This study aims to understand the reciprocal relationships among acceptance of disability, attitudes toward disability, and coping among Chinese adolescents with visual impairments. Research design: Adolescents with visual impairments (N T1 = 311, N T2 = 170) from four Chinese special education schools completed three questionnaires twice over 1 year. Cross-lagged panel modeling was carried out to analyze the questionnaire data. Results: The findings revealed that attitudes toward disability and selfdirected coping at Time 1 (T1) positively predicted acceptance of disability at Time 2 (T2). Self-directed coping at T1 positively predicted attitudes toward disability at T2, and attitudes toward disability at T1 negatively predicted relinquished-control coping at T2. Conclusion/Implications: Visually impaired adolescents' attitudes toward disability and coping serve as antecedents of their acceptance of disability. There is a positive reciprocal relationship between coping and attitudes toward disability. Psychological interventions aimed at optimizing psychosocial adjustment among students with visual impairments may benefit from targeting coping strategies and attitudes toward disability.
Impact and ImplicationsThis study is a pioneering effort that simultaneously examines the statistically causal relationships among attitudes toward disability, coping, and acceptance of disability among adolescents with visual impairments. Its findings extend understanding of the three variables by showing that attitudes toward disability and self-directed coping are antecedents of acceptance of disability, supporting the acceptance of loss theory and the framework for psychosocial adaptation to chronic illness and disabilities. Furthermore, a reciprocal relationship between coping and attitudes toward disability was found. This study provides evidence supporting interventions directed toward improving self-directed coping strategies and cultivating positive attitudes toward disability in order to promote acceptance of disability among adolescents with visual impairments.