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This variety of perceptual communication dysfunctions may underlie the multifaceted characteristics of the autistic spectrum disorder.
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A higher score indicates greater perceived communication dysfunction.
Communication dysfunction increased at 1 month, followed by a continuous decrease throughout the year.
This might have lead to an underestimation of the prevalence of psychiatric morbidity and communication dysfunction.
After a normal developmental period, girls show growth retardation, microcephaly, stereotypic hand movements, motor abnormalities, mental retardation and communication dysfunction.
The original Self Evaluation of Communication Experiences after Laryngectomy (SECEL) was developed to assess communication dysfunction in patients with laryngectomies and has demonstrated satisfactory psychometric properties [ 14].
The S-SECEL and the EORTC QLQ-C30 with the QLQ-H&N35 demonstrated similar results; however the S-SECEL was more sensitive regarding communication dysfunction.
It is therefore recommended for clinical use in evaluation of communication dysfunction for all patients with laryngeal cancer irrespective of treatment.
It was also tested for sensitivity of change on a small group of patients (n = 26), where results after one year demonstrated a decrease in communication dysfunction [ 17].
On the other hand, this is to our knowledge the largest Scandinavian longitudinal study made on HRQL and communication dysfunction in patients treated for laryngeal cancer.
However, they include only few questions addressing voice and communication dysfunction, issues of particular importance to laryngeal cancer patients [ 12, 13].
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