title: Outcomes among family caregivers of aphasic versus nonaphasic stroke survivors.
abstract: Adverse consequences are known to occur in family members responsible for providing care to stroke survivors. However, the differential effect of aphasic versus nonaphasic stroke on caregivers has not been well studied. This study compares selected outcomes (e.g., perceived task difficulty, depressive symptoms, and other negative stroke-related outcomes) among caregivers of aphasic (n = 46) and nonaphasic (n = 113) stroke survivors. Results indicated that caregivers of aphasic survivors perceived greater difficulty with tasks and had more negative stroke-related outcomes than caregivers of nonaphasic survivors. Communication with the survivor was rated as most upsetting and difficult by caregivers in the aphasic group, followed by managing behaviors. Lack of time for family and friends was evident. Female caregivers and caregivers of survivors with self-care deficits also perceived greater difficulty with tasks and negative outcomes. Comprehensive assessment of the unique needs of caregivers of aphasic survivors is suggested for more individualized nursing interventions.
authors.affiliation: Indiana University School of Nursing, Indianapolis, IN 46202-5107, USA. tbakas@iupui.edu
authors.forename: Tamilyn
authors.initials: T
authors.lastname: Bakas
authors.forename: Kurt
authors.initials: K
authors.lastname: Kroenke
authors.forename: Laurie D
authors.initials: LD
authors.lastname: Plue
authors.forename: Susan M
authors.initials: SM
authors.lastname: Perkins
authors.forename: Linda S
authors.initials: LS
authors.lastname: Williams
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001037:Aphasia / Q000209:etiology*; D017028:Caregivers / Q000523:psychology; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007196:Indiana; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D020521:Stroke / Q000150:complications*; D016526:Workload