ABSTRACT

Background

Stroke survivors with aphasia often experience reduced psychosocial well-being. Intensive comprehensive aphasia programs (ICAPs) are an ideal model in which to treat persons with aphasia (PWAs) to improve both cognitive-linguistic impairments and psychosocial well-being.

Aims

To investigate the impact of a university-based ICAP on psychosocial well-being using measures of depression, aphasia-related quality of life, and communicative participation.

Methods & Procedures

Thirty-seven PWAs (13 females, 24 males; mean age of 65 years; mean time post onset of 60 months) participated in a university-based ICAP across six ICAP sessions. Psychosocial outcome measures were administered before and after participating in an ICAP including: Geriatric Depression Scale (GDS), Assessment of Living with Aphasia (ALA), and Communicative Effectiveness Index (CETI). Paired samples t-tests were used to compare pre- and post-ICAP performance on each measure, and Pearson’s r correlation coefficients were used to evaluate potential relations between measures, as well as relations between measures and demographic and treatment variables.

Outcomes & Results

Depression, as measured by the GDS, significantly decreased pre- to post-ICAP. Pre-treatment scores for the GDS and ALA were significantly correlated. Change scores for the GDS were predictive of change scores for the ALA and CETI. PWAs who had the lowest educational attainment showed the greatest change on the GDS and ALA.

Conclusions

Results suggest that the ICAP service delivery model has the potential to improve psychosocial well-being by reducing depression and improving quality of life. Findings provide preliminary evidence that the ICAP model can be efficacious when implemented in a university setting.

中文翻译：

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基于大学的强化综合失语症计划 (ICAP) 对中风失语症幸存者心理社会健康的影响

摘要

背景

患有失语症的中风幸存者经常会出现社会心理健康状况下降。强化综合失语症计划 (ICAPs) 是治疗失语症 (PWAs) 患者以改善认知语言障碍和社会心理健康的理想模式。

宗旨

使用抑郁症、失语相关的生活质量和交流参与的措施来调查基于大学的 ICAP 对社会心理健康的影响。

方法和程序

37 名 PWA（13 名女性，24 名男性；平均年龄为 65 岁；平均发病后时间为 60 个月）在六次 ICAP 会议中参加了基于大学的 ICAP。在参加 ICAP 之前和之后进行了心理社会结果测量，包括：老年抑郁量表(GDS)、失语症生活评估(ALA) 和沟通效率指数(CETI)。配对样本t检验用于比较 ICAP 前和 ICAP 后每个测量的表现，并使用 Pearson r相关系数评估测量之间的潜在关系，以及测量与人口统计和治疗变量之间的关系。

结果和结果

GDS 测量的抑郁症在 ICAP 前后显着降低。GDS 和 ALA 的治疗前评分显着相关。GDS 的变化分数可预测 ALA 和 CETI 的变化分数。受教育程度最低的 PWA 在 GDS 和 ALA 上的变化最大。

结论

结果表明，ICAP 服务提供模式有可能通过减少抑郁症和提高生活质量来改善社会心理健康。调查结果提供了初步证据，表明 ICAP 模型在大学环境中实施时是有效的。