Document Detail


Changing perceptions of self as a communicator in Parkinson's disease: a longitudinal follow-up study.
MedLine Citation:
PMID:  20731615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Dysarthria in neurological conditions can impact on people's view of themselves as communicators. How views might evolve and how they relate to changes in other variables remains unclear. We investigated patterns of change in self-perception as a communicator in people with Parkinson's disease (PD) and compared outcomes to changes in other clinical measures. METHODS. Thirty-one people with initially early-stage PD completed a 22-item self-administered semantic differential questionnaire aimed at characterising their view of themselves as communicators before they had PD and at two assessment points 3 years apart. Patterns of change across time were analysed, and compared to intelligibility, motor, mood and cognitive measures.
RESULTS: Negative changes in perceptions of self as a communicator occurred, in particular in reactions around competence, adequacy, control and ease in communication. There was variability between individuals and between items. No significant relationship was established between changes on self-perception scores and other measures.
CONCLUSIONS: Individuals' views of themselves as communicators evolve over time in progressive neurological conditions. Changes do not relate straightforwardly to other clinical measures. Major impact can occur despite good intelligibility levels. Exploring self-perceptions, individual reactions and coping strategies are argued to be a vital part of assessment and management.
Authors:
Nick Miller; Sara Andrew; Emma Noble; Margaret Walshe
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-24
Journal Detail:
Title:  Disability and rehabilitation     Volume:  33     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2011  
Date Detail:
Created Date:  2010-12-22     Completed Date:  2011-05-06     Revised Date:  2012-01-13    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  204-10     Citation Subset:  IM    
Affiliation:
Institute of Health and Society, Baddiley Clark building, University of Newcastle, Newcastle-Tyne NE2 4HH, Great Britain. Nicholas.Miller@ncl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Communication*
Disease Progression
Dysarthria / etiology*,  physiopathology,  psychology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Parkinson Disease / complications*,  diagnosis,  psychology*
Risk Factors
Self Concept*
Severity of Illness Index
Sex Factors
Sickness Impact Profile
Speech Intelligibility
Speech Production Measurement
Time Factors
Grant Support
ID/Acronym/Agency:
G-0615//Parkinson's UK

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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