Vision Loss, Coping Tendencies, and Mental Health

视力丧失、应对倾向和心理健康

• 批准号: 6461507
• 负责人: Kathrin Boerner
• 金额: $ 3.23万
• 依托单位: LIGHTHOUSE INTERNATIONAL
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-12-01 至 2002-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6461507
• 关键词: age difference; behavioral /social science research tag; clinical research; coping; depression; functional ability; human middle age (35-64); human old age (65+); human subject; interview; locus of control; mental disorder prevention; mental health; pathologic process; patient /disease registry; preference; psychological defense mechanism; quality of life; self help; stress management; telecommunications; vision disorders

The long-term goal of the proposed research is to better understand the relationships between vision impairment severity, functional disability, coping tendencies, and mental-health among middle-aged and older adults who are confronted with a chronic vision impairment. Age-related vision loss is the second most prevalent disability among older adults. Its major impact on functional ability and interaction with others has been shown to put individuals at risk for depression and poorer perceived adaptation to vision loss, this work has contributed more to the understanding of coping patterns that are maladaptive than to learning what may be adaptive. However, optimal interventions depend as much on knowing what is adaptive as on understanding the factors that increase risk for poor mental health. Furthermore, prior research has not included a developmental perspective, and has been limited to the study of older adults. The proposed study seeks to fill this gap by comparing middle age and older adults, and by utilizing a theoretical framework that incorporates a developmental component, and specifies modes of coping that mitigate depression and enable a person to stay resilient in the face of major decline: the model of assimilative and accommodative coping. The insights gained from this study will guide subsequent research that will serve to identify those who are at risk for mental health problems, and to optimize interventions that help individuals adapt to vision impairment as well to other disabilities. Specific aims are: 1. To explore the interrelationships between vision impairment severity, functional disability, and mental health outcomes, and to examine if these relationships vary by age. 2. To examine the role of assimilative and accommodative modes of coping in the relationships among vision impairment severity, functional disability, and mental health, 3. To explore whether the role of assimilative and accommodative modes of coping differs depending on the stage in the life cycle at which the vision occurs by comparing middle age and older adults. 50-middle aged and 50 older adults will be recruited from a community- based rehabilitation agency. Regression analyses will be conducted to test the effects of independent variables on mental health outcomes.

拟议研究的长期目标是更好地了解面临慢性视力障碍的中老年人视力障碍严重程度，功能障碍，应对倾向和心理健康之间的关系。与糖尿病相关的视力丧失是老年人中第二大常见的残疾。它对功能能力和与他人互动的主要影响已被证明会使个体处于抑郁和对视力丧失的适应性较差的风险中，这项工作对理解适应不良的应对模式比学习什么可能是适应性的贡献更大。然而，最佳干预措施既取决于了解什么是适应性，也取决于了解增加心理健康不良风险的因素。此外，以前的研究没有包括发展的角度，并已被限制在老年人的研究。拟议的研究旨在通过比较中年和老年人，并利用一个理论框架，其中包括一个发展的组成部分，填补这一空白，并指定应对模式，减轻抑郁症，使一个人在面对重大衰退时保持弹性：同化和同化应对模式。从这项研究中获得的见解将指导后续的研究，这些研究将有助于识别那些有心理健康问题风险的人，并优化干预措施，帮助个人适应视力障碍以及其他残疾。具体目标是：1。 探讨视力障碍严重程度、功能障碍和心理健康结果之间的相互关系，并检查这些关系是否因年龄而异。2. 探讨同化型和替代型应对方式在视力损害严重程度、功能障碍和心理健康之间的关系中的作用。通过比较中年人和老年人，探讨同化和同化应对方式的作用是否因视力发生的生命周期阶段而不同。50-将从社区康复机构招募50名中年和老年人。将进行回归分析，以测试独立变量对心理健康结果的影响。