Amyotrophic lateral sclerosis (ALS), a rapidly progressive neuromuscular disease, has a devastating impact not only on individuals diagnosed with ALS but also their spouses. Speech intelligibility, often compromised as a result of dysarthria, affects the couple’s ability to maintain effective, intimate communication. The purpose of this exploratory study was to determine the association between the deteriorating speech of persons with ALS (PALS) and couples’ perceptions of marital communication. There were two participant groups: (a) persons with ALS (PALS) and (b) their spouses. Data were collected over a 12-month period through the administration of objective and subjective measures. A review of the findings suggested a positive relation between declining speech intelligibility and a couple’s perception of marital communication. A holistic approach to communication intervention should be adopted for PALS, as communication as a means of facilitating and maintaining intimacy in the marital relationship is particularly pertinent to this population.
BallL. J.BeukelmanD. R.PatteeG. L. (2004). Communication effectiveness of individuals with amyotrophic lateral sclerosis. Journal of Communication Disorders, 37, 197-215.
2.
BallL. J.WillisA.BeukelmanD. R.PatteeG. L. (2001). A protocol for the identification of early bulbar signs in amyotrophic lateral sclerosis. Journal of the Neurological Sciences, 191, 43-53.
3.
BeachS. R. H.AriasI. (1983). Assessment of perceptual discrepancy: Utility of the primary communication inventory. Family Process, 22, 309-316.
4.
BeukelmanD. R.BallL. J.FagerS. (2008). An AAC personnel framework: Adults with acquired complex communication needs. Augmentative and Alternative Communication, 24, 255-267.
5.
BeukelmanD. R.FagerS.BallL.DietzA. (2007). AAC for adults with acquired neurological conditions: A review. Augmentative and Alternative Communication, 23, 230-242.
6.
BeukelmanD. R.MirendaP. (1998). Augmentative and alternative communication: Management of severe communication disorders in children and adults (2nd ed.). Baltimore, MD: Paul H. Brookes.
7.
BlaisM. C.BoisvertJ. (2007). Psychological adjustment and marital satisfaction following head injury. Which critical personal characteristics should both partners develop?Brain Injury, 21, 357-372.
8.
BurlesonB. R.DentonW. H. (1997). The relationship between communication skill and marital satisfaction: Some moderating effects. Journal of Marriage and the Family, 59, 884-902.
9.
ChiòA.GauthierA.MontuschiA.CalvoA.Di VitoN.GhiglioneP.MutaniR. (2004). A cross sectional study of determinants of quality of life in ALS. Journal of Neurology, Neurosurgery and Psychiatry, 75, 1597-1601.
10.
CutronaC. E. (2004). A psychological perspective: Social provisions of relationships. Journal of Marriage and Family, 66, 992-999.
11.
DePaulR.KentR. D. (2000). A longitudinal case study of ALS: Effects of listener familiarity and proficiency on intelligibility judgements. American Journal of Speech-Language Pathology, 9, 230-240.
12.
FlaskerudJ. H.CarterP. A.LeeP. (2000). Distressing emotions in female caregivers of people with AIDS, age-related dementias, and advanced-stage cancers. Perspectives in Psychiatric Care, 36, 121-130.
13.
FreedD. (2000). Motor speech disorders: Diagnosis and treatment. San Diego, CA: Singular.
14.
Fried-OkenM.FoxL.RauM. T.TullmanJ.BakerG.HindalM.. . . LouJ. (2006). Purposes of AAC device use for persons with ALS as reported by caregivers. Augmentative and Alternative Communication, 22, 209-221.
KahnM. (1970). Non-verbal communication and marital satisfaction. Family Process, 9, 449-456.
17.
LightJ. (1988). Interaction involving individuals using augmentative and alternative communication systems: State of art and future directions. Augmentative and Alternative Communication, 7, 43-50.
18.
LinebaughC. W.KryzerK. M.OdenS.MyersP. S. (2006). Reapportionment of communicative burden in aphasia: A study of narrative interaction. Aphasiology, 20, 84-96.
19.
LockeJ. L. (1998). Where did all the gossip go? Casual conversation in the information age. ASHA, 40, 26-31.
20.
MaxwellD. L.SatakeE. (2006). Research and statistical methods in communication sciences and disorders. New York, NY: Thomson Delmar Learning.
21.
MitsumotoH. (1997). Diagnosis and progression of ALS. Neurology, 48(Suppl. 4), s2-s8.
22.
MurphyJ. (2004). “I prefer contact this close”: Perceptions of AAC by people with motor neuron disease and their communication partners. Augmentative and Alternative Communication, 20, 259-271.
23.
NavranL. (1967). Communication and adjustment in marriage. Family Process, 6, 173-184.
24.
RiviereM.MeiningerV.ZeisserP.MunsatT. (1998). An analysis of extended survival in patients with amyotrophic lateral sclerosis treated with riluzole. Archives of Neurology, 55, 526-528.
25.
RollandJ. S. (1999). Chronic illness and the family life cycle. In CarterB.McGoldrickM. (Eds.), The expanded family life cycle: Individual, family, and social perspectives (3rd ed., pp. 492-551). Needham Heights, MA: Allyn & Bacon.
26.
SavundranayagamM. Y.HummertM. L.MontgomeryR. J. V. (2005). Investigating the effects of communication problems on caregiver burden. The Journals of Gerontology, 60(B), S48-S55.
27.
StrongM. J.GraceG. M.OrangeJ. B.LeeperH. A. (1996). Cognition, language and speech in amyotrophic lateral sclerosis: A review. Journal of Clinical and Experimental Neuropsychology, 18, 291-303.
28.
TönsingK. M.AlantE.LloydL. L. (2005). Augmentative and alternative communication. In AlantE.LloydL. L. (Eds.), Augmentative and alternative communication and severe disabilities: Beyond poverty (pp. 30-67). London: Whurr Publishers.
29.
WertzR. T. (1985). Neuropathologies of speech and language: An introduction to patient management. In JohnsD. F. (Ed.), Clinical management of neurogenic communicative disorders (pp. 1-96). Boston, MA: Little, Brown.
30.
WilliamsB. (2000). More than an exception to the rule. In Fried-OkenM.BersaniH. (Eds.), Speaking up and spelling out: Personal essays on augmentative and alternative communication (pp. 245-254). Baltimore, MD: Paul H. Brookes.
31.
YorkstonK. M.BeukelmanD. R.StrandE. A.BellK. R. (1999). Management in motor speech disorders in children and adults (2nd ed.). Austin, TX: PRO-ED.
32.
YorkstonK. M.BeukelmanD. R.TiceR. (1996). Sentence Intelligibility Test. Lincoln, NE: Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
33.
YorkstonK. M.StrandE.MillerR. M. (1997). Progression of respiratory symptoms in amyotrophic lateral sclerosis: Implications for speech functions. In RobinD. A.YorkstonK. M.BeukelmanD. R. (Eds.), Disorders of motor speech: Assessment, treatment and clinical characterization (pp. 193-204). Baltimore, MD: Paul H. Brookes.
34.
YorkstonK. M.StrandE.MillerR. M.HillelA.SmithK. (1993). Speech deterioration in amyotrophic lateral sclerosis: Implications for timing of intervention. Journal of Medical Speech-Language Pathology, 1, 35-46.
35.
YoungJ. M.McNicollP. (1998). Against all odds: Positive life experiences of people with advanced amyotrophic lateral sclerosis. Health and Social Work, 23, 35-43.
36.
YunusovaY.WeismerG.KentR. D.RuscheN. M. (2005). Breath-group intelligibiity in dysarthria: Characteristics and underlying correlates. Journal of Speech, Language and Hearing Research, 48, 1294-1310.
