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Speech intelligibility and marital communication in Motor Neuron Disease
Thesis (PhD)--University of Pretoria, 2010.
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University of Pretoria
2013
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| _version_ | 1867613664410861568 |
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| access_status_str | Open Access |
| author2 | Alant, Erna |
| author_browse | Alant, Erna |
| author_facet | Alant, Erna |
| collection | Thesis |
| dc_rights_str_mv | © 2009, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Thesis (PhD)--University of Pretoria, 2010. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/22908 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:39:44.581Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/22908 Speech intelligibility and marital communication in Motor Neuron Disease Alant, Erna Bornman, Juan, 1968- karin.joubert@wits.ac.za Joubert, Karin Motor neuron disease Mnd Spouses Marital communication Progressive neurodegenerative disease Amyotrophic lateral sclerosis Augmentative and alternative communication Als Dysarthria Communication effectiveness Communication Closeness Aac Mnd Speech intelligibility UCTD Thesis (PhD)--University of Pretoria, 2010. The onset of a progressive, fatal illness such as Motor Neuron Disease (MND) inevitably results in physical and communication disabilities that impinge on the individuals’ ability to remain functionally independent. The loss of speech as a result of dysarthria, a motor speech disorder, is one of the most profound changes that the person with MND will experience. The decline in the individuals’ speech intelligibility, that negatively influences communication effectiveness, implies that in 80% of cases alternative and augmentative communication (AAC) strategies are required to support the daily communication needs of individuals with MND. The dyadic nature of chronic illness implies that multiple aspects of one of the most important adult relationships, marriage, will be affected. Roles and responsibilities performed by each member of the couple will continually change as the disease progresses. The emotional trauma of adjusting to the unavoidable alteration in their relationship elicits strong emotions such as guilt, anger and frustration. Communication is one of the most constructive ways of dealing with these emotions. The ability of spouses to convey their innermost thoughts, feelings and intimacy through communicative interaction is vitally important in marital communication. The aim of this study was to compare how persons with MND and their spouses perceive changes in their marital communication in relation to the deteriorating speech of persons with MND. Fourteen couples divided into two participant groups, persons with MND and spouses, participated in this non-experimental correlational research study. Data was collected during three visits at six-monthly intervals over a 12 month period. At each of these visits both participant groups completed a variety of objective and subjective measures, of which twenty percent were interrated by independent raters. Results confirmed the inevitable decline in speech intelligibility of persons with MND across the disease progression. The persons with MND did not report a change in their perception of marital communication although their spouses indicated a statistically significant decrease between the first and last visits. Interestingly, there was no statistically significant relationship between the deteriorating speech of persons with MND and the couples’ perception of marital communication, confirming that marital communication was not influenced by decreased speech intelligibility. Centre for Augmentative and Alternative Communication (CAAC) unrestricted 2013-09-06T13:59:26Z 2010-03-02 2013-09-06T13:59:26Z 2009-09-01 2010-03-02 2010-03-01 Thesis Joubert, K 2009, Speech intelligibility and marital communication in Motor Neuron Disease, DPhil thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/22908 > D10/117/ag http://hdl.handle.net/2263/22908 http://upetd.up.ac.za/thesis/available/etd-03012010-093452/ © 2009, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria |
| spellingShingle | Motor neuron disease Mnd Spouses Marital communication Progressive neurodegenerative disease Amyotrophic lateral sclerosis Augmentative and alternative communication Als Dysarthria Communication effectiveness Communication Closeness Aac Mnd Speech intelligibility UCTD Speech intelligibility and marital communication in Motor Neuron Disease |
| title | Speech intelligibility and marital communication in Motor Neuron Disease |
| title_full | Speech intelligibility and marital communication in Motor Neuron Disease |
| title_fullStr | Speech intelligibility and marital communication in Motor Neuron Disease |
| title_full_unstemmed | Speech intelligibility and marital communication in Motor Neuron Disease |
| title_short | Speech intelligibility and marital communication in Motor Neuron Disease |
| title_sort | speech intelligibility and marital communication in motor neuron disease |
| topic | Motor neuron disease Mnd Spouses Marital communication Progressive neurodegenerative disease Amyotrophic lateral sclerosis Augmentative and alternative communication Als Dysarthria Communication effectiveness Communication Closeness Aac Mnd Speech intelligibility UCTD |
| url | http://hdl.handle.net/2263/22908 http://upetd.up.ac.za/thesis/available/etd-03012010-093452/ |