Neuroscience
Townend E, Brady M, McLaughlan K. A Systematic Evaluation of the Adaptation of Depression Diagnostic Methods for Stroke Survivors Who Have Aphasia. Stroke. 2007 Oct 11; [Epub ahead of print]
From the NMAHP Research Unit, Buchannan House, Glasgow Caledonian University, UK; and the NHS Grampian, Department of Speech and Language Therapy, Spynie Hospital, Morayshire, UK.
BACKGROUND AND PURPOSE: One in 3 stroke survivors has aphasia (impaired language comprehension and expressive abilities). Conventionally, depression diagnosis uses language-based methods. We aimed to systematically review methods that have been used to diagnose depression and adaptations to these methods intended for people with aphasia. METHODS: We systematically reviewed stroke studies (to January 2006) that included a depression diagnosis and individuals with aphasia. We extracted data related to depression diagnostic methods used for individuals with/without aphasia. We sought clarification from authors when required. RESULTS: A total of 60 studies included people with aphasia. Almost half the studies (29/60; 48%) adapted their main depression diagnostic method (most typically a clinical interview and published criteria) for individuals with aphasia. Adaptive methods included: using informants (relatives or staff), clinical observation, modifying questions and visual analogue scales. Evidence of the validity or reliability of these adaptations was rarely reported. However, use of informants or clinical observation did achieve the inclusion of most people with aphasia in the diagnosis of depression. Remaining studies, that did not report adaptive methods, suggested that conventional language-based methods are suitable for individuals with only 'mild' aphasia. CONCLUSIONS: People with aphasia can be and have been included in depression diagnostic assessments. However, we suggest that depression and language experts collaborate to develop a more valid method of depression diagnosis for patients with aphasia that has good reliability.
PMID: 17932334 [PubMed - as supplied by publisher]
- June Is Aphasia Awareness Month
June is Aphasia Awareness Month. For the past twenty years or so, this month in North America has been dedicated to promoting a greater knowledge base among the general public as well as the non-CNS professional community about what aphasia is and about...
- Neuropsychology Abstract Of The Day: Aphasia Screening For Stroke Patients
Validation of the language component of the Addenbrooke's Cognitive Examination - Revised (ACE-R) as a screening tool for aphasia in stroke patients. Australas J Ageing. 2011 Sep;30(3):156-8 Authors: Gaber TA, Parsons F, Gautam V Abstract Aim: ...
- Neuropsychology Abstract Of The Day: Donepezil And Aphasia
Chen Y, Li YS, Wang ZY, Xu Q, Shi GW, & Lin Y. [The efficacy of donepezil for post-stroke aphasia: a pilot case control study.] Zhonghua Nei Ke Za Zhi. 2010 Feb, 49(2), 115-118. OBJECTIVE: To evaluate the efficacy of donepezil for post-stroke aphasia....
- Neuropsychology Abstract Of The Day: Aphasia Assessment
van der Meulen I, van de Sandt-Koenderman WM, Duivenvoorden HJ, & Ribbers GM (2009). Measuring verbal and non-verbal communication in aphasia: Reliability, validity, and sensitivity to change of the Scenario Test. International Joutnal of Language and...
- What's New In ... Aphasia?
Here are references to some recent papers covering important topics in aphasia: Otsuki M, Soma Y, Yoshimura N, Miyashita K, Nagatsuka K, Naritomi H. How to improve repetition ability in patients with Wernicke's aphasia: The effect of a disguised task....
Neuroscience
Neuropsychology Abstract of the Day: Aphasia and the Assessment of Depression
Townend E, Brady M, McLaughlan K. A Systematic Evaluation of the Adaptation of Depression Diagnostic Methods for Stroke Survivors Who Have Aphasia. Stroke. 2007 Oct 11; [Epub ahead of print]
From the NMAHP Research Unit, Buchannan House, Glasgow Caledonian University, UK; and the NHS Grampian, Department of Speech and Language Therapy, Spynie Hospital, Morayshire, UK.
BACKGROUND AND PURPOSE: One in 3 stroke survivors has aphasia (impaired language comprehension and expressive abilities). Conventionally, depression diagnosis uses language-based methods. We aimed to systematically review methods that have been used to diagnose depression and adaptations to these methods intended for people with aphasia. METHODS: We systematically reviewed stroke studies (to January 2006) that included a depression diagnosis and individuals with aphasia. We extracted data related to depression diagnostic methods used for individuals with/without aphasia. We sought clarification from authors when required. RESULTS: A total of 60 studies included people with aphasia. Almost half the studies (29/60; 48%) adapted their main depression diagnostic method (most typically a clinical interview and published criteria) for individuals with aphasia. Adaptive methods included: using informants (relatives or staff), clinical observation, modifying questions and visual analogue scales. Evidence of the validity or reliability of these adaptations was rarely reported. However, use of informants or clinical observation did achieve the inclusion of most people with aphasia in the diagnosis of depression. Remaining studies, that did not report adaptive methods, suggested that conventional language-based methods are suitable for individuals with only 'mild' aphasia. CONCLUSIONS: People with aphasia can be and have been included in depression diagnostic assessments. However, we suggest that depression and language experts collaborate to develop a more valid method of depression diagnosis for patients with aphasia that has good reliability.
PMID: 17932334 [PubMed - as supplied by publisher]
- June Is Aphasia Awareness Month
June is Aphasia Awareness Month. For the past twenty years or so, this month in North America has been dedicated to promoting a greater knowledge base among the general public as well as the non-CNS professional community about what aphasia is and about...
- Neuropsychology Abstract Of The Day: Aphasia Screening For Stroke Patients
Validation of the language component of the Addenbrooke's Cognitive Examination - Revised (ACE-R) as a screening tool for aphasia in stroke patients. Australas J Ageing. 2011 Sep;30(3):156-8 Authors: Gaber TA, Parsons F, Gautam V Abstract Aim: ...
- Neuropsychology Abstract Of The Day: Donepezil And Aphasia
Chen Y, Li YS, Wang ZY, Xu Q, Shi GW, & Lin Y. [The efficacy of donepezil for post-stroke aphasia: a pilot case control study.] Zhonghua Nei Ke Za Zhi. 2010 Feb, 49(2), 115-118. OBJECTIVE: To evaluate the efficacy of donepezil for post-stroke aphasia....
- Neuropsychology Abstract Of The Day: Aphasia Assessment
van der Meulen I, van de Sandt-Koenderman WM, Duivenvoorden HJ, & Ribbers GM (2009). Measuring verbal and non-verbal communication in aphasia: Reliability, validity, and sensitivity to change of the Scenario Test. International Joutnal of Language and...
- What's New In ... Aphasia?
Here are references to some recent papers covering important topics in aphasia: Otsuki M, Soma Y, Yoshimura N, Miyashita K, Nagatsuka K, Naritomi H. How to improve repetition ability in patients with Wernicke's aphasia: The effect of a disguised task....