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失语症的心理健康支持:来自精神科医生和心理学家的见解

Mental Health Support for Aphasia: Insights From Psychiatrists and Psychologists.

作者信息

Oğuz Özlem, Sapmaz Atalar Merve

机构信息

Speech and Language Therapy, Üsküdar University, Istanbul, Türkiye.

Speech and Language Therapy, University of Health Sciences, Üsküdar University, Istanbul, Türkiye.

出版信息

J Eval Clin Pract. 2025 Aug;31(5):e70138. doi: 10.1111/jep.70138.

DOI:10.1111/jep.70138
PMID:40618409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12229260/
Abstract

BACKGROUND

Understanding the availability of psychological health services is pivotal in reducing the impact of mental health issues in people with aphasia (PwA).

OBJECTIVE

This study aims to investigate the insights of psychiatrists and psychologists providing mental health and neuropsychological assessment services to PwA.

METHODS

The research design chosen for the qualitative study is phenomenology. The research sample is purposive and convenience sampling. Through semi-structured interviews conducted on Zoom, lasting between 16 and 50 min, insights were gathered from eight Turkish psychologists and psychiatrists experienced with PwA. Thematic analysis was employed for data analysis, and the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed to ensure transparency and rigour in reporting.

RESULTS

Thematic analysis of interview transcriptions revealed six themes: 'Knowledge and awareness of aphasia'; 'Accessibility, awareness and prioritisation of services'; 'Problems experienced with PwA during interactions'; 'Strategies'; 'Caregivers' and 'Training'. There are four subthemes: 'Knowledge', 'Specialised training', 'Challenges in service accessibility' and 'Family and professional awareness'.

CONCLUSION

This study emphasises the necessity of comprehensive training in aphasia and highlights the importance of addressing the psychological well-being of PwA. Failure to consider mental health issues in interventions may hinder recovery. Further research is recommended to raise awareness and highlights the crucial need for mental health services in the context of aphasia.

摘要

背景

了解心理健康服务的可及性对于减轻失语症患者(PwA)心理健康问题的影响至关重要。

目的

本研究旨在调查为失语症患者提供心理健康和神经心理学评估服务的精神科医生和心理学家的见解。

方法

本定性研究选择的研究设计是现象学。研究样本采用目的抽样和便利抽样。通过在Zoom上进行的持续16至50分钟的半结构化访谈,从八位有失语症患者诊疗经验的土耳其心理学家和精神科医生那里收集见解。采用主题分析法进行数据分析,并遵循定性研究报告统一标准(COREQ)指南,以确保报告的透明度和严谨性。

结果

访谈转录本的主题分析揭示了六个主题:“对失语症的认识和了解”;“服务的可及性、认识和优先级”;“与失语症患者互动中遇到的问题”;“策略”;“照顾者”和“培训”。有四个子主题:“知识”、“专业培训”、“服务可及性方面的挑战”和“家庭及专业人士的认识”。

结论

本研究强调了失语症综合培训的必要性,并突出了关注失语症患者心理健康的重要性。在干预措施中不考虑心理健康问题可能会阻碍康复。建议进一步开展研究,以提高认识,并凸显失语症背景下心理健康服务的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2fa/12229260/88fd69fb4b68/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2fa/12229260/44866b1d0bb4/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2fa/12229260/88fd69fb4b68/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2fa/12229260/44866b1d0bb4/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2fa/12229260/88fd69fb4b68/JEP-31-0-g001.jpg

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Incidence of Aphasia in Ischemic Stroke.
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Neuroepidemiology. 2022;56(3):174-182. doi: 10.1159/000524206. Epub 2022 Mar 23.
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Regulating emotional responses to aphasia to re-engage in life: a qualitative interview study.调节对失语症的情绪反应以重新投入生活:一项定性访谈研究。
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