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Verbal Communication Disorders Following a First Stroke Event: Types, Evolutive Aspects and Psychological Experience in Patients in Brazzaville, Congo

Background: Stroke causes a variety of disorders. These include verbal communication disorders (VCDs), which often lead to psychological and social problems that have a negative impact on patients' quality of life. Objectives: To determine the frequencies of post-stroke VCDs in Brazzaville; to describe the evolutive aspects of VCDs following speech therapy; to explore patients' psychological experience of VCDs. Methods: This was an analytical longitudinal study conducted from April 1 to August 31, 2022. It took place in Brazzaville, in the physical medicine and rehabilitation department of the university hospital and the functional rehabilitation department of the Makelekele referral hospital. It focused on patients who suffered from a first stroke event. The Boston Diagnostic Aphasia Examination-Third Edition, the Clinical Assessment Battery for Dysarthria, the Diagnostic Instrumental for Apraxia of Speech and interviews were used to assess VCDs. Speech therapy was used to treat post-stroke VCD. The Hospital Anxiety and Depression Scale, the Rosenberg Self-Esteem Scale and a questionnaire were used to identify the feelings experienced by patients. Results: From a total of 138 patients, 74 (53.6%) had a VCD. From these, 63 agreed to take part in the study. Of these 63 patients, 32 (50.8%), 27 (42.9%) and 4 (6.3%) had, respectively, aphasia, dysarthria and apraxia of speech. At 30 speech therapy sessions (3 months of speech therapy after stroke), 2 (6.3% of cases) aphasic patients, 12 (44.4% of cases) dysarthric patients and 1 (25% of cases) apraxic patient had completely recovered speech. Patients' psychological experience of VCD was characterized by frustration (90.5%), anxiety (71.4%), depression (71.4%), anger (69%), low self-esteem (45.2%), bad luck (35.7%), overprotection (35.7%), divine punishment (28.6%) and fatality (26.2%). Conclusion: In our study population, aphasia and dysarthria are the dominant VCDs, followed by apraxia of speech. The therapeutic strategies used to treat aphasia and apraxia of speech have led to very low rates of patients having completely recovered speech, suggesting the implementation of improved therapeutic measures to increase the degree of speech recovery. VCDs cause psychological problems, four of which predominate: frustration, anxiety, depression and anger.

Stroke, Verbal Communication Disorders, Psychological Experience, Brazzaville

APA Style

Euberma Diatewa, J., Nevyl Dona Bakala, V., Happhia Boubayi Motoula-Latou, D., Mboungou, S., Kiakou, M., et al. (2023). Verbal Communication Disorders Following a First Stroke Event: Types, Evolutive Aspects and Psychological Experience in Patients in Brazzaville, Congo. Clinical Neurology and Neuroscience, 7(3), 65-76.

ACS Style

Euberma Diatewa, J.; Nevyl Dona Bakala, V.; Happhia Boubayi Motoula-Latou, D.; Mboungou, S.; Kiakou, M., et al. Verbal Communication Disorders Following a First Stroke Event: Types, Evolutive Aspects and Psychological Experience in Patients in Brazzaville, Congo. Clin. Neurol. Neurosci. 2023, 7(3), 65-76. doi: 10.11648/j.cnn.20230703.14

AMA Style

Euberma Diatewa J, Nevyl Dona Bakala V, Happhia Boubayi Motoula-Latou D, Mboungou S, Kiakou M, et al. Verbal Communication Disorders Following a First Stroke Event: Types, Evolutive Aspects and Psychological Experience in Patients in Brazzaville, Congo. Clin Neurol Neurosci. 2023;7(3):65-76. doi: 10.11648/j.cnn.20230703.14

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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