The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tolman, J.
Right arrow Articles by Gregg, C. H.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Tolman, J.
Right arrow Articles by Gregg, C. H.
The Gerontologist 45:747-753 (2005)
© 2005 The Gerontological Society of America

Psychosocial Adaptation to Visual Impairment and Its Relationship to Depressive Affect in Older Adults With Age-Related Macular Degeneration

Jennifer Tolman, PhD1, Robert D. Hill, PhD1, Julia J. Kleinschmidt, PhD2 and Charles H. Gregg, PhD1

Correspondence: Please send correspondence to Jennifer Tolman, c/o Robert D. Hill, Department of Educational Psychology, University of Utah, 1705 Campus Center Drive, Room 327, Salt Lake City, UT 84112-9255. E-mail: jennifer.tolman{at}

Purpose: In this study we examined psychosocial adaptation to vision loss and its relationship to depressive symptomatology in legally blind older adults with age-related macular degeneration (ARMD). Design and Methods: The 144 study participants were outpatients of a large regional vision clinic that specializes in the diagnosis and treatment of ARMD in older adults. They were administered a battery of cognitive and psychological screening instruments including the Adaptation to Vision Loss Scale, the Short Portable Mental Status Questionnaire, and the short form of the Geriatric Depression Scale. Results: A principal components analysis of the Adaptation to Vision Loss Scale identified three distinct adaptation factors, namely, acceptance of vision loss, negative impact on relationships, and attitudes toward compensation. Of these, acceptance of vision loss and attitudes toward compensation were positively associated with depressive affect. In addition, self-reported use of outpatient rehabilitative services was less frequent in those reporting greater depressive symptomatology. Implications: These findings support the contention that depressive symptomatology as measured by self-report in older adults with ARMD is mediated by one's perceived sense of individual control as it relates to intrapersonal factors underlying adaptation to profound vision loss in old age caused by ARMD.

Key Words: Vision loss • Depression • Eye disease • Legally blind

This article has been cited by other articles:

Home page
M. Brennan and S. J. Bally
Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood
Trends in Amplification, December 1, 2007; 11(4): 281 - 300.
[Abstract] [PDF]

Home page
Arch OphthalmolHome page
S. Cugati, R. G. Cumming, W. Smith, G. Burlutsky, P. Mitchell, and J. J. Wang
Visual Impairment, Age-Related Macular Degeneration, Cataract, and Long-term Mortality: The Blue Mountains Eye Study
Arch Ophthalmol, July 1, 2007; 125(7): 917 - 924.
[Abstract] [Full Text] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2005 by The Gerontological Society of America.