Psychosocial impacts of vison loss

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  • Impact of a visual impairment
    • Factors that affect the adjustment process (Spec let) Scheiman et al
      • Self concept
      • Personality
        • Introverted
          • keep to them-self
          • might find it difficult to ask people to adapt to their disability
      • Life events
        • Holmes and Rache life scale
          • correlation between major life events and stress related illness
        • already in a poor state of mind
        • ie break down of a relationship
          • less support
      • Culture and family
        • family may have a history of sight loss
          • be able to prepare them
        • religion
          • may look as illness as a punishment from god
            • stigmatisim
          • religion could provide support
        • family might not want to commit to being carers for life
      • Stage of life
        • children better at adapting
          • less conscious of negative effects
        • teens
          • more aware of self image
        • adults
          • more responsibility
          • adapted to previous quality of life
        • elderly
          • more reliant on others
          • desperate to hang onto independence
    • Psychosocial impact  Nyman et al, 2010
      • differences between working age and elderly
        • working age are exposed to condition for longer
        • different causes
          • younger more likely to be conditions such as retinopathy
            • multiple implications
          • older more like conditions such as makuladegeneration
      • limitations
        • range of outcome measures used
          • reduces external reliability
      • elderly
        • large case study
          • 174 papers
          • 60 year old and above
        • difficult to define elderly
        • depression
          • majority showed  positive correlation
            • large range 3-43%
              • reduced validity
          • deterministic
        • Quality of life
          • peers have low quality of life
          • mixed results
        • social functioning
          • lower on average than to peers
            • could relate to anxiety
            • peers may of had low average anyway
        • Anxiety
          • 5 studies
          • similar to controls
          • different to adult
      • independant measure design
        • matched paris would be better

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