Self-efficacy and resilience in severe aphasia - an exploratory cross-sectional study of two psychosocial factors and their relation to functional communication.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: England NLM ID: 9207179 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5165 (Electronic) Linking ISSN: 09638288 NLM ISO Abbreviation: Disabil Rehabil Subsets: MEDLINE
    • Publication Information:
      Publication: 2015- : Abingdon, Oxford : Taylor & Francis
      Original Publication: London ; Washington, DC : Taylor & Francis, c1992-
    • Subject Terms:
      Self Efficacy* ; Aphasia*/rehabilitation ; Aphasia*/psychology ; Aphasia*/etiology ; Resilience, Psychological* ; Executive Function* ; Communication*; Humans ; Cross-Sectional Studies ; Male ; Female ; Middle Aged ; Aged ; Stroke/psychology ; Stroke/complications ; Stroke Rehabilitation ; Adult ; Aged, 80 and over
    • Abstract:
      Purpose: Self-efficacy and resilience are important for various aspects of rehabilitation outcome after stroke. However, little is known about how these factors are affected and related to communication outcome in stroke survivors with aphasia. The purpose was to investigate self-efficacy and resilience, and associations to language and functional communication, in people with severe post-stroke aphasia.
      Materials and Methods: 37 participants with severe aphasia rated their self-efficacy and resilience, using adapted versions of the existing instruments DLSES and CD-RISC. In addition, linguistic ability, executive function and functional communication were assessed.
      Results: Participants rated their self-efficacy and resilience as expected based on reports in the literature; somewhat lower than general populations and at similar levels as clinical populations. There were no association between self-efficacy, resilience and linguistic ability. In the sample as a whole, there were no associations between self-efficacy, resilience and functional communication. However, when results were stratified by executive function, associations emerged in the group with stronger executive function.
      Conclusions: People with severe aphasia have decreased self-efficacy and resilience compared to general populations, but not necessarily in proportion to their language impairment. Among participants with relatively spared executive functions there were indications of an association between self-efficacy, resilience and functional communication.
    • Contributed Indexing:
      Keywords: Aphasia; functional communication; resilience; self-efficacy; stroke
      Local Abstract: [plain-language-summary] The constructs self-efficacy and resilience are related to several outcomes after stroke.Self-efficacy and resilience can be assessed in many people with severe aphasia, provided that materials and administration procedure are adequately adapted.There are indications of an association between functional communication and self-efficacy and resilience.Integrating activities to increase self-efficacy and resilience in aphasia rehabilitation may be beneficial to treatment outcomes regarding functional communication.
    • Publication Date:
      Date Created: 20231213 Date Completed: 20241015 Latest Revision: 20241015
    • Publication Date:
      20241016
    • Accession Number:
      10.1080/09638288.2023.2292270
    • Accession Number:
      38088335