Personal and family stress in individuals with diabetes and vision loss

Bernbaum, Marla; Albert, Stewart G.; Duckro, Paul N.; Merkel, William T.

doi:10.1002/1097-4679(199309)49:5<670::aid-jclp2270490509>3.0.co;2-f

Cited by 33 publications

(23 citation statements)

References 15 publications

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“…Only a few empirical studies focusing on adults with low vision have investigated the impact of vision loss on family functioning. For instance, Bernbaum, Albert, and Duckro (1993) found that visual impairment was a significant stressor in the spousal relationship and that it was related to separation or divorce, with a greater risk of separation and divorce among those who were legally but not totally blind. Other studies have shown support for a phenomenon known in the literature on aging as emotional contagion or affect similarity, which refers to a process by which one’s mood or affect spreads to others who are in close contact with them among persons who are visually impaired and their spouses (see, for example, Bambara, Owsley, Martin, Wadley, Porter, & Dreer, in press; Goodman & Shippy, 2002).…”

Section: Influence Of Low Vision On Family Members’ Functioning and Cmentioning

confidence: 99%

Family Functioning and Low Vision: A Systematic Review

Bambara

Wadley

Owsley

et al. 2009

Journal of Visual Impairment & Blindness

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This review highlights the literature on the function and adjustment process of family members of persons with adult-onset vision loss. The majority of the literature has focused on the unique role that the family plays in providing both instrumental and emotional support to adults with low vision. In contrast, the impact of low vision on the psychosocial adjustment of the family has been largely understudied. The review concludes with a discussion of the implications for clinical practice, along with directions for future research on the family within the context of low vision rehabilitation.

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Section: Influence Of Low Vision On Family Members’ Functioning and Cmentioning

confidence: 99%

Family Functioning and Low Vision: A Systematic Review

Bambara

Wadley

Owsley

et al. 2009

Journal of Visual Impairment & Blindness

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“…Ideally, spouse and other family member support would serve as buffers to the stress of vision loss and would aid in adaptation (Warnke, 1991). However, disabilities such as vision loss can cause a major disruption in marital and family life, resulting in possible role ambiguity, separation, and divorce (Bernbaum et al, 1993;Melton et al, 1995).…”

Section: Illness Disability and Marriagementioning

confidence: 99%

Is it contagious? Affect similarity among spouses

Goodman

Shippy

2002

Aging & Mental Health

110

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Theories of emotional contagion suggest that spouses mutually experience affective or emotional states. However, empirical support for this theory is limited. Using a dyadic approach, this study examines affect similarity of depressive symptoms between elders with vision impairment and their spouses. As part of an investigation on older couples dealing with disability, 123 elders dealing with a recent vision loss and their spouses were interviewed. Guided by a stress process model, predictors of spouse depressive symptoms were examined. Hierarchical regression analyses revealed that the spouse's race, health, care-giving appraisal, self-efficacy, conflict with other family members regarding their partner, and their partner's depressive symptoms significantly predicted spouse depression. Specifically, spouses who were white, in poorer health, experienced more care-giving burden, had more family conflict, and poorer self-efficacy, were more likely to be depressed. Entered in the final step, elder depression uniquely contributed to the prediction of spouse depression. This points to affect similarity among spouses, which suggests that when one spouse is depressed, the other spouse is likely to experience a similar depressive symptomatology.

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“…Separation from a committed relationship was seen in 50% of visually impaired 6. In our study, 22% felt that family relations were strained although none was separated from a committed relationship.…”

Section: Discussionmentioning

confidence: 42%

“…The consequences of blindness range from depression,234 loss of jobs,5 jeopardized relationships67 to meager economic conditions 8. Faced by challenges, people with blindness become a burden to themselves, the family and society.…”

Section: Introductionmentioning

confidence: 99%

Change-readiness of the blind: A hospital based study in a coastal town of South India

Shetty

Kulkarni

2014

Middle East Afr J Ophthalmol

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Purpose:Blindness is a devastating condition with psychosocial and economic effects. The shortcomings result in a burden to the blind person, the family and society. Rehabilitation of the blind can transform their lives. The aim of this study was to assess the “change-readiness” of the blind to undergo a “change-management”.Materials and Methods:The study was a semi-structured pre-tested questionnaire-based study of 50 blind subjects in a medical college hospital. The blind participants were assessed for depression using the Beck Depression Inventory II, for the perceived effect of blindness on family, social life and occupation. The participants were counseled to undergo psychiatric management, vocational training, use blind aids and learn Braille. The willingness of the participants with reasons was assessed using a verbal analogue scale. Pearson Chi-square test, ANOVA and the t-test were used for statistical analysis.Results:Over two-thirds of the subjects were depressed. Family life, social life and occupation were perceived to be affected by 44%, 66% and 74%, respectively. Change-readiness scores were low for low vision and blind aids, vocational training, psychiatric management, change of job and learning Braille. The low score was due to the associated taboo, dependence, lack of skills, embarrassment, etc., The most valuable feature was the family cohesiveness.Conclusion:The results suggest that there is a need to modify health policy to include blind rehabilitation, to improve visibility of blind rehabilitation centers, to include family members and co-professionals while managing the blind so that we treat the “blind person” and not a “pair of blind eyes”.

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Personal and family stress in individuals with diabetes and vision loss

Cited by 33 publications

References 15 publications

Family Functioning and Low Vision: A Systematic Review

Family Functioning and Low Vision: A Systematic Review

Is it contagious? Affect similarity among spouses

Change-readiness of the blind: A hospital based study in a coastal town of South India

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