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Psychologic adjustment to irreversible vision loss in adults

dc.contributor.authorSenra, Hugo Renato Carreira Gomes
dc.contributor.authorBarbosa, Fernando
dc.contributor.authorFerreira, Patrícia
dc.contributor.authorVieira, Cristina
dc.contributor.authorPerrin, Paul B.
dc.contributor.authorRogers, Heather
dc.contributor.authorRivera, Diego
dc.contributor.authorLeal, Isabel Pereira
dc.date.accessioned2015-04-27T18:04:51Z
dc.date.available2015-04-27T18:04:51Z
dc.date.issued2015
dc.description.abstractPurpose: To summarize relevant evidence investigating the psychologic adjustment to irreversible vision loss (IVL) in adults. Design: Irreversible vision loss entails a challenging medical condition in which rehabilitation outcomes are strongly dependent on the patient’s psychologic adjustment to illness and impairment. So far, no study has systematically reviewed the psychologic adjustment to IVL in adults. Methods: We reviewed all articles examining the psychologic adjustment to IVL in adults. We included articles published in English in peer-reviewed journals. We performed a keyword literature search using 4 databases (PubMed, EBSCO, Cochrane Library, and Science Direct) for all years through July 2014. We assessed risk of bias of selected studies using the RTI Item Bank for Assessing Risk of Bias and Confounding for Observational Studies of Interventions or Exposures and the Cochrane risk of bias tool for randomized controlled trials. Results: Of a total of 3948 citations retrieved, we selected 52 eligible studies published between 1946 and 2014. The majority of studies were observational and cross-sectional in nature. Our review suggests that high levels of depression occur during the adjustment to IVL. Better adjustment to IVL was associated with greater acceptance of vision loss and use of instrumental coping, good social support, positivity, and use of assistive aids. Conclusions: The overall findings indicate that IVL often has negative effects on patients’ quality of life and mental health and that such effects tend to remain over time. Specific factors and variables associated with the adjustment to IVL need to be clarified through further in-depth and longitudinal research.por
dc.identifier.citationOphthalmology, 122, 851-861por
dc.identifier.doi10.1016/j.ophtha.2014.10.022
dc.identifier.issn0161-6420
dc.identifier.urihttp://hdl.handle.net/10400.12/3620
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.titlePsychologic adjustment to irreversible vision loss in adultspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpor
oaire.citation.endPage861por
oaire.citation.startPage851por
oaire.citation.titleOphthalmologypor
oaire.citation.volume122por
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor

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