AutomedicationFrancoV1, Main, Exploration, bibRecord, 000459

Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management.

Identifieur interne : 000459 ( Main/Exploration ); précédent : 000458; suivant : 000460

Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management.

Auteurs : Cyril Atkinson-Clement [Oman] ; Alban Letanneux [France] ; Guillaume Baille [France] ; Marie-Charlotte Cuartero [France] ; Lauriane Véron-Delor [France] ; Camille Robieux [France] ; Manon Berthelot [France] ; Danièle Robert [France] ; Jean-Philippe Azulay [France] ; Luc Defebvre [France] ; Joaquim Ferreira [Portugal] ; Alexandre Eusebio [France] ; Caroline Moreau [France] ; Serge Pinto [France]

Source :

Neuro-degenerative diseases [ 1660-2862 ] ; 2019.

RBID : pubmed:31112944

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Barrières de communication (MeSH), Dysarthrie (psychologie), Dysarthrie (rééducation et réadaptation), Dysarthrie (thérapie), Dysarthrie (étiologie), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Intelligibilité de la parole (MeSH), Maladies neurodégénératives (complications), Mesures des résultats rapportés par les patients (MeSH), Mâle (MeSH), Phénotype (MeSH), Psychologie (MeSH), Psychométrie (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Tests de l'état mental et de la démence (MeSH).
MESH :
- psychologie : Dysarthrie.
- rééducation et réadaptation : Dysarthrie.
- thérapie : Dysarthrie.
- étiologie : Dysarthrie.
- complications : Adulte, Adulte d'âge moyen, Barrières de communication, Femelle, Humains, Indice de gravité de la maladie, Intelligibilité de la parole, Maladies neurodégénératives, Mesures des résultats rapportés par les patients, Mâle, Phénotype, Psychologie, Psychométrie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tests de l'état mental et de la démence.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Communication Barriers (MeSH), Dysarthria (etiology), Dysarthria (psychology), Dysarthria (rehabilitation), Dysarthria (therapy), Female (MeSH), Humans (MeSH), Male (MeSH), Mental Status and Dementia Tests (MeSH), Middle Aged (MeSH), Neurodegenerative Diseases (complications), Patient Reported Outcome Measures (MeSH), Phenotype (MeSH), Psychology (MeSH), Psychometrics (MeSH), Severity of Illness Index (MeSH), Speech Intelligibility (MeSH).
MESH :
- complications : Neurodegenerative Diseases.
- etiology : Dysarthria.
- psychology : Dysarthria.
- rehabilitation : Dysarthria.
- therapy : Dysarthria.
- Adult, Aged, Aged, 80 and over, Communication Barriers, Female, Humans, Male, Mental Status and Dementia Tests, Middle Aged, Patient Reported Outcome Measures, Phenotype, Psychology, Psychometrics, Severity of Illness Index, Speech Intelligibility.

Abstract

BACKGROUND

Dysarthria in neurological disorders can have psychosocial consequences. The dysarthric speaker's perspective towards the disorder's psychosocial impact is essential in its global assessment and management. For such purposes, assessment tools such as the Dysarthria Impact Profile (DIP) are indispensable.

OBJECTIVE

We aimed to confirm the relevance of using the DIP to quantify the psychosocial consequences of dysarthria in neurological diseases.

METHODS

We studied 120 participants, 15 healthy controls and 105 patients with different kinds of dysarthria induced by several neurological disorders (Parkinson's disease [PD], Huntington's disease, dystonia, cerebellar ataxia, progressive supranuclear palsy [PSP], multiple system atrophy, lateral amyotrophic sclerosis). All participants underwent a cognitive evaluation and a speech intelligibility assessment and completed three self-reported questionnaires: the 36-Item Short Form Health Survey, the Voice Handicap Index (VHI), and the DIP.

RESULTS

The psychometric properties of the DIP were confirmed, including internal consistency (α = 0.93), concurrent validity (correlation with the VHI: r = -0.77), and discriminant validity (accuracy = 0.93). Psychosocial impact of dysarthria was revealed by the DIP for all patients. Intelligibility loss was found strongly correlated with the psychosocial impact of dysarthria: for a similar level of intelligibility impairment, the DIP total score was similar regardless of the pathological group. However, our findings suggest that the psychosocial impact measured by the DIP could be partially independent from the severity of dysarthria (indirectly addressed here via speech intelligibility): the DIP was able to detect patients without any intelligibility impairment, but with a psychosocial impact.

CONCLUSIONS

All patients reported a communication complaint, attested by the DIP scores, despite the fact that not all patients, notably PD, ataxic, and PSP patients, had an intelligibility deficit. The DIP should be used in clinical practice to contribute to a holistic evaluation and management of functional communication in patients with dysarthria.

DOI: 10.1159/000499627
PubMed: 31112944

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Azulay, Jean Philippe" sort="Azulay, Jean Philippe" uniqKey="Azulay J" first="Jean-Philippe" last="Azulay">Jean-Philippe Azulay</name>
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<author><name sortKey="Pinto, Serge" sort="Pinto, Serge" uniqKey="Pinto S" first="Serge" last="Pinto">Serge Pinto</name>
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<author><name sortKey="Letanneux, Alban" sort="Letanneux, Alban" uniqKey="Letanneux A" first="Alban" last="Letanneux">Alban Letanneux</name>
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<author><name sortKey="Baille, Guillaume" sort="Baille, Guillaume" uniqKey="Baille G" first="Guillaume" last="Baille">Guillaume Baille</name>
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<author><name sortKey="Cuartero, Marie Charlotte" sort="Cuartero, Marie Charlotte" uniqKey="Cuartero M" first="Marie-Charlotte" last="Cuartero">Marie-Charlotte Cuartero</name>
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<author><name sortKey="Veron Delor, Lauriane" sort="Veron Delor, Lauriane" uniqKey="Veron Delor L" first="Lauriane" last="Véron-Delor">Lauriane Véron-Delor</name>
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<author><name sortKey="Robieux, Camille" sort="Robieux, Camille" uniqKey="Robieux C" first="Camille" last="Robieux">Camille Robieux</name>
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<author><name sortKey="Berthelot, Manon" sort="Berthelot, Manon" uniqKey="Berthelot M" first="Manon" last="Berthelot">Manon Berthelot</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Aix-en-Provence</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Robert, Daniele" sort="Robert, Daniele" uniqKey="Robert D" first="Danièle" last="Robert">Danièle Robert</name>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Aix-en-Provence</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, Hôpital de la Conception, ENT Department, Assistance Publique-Hôpitaux de Marseille, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, Hôpital de la Conception, ENT Department, Assistance Publique-Hôpitaux de Marseille, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Azulay, Jean Philippe" sort="Azulay, Jean Philippe" uniqKey="Azulay J" first="Jean-Philippe" last="Azulay">Jean-Philippe Azulay</name>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille</wicri:regionArea>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
<placeName><settlement type="city">Lille</settlement>
<region type="region" nuts="2">Hauts-de-France</region>
<region type="old region" nuts="2">Nord-Pas-de-Calais</region>
</placeName>
<orgName type="university" n="3">Université Lille 2</orgName>
<orgName type="institution" wicri:auto="newGroup">Université Lille Nord de France</orgName>
</affiliation>
</author>
<author><name sortKey="Ferreira, Joaquim" sort="Ferreira, Joaquim" uniqKey="Ferreira J" first="Joaquim" last="Ferreira">Joaquim Ferreira</name>
<affiliation wicri:level="1"><nlm:affiliation>Campus Neurológico Sénior (CNS), Torres Vedras, Portugal.</nlm:affiliation>
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Campus Neurológico Sénior (CNS), Torres Vedras</wicri:regionArea>
<wicri:noRegion>Torres Vedras</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Moreau, Caroline" sort="Moreau, Caroline" uniqKey="Moreau C" first="Caroline" last="Moreau">Caroline Moreau</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille</wicri:regionArea>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pinto, Serge" sort="Pinto, Serge" uniqKey="Pinto S" first="Serge" last="Pinto">Serge Pinto</name>
<affiliation wicri:level="4"><nlm:affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Aix-en-Provence</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j">Neuro-degenerative diseases</title>
<idno type="eISSN">1660-2862</idno>
<imprint><date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Communication Barriers (MeSH)</term>
<term>Dysarthria (etiology)</term>
<term>Dysarthria (psychology)</term>
<term>Dysarthria (rehabilitation)</term>
<term>Dysarthria (therapy)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Status and Dementia Tests (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Neurodegenerative Diseases (complications)</term>
<term>Patient Reported Outcome Measures (MeSH)</term>
<term>Phenotype (MeSH)</term>
<term>Psychology (MeSH)</term>
<term>Psychometrics (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Speech Intelligibility (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Barrières de communication (MeSH)</term>
<term>Dysarthrie (psychologie)</term>
<term>Dysarthrie (rééducation et réadaptation)</term>
<term>Dysarthrie (thérapie)</term>
<term>Dysarthrie (étiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Intelligibilité de la parole (MeSH)</term>
<term>Maladies neurodégénératives (complications)</term>
<term>Mesures des résultats rapportés par les patients (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Phénotype (MeSH)</term>
<term>Psychologie (MeSH)</term>
<term>Psychométrie (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Tests de l'état mental et de la démence (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neurodegenerative Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dysarthria</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dysarthrie</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dysarthria</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Dysarthria</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Dysarthrie</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dysarthria</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Dysarthrie</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dysarthrie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Communication Barriers</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Status and Dementia Tests</term>
<term>Middle Aged</term>
<term>Patient Reported Outcome Measures</term>
<term>Phenotype</term>
<term>Psychology</term>
<term>Psychometrics</term>
<term>Severity of Illness Index</term>
<term>Speech Intelligibility</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Barrières de communication</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Intelligibilité de la parole</term>
<term>Maladies neurodégénératives</term>
<term>Mesures des résultats rapportés par les patients</term>
<term>Mâle</term>
<term>Phénotype</term>
<term>Psychologie</term>
<term>Psychométrie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tests de l'état mental et de la démence</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Dysarthria in neurological disorders can have psychosocial consequences. The dysarthric speaker's perspective towards the disorder's psychosocial impact is essential in its global assessment and management. For such purposes, assessment tools such as the Dysarthria Impact Profile (DIP) are indispensable.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>We aimed to confirm the relevance of using the DIP to quantify the psychosocial consequences of dysarthria in neurological diseases.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We studied 120 participants, 15 healthy controls and 105 patients with different kinds of dysarthria induced by several neurological disorders (Parkinson's disease [PD], Huntington's disease, dystonia, cerebellar ataxia, progressive supranuclear palsy [PSP], multiple system atrophy, lateral amyotrophic sclerosis). All participants underwent a cognitive evaluation and a speech intelligibility assessment and completed three self-reported questionnaires: the 36-Item Short Form Health Survey, the Voice Handicap Index (VHI), and the DIP.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The psychometric properties of the DIP were confirmed, including internal consistency (α = 0.93), concurrent validity (correlation with the VHI: r = -0.77), and discriminant validity (accuracy = 0.93). Psychosocial impact of dysarthria was revealed by the DIP for all patients. Intelligibility loss was found strongly correlated with the psychosocial impact of dysarthria: for a similar level of intelligibility impairment, the DIP total score was similar regardless of the pathological group. However, our findings suggest that the psychosocial impact measured by the DIP could be partially independent from the severity of dysarthria (indirectly addressed here via speech intelligibility): the DIP was able to detect patients without any intelligibility impairment, but with a psychosocial impact.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>All patients reported a communication complaint, attested by the DIP scores, despite the fact that not all patients, notably PD, ataxic, and PSP patients, had an intelligibility deficit. The DIP should be used in clinical practice to contribute to a holistic evaluation and management of functional communication in patients with dysarthria.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31112944</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>08</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1660-2862</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>1</Issue>
<PubDate><Year>2019</Year>
</PubDate>
</JournalIssue>
<Title>Neuro-degenerative diseases</Title>
<ISOAbbreviation>Neurodegener Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management.</ArticleTitle>
<Pagination><MedlinePgn>12-21</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1159/000499627</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">Dysarthria in neurological disorders can have psychosocial consequences. The dysarthric speaker's perspective towards the disorder's psychosocial impact is essential in its global assessment and management. For such purposes, assessment tools such as the Dysarthria Impact Profile (DIP) are indispensable.</AbstractText>
<AbstractText Label="OBJECTIVE">We aimed to confirm the relevance of using the DIP to quantify the psychosocial consequences of dysarthria in neurological diseases.</AbstractText>
<AbstractText Label="METHODS">We studied 120 participants, 15 healthy controls and 105 patients with different kinds of dysarthria induced by several neurological disorders (Parkinson's disease [PD], Huntington's disease, dystonia, cerebellar ataxia, progressive supranuclear palsy [PSP], multiple system atrophy, lateral amyotrophic sclerosis). All participants underwent a cognitive evaluation and a speech intelligibility assessment and completed three self-reported questionnaires: the 36-Item Short Form Health Survey, the Voice Handicap Index (VHI), and the DIP.</AbstractText>
<AbstractText Label="RESULTS">The psychometric properties of the DIP were confirmed, including internal consistency (α = 0.93), concurrent validity (correlation with the VHI: r = -0.77), and discriminant validity (accuracy = 0.93). Psychosocial impact of dysarthria was revealed by the DIP for all patients. Intelligibility loss was found strongly correlated with the psychosocial impact of dysarthria: for a similar level of intelligibility impairment, the DIP total score was similar regardless of the pathological group. However, our findings suggest that the psychosocial impact measured by the DIP could be partially independent from the severity of dysarthria (indirectly addressed here via speech intelligibility): the DIP was able to detect patients without any intelligibility impairment, but with a psychosocial impact.</AbstractText>
<AbstractText Label="CONCLUSIONS">All patients reported a communication complaint, attested by the DIP scores, despite the fact that not all patients, notably PD, ataxic, and PSP patients, had an intelligibility deficit. The DIP should be used in clinical practice to contribute to a holistic evaluation and management of functional communication in patients with dysarthria.</AbstractText>
<CopyrightInformation>© 2019 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Atkinson-Clement</LastName>
<ForeName>Cyril</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Brain and Spine Institute (ICM), Team Movement Investigation and Therapeutics, Paris, France, cyril.atkinsonclement@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Letanneux</LastName>
<ForeName>Alban</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>University of East-Paris-Est, Créteil, CHArt (EA 4004), UPEC-ESPE, Bonneuil-sur-Marne, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Baille</LastName>
<ForeName>Guillaume</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cuartero</LastName>
<ForeName>Marie-Charlotte</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Véron-Delor</LastName>
<ForeName>Lauriane</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LNC, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Robieux</LastName>
<ForeName>Camille</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Berthelot</LastName>
<ForeName>Manon</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Robert</LastName>
<ForeName>Danièle</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Aix-Marseille Université, Hôpital de la Conception, ENT Department, Assistance Publique-Hôpitaux de Marseille, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Azulay</LastName>
<ForeName>Jean-Philippe</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Defebvre</LastName>
<ForeName>Luc</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ferreira</LastName>
<ForeName>Joaquim</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Campus Neurológico Sénior (CNS), Torres Vedras, Portugal.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Eusebio</LastName>
<ForeName>Alexandre</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, INT, Inst Neurosci Timone, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Aix-Marseille Université, APHM, CHU Timone, Department of Neurology and Movement Disorders, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Moreau</LastName>
<ForeName>Caroline</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Neurology and Movement Disorders, CHU, Lille, France, INSERM UMR_S 1171, Lille, France, University of Lille, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pinto</LastName>
<ForeName>Serge</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Aix-Marseille Université, CNRS, LPL, Aix-en-Provence, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>05</Month>
<Day>21</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Switzerland</Country>
<MedlineTA>Neurodegener Dis</MedlineTA>
<NlmUniqueID>101189034</NlmUniqueID>
<ISSNLinking>1660-2854</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003144" MajorTopicYN="N">Communication Barriers</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004401" MajorTopicYN="N">Dysarthria</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073216" MajorTopicYN="N">Mental Status and Dementia Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019636" MajorTopicYN="N">Neurodegenerative Diseases</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000071066" MajorTopicYN="N">Patient Reported Outcome Measures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010641" MajorTopicYN="N">Phenotype</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011584" MajorTopicYN="N">Psychology</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013065" MajorTopicYN="N">Speech Intelligibility</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Dysarthria</Keyword>
<Keyword MajorTopicYN="Y">Psychosocial impact</Keyword>
<Keyword MajorTopicYN="Y">Self-assessment</Keyword>
<Keyword MajorTopicYN="Y">Speech</Keyword>
<Keyword MajorTopicYN="Y">Voice</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>12</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>03</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>5</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>8</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>5</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31112944</ArticleId>
<ArticleId IdType="pii">000499627</ArticleId>
<ArticleId IdType="doi">10.1159/000499627</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
<li>Oman</li>
<li>Portugal</li>
</country>
<region><li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Aix-en-Provence</li>
<li>Lille</li>
<li>Marseille</li>
</settlement>
<orgName><li>Université Lille 2</li>
<li>Université Lille Nord de France</li>
<li>Université d'Aix-Marseille</li>
</orgName>
</list>
<tree><country name="Oman"><noRegion><name sortKey="Atkinson Clement, Cyril" sort="Atkinson Clement, Cyril" uniqKey="Atkinson Clement C" first="Cyril" last="Atkinson-Clement">Cyril Atkinson-Clement</name>
</noRegion>
</country>
<country name="France"><noRegion><name sortKey="Letanneux, Alban" sort="Letanneux, Alban" uniqKey="Letanneux A" first="Alban" last="Letanneux">Alban Letanneux</name>
</noRegion>
<name sortKey="Azulay, Jean Philippe" sort="Azulay, Jean Philippe" uniqKey="Azulay J" first="Jean-Philippe" last="Azulay">Jean-Philippe Azulay</name>
<name sortKey="Azulay, Jean Philippe" sort="Azulay, Jean Philippe" uniqKey="Azulay J" first="Jean-Philippe" last="Azulay">Jean-Philippe Azulay</name>
<name sortKey="Baille, Guillaume" sort="Baille, Guillaume" uniqKey="Baille G" first="Guillaume" last="Baille">Guillaume Baille</name>
<name sortKey="Berthelot, Manon" sort="Berthelot, Manon" uniqKey="Berthelot M" first="Manon" last="Berthelot">Manon Berthelot</name>
<name sortKey="Cuartero, Marie Charlotte" sort="Cuartero, Marie Charlotte" uniqKey="Cuartero M" first="Marie-Charlotte" last="Cuartero">Marie-Charlotte Cuartero</name>
<name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name>
<name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name>
<name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name>
<name sortKey="Moreau, Caroline" sort="Moreau, Caroline" uniqKey="Moreau C" first="Caroline" last="Moreau">Caroline Moreau</name>
<name sortKey="Pinto, Serge" sort="Pinto, Serge" uniqKey="Pinto S" first="Serge" last="Pinto">Serge Pinto</name>
<name sortKey="Robert, Daniele" sort="Robert, Daniele" uniqKey="Robert D" first="Danièle" last="Robert">Danièle Robert</name>
<name sortKey="Robert, Daniele" sort="Robert, Daniele" uniqKey="Robert D" first="Danièle" last="Robert">Danièle Robert</name>
<name sortKey="Robieux, Camille" sort="Robieux, Camille" uniqKey="Robieux C" first="Camille" last="Robieux">Camille Robieux</name>
<name sortKey="Veron Delor, Lauriane" sort="Veron Delor, Lauriane" uniqKey="Veron Delor L" first="Lauriane" last="Véron-Delor">Lauriane Véron-Delor</name>
<name sortKey="Veron Delor, Lauriane" sort="Veron Delor, Lauriane" uniqKey="Veron Delor L" first="Lauriane" last="Véron-Delor">Lauriane Véron-Delor</name>
</country>
<country name="Portugal"><noRegion><name sortKey="Ferreira, Joaquim" sort="Ferreira, Joaquim" uniqKey="Ferreira J" first="Joaquim" last="Ferreira">Joaquim Ferreira</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management.

Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management.

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