Aphasia and the neuropsychobiology of stress

Laures‐Gore, Jacqueline; Buchanan, Tony W.

doi:10.1080/13803395.2015.1042839

Cited by 30 publications

(18 citation statements)

References 76 publications

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“…It is noteworthy that anxiety has received comparatively less attention in PWA than depression[ 94 , 101 ]. Impairments in the ability to communicate is one the most significant sources of stress for PWA[ 102 , 103 ]. To date, the prevalence of anxiety among PWA is estimated to be around 44%, in contrast to the 18%-25% of stroke survivors without language disorders[ 94 , 104 , 105 ].…”

Section: Resultsmentioning

confidence: 99%

Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia

Edelkraut¹,

López-Barroso²,

Torres‐Prioris³

et al. 2022

WJP

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BACKGROUND Neuropsychiatric symptoms (NPS) have been insufficiently examined in persons with aphasia (PWA) because most previous studies exclude participants with language and communication disorders. AIM To report a two-part study consisting of a literature review and an observational study on NPS in post-stroke aphasia. METHODS Study 1 reviewed articles obtained from PubMed, PsycINFO, Google Scholar and Cochrane databases after cross-referencing key words of post-stroke aphasia to NPS and disorders. Study 2 examined language deficits and activities of daily living in 20 PWA (median age: 58, range: 28-65 years; 13 men) with the Western Aphasia Battery-Revised and the Barthel Index, respectively. Informants of these 20 PWA were proxy-evaluated with the Neuropsychiatric Inventory and domain-specific scales, including the Stroke Aphasia Depression Questionnaire-10 item version and the Starkstein Apathy Scale. In addition, an adapted version of the Hospital Anxiety and Depression Scale was directly administered to the PWA themselves. This observational study is based on the baseline assessment of an intervention clinical trial (EudraCT: 2017-002858-36; ClinicalTrials.gov identifier: NCT04134416). RESULTS The literature review revealed a broad spectrum of NPS in PWA, including depression, anxiety, apathy, agitation/aggression, eating and sleep disorders, psychosis, and hypomania/mania. These findings alert to the need for improving assessment and treatment approaches of NPS taking into consideration their frequent occurrence in PWA. Study 2 showed that the 20 participants had mild- to-moderate aphasia severity and were functionally independent. A wide range of comorbid NPS was found in the post-stroke aphasic population (median number of NPS: 5, range: 1-8). The majority of PWA (75%) had depressive symptoms, followed by agitation/aggression (70%), irritability (70%), anxiety (65%) and appetite/eating symptoms (65%). Half of them also presented symptoms of apathy, whereas euphoria and psychotic symptoms were rare (5%). Domain-specific scales revealed that 45% of participants had apathy and 30% were diagnosed with depression and anxiety. CONCLUSION Concurrent NPS are frequent in the chronic period of post-stroke aphasia. Therefore, further research on reliable and valid assessment tools and treatment for this aphasic population is strongly warranted.

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Section: Resultsmentioning

confidence: 99%

Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia

Edelkraut¹,

López-Barroso²,

Torres‐Prioris³

et al. 2022

WJP

View full text Add to dashboard Cite

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“…Third, even when experiencing feelings of stress, individual participants likely differed in how they coped with these feelings (Laures-Gore & Buchanan, 2015). Even if participants' stress response in the unresponsive partner condition was similar, some may have been better equipped to cope with their reaction.…”

Section: Discussionmentioning

confidence: 99%

How Responsiveness From a Communication Partner Affects Story Retell in Aphasia: Quantitative and Qualitative Findings

Harmon

Jacks

Haley

et al. 2020

Am J Speech Lang Pathol

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Purpose Because people with aphasia (PWA) frequently interact with partners who are unresponsive to their communicative attempts, we investigated how partner responsiveness affects quantitative measures of spoken language and subjective reactions during story retell. Method A quantitative study and a qualitative study were conducted. In Study 1, participants with aphasia and controls retold short stories to a communication partner who indicated interest through supportive backchannel responses (responsive) and another who indicated disinterest through unsupportive backchannel responses (unresponsive). Story retell accuracy, delivery speed, and ratings of psychological stress were measured and compared. In Study 2, participants completed semistructured interviews about their story retell experience, which were recorded, transcribed, and coded using qualitative analysis software. Results Quantitative results revealed increased psychological stress and decreased delivery speed across all participant groups during the unresponsive partner condition. Effects on delivery speed were more consistent for controls than participants with aphasia. Qualitative results revealed that participants with aphasia were more attuned to unresponsive partner behaviors than controls and reported stronger and more frequent emotional reactions. Partner responsiveness also affected how PWA perceived and coped with the communication experience. Conclusions Combined quantitative and qualitative findings suggest that, while unresponsive communication partners may not have robust effects on spoken language, they elicit strong emotional reactions from PWA and affect their communication experience. These findings support the need for communication partner training and suggest that training PWA on emotion regulation or relaxation techniques may help assuage their anxiety during socially challenging everyday communication and increase social participation. Supplemental Material https://doi.org/10.23641/asha.11368028

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“…Cahana-Amitay et al, 2011); however, empirical support is lacking for general anxiety associated with language use (see Laures-Gore & Buchanan, 2015). Alternatively, the heightened anxiety may be more context-specific: An everyday communication situation that is perceived as challenging by neurotypical adults, for example secondary to attentional demands, may be perceived as threatening by PWA, leading to a heightened neurovisceral response (Laures-Gore & Buchanan, 2015) and potentially affecting spoken language (see e.g., Cahana-Amitay et al, 2015) and life participation. Individual differences related to overall health, energy, and coping resources are likely to mediate the indvididual response (see framework presented in Laures-Gore & Buchanan, 2015).…”

Section: Discussionmentioning

confidence: 99%

Dual-Task Effects on Story Retell for Participants With Moderate, Mild, or No Aphasia: Quantitative and Qualitative Findings

Harmon

Jacks

Haley

et al. 2019

J Speech Lang Hear Res

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Purpose The aims of the study were to determine dual-task effects on content accuracy, delivery speed, and perceived effort during narrative discourse in people with moderate, mild, or no aphasia and to explore subjective reactions to retelling a story with a concurrent task. Method Two studies (1 quantitative and 1 qualitative) were conducted. In Study 1, participants with mild or moderate aphasia and neurotypical controls retold short stories in isolation and while simultaneously distinguishing between high and low tones. Story retell accuracy (speech productivity and efficiency), speed (speech rate, repetitions, and pauses), and perceived effort were measured and compared. In Study 2, participants completed semistructured interviews about their story retell experience. These interviews were recorded, transcribed orthographically, and coded qualitatively using thematic analysis. Results The dual task interfered more with spoken language of people with aphasia than controls, but different speed–accuracy trade-off patterns were noted. Participants in the moderate aphasia group reduced accuracy with little alteration to speed, whereas participants in the mild aphasia group maintained accuracy and reduced their speed. Participants in both groups also reported more negative emotional and behavioral reactions to the dual-task condition than their neurotypical peers. Intentional strategies for coping with the cognitive demands of the dual-task condition were only reported by participants with mild aphasia. Conclusion The findings suggest that, although communicating with a competing task is more difficult for people with aphasia than neurotypical controls, participants with mild aphasia may be better able to cope with cognitively demanding communication situations than participants with moderate aphasia. Supplemental Material https://doi.org/10.23641/asha.8233391

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Aphasia and the neuropsychobiology of stress

Cited by 30 publications

References 76 publications

Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia

Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia

How Responsiveness From a Communication Partner Affects Story Retell in Aphasia: Quantitative and Qualitative Findings

Dual-Task Effects on Story Retell for Participants With Moderate, Mild, or No Aphasia: Quantitative and Qualitative Findings

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