Social Network Structure in Young Stroke Survivors with Aphasia: A Case Series Report

Abstract

The aim of this study was to profile the social networks of young adult stroke survivors with aphasia. A case series approach using four persons with aphasia (PWA) younger than 50 years was utilized. Semistructured interviews were completed with the PWA and their primary caregiver/family to explore the most salient relationships in the PWA's social network. PWAs in this study exhibited very small social networks with the most salient relationships consisting of immediate family members. Mothers were the primary caregiver for the two most impaired PWA. Prestroke friendships were dissolved or reduced at the onset of aphasia. The most impaired PWAs spent most of their days in isolation without a consistent communication partner. This study suggests young adult stroke survivors with aphasia have significant changes in their social network structure after stroke, but it is unclear if the observed change in social network structure is more related to age or level of communication impairment.

Keywords

aphasia - social network - stroke

Financial Disclosures

This study is funded by a grant from the Agency for Healthcare Research and Quality Grant no. 1 R03 HS025043–01A1 to the first author.

Nonfinancial Disclosures

No nonfinancial relationships exist.

• References

• 1 Dhand A, Luke DA, Lang CE, Lee JM. Social networks and neurological illness. Nat Rev Neurol 2016; 12 (10) 605-612
• 2 Venna VR, Xu Y, Doran SJ, Patrizz A, McCullough LD. Social interaction plays a critical role in neurogenesis and recovery after stroke. Transl Psychiatry 2014; 4: e351
• 3 Venna VR, McCullough LD. Role of social factors on cell death, cerebral plasticity and recovery after stroke. Metab Brain Dis 2015; 30 (02) 497-506
• 4 Boden-Albala B, Litwak E, Elkind MSV, Rundek T, Sacco RL. Social isolation and outcomes post stroke. Neurology 2005; 64 (11) 1888-1892
• 5 Glymour MM, Weuve J, Fay ME, Glass T, Berkman LF. Social ties and cognitive recovery after stroke: does social integration promote cognitive resilience?. Neuroepidemiology 2008; 31 (01) 10-20
• 6 Ellis C, Hardy RY, Lindrooth RC, Peach RK. Rate of aphasia among stroke patients discharged from hospitals in the United States. Aphasiology 2018; 32: 1075-1086
• 7 Simmons-Mackie N. Aphasia in North America. Available at: https://www.aphasiaaccess.org/white-paper . Accessed December 3, 2018
• 8 Cruice M, Worrall L, Hickson L. Quantifying aphasic people's social lives in the context of non-aphasic peers. Aphasiology 2006; 20: 1210-1225
• 9 Fotiadou D, Northcott S, Chatzidaki A, Hilari K. Aphasia blog talk: how does stroke and aphasia affect a person's social relationships?. Aphasiology 2014; 28: 1281-1300
• 10 Hilari K, Northcott S. Social support in people with chronic aphasia. Aphasiology 2006; 20: 17-36
• 11 Hilari K, Northcott S. “Struggling to stay connected”: comparing the social relationship of health older people and people with stroke and aphasia. Aphasiology 2017; 31: 674-687
• 12 Northcott S, Hilari K. Why do people lose their friends after a stroke?. Int J Lang Commun Disord 2011; 46 (05) 524-534
• 13 Northcott S, Hirani SP, Hilari K. A typology to explain changing social networks post stroke. Gerontologist 2018; 58 (03) 500-511
• 14 Northcott S, Marshall J, Hilari K. What factors predict who will have a stroke social network following a stroke?. J Speech Lang Hear Res 2016; 59 (04) 772-783
• 15 Northcott S, Moss B, Harrison K, Hilari K. A systematic review of the impact of stroke on social support and social networks: associated factors and patterns of change. Clin Rehabil 2016; 30 (08) 811-831
• 16 Vickers CP. Social networks after the onset of aphasia: the impact of aphasia group attendance. Aphasiology 2010; 24: 902-913
• 17 Cacioppo S, Capitanio JP, Cacioppo JT. Toward a neurology of loneliness. Psychol Bull 2014; 140 (06) 1464-1504
• 18 George MG, Tong X, Bowman BA. Prevalence of cardiovascular risk factors and strokes in younger adults. JAMA Neurol 2017; 74 (06) 695-703
• 19 Singhal AB, Biller J, Elkind MS. , et al. Recognition and management of stroke in young adults and adolescents. Neurology 2013; 81 (12) 1089-1097
• 20 Jaffre A, Ruidavets JB, Nasr N, Guidolin B, Ferrieres J, Larrue V. Tobacco use and cryptogenic stroke in young adults. J Stroke Cerebrovasc Dis 2015; 24 (12) 2694-2700
• 21 Maaijwee NA, Rutten-Jacobs LC, Schaapsmeerders P, van Dijk EJ, de Leeuw FE. Ischaemic stroke in young adults: risk factors and long-term consequences. Nat Rev Neurol 2014; 10 (06) 315-325
• 22 National Stroke Association. Young stroke survivors. 2012 . Available at: http://www.stroke.org/understand-stroke/impact-stroke/young-stroke-survivors . Accessed December 3, 2018
• 23 Martinsen R, Kirkevold M, Sveen U. Younger stroke survivors' experiences of family life in a long-term perspective: a narrative hermeneutic phenomenological study. Nurs Res Pract 2012;2012:11p, Article ID 948791
• 24 Charles ST, Carstensen LL. Social and emotional aging. Annu Rev Psychol 2010; 61: 383-409
• 25 Nissen T, Wynn R. The clinical case report: a review of its merits and limitations. BMC Res Notes 2014; 7: 264
• 26 Ellis C. Speech telerehabilitation after stroke: proof of concept and feasibility. Study funded by the Agency for Healthcare Research and Quality Grant #: 1 R03 HS025043–01A1. 2017
• 27 Kertesz A. The Western Aphasia Battery – Revised. Texas: Harcourt Assessments; 2006
• 28 American Speech-Language-Hearing Association, National Outcomes Measurement System. Rockville, MD: National Center for Evidence-Based Practice in Communication Disorders; 2012
• 29 Paul DR, Frattali CM, Holland A, Thompson CK, Caperton CJ, Slater SC. Quality of Communication Life Scale (ASHA QCL). Rockville, MD: American Speech Language Hearing Association; 2005
• 30 Wray F, Clarke D. Longer-term needs of stroke survivors with communication difficulties living in the community: a systematic review and thematic synthesis of qualitative studies. BMJ Open 2017; 7 (10) e017944
• 31 Mazaux JM, Lagadec T, de Sèze MP. , et al. Communication activity in stroke patients with aphasia. J Rehabil Med 2013; 45 (04) 341-346
• 32 Caswell J. Coming home: when adult stroke survivors depend on their parents for care. Stroke Connection. 2014 ;Fall:8–10
• 33 Social Security Administration. Benefits Planner: Retirement. Available at: https://www.ssa.gov/planners/retire/1943.html . Accessed April 12, 2019