![]() ![]() ![]() Both prior studies excluded participants with aphasia. In addition, Bennett, Thomas, Austen, Morris, and Lincoln (2006) found some visual analogue scales may be poor tools for screening low mood in adults with stroke, even if useful over time for monitoring mood changes. Prior work reveals concerns that stroke survivors may have difficulty with visual analogue scales for mood ( Price, Curless, & Rodgers, 1999). Often, post-stroke assessment of stress, depression, and affect in adults with aphasia is limited to proxy-based questionnaires or visual scale substitutions. The challenge of assessing stress, depression, and affective state in adults with aphasia is most obviously demonstrated by the exclusion of many adults with aphasia from post-stroke depression studies due to their inability to complete standard depression questionnaires ( Kouwenhoven, Kirkevold, Engedal, & Kim, 2011). Accurate diagnosis of stress, depression, and determination of affective states in adults with aphasia is challenging because of the linguistic burden of many self-report measures, the potential for psychophysiological measures to be compromised by the neurological changes accompanying stroke, and problems associated with proxy-based questionnaires. ![]()
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