cited by
Sorted by citations
Breitenstein, C., Grewe, T., Flöel, A., Ziegler, W., Springer, L., Martus, P., Huber, W., Willmes, K., Ringelstein, E. B., Haeusler, K. G., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30067-3 · Cited by 387
Hilari, K., Needle, J. J., & Harrison, K. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2011.05.028 · Cited by 320
Self-citationNorthcott, S., Moss, B., Harrison, K., & Hilari, K. (2015) · Clinical Rehabilitation · doi:10.1177/0269215515602136 · Cited by 301
Self-citationFlowers, H. L., Silver, F. L., Fang, J., Rochon, E., & Martino, R. (2013) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2013.04.001 · Cited by 249
Baker, C., Worrall, L., Rose, M., Hudson, K., Ryan, B., & O’Byrne, L. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1315181 · Cited by 186
Metadata
- Authors
- Hilari, K.
- Affiliations
- City, University of London (GB)
- Corresponding author
- Hilari, Katerina
- ORCID
- Hilari, Katerina
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2011-01
- Volume
- 33
- Issue
- 3
- Pages
- 211-218
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W1993542140
- Cited by
- 321
- References
- 33
- Citations by year
- 2026: 16 · 2025: 35 · 2024: 30 · 2023: 23 · 2022: 23 · 2021: 29 · 2020: 26 · 2019: 25 · 2018: 17 · 2017: 17 · 2016: 14 · 2015: 14 · 2014: 17 · 2013: 14 · 2012: 14
- FWCI
- 11.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Keywords
- stroke, aphasia, long-term outcomes, quality of life, activities of daily living, psychological distress, social support, stroke rehabilitation
- MeSH terms
- Stroke Rehabilitation, Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Analysis of Variance, Aphasia, Female, Humans, Male, Middle Aged, Quality of Life, Reference Values, Severity of Illness Index, Social Support, Time Factors, Cohort Studies, Treatment Outcome, Risk Assessment, Stroke
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