Experiences of mood changes and depression after post-stroke aphasia

Baker, Caroline; Worrall, Linda; Rose, Miranda; Ryan, Brooke

doi:10.1080/02687038.2018.1486384

Cited by 10 publications

(10 citation statements)

References 5 publications

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“…The paucity of mental health identification and assessment methods validated on persons with CD could lead to under-identification of behavioral health disorders in this population. 32,33 Qualitative evidence from primary care indicates that persons with CDs interact with and convey messages to their physicians differently than those without CDs. [34][35][36] Persons with CDs rely heavily on caregivers for communication, need additional time to be understood, and are at risk of feeling misunderstood by their health care practitioners.…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, approaches are emerging in the aphasia population, with several new behavioral health approaches under investigation. 32,44,[48][49][50] Another opportunity for addressing these needs is the addition of speech-language pathologists as part of the primary care and behavioral health team. 51 Such providers are specifically trained in addressing CDs and can work with both the patient and providers to improve communication and understanding of symptoms and treatment effects.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Behavioral Health Problems Among Adults With and Without Communication Disabilities

2020

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Background: Adults with communication disabilities (CDs) experience poor health and health care outcomes. Few studies have examined behavioral health outcomes among this population. We compare the behavioral health of adults with CDs to their peers without such disabilities. Methods: Retrospective cohort study examining the 2012 National Health Interview Survey Voice, Speech, and Language Supplement. We compared adults (> 17 years old) with voice only (n = 2169), speech/language (SL) only (n = 730), and speech/language and voice (SLV; n = 450) disabilities to adults without CDs (n = 29,873). Outcomes include behavioral health diagnoses (eg, depression), substance misuse (eg, excessive alcohol or tobacco use), experiences (eg, nonspecific psychological distress), and health care utilization. Unadjusted Pearson's x 2 and adjusted logistic regression analyses controlling for sociodemographic, health, and other disability measures were conducted. Results: Adults with CDs more frequently reported diagnoses (7.1% to 35.9% vs 1.8% to 8.6%), substance misuse (SL only: 15.5% vs 5.5%), and nonspecific psychological distress (SL only: 14.7%; SLV: 22.3% vs 2.3%) compared with adults without CDs (all P < .001). These findings were consistent for all outcomes and in multivariate analyses. Odds ratios ranged from 1.4 (99.7% CI, 1.1-1.7) to 5.0 (99.7% CI, 3.6-6.8). Adults with CDs more frequently endorsed visiting mental health professionals compared with adults without CDs (voice only: 11.4%; SL only: 19.1%; SLV: 23.1%; vs 6.8%, all P < .001), but these differences became nonsignificant in multivariate analyses. Conclusions: Adults with CDs experience poorer behavioral health and health care outcomes compared with persons without CDs. Barriers to identification and treatment related to CDs must be addressed for persons with CDs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Behavioral Health Problems Among Adults With and Without Communication Disabilities

2020

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“…Increasing interest in psychosocial approaches has generated further knowledge of identity in aphasia. Approaches have focused on aspects such as: living successfully with aphasia (Brown et al 2012(Brown et al , 2013Grohn et al 2014); goal-setting (Worrall et al 2011); quality of life and wellbeing (Cruice et al 2003(Cruice et al , 2010Hilari 2011); participation (Dalemans et al 2010); the emotional impact of aphasia (Gainotti 1997;Herrmann 1997;Code et al 1999) including depression (Kauhanen et al 2000;Baker et al 2018) and anxiety (Morris et al 2017). A detailed account of 'Hope' following aphasia, despite making brief mention of spiritual beliefs, made no recourse to spiritual frameworks (Bright et al 2013).…”

Section: Introductionmentioning

confidence: 99%

A Single Case Narrative of Spirituality Following Aphasia from Traumatic Brain Injury: Findings about Forgiveness and Freedom Using WELLHEAD and SHALOM

Mumby¹

2019

Religions

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Rehabilitation has neglected the spirituality of people with aphasia, a neurogenic impairment of language for communication and thought processes. Aphasia reduces scope for adjustment processes where words are normal currency, such as forgiveness and reconciliation. A single case narrative was generated from a case series exploring the feasibility of spiritual health assessment in aphasia. The individual had traumatic brain injury, with the primary symptom of aphasia, giving the first detailed account of its kind. The WELLHEAD spirituality toolkit provided a structured interview approach, exploring spirituality in terms of ‘meaning and purpose’ within four dimensions, WIDE, LONG, HIGH and DEEP, incorporating patient-reported outcome measures and goal-setting, with feedback interviews. Spiritual Health and Life Orientation Measure (SHALOM) generated a comparator spiritual health assessment. The quantitative feedback measures and self-reported outcomes were complemented by detailed qualitative interview transcripts subject to systematic thematic analysis in NVivo. The findings were co-constructed and systematically verified. This non-religious narrative evidenced the accessibility, acceptability, and impact of the resources. Self-forgiveness was paramount for freedom to journey into the unknown beyond self with ‘Calm’, towards helping others and accepting help. Religion, Faith and Belief were reconceptualised. Forgiveness of self and others was integral and instrumental in recovery, offering avenues for further investigation and application.

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“…Baker, C., Worrall, L., Rose, M., & Ryan, B (2018c). Experiences of mood changes and depression after post-stroke aphasia.…”

Section: Chapter 5 Statement Of Contributionmentioning

confidence: 99%

“…It is necessary for people with aphasia to contribute to the research and inform the translation of stepped psychological care to clinical practice. The aim of this chapter is to describe the perspective of people with aphasia regarding: a) their experience of mood changes, depression and current practice; and b) their preferences within a stepped psychological care approach.The content of this chapter is in preparation for publication, Baker, C., Worrall, L.,Rose, M., & Ryan, B (2018c). Experiences of mood changes and depression after post-stroke aphasia.…”

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confidence: 99%

Translating stepped psychological care to aphasia rehabilitation

Baker¹

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Stroke rehabilitation needs more psychological services to address mood changes and depression after aphasia. An evidence-practice gap exists that can be minimised through implementation of stepped psychological care-an evidence-based framework offering multidisciplinary intervention after stroke. However, stepped psychological care has not been adapted for the communication disability associated with aphasia. Further, there is a lack of research exploring the perspectives of key stakeholders in managing depression after post-stroke aphasia. The overarching aim of this research was to describe the evidence-practice gap in managing mood changes and depression after post-stroke aphasia. Chapter one of this thesis comprises: an introduction, including a review of the literature, the aims of the thesis, and an overview of the methodology and the thesis structure. The thesis then reports on three research studies investigating the management of mood changes and depression after poststroke aphasia: 1) a systematic review of rehabilitation interventions to prevent and treat depression after post-stroke aphasia; 2) a description, from the perspective of stroke health professionals, of: a) current practice; and b) the identification of barriers and facilitators to implementing stepped psychological care to clinical practice; and 3) a description, from the perspective of people with aphasia, of: a) experiences of mood changes, depression and current practice; and b) preferences within a stepped psychological care approach. Study 1 systematically reviewed the research evidence for rehabilitation interventions to prevent and treat depression after post-stroke aphasia. It followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 45 studies were eligible for inclusion. It is not clear which interventions may prevent depression. A range of interventions that may enhance mood or treat mild depression after post-stroke aphasia were identified and described within the stepped psychological care framework. Study 2 described, from the perspectives of stroke health professionals: a) current practice for the management of depression after post-stroke aphasia; and b) the barriers and facilitators to implementing stepped psychological care for depression after post-stroke aphasia. Thirty-nine stroke health professionals participated in qualitative focus groups. Five focus groups within acute, rehabilitation and community settings were divided into two parts: 1) a discussion about current practice; and 2) information provision about the stepped psychological care framework, followed by a discussion of the barriers and facilitators to implementing this framework to clinical practice. Four core components of current practice were derived from an interpretive description analysis: 1)

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Experiences of mood changes and depression after post-stroke aphasia

Cited by 10 publications

References 5 publications

Prevalence of Behavioral Health Problems Among Adults With and Without Communication Disabilities

Prevalence of Behavioral Health Problems Among Adults With and Without Communication Disabilities

A Single Case Narrative of Spirituality Following Aphasia from Traumatic Brain Injury: Findings about Forgiveness and Freedom Using WELLHEAD and SHALOM

Translating stepped psychological care to aphasia rehabilitation

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