Psychosocial adaptation status and health-related quality of life among older Chinese adults with visual disorders |
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Authors: | Chong-Wen Wang Cecilia L W Chan |
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Institution: | (1) Centre on Behavioral Health, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong, China |
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Abstract: | Purpose To examine the association of psychosocial adaptation status with vision-specific health-related quality of life (HRQOL) and
the role of psychosocial adaptation in the linkage between visual impairment and vision-specific HRQOL outcomes among older
adults with visual disorders.
Design and methods In this cross-sectional study, older urban adults with visual problems (N = 167) were interviewed using a structured questionnaire to assess their self-reported visual function, general health, psychosocial
adaptation status, and vision-specific HRQOL. Performance-based measure of visual function marked by distance visual acuity
was clinically conducted by ophthalmologists.
Results It was found in the study that psychosocial adaptation status was significantly associated with vision-specific HRQOL, including
the domains of mental health symptoms due to vision and dependency on others due to vision. The results also showed that psychosocial
adaptation status could buffer the effect of visual impairment on vision-specific HRQOL, including the domains of social function,
mental health, and dependency.
Conclusion Psychosocial adaptation status is significantly associated with multiple domains of vision-specific HRQOL. The findings have
significant implications for health education and psychosocial intervention for older adults with age-related vision loss. |
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Keywords: | Quality of life Visual impairment Older adults Psychosocial adaptation |
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