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- Title
- THE EFFECT OF APHASIA ON QUALITY OF LIFE, COPING STYLE, AND RESILIENCE.
- Creator
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Hernandez, Nelson J, Whiteside, Janet D., University of Central Florida
- Abstract / Description
-
Approximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and...
Show moreApproximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and resilience. The World Health Quality of Life- BREF (WHOQOL-BREF), Assimilative-Accommodative Coping Scale (AACS), and the Connor-Davidson Resilience Scale-10 item version (CD-RISC-10), were administered once to 24 subjects with a diagnosis of aphasia. Four of the subjects were excluded after administration, due to incompletion of questionnaire or not meeting inclusion criteria. A cross sectional multivariate analysis of variance (MANOVA) study design was utilized with a separate one-way analysis of variance (ANOVA) utilized to analyze each domain and scale individually. Results from the MANOVA analysis showed no statistically significant difference between non-fluent and fluent IWA when considered jointly among the three Likert scales. However, a separate ANOVA was conducted for each scale individually and showed a statistically significant difference between fluent and non-fluent IWA in the domains of Social Relationships and Environment for the WHOQOL-BREF scale. There was no statistically significant difference discovered among the other domains and scales. In conclusion, the significant difference found between fluent and non-fluent IWA in the domains of Social Relationships and Environment, may be due to the majority of the fluent IWA being categorized as anomic, a higher functioning form of aphasia. Whereas the majority of non-fluent IWA were categorized as having Broca's aphasia, which greatly affects speech output and, in six out of nine participants, hemiplegia was noted. Future research may want to take into account the severity of aphasia when comparing and contrasting non-fluent and fluent IWA.
Show less - Date Issued
- 2016
- Identifier
- CFH2000147, ucf:46038
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000147
- Title
- Caregiver-proxy and individual with aphasia self-report agreement on the modified perceived stress scale and mutuality scale.
- Creator
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Hernandez, Nelson, Wilson, Lauren Bislick, Engelhoven, Amy, Hunting Pompon, Rebecca, Troche, Joshua, University of Central Florida
- Abstract / Description
-
The level of agreement proxy-caregivers have with individuals with aphasia (IWAs) on a measure of perceived stress has yet to be systematically investigated. According to the extant literature, there is less agreement on psychosocial domains between proxy-caregivers and IWAs. In addition, high levels of mutuality have been strongly associated with low levels of stress in stroke survivors; however, these studies are not been specific to IWAs. The proposed study sought to examine the degree of...
Show moreThe level of agreement proxy-caregivers have with individuals with aphasia (IWAs) on a measure of perceived stress has yet to be systematically investigated. According to the extant literature, there is less agreement on psychosocial domains between proxy-caregivers and IWAs. In addition, high levels of mutuality have been strongly associated with low levels of stress in stroke survivors; however, these studies are not been specific to IWAs. The proposed study sought to examine the degree of agreement between proxy-caregiver reports and IWAs' perceived stress using a modified stress scale specifically for IWAs. This study also examined the relationship between perceived stress and mutuality of the relationship between the caregiver and IWAs. The modified Perceived Stress Scale (mPSS), a proxy version of the mPSS, and the Mutuality Scale (MS) were administered to 12 dyads. An independent sample t-test was conducted to determine if there were significant differences in perceived stress and mutuality as reported by the caregiver, proxy-caregiver and IWA. A Pearson correlation was performed to determine the level of agreement across questionnaires. Results show a moderate correlation on mPSS ratings between the proxy-caregiver and IWA. On average, proxy ratings on the mPSS were significantly higher than reports from IWAs. There was strong agreement on mutuality among the dyads and a moderate correlation between mutuality agreement and proxy agreement. Finally, there was a moderate correlation between the caregiver's mPSS score and increased disagreement between the proxy-caregiver and the IWA's mPSS score. These findings suggest a moderate agreement on perceived stress among caregivers and IWAs. Differences in agreement on perceived stress for proxy-caregiver and IWAs were minimized when perceived mutuality between the dyads were high. Further, caregivers were more likely to overestimate the perceived stress of IWAs when their own mPSS ratings were high. Study limitations and future directions are also discussed.
Show less - Date Issued
- 2019
- Identifier
- CFE0007652, ucf:52464
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007652
