Abstract：
BACKGROUND:It is well-known that people lose friends after a stroke; what is less well understood is why this occurs. AIMS:This study explored why people lose contact with their friends, and whether there are any protective factors. It also examined how friendship loss and change is perceived by the individual. METHODS AND PROCEDURES:Participants with a first stroke were recruited from one acute stroke unit in the UK. In-depth qualitative interviews took place between 8 and 15 months post stroke. OUTCOMES AND RESULTS:29 participants were recruited of whom 10 had aphasia. The main reasons given for losing friends were: loss of shared activities, reduced energy levels, physical disability, aphasia, unhelpful responses of others, environmental barriers, and changing social desires. The subset of participants who experienced the most extensive loss of friends were those who described a sense that they were 'closing in' on themselves leading to a withdrawal from social contact and a new preference for meeting only close friends and family. Those with aphasia experienced the most hurtful negative responses from others and found it more difficult to retain their friends unless they had strong supportive friendship patterns prior to the stroke. The factors which helped to protect friendships included: having a shared history, friends who showed concern, who lived locally, where the friendship was not activity-based, and where the participant had a 'friends-based' social network prior to the stroke. CONCLUSIONS AND IMPLICATIONS:Given the link between depression and loss of friends post stroke, supporting an individual in maintaining a social network is likely to be beneficial. For intervention to be effective, however, it may need to take into account not only the impact of new physical and language disabilities, but also changing social desires.
journal_name
Int J Lang Commun Disordauthors
Northcott S,Hilari Kdoi
10.1111/j.1460-6984.2011.00079.xsubject
Has Abstractpub_date
2011-09-01 00:00:00pages
524-34issue
5eissn
1368-2822issn
1460-6984journal_volume
46pub_type
杂志文章abstract：BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...
journal_title：International journal of language & communication disorders
pub_type： 临床试验,杂志文章
doi：10.1111/1460-6984.12067
更新日期：2014-03-01 00:00:00
abstract：:The needs of under-graduate students and newly qualified speech and language therapists (SLTs) are discussed. The results of a small-scale survey of final year SLT students and one of newly qualified therapists are presented. Similarities between clinical teaching of under-graduates and mentoring of newly qualified th...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.3109/13682820109177873
更新日期：2001-01-01 00:00:00
abstract：BACKGROUND:Stuttering is prone to strike during speech initiation more so than at any other point in an utterance. The use of auditory feedback (AAF) has been found to produce robust decreases in the stuttering frequency by creating an electronic rendition of choral speech (i.e., speaking in unison). However, AAF requi...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/13682820802546951
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:In general, children with specific language impairment (SLI) tend to fall behind their typically developing (TD) peers in educational attainment. Less is known about how children with SLI fare in particular areas of the curriculum and what predicts their levels of performance. AIMS:To compare the distributi...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12137
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:Along with the severity of the disorder, the motivation of the children and their parents is an important element in explaining the extensive variance in therapeutic success. There is consensus that parental cooperation and homework are important for successful therapy. Systematic investigation into the effe...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/13682820903026762
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. AIMS:To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the fact...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12098
更新日期：2014-11-01 00:00:00
abstract：:In the past decade, there has been growing recognition of the need to involve clients in decisions about the healthcare they receive and in the evaluation of services offered. In health services research, survey and scaling methods have become important tools for research into 'consumer views' and the perspectives of ...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/13682820110075006
更新日期：2001-10-01 00:00:00
abstract：:This study details the first ever investigation of narrative skills in a group of 17 deaf signing children who have been diagnosed with disorders in their British Sign Language development compared with a control group of 17 deaf child signers matched for age, gender, education, quantity, and quality of language expos...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12078
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:Treatment outcome data for children with severe speech sound disorders with motor speech involvement (SSD-MSI) are derived from Phase I clinical research studies. These studies have demonstrated positive improvements in speech production. Currently there is no research examining the optimal treatment dose fr...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12472
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Given the integral role that verbs play in sentence production, understanding verb deficits is critical to clinical practice. Difficulties in sentence production are often directly related to an inability to retrieve argument structure information which, according to most theoretical accounts, is specified a...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12253
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Professional placements are critical elements of speech-language pathology qualifying programmes that can be complex learning environments for international students. Students are supported by placement educators who facilitate their developing skills and competencies for professional practice in these place...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12516
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Clinical services in the UK are increasingly delivering 'consultative' methods of intervention rather than 'direct' intensive input for children with receptive and expressive language difficulties, yet there has been little systematic evaluation of these different intervention models. AIMS:To investigate th...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章,随机对照试验
doi：10.1080/13682820802276658
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:Prognostication is a complex clinical task that involves forming a prediction about recovery and communicating prognostic information to patients and families. In aphasia, recovery is difficult to predict and evidence-based guidance on prognosis delivery is lacking. Questions about aphasia prognosis commonly...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12534
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Across the world, research has shown that intervention for children with phonological impairment can be both effective and efficient. However, it has also raised concerns about the translation of this evidence to practice, highlighting questions around clinician knowledge and the understanding of approaches,...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12416
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:A high prevalence of Developmental Language Disorder (DLD) is reported in the population of Young Offenders (YO). However, little is known about the extent of the association between language and offending behaviour relative to social disadvantage, education attendance and non-verbal intelligence (IQ), and n...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12330
更新日期：2018-01-01 00:00:00
abstract：:Impaired phonology is reported to be the most salient characteristic of the communication profiles of twin children. However, little is known about the phonological development of twins speaking languages other than English. This case study described the phonological systems of a set of Putonghua-speaking twins, using...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/136828200750001250
更新日期：2000-10-01 00:00:00
abstract：BACKGROUND:Deafness has an adverse impact on children's ability to acquire spoken languages. Signed languages offer a more accessible input for deaf children, but because the vast majority are born to hearing parents who do not sign, their early exposure to sign language is limited. Deaf children as a whole are therefo...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12333
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:While autism spectrum disorder (ASD) and specific language impairment (SLI) have traditionally been conceptualized as distinct disorders, recent findings indicate that the boundaries between these two conditions are not clear-cut. While considerable research has investigated overlap in the linguistic charact...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12146
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:There is a noticeable publication gap in the speech-language pathology literature regarding the language abilities of children with common types of epilepsy. This paper reviews studies that suggest a high frequency of undetected language problems in this population, and it proposes the need for pragmatically...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/j.1460-6984.2012.00203.x
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Prior research has described the prevalence and utility of questions in children's language learning environment. However, there has been little empirical investigation of the interaction sequences that ensue following caregiver questions. Understanding these interactions may be especially important for chil...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12513
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Overt stuttering is inhibited by approximately 80% when people who stutter read aloud as they hear an altered form of their speech feedback to them. However, levels of stuttering inhibition vary from 60% to 100% depending on speaking situation and signal presentation. For example, binaural presentations of d...
journal_title：International journal of language & communication disorders
pub_type： 临床试验,杂志文章
doi：10.1111/1460-6984.12053
更新日期：2014-01-01 00:00:00
abstract：:A reflective learning approach for clinical training with final year students is described. The training programme aims to promote the development of independent and reflective practitioners. The theories and ideas that have influenced the structure of the programme are described and an outline of the programme is pro...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.3109/13682820109177919
更新日期：2001-01-01 00:00:00
abstract：BACKGROUND:This study investigated the relationship between phonological and syntactic disorders of French-speaking children with specific language impairment in production. AIMS:To compare three theories (pure phonological theory, surface theory, and mapping theory) of language developmental disorders, all of which v...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/13682820701608209
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Both direct (clinician to child) and indirect (clinician to carer) approaches are currently used in the management of children with language delay, but there is as yet little evidence about their relative effects or resource implications. AIMS:This research project compared the Hanen Parent Programme (HPP) ...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1080/1368282031000121651
更新日期：2003-10-01 00:00:00
abstract：:Improvement or maintenance of speech intelligibility is a central aim in a whole range of conditions in speech-language therapy, both developmental and acquired. Best clinical practice and pursuance of the evidence base for interventions would suggest measurement of intelligibility forms a vital role in clinical decis...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章,评审
doi：10.1111/1460-6984.12061
更新日期：2013-11-01 00:00:00
abstract：:The aim of this pilot study was to employ a qualitative research methodology to explore students' perceptions of learning and assessment of that learning whilst on clinical placement. The students' perceptions were sampled by questionnaire both pre- and post-placement (ten weeks block placement). The analysis of the d...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.3109/13682829809179431
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Dysphagia is common after stroke, affecting up to 50% of patients initially. It can lead to post-stroke pneumonia, which causes 30% of stroke-related deaths, a longer hospital stay and poorer health outcomes. Dysphagia care post-stroke generally focuses on the management of symptoms, via modified oral intake...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1111/1460-6984.12359
更新日期：2018-03-01 00:00:00
abstract：:One approach to outcome measures for speech and language therapy is to display measures of the physical, acoustic, correlates of the perceptually salient features of the structure of speech. A difficulty with this approach is that there is no simple mapping of physical correlates onto speech percepts. In this workshop...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.3109/13682829809179441
更新日期：1998-01-01 00:00:00
abstract：:The following report describes a three year project to develop, implement and evaluate a specialised speech and language therapy (SLT) service to children with specific language impairment (SLI) who attend mainstream schools and nurseries. The report describes how the service was set up and the package of care offered...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.3109/13682829809179491
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Worldwide speech-language therapy (SLT) students are educated in evidence-based practice (EBP). For students to use EBP in their future day-to-day clinical practice, they must value EBP as positive and must feel confident in using it. For curricula developers it is therefore important to know the impact thei...
journal_title：International journal of language & communication disorders
pub_type： 杂志文章
doi：10.1111/1460-6984.12015
更新日期：2013-07-01 00:00:00
