The Role of Adaptive Coping Strategies in Speech Rehabilitation for Patients with Progressive Neurological Disorders
DOI:
https://doi.org/10.63062/trt/V24.028Keywords:
Adaptive Coping, Speech Rehabilitation, Progressive Neurological Disorders, Resilience, Quality of LifeAbstract
This study aimed to examine the role of adaptive coping strategies in enhancing speech rehabilitation outcomes for patients with progressive neurological disorders (PNDs) such as ALS, Parkinson’s disease, and MS, which often resulted in progressive speech impairment and reduced quality of life. Previous research highlighted the emotional and social challenges associated with PNDs, emphasizing the need for psychological support in rehabilitation programs. This study employed a quantitative, cross-sectional design with a sample of 120 adult PND patients undergoing speech therapy. Data were collected through self-reported surveys, including the Brief COPE Inventory, Connor-Davidson Resilience Scale (CD-RISC), WHOQOL-BREF for quality of life, and therapist-rated Speech Intelligibility Rating Scale. Findings revealed that problem-focused coping significantly predicted improved speech intelligibility, resilience, and quality of life, while emotion-focused coping showed moderate positive effects, particularly on quality of life. The interaction between coping strategies indicated that combining problem- and emotion-focused approaches produced the best outcomes. These results underscored the value of integrating adaptive coping techniques in speech therapy to support both functional and psychological rehabilitation. Future research should consider longitudinal studies and explore qualitative insights into patient experiences to further understand adaptive coping in PND rehabilitation.
References
Audulv, Å., Hutchinson, S., Warner, G., Kephart, G., Versnel, J., & Packer, T. L. (2021). Managing everyday life: self-management strategies people use to live well with neurological conditions. Patient Education and Counseling, 104(2), 413–421. https://doi.org/10.1016/j.pec.2020.07.025
Babbie, E. R. (2020). The practice of social research. Cengage Au.
Cardoso, Thais Terezinha, & Luchesi, K. F. (2019). As dificuldades no atendimento aos indivíduos com doenças neurodegenerativas: o fonoaudiólogo e a equipe multiprofissional. Audiology - Communication Research, 24(0). https://doi.org/10.1590/2317-6431-2018-2063
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100. https://doi.org/10.1207/s15327558ijbm0401_6
Cherney, L. R., & Van Vuuren, S. (2012, August). Telerehabilitation, virtual therapists, and acquired neurologic speech and language disorders. In Seminars in speech and language (Vol. 33, No. 03, pp. 243-258). Thieme Medical Publishers.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Corallo, F., Bonanno, L., Di Cara, M., Rifici, C., Sessa, E., D’Aleo, G., Lo Buono, V., Venuti, G., Bramanti, P., & Marino, S. (2019). Therapeutic adherence and coping strategies in patients with multiple sclerosis: An observational study. Medicine, 98(29), e16532. https://doi.org/10.1097/md.0000000000016532
Earll, M. L. (1994). Coping with chronic neurological illness: An analysing using self-regulation theory. University of London, Royal Free Hospital School of Medicine (United Kingdom).
Field, A. (2018). Discovering statistics using IBM SPSS Statistics (5th ed.). Sage Publications.
Gilmour, G. S., Nielsen, G., Teodoro, T., Yogarajah, M., Coebergh, J. A., Dilley, M. D., Martino, D., & Edwards, M. J. (2020). Management of functional neurological disorder. Journal of Neurology, 267(7), 2164–2172. https://doi.org/10.1007/s00415-020-09772-w
Johnson, T. A., Patel, R. P., & Smith, D. K. (2017). Advances in speech therapy: Addressing the psychological impacts of progressive neurological disorders. International Journal of Communication Disorders, 52(7), 891-905.
Kleim, J. A., & Jones, T. A. (2008). Principles of Experience-Dependent Neural Plasticity: Implications for Rehabilitation After Brain Damage. Journal of Speech, Language, and Hearing Research, 51(1). https://doi.org/10.1044/1092-4388(2008/018)
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing.
Mitchell, A. J., Kemp, S., Benito-León, J., & Reuber, M. (2010). The influence of cognitive impairment on health-related quality of life in neurological disease. Acta Neuropsychiatrica, 22(1), 2–13. https://doi.org/10.1111/j.1601-5215.2009.00439.x
Theodoratou, M., & Argyrides, M. (2024). Neuropsychological insights into coping strategies: Integrating theory and practice in clinical and therapeutic contexts. Psychiatry International, 5(1), 53–73. https://doi.org/10.3390/psychiatryint5010005
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