Event Abstract

Predictors of wellbeing in young adults with post-stroke aphasia

  • 1 Division of Language & Communication Science, School of Health Sciences, City University of London, United Kingdom

Background. In health research, there is an increasing interest in the impact of disorders on people’s wellbeing. Psychosocial difficulties are common sequels of language disorders and aphasia. However, psychosocial wellbeing and quality of life are rarely included as outcomes in aphasia speech and language therapy studies [1,2]. Understanding the predictors of wellbeing in people with aphasia is crucial before targeted interventions and services can be developed. The limited existing evidence in the field of post-stroke aphasia reflects mostly older adults, the typical population affected by stroke. There is a gap in the literature concerning young adults, who are in a life stage characterised by distinct needs [3] and wants and increased responsibilities. This should be addressed, as needs of this age group usually are not met by standard stroke services [3,4], while the incidence of stroke in young adults is rising [5]. This presentation will focus on differences in wellbeing between young people with aphasia and neuro-typical controls, and explore what factors are associated with/predict wellbeing. Methodology. The study is cross-sectional. Young adults (18-40 years old) with aphasia and neuro-typical controls are recruited from community settings. Questionnaires and scales are administered to all participants on wellbeing (main outcome measure) and aspects that may affect it (including demographic, social, emotional, psychological, health, language and cognition). Independent-samples t-tests will be used to investigate differences in wellbeing between aphasia and control groups, and Pearson’s and Spearman’s correlations, as relevant, to explore wellbeing correlates. Factors associated with wellbeing and group (dummy-coded variable: aphasia vs. control) will be entered into multiple regression analysis to investigate predictors of wellbeing. Results. Data collection will be completed in June 2019 and is anticipated to have 40 controls and at least 25 people with aphasia. We predict that wellbeing in young people with aphasia will be poorer compared to controls. This is based on previous relevant literature concerning older people; being younger though may lead to different patterns in wellbeing. In terms of factors relating/predicting wellbeing, we expect in addition to language and cognition, social functioning and emotional state to be important, as current research shows that poor wellbeing in aphasia is largely linked to psychosocial issues [6]. Given the paucity of previous research in this population though, we are unable to make specific predictions in relation to the rest of variables under study. Discussion. Understanding the different pathways to low wellbeing in young people with aphasia will help stakeholders direct resources for maximum effect. Investigating younger people’s difficulties with psychosocial adjustment (including academic, vocational, and social aptitude) will help facilitate more effective targeting of preventive and protective strategies for young adults with aphasia in the future. Adjusting care to their specific support requirements, goals and desires will help them achieve their full potential and a better quality of life.


This abstract is part of a PhD project funded by City, University of London and the Worshipful Company of Saddlers.


[1] Simmons-Mackie, N., Raymer, A., & Cherney, L. R. (2016). Communication partner training in aphasia: An updated systematic review. Archives of physical medicine and rehabilitation, 97(12), 2202-2221. [2] Brady, M. C., Kelly, H., Godwin, J., Enderby, P., & Campbell, P. (2016). Speech and language therapy for aphasia following stroke. Cochrane database of systematic reviews, (6). [3] UK Department of Health. (2007). National Stroke Strategy. [4] Party, I. S. W. (2016). Intercollegiate Stroke Working Party. National clinical guideline for stroke. National clinical guideline for stroke. [5] Béjot, Y., Delpont, B., & Giroud, M. (2016). Rising stroke incidence in young adults: more epidemiological evidence, more questions to be answered. e003661. doi: 10.1161/JAHA [6] Northcott, S., & Hilari, K. (2011). Why do people lose their friends after a stroke?. International Journal of Language & Communication Disorders, 46(5), 524-534.

Keywords: Post-stroke aphasia, young adults, wellbeing, predictors, Regression analyses

Conference: Academy of Aphasia 57th Annual Meeting, Macau, Macao, SAR China, 27 Oct - 29 Oct, 2019.

Presentation Type: Platform presentation

Topic: Eligible for student award

Citation: Kladouchou V, Hilari K and Botting N (2019). Predictors of wellbeing in young adults with post-stroke aphasia. Front. Hum. Neurosci. Conference Abstract: Academy of Aphasia 57th Annual Meeting. doi: 10.3389/conf.fnhum.2019.01.00094

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Received: 04 May 2019; Published Online: 09 Oct 2019.

* Correspondence: Miss. Vasiliki Kladouchou, Division of Language & Communication Science, School of Health Sciences, City University of London, London, United Kingdom, vasiliki.kladouchou.1@city.ac.uk