Psychosocial Adaptation to Visual Impairment and Its Relationship to Depressive Affect in Older Adults With Age-Related Macular Degeneration

Tolman, Jennifer; Hill, Robert D.; Kleinschmidt, Julia J.; Gregg, Charles H.

doi:10.1093/geront/45.6.747

Cited by 88 publications

(74 citation statements)

References 19 publications

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“…Better adjustment as measured by the Adaptation to age-related Vision Loss scale (AVL) was significantly correlated with fewer depressive symptoms in an elderly sample of people with mixed visual impairments 12 and in individuals with age-related macular degeneration (AMD). 13 Results of the current study add to these findings by indicating that depression is associated with poorer adjustment to vision loss, independently of the severity of vision loss (as assessed by a range of clinical visual function tests) and the degree of functional limitations. Therefore, patients with greater depressive symptoms are more likely to be less well adjusted irrespective of the degree of visual impairment and the functional limitations that vision loss causes.…”

Section: Discussionsupporting

confidence: 65%

“…Although originally designed to be used in the elderly, the GDS has also been validated in younger samples. 35,36 The GDS was chosen primarily based on its previously demonstrated favorable psychometric properties, 37 including evaluations using item response theory 38,39 and its wide use in samples with visual impairment (e.g., Tolman et al 13 ; Brody et al 40 ; Rovner et al 41 ). Within the current sample the GDS was sufficiently unidimensional (first contrast eigenvalue 1.80), demonstrating acceptable fit statistics (MNSQ infit 0.98 6 0.19, outfit 0.99 6 0.38) and had good item (3.48) but not person (1.11) reliability.…”

Section: Adjustment To Vision Lossmentioning

confidence: 99%

“…11 In addition to these factors, although not included in the AS-WAS itself, depression appears to hold significance in terms of adjustment, with lower adjustment expected in the presence of higher levels of depression. 3,12,13 Furthermore, worse adjustment has been related to a greater severity of vision loss, 12,14 but only due to the functional limitations vision loss causes rather than with the actual degree of visual impairment. 15,16 However, despite knowledge that people with greater depression and more functional limitations are likely to be less well adjusted, 12,15 other significant predictors of adjustment, as defined here, are currently unknown.…”

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confidence: 99%

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Adjustment to Vision Loss in a Mixed Sample of Adults with Established Visual Impairment

Tabrett¹,

Latham²

2012

Invest. Ophthalmol. Vis. Sci.

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PURPOSE.To determine factors associated with the level of adjustment to vision loss in a cross-sectional sample of adults with mixed visual impairment. METHODS.One hundred participants were administered the Acceptance and Self-Worth Adjustment Scale (AS-WAS) to assess adjustment to vision loss. The severity of vision loss was determined using binocular clinical visual function assessments including visual acuity, contrast sensitivity, reading performance, and visual fields. Key demographics including age, duration of visual impairment, general health, education, and living arrangements were evaluated, as were self-reported vision-related activity limitation (VRAL), depression, social support, and personality.RESULTS. Multivariate analysis showed that higher levels of depressive symptoms (b ¼ À0.26, P < 0.01) and of the personality trait neuroticism (b ¼À0.33, P < 0.001), and lower levels of the personality trait of conscientiousness (b ¼ 0.29, P < 0.01), were associated with poorer adjustment to vision loss, explaining 56% variance.CONCLUSIONS. Adjustment to vision loss is significantly associated with depression and certain traits of personality (specifically neuroticism and conscientiousness), independent of the severity of vision loss, VRAL, and duration of vision loss. The results suggest certain individuals may be predisposed to exhibiting less adjustment to vision loss due to personality characteristics, and exhibit poorer adjustment owing to or as a consequence of depression, rather than due to other factors such as the onset and severity of visual impairment. (Invest Ophthalmol Vis Sci. 2012;53:7227-7234)

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Section: Discussionsupporting

confidence: 65%

Section: Adjustment To Vision Lossmentioning

confidence: 99%

mentioning

confidence: 99%

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Adjustment to Vision Loss in a Mixed Sample of Adults with Established Visual Impairment

Tabrett¹,

Latham²

2012

Invest. Ophthalmol. Vis. Sci.

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“…Available research suggests that sensory rehabilitation programs addressing either vision or hearing loss have a positive impact on their adult clients. In one study of adult aural rehabilitation clients in Nigeria, Olusanya 84 [86][87][88] …”

Section: Dual Sensory Loss and Social Interactionmentioning

confidence: 99%

Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood

Brennan

Bally

2007

Trends in Amplification

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Concurrent losses of hearing and vision function, or dual sensory loss, affect a large number of individuals of all ages and particularly older adults. Dual sensory loss may present at any age as a result of genetic defect, accident, injury, disease, or environmental insult; however, most persons develop this condition as a result of age-related disease processes that rarely result in total deafness or blindness. This condition has wide-ranging implications for physical and psychological functioning and quality of life. In this article, we review the prevalence and causes of dual impairment and its effects on functioning for both individuals affected and their families. We examine psychosocial coping and adaptation to this condition using biopsychosocial–spiritual and ecological models and discuss various strategies for coping and adaptation. The impact of larger societal forces on psychosocial adaptation is presented, followed by recommendations for how rehabilitation and other professionals can meet the challenge of dual sensory loss that awaits us with the aging of the population.

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“…In the next decades, the aging of the population will lead to an increase in the number of visually impaired elderly persons [2,3]. Previous research showed that vision loss has a profound impact on daily functioning [4][5][6] and quality of life [7][8][9][10], as indicated by an impaired functional ability and psychological distress [11][12][13]. In addition, visually impaired elderly persons per ceive restrictions in participation [14,15] and participate less in household activities, sports activities and recreational activities as compared to peers [14].…”

Section: Introductionmentioning

confidence: 99%

Effects of a multidisciplinary group rehabilitation programme on participation of the visually impaired elderly: a pilot study

Alma

Groothoff

Melis-Dankers

et al. 2012

Disability and Rehabilitation

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Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Results: At scale level, no statistical significant changes over time were found whereas the effect size indicated small effects for restrictions and satisfaction with participation, and a medium effect for autonomy outdoors. At item level, improvements tended to occur in frequency of housekeeping, in restrictions in housekeeping and outdoor activities and in satisfaction with the partner relationship. Satisfaction with leisure indoors and autonomy regarding using leisure time tended to increase as well. Conclusions: The tentative conclusion of this small-scale pilot study is that the VIPP programme modestly benefits perceived restrictions in participation, satisfaction with participation and autonomy outdoors of the visually impaired elderly. These preliminary findings warrant further investigation.

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Psychosocial Adaptation to Visual Impairment and Its Relationship to Depressive Affect in Older Adults With Age-Related Macular Degeneration

Cited by 88 publications

References 19 publications

Adjustment to Vision Loss in a Mixed Sample of Adults with Established Visual Impairment

Adjustment to Vision Loss in a Mixed Sample of Adults with Established Visual Impairment

Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood

Effects of a multidisciplinary group rehabilitation programme on participation of the visually impaired elderly: a pilot study

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