The Social Behavior of Elderly Aphasic versus Nonaphasic Long‐Term Patients

A study was made of the social consequences of communicative disorders among 51 elderly hospitalized long‐term patients. Independent variables used to account for variations in social behavior were: 1) the presence or absence of aphasia, an impairment resulting in varying degrees of loss of verbal recognition, comprehension and language production; 2) sex; and 3) the level of nursing‐care needs as an indicator of overall physical independence. A rating scale for measuring “Social Involvement” was constructed. It involved four analytically‐derived factors — Interpersonal Behavior, Familial and Social Contacts, Group Participation, and Extent of Social Contacts. Since a comparison of the 15 aphasic and 36 nonaphasic subjects on the basis of these four factors revealed no substantial main effect, it would seem that social isolation was not attributable to aphasia per se. Rather, a number of significant interactions indicated that differences in the levels of social involvement were attributable to the combined influences of sex, presence or absence of aphasia, and varying levels of physical independence. The relationship between social involvement and social isolation has implications for the overall management and rehabilitation of long‐term patients.

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