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Psychologic Adjustment to Irreversible Vision Loss in Adults A Systematic Review》.pdf
Psychologic Adjustment to Irreversible Vision
Loss in Adults
A Systematic Review
Hugo Senra, PhD,1 Fernando Barbosa, PhD,2 Patrícia Ferreira, MA,3 Cristina R. Vieira, MA,4
Paul B. Perrin, PhD,5 Heather Rogers, PhD,6 Diego Rivera, MA,6 Isabel Leal, PhD7
Purpose: 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 data-
bases (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
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