Mental Health Support for Aphasia: Insights From Psychiatrists and Psychologists

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-07-06 DOI:10.1111/jep.70138

Özlem Oğuz, Merve Sapmaz Atalar

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Abstract

Background

Understanding the availability of psychological health services is pivotal in reducing the impact of mental health issues in people with aphasia (PwA).

Objective

This study aims to investigate the insights of psychiatrists and psychologists providing mental health and neuropsychological assessment services to PwA.

Methods

The research design chosen for the qualitative study is phenomenology. The research sample is purposive and convenience sampling. Through semi-structured interviews conducted on Zoom, lasting between 16 and 50 min, insights were gathered from eight Turkish psychologists and psychiatrists experienced with PwA. Thematic analysis was employed for data analysis, and the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed to ensure transparency and rigour in reporting.

Results

Thematic analysis of interview transcriptions revealed six themes: ‘Knowledge and awareness of aphasia’; ‘Accessibility, awareness and prioritisation of services’; ‘Problems experienced with PwA during interactions’; ‘Strategies’; ‘Caregivers’ and ‘Training’. There are four subthemes: ‘Knowledge’, ‘Specialised training’, ‘Challenges in service accessibility’ and ‘Family and professional awareness’.

Conclusion

This study emphasises the necessity of comprehensive training in aphasia and highlights the importance of addressing the psychological well-being of PwA. Failure to consider mental health issues in interventions may hinder recovery. Further research is recommended to raise awareness and highlights the crucial need for mental health services in the context of aphasia.

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失语症的心理健康支持：来自精神病学家和心理学家的见解

背景了解心理健康服务的可得性对于减少失语症患者心理健康问题的影响至关重要。目的探讨精神科医生和心理医生对精神病患者心理健康和神经心理评估服务的见解。方法采用现象学方法进行定性研究。研究样本是目的性和便利性的抽样。通过Zoom进行的半结构化访谈，持续16到50分钟，从8位土耳其心理学家和精神科医生那里收集了对PwA有经验的见解。数据分析采用专题分析，并遵循《质量研究报告综合标准》准则，以确保报告的透明度和严谨性。结果访谈笔录的主题分析揭示了六个主题：“失语的知识与意识”；“服务的可及性、意识和优先次序”；“在互动过程中PwA遇到的问题”；“策略”;“护理人员”和“培训”。有四个分主题：“知识”、“专业培训”、“无障碍服务的挑战”和“家庭与专业意识”。结论本研究强调了失语症综合训练的必要性，强调了解决失语症患者心理健康问题的重要性。在干预措施中不考虑心理健康问题可能会阻碍康复。建议进行进一步的研究，以提高人们对失语症的认识，并强调在失语症背景下对精神卫生服务的关键需求。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.