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The efficacy of individual language and communication therapy on psychosocial well-being in people with aphasia: a systematic review
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DOI：10.1080/02687038.2026.2632691.png)
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Abstract
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Background and AimCommunication breakdowns in persons with aphasia (PWA) affect their ability to participate in their environment and maintain social relationships. This systematic review examines how individual aphasia therapy targeting language and communication deficits impacts psychosocial well-being, including confidence, self-efficacy, mood, and quality of life in PWA.MethodsThe systematic review was conducted in accordance with the PRISMA guidelines. Five databases were systematically searched on September 27th, 2024 (PubMed, Cumulative Index to Nursing and Allied Health (CINAHL) Complete, PsycINFO, Scopus, and EMBASE) to identify the studies using the following inclusion studies: studies included PWA due to left hemisphere stroke, used language and/or communication interventions, participants received individual treatment, used quantitative subjective measures to capture the psychosocial status of PWA, included original experimental data, and were written in English. The quality assessment was completed using the US National Heart, Lung, and Blood Institute checklist (NHLBI, 2013).ResultsTwenty-three studies were included (N = 431 PWA). The studies were categorized into 5 intervention formats: 1) language production and comprehension, 2) technology-based interventions, 3) music or rhythm, 4) conversation and social communication, and 5) patient education. Of the twenty-three studies, six studies measured communication confidence and showed positive post-aphasia treatment changes; two of three studies that measured self-esteem showed positive post-treatment changes; five of the nine studies that measured mood, and fourteen of the nineteen studies that assessed quality of life measures showed positive post-treatment changes.DiscussionOverall, studies showed improvements in the three psychosocial domains, thus showing the potential of individualized aphasia interventions to positively impact psychosocial well-being. However, inconsistencies in measurement tools, duration, and frequency of therapy, and variability in participant characteristics across studies continue to hinder the ability to draw clear conclusions about effective aphasia treatment approaches in this population. Future studies need consistent, validated measures to facilitate more meaningful comparisons across studies and clinical settings, enhancing the evidence base for aphasia rehabilitation.
Keywords:
Aphasia
psychosocial well-being
individual language intervention
communication confidence
quality of life
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