Community integration and quality of life in aphasia after stroke

Hyejin Lee, Yuna Lee, Hyunsoo Choi, Sung Bom Pyun

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: To examine community integration and contributing factors in people with aphasia (PWA) following stroke and to investigate the relationship between community integration and quality of life (QOL). Materials and Methods: Thirty PWA and 42 age-and education-matched control subjects were involved. Main variables were as follows: socioeconomic status, mobility, and activity of daily living (ADL) (Modified Barthel Index), language function [Frenchay Aphasia Screening Test (FAST)], depression [Geriatric Depression Scale (GDS)], Community Integration Questionnaire (CIQ) and Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39). Differences between aphasia and control groups and factors affecting community integration and QOL were analyzed. Results: Home and social integration and productive activity were significantly decreased in the aphasia group compared to the control group; 8.5 and 18.3 points in total CIQ score, respectively. Amount of time spent outside the home and frequency of social contact were also significantly reduced in the aphasia group. Total mean score on the SAQOL-39 was 2.75±0.80 points and was significantly correlated with economic status, gait performance, ADL, depressive mood, and social domain score on the CIQ. Depression score measured by GDS was the single most important factor for the prediction of QOL, but the FAST score was significantly correlated only with the communication domain of the SAQOL-39. Conclusion: Community activities of PWA were very limited, and depression was highly associated with decreased community integration and QOL. Enhancing social participation and reducing emotional distress should be emphasized for rehabilitation of PWA.

Original languageEnglish
Pages (from-to)1694-1702
Number of pages9
JournalYonsei Medical Journal
Volume56
Issue number6
DOIs
Publication statusPublished - 2015 Nov 1

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Community Integration
Aphasia
Stroke
Quality of Life
Depression
Neuropsychological Tests
Activities of Daily Living
Geriatrics
Social Participation
Control Groups
Gait
Social Class
Language
Rehabilitation

Keywords

  • Aphasia
  • Community integration
  • Quality of life
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Community integration and quality of life in aphasia after stroke. / Lee, Hyejin; Lee, Yuna; Choi, Hyunsoo; Pyun, Sung Bom.

In: Yonsei Medical Journal, Vol. 56, No. 6, 01.11.2015, p. 1694-1702.

Research output: Contribution to journalArticle

Lee, Hyejin ; Lee, Yuna ; Choi, Hyunsoo ; Pyun, Sung Bom. / Community integration and quality of life in aphasia after stroke. In: Yonsei Medical Journal. 2015 ; Vol. 56, No. 6. pp. 1694-1702.
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