Prevalence of anxiety in people with aphasia after stroke

Morris, R; Eccles, A; Ryan, B; Kneebone, II

Prevalence of anxiety in people with aphasia after stroke

Morris, R Eccles, A Ryan, B Kneebone, II

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Publication Type:: Journal Article
Citation:: Aphasiology, 2017, 31 (12), pp. 1410 - 1415
Issue Date:: 2017-12-02

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Field	Value	Language
dc.contributor.author	Morris, R	en_US
dc.contributor.author	Eccles, A	en_US
dc.contributor.author	Ryan, B	en_US
dc.contributor.author	Kneebone, II https://orcid.org/0000-0003-3324-7264	en_US
dc.date.issued	2017-12-02	en_US
dc.identifier.citation	Aphasiology, 2017, 31 (12), pp. 1410 - 1415	en_US
dc.identifier.issn	0268-7038	en_US
dc.identifier.uri	http://hdl.handle.net/10453/123406
dc.description.abstract	© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Background: Anxiety is common after stroke and is associated with poorer recovery. People with aphasia after stroke are typically excluded from studies of anxiety prevalence and so the number of those affected is unclear. Aims: To make a preliminary estimate of the prevalence of significant anxiety in people with aphasia after stroke. Methods & Procedures: Carers to community-dwelling people with aphasia after stroke, N = 111, completed the Behavioural Outcomes of Anxiety scale (BOA), a modified Hospital Anxiety and Depression Scale–Anxiety sub-scale (HADS-A), and a modified Generalised Anxiety Disorder-7 item (GAD-7) scale to determine the presence of significant anxiety in the person for whom they cared. Associates of anxiety in people with aphasia after stroke were also investigated. Outcomes & Results: The BOA identified 49 people (44%) as having significant anxiety. Findings for the HADS-A = 46 (41%) were similar; however, for the GAD-7, the rate was substantially lower = 18 (16%). Anxiety after stroke had a modest but significant association with younger age (all measures) and with the Frenchay Aphasia Severity Test scores (BOA and HADS-A only). Conclusions: The prevalence of anxiety in people with aphasia after stroke is high and likely higher than in those with stroke with no aphasia when measured using a validated tool for this population. Risk factors for anxiety appear to be severity of aphasia and younger age. This finding should be tempered by the fact that this is a preliminary study in a relatively small sample consisting of those attending stroke groups and the use of caregiver assessments may overestimate the prevalence of mood disorder.	en_US
dc.relation.ispartof	Aphasiology	en_US
dc.relation.isbasedon	10.1080/02687038.2017.1304633	en_US
dc.subject.classification	Speech-Language Pathology & Audiology	en_US
dc.title	Prevalence of anxiety in people with aphasia after stroke	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	31	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1109 Neurosciences	en_US
utslib.for	1702 Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	31	en_US

Abstract:

© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Background: Anxiety is common after stroke and is associated with poorer recovery. People with aphasia after stroke are typically excluded from studies of anxiety prevalence and so the number of those affected is unclear. Aims: To make a preliminary estimate of the prevalence of significant anxiety in people with aphasia after stroke. Methods & Procedures: Carers to community-dwelling people with aphasia after stroke, N = 111, completed the Behavioural Outcomes of Anxiety scale (BOA), a modified Hospital Anxiety and Depression Scale–Anxiety sub-scale (HADS-A), and a modified Generalised Anxiety Disorder-7 item (GAD-7) scale to determine the presence of significant anxiety in the person for whom they cared. Associates of anxiety in people with aphasia after stroke were also investigated. Outcomes & Results: The BOA identified 49 people (44%) as having significant anxiety. Findings for the HADS-A = 46 (41%) were similar; however, for the GAD-7, the rate was substantially lower = 18 (16%). Anxiety after stroke had a modest but significant association with younger age (all measures) and with the Frenchay Aphasia Severity Test scores (BOA and HADS-A only). Conclusions: The prevalence of anxiety in people with aphasia after stroke is high and likely higher than in those with stroke with no aphasia when measured using a validated tool for this population. Risk factors for anxiety appear to be severity of aphasia and younger age. This finding should be tempered by the fact that this is a preliminary study in a relatively small sample consisting of those attending stroke groups and the use of caregiver assessments may overestimate the prevalence of mood disorder.

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http://hdl.handle.net/10453/123406