Quality of Life with Aphasia

ABSTRACT

This article considers quality of life (QOL) with aphasia. The problems surrounding definition and measurement of QOL are reviewed. Dimensions of QOL that have been suggested include elements relating to physical problems, the toxicity dimension, body image and mobility, communication, and psychological, interpersonal, spiritual, and financial issues. These issues are placed in the context of wider dimensions of satisfaction and life quality related to individuality, culture, and philosophical and time elements. Research on the illness experience is related to QOL. Research on QOL after stroke and aphasia is reviewed. Clinical approaches that integrate models of betterment of life quality in aphasia are suggested. Notions of coping and of Aristos, “making the best of a given situation,“ are considered in the discussion of adjustment and accommodation to life with aphasia.

KEY WORDS

quality of life - aphasia - illness - coping