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City Research OnlineMeasuring Well-being in Aphasia: The GHQ-28 versus the NHP
Katerina HilariCity University, London, U.K.
Sally ByngConnect -the Communication Disability Network, London, U.K.
Tim PringCity University, London, U.K.
Address for correspondence: Katerina Hilari, Department of Language and CommunicationScience, City University, Northampton Square, London EC1V 0HB, U.K. E-mail: k.hilari@city.ac.uk This study was funded by the Stroke Association.
ABSTRACTThis study aimed to get the opinion of people with aphasia on two subjective well-being measures: the General Health Questionnaire 28-item version (GHQ-28) (Goldberg & Hillier, 1979) and the Nottingham Health Profile (NHP) (Hunt et al., 1981). Twelve persons with moderate to mild aphasia of at least two years duration completed the GHQ-28 and the NHP. In a semi-structured interview they gave their feedback on the two questionnaires. All participants were able to complete both the instruments. Nine out of twelve showed high psychological distress (>5/28) in the GHQ-28. The NHP (part 1 less the physical abilities section) had a correlation of 0.78 (p<.01) with the GHQ-28. The social dysfunction sub-scale of the NHP identified more problems in the people with aphasia than the social isolation sub-scale of the GHQ-28. The majority of the participants (ten out of twelve) preferred the NHP as they found it easier to understand and to respond to. This small-scale study indicated that both the GHQ-28 and the NHP can be administered to people with moderate to mild aphasia and provide useful information on their well-being. Participants reported that the NHP was easier to do and it asked more relevant questions to their situation.Over the past decades, better living conditions and advances in medical treatments have resulted in more people having to live with the aftermath of a disease than immediately die from it. The increasing prevalence of chronic disability is reflected in health related research with an increase in studies exploring the quality of life and the wellbeing of users of health care services. In the field of stroke, during the last ten years, there has been a considerable amount of research investigating the long term outcome and/or psychosocial and emotional impact of stroke (e.g., Astrom, Asplund, & Astrom, 1992;deHaan, Limburg, Van der Meulen, Jacobs, & Aaronson, 1995;Foster & Young, 1996; Hochstenbach, Donders, Mulder, vanLimbeek, & Schoonderwaldt, 1996 [Dutch]; King, 1996;Wyller, Holmen, Laake, & Laake, 1998;Lofgren, Gustafson, & Nyberg...