title: Community Integration and Quality of Life in Aphasia after Stroke.
abstract: OBJECTIVE
  To examine community integration and contributing factors in people with aphasia (PWA) following stroke and to investigate the relationship between community integration and quality of life (QOL).
  
  
  METHODS
  Thirty PWA and 42 age-and education-matched control subjects were involved. Main variables were as follows: socioeconomic status, mobility, and activity of daily living (ADL) (Modified Barthel Index), language function [Frenchay Aphasia Screening Test (FAST)], depression [Geriatric Depression Scale (GDS)], Community Integration Questionnaire (CIQ) and Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39). Differences between aphasia and control groups and factors affecting community integration and QOL were analyzed.
  
  
  RESULTS
  Home and social integration and productive activity were significantly decreased in the aphasia group compared to the control group; 8.5 and 18.3 points in total CIQ score, respectively. Amount of time spent outside the home and frequency of social contact were also significantly reduced in the aphasia group. Total mean score on the SAQOL-39 was 2.75±0.80 points and was significantly correlated with economic status, gait performance, ADL, depressive mood, and social domain score on the CIQ. Depression score measured by GDS was the single most important factor for the prediction of QOL, but the FAST score was significantly correlated only with the communication domain of the SAQOL-39.
  
  
  CONCLUSIONS
  Community activities of PWA were very limited, and depression was highly associated with decreased community integration and QOL. Enhancing social participation and reducing emotional distress should be emphasized for rehabilitation of PWA.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea.|Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
authors.forename: Hyejin
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea.
authors.forename: Yuna
authors.initials: Y
authors.lastname: Lee
authors.affiliation: Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea.
authors.forename: Hyunsoo
authors.initials: H
authors.lastname: Choi
authors.affiliation: Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea. rmpyun@korea.ac.kr.
authors.forename: Sung-Bom
authors.initials: SB
authors.lastname: Pyun
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001037:Aphasia / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation; D016022:Case-Control Studies; D062309:Community Integration / Q000523:psychology*; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012111:Residence Characteristics; D018434:Sickness Impact Profile; D012919:Social Behavior; D012959:Socioeconomic Factors; D020521:Stroke / Q000150:complications / Q000523:psychology; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires
keywords: Stroke; aphasia; community integration; quality of life