Promoting and protecting mental health of people living with adventitious blindness and low vision: A scoping review of protective and risk factors
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Introduction: People living with visual impairment (VI) have a higher prevalence of mental health challenges versus those without VI. The occurrence of clinical depression has been estimated at 10% to 40% among this population. Specifically, adults of working age (18-65 years) living with adventitious VI have a higher risk of severe psychological distress, disruption of employment status and attendant loss of income. Hence, our overall research question was: What is known from existing literature about the protective and risk factors for mental health of working age adults (18-65 years) with adventitious total bilateral blindness and low vision?
Methods: Using Joanna Briggs Institute guidance, articles in English were systematically searched across six databases: MEDLINE, PsycINFO, CINAHL, EMBASE, PsycArticles, Web of Science. Searches were also conducted in various websites such as: World Blind Union, World Vision, African Union, and Royal National Institute of Blind People. Two reviewers independently screened titles and abstracts. Full texts were then reviewed by the team. Of 4,352 identified titles, 92 were included. We thematically analysed the evidence using inductive and deductive approaches with the latter informed by Dahlgren and Whitehead’s socioecological model.
Results: Thirteen (13) risk and 10 protective themes were identified. Rehabilitation (protective) was the commonest theme in 30.4% of studies, followed by negative social support (risk) at 17.4%. Most research was conducted in the US (43.5%). Critical findings included: strong socially determined nature of mental health; coexistence of positive and negative social support and limited studies of lived experience. Our analysis also revealed layers of under and mis-representation; these included scarce research from low- and middle-income countries (LMICs), non-uniformity in definitions of blindness and incomplete reporting of participant characteristics.
Conclusion: This is the first scoping review to comprehensively explore protective and risk factors for mental health for people living with adventitious total bilateral blindness and low vision. This study reports multiple upstream drivers acting singularly and in concert to exert a profound determining influence on the mental health of our target population. It also highlights the institutional ways that the condition and related issues are reported, recorded and researched.
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References
Man D, Olchawa R. The possibilities of using BCI technology in biomedical engineering. In: Hunek W, Paszkiel S, editors. Biomedical engineering and neuroscience. Cham: Springer; 2018. p. 30–37.
Ripley DL, Politzer T. Vision disturbance after TBI. NeuroRehabilitation. 2010;27:215–216.
Manduchi R, Kurniawan S. Introduction. In: Manduchi R, Kurniawan S, editors. Assistive technology for blindness and low vision. Boca Raton, FL: Taylor and Francis Group; 2013. p. 1–4.
Centers for Disease Control and Prevention. About vision loss and mental health [Internet]. 2024 [cited 2024 Mar 23]. Available from: https://www.cdc.gov/vision-health/about-eye-disorders/vision-loss-mental-health.html.
Munaw MB, Tegegn MT. Visual impairment and psychological distress among adults attending the University of Gondar tertiary eye care and training center, Northwest Ethiopia: a comparative cross-sectional study. PLoS One. 2022;17:e0264113.
van der Aa HPA, Comijs HC, Penninx BWJH, van Rens GHMB, van Nispen RMA. Major depressive and anxiety disorders in visually impaired older adults. Invest Ophthalmol Vis Sci. 2015;56:849–854.
Hashemi A, Hashemi H, Jamali A, Ghasemi H, Ghazizadeh Hashemi F, Khabazkhoob M. The association between visual impairment and mental disorders. Sci Rep. 2024;14:2301.
Bonsaksen T, Brunes A, Heir T. Post-traumatic stress disorder in people with visual impairment compared with the general population. Int J Environ Res Public Health. 2022;19:619.
Grigo O, Jakkal T, Ghorpade P. Association between visual impairment and depression in patients attending eye clinics. CME J Geriatr Med. 2025;17:57–64.
Smith M. Understanding vision loss [Internet]. 2024 [cited 2025 Oct 11]. Available from: https://www.fightforsight.org.uk/understanding-vision-loss/your-stories/your-stories/a-day-in-the-life-of-monica/.
Rabiee P, Parker G, Bernard S, Baxter K. Vision rehabilitation services: what is the evidence? Final report. York: University of York; 2015. Report No.: TPT 2639.
Bruce SM. Visual impairment across the life span. In: Fisher CB, Lerner RM, editors. Encyclopedia of applied developmental science. London: SAGE Publications; 2004. p. 1126–1130.
Sardegna J, Shelly S, Rutzen AR, Steidl SM. The encyclopedia of blindness and vision impairment. 2nd ed. New York, NY: Infobase Publishing; 2002.
Scheiman M, Whittaker S. Low vision rehabilitation: a practical guide for occupational therapists. Thorofare, NJ: SLACK Incorporated; 2007.
National Eye Institute. Low vision [Internet]. 2023 [cited 2024 Mar 13]. Available from: https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/low-vision.
American Academy of Ophthalmology. What is low vision? [Internet]. 2023 [cited 2024 Aug 21]. Available from: https://www.aao.org/eye-health/diseases/low-vision.
American Foundation for the Blind. Low vision and legal blindness terms and descriptions [Internet]. 2023 [cited 2024 Mar 13]. Available from: https://www.afb.org/blindness-and-low-vision/eye-conditions/low-vision-and-legal-blindness-terms-and-descriptions.
Sapp W. Visual impairment. In: Peterson P, Baker E, McGraw B, editors. International encyclopedia of education. 3rd ed. Amsterdam: Elsevier; 2010. p. 880–885.
World Health Organization. ICD-11 for mortality and morbidity statistics [Internet]. 2024 [cited 2024 May 20]. Available from: https://icd.who.int/browse/2024-01/mms/en.
Welsh R, Tuttle D. Congenital and adventitious blindness. In: Moore J, Graves W, Patterson J, editors. Foundations of rehabilitation counseling with persons who are blind or visually impaired. New York, NY: American Foundation for the Blind Press; 1997. p. 60–79.
Lowenfeld B. Berthold Lowenfeld on blindness and blind people: selected papers. New York, NY: American Foundation for the Blind; 1981.
Choi SU, Chun YS, Lee JK, Kim JT, Jeong JH, Moon NJ. Comparison of vision-related quality of life and mental health between congenital and acquired low-vision patients. Eye (Lond). 2019;33:1540–1546.
Zeeshan M, Aslam N. Resilience and psychological well-being among congenitally blind, late blind and sighted individuals. J Educ Res Stud. 2013;1:1–7.
Duhamel M, Erogul M, Greidanus N, St-Jean E, editors. Senior entrepreneurship: empirical evidence of the effect of aging on entrepreneurial intent. New York: 2016. p. 1–13.
National Research Council (US) Working Group on Mobility Aids for the Visually Impaired and Blind. Electronic travel aids: new directions for research [Internet]. Washington (DC): National Academies Press (US); 1986 [cited 2024 Jun 9]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK218026/.
Tuttle DW, Tuttle NR. Self-esteem and adjusting with blindness: the process of responding to life’s demands. 3rd ed. Springfield, IL: Charles C Thomas Publisher; 2004.
Khanna R, Raman U, Rao GN. Blindness and poverty in India: the way forward. Clin Exp Optom. 2007;90:406–414.
Lundeen EA, Saydah S, Ehrlich JR, Saaddine J. Self-reported vision impairment and psychological distress in U.S. adults. Ophthalmic Epidemiol. 2022;29:171–181.
Dike N, D’Ambruoso L, Morgan HM, Skea Z, Tarburn E-L. Protective and risk factors of mental health of working age adults with adventitious total bilateral blindness and low vision: a scoping review protocol. PLoS One. 2024;19:e0296659.
Senra H, Barbosa F, Ferreira P, Vieira CR, Perrin PB, Rogers H, et al. Psychologic adjustment to irreversible vision loss in adults: a systematic review. Ophthalmology. 2015;122:851–861.
Boerner K, Wang S. Targets for rehabilitation: an evidence base for adaptive coping with visual disability. Rehabil Psychol. 2012;57:320–327.
Jaleel F, Fatima G, Nayab De. Depression among students with congenital and adventitious vision loss. Responsible Educ Learn Teach Emerg Econ. 2019;1:19–24.
Augustin A, Sahel J-A, Bandello F, Dardennes R, Maurel F, Negrini C, et al. Anxiety and depression prevalence rates in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2007;48:1498–1503.
Mental Health Commission. About mental health issues [Internet]. 2023 [cited 2023 Jun 8]. Available from: https://www.mhc.wa.gov.au/your-health-and-wellbeing/about-mental-health-issues/.
Heinsch M, Wells H, Sampson D, Wootten A, Cupples M, Sutton C, et al. Protective factors for mental and psychological wellbeing in Australian adults: a review. Ment Health Prev. 2022;25:200192.
Alma MA, Groothoff JW, Melis-Dankers BJM, Suurmeijer TPBM, van der Mei SF. The effectiveness of a multidisciplinary group rehabilitation program on the psychosocial functioning of elderly people who are visually impaired. J Vis Impair Blind. 2013;107:5–16.
Huurre TM, Komulainen EJ, Aro HM. Social support and self-esteem among adolescents with visual impairments. J Vis Impair Blind. 1999;93:26–37.
Leksaranyaphong P, Suppapitiporn S. Anxiety of students with visual impairment in school for visually impaired students in Thailand. Chulalongkorn Med J [Internet]. 2021 [cited 2025 Oct 13];65.
Akram B, Batool M. Suicidal behavior among the youth with and without sensory impairment: prevalence and comparison. Omega (Westport). 2020;81:393–403.
Heinze N, Castle CL. Exploring mental well-being, the emotional impact of visual impairment and experiences of prejudice and discrimination among adults from minority ethnic communities in the UK. Front Public Health. 2023;11:1277341.
Munn Z, Pollock D, Khalil H, Alexander L, McInerney P, Godfrey CM, et al. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis. JBI Evid Synth. 2022;20:950.
Peters MDJ, Godfrey C, McInerney P, Khalil H, Larsen P, Marnie C, et al. Best practice guidance and reporting items for the development of scoping review protocols. JBI Evid Synth. 2022;20:953.
Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. Chapter 11: scoping reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. Adelaide: JBI; 2020. p. 406–451.
Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18:143.
Peters MDJ, Marnie C, Colquhoun H, Garritty CM, Hempel S, Horsley T, et al. Scoping reviews: reinforcing and advancing the methodology and application. Syst Rev. 2021;10:263.
Khalil H, Peters M, Godfrey CM, McInerney P, Soares CB, Parker D. An evidence-based approach to scoping reviews. Worldviews Evid Based Nurs. 2016;13:118–123.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169:467–473.
Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18:2119–2126.
Peters MDJ, Marnie C, Colquhoun H, Garritty CM, Hempel S, Horsley T, et al. Scoping reviews: reinforcing and advancing the methodology and application. Syst Rev. 2021;10:263.
Dike N, D’Ambruoso L, Morgan HM, Skea Z, Tarburn E-L. Protective and risk factors of mental health of working age adults with adventitious total bilateral blindness and low vision: a scoping review protocol [Internet]. OSF. 2023. Available from: https://osf.io/q27r8.
International Agency for the Prevention of Blindness. Inequalities [Internet]. 2024 [cited 2024 May 17]. Available from: https://www.iapb.org/learn/vision-atlas/impact/inequalities/.
International Agency for the Prevention of Blindness. Inequality in vision loss [Internet]. 2024 [cited 2024 May 17]. Available from: https://www.iapb.org/learn/vision-atlas/inequality-in-vision-loss/.
Dandona L, Dandona R, Srinivas M, Giridhar P, Vilas K, Prasad MN, et al. Blindness in the Indian state of Andhra Pradesh. Invest Ophthalmol Vis Sci. 2001;42:908–916.
Tielsch JM, Sommer A, Katz J, Quigley H, Ezrine S. Socioeconomic status and visual impairment among urban Americans. Baltimore Eye Survey Research Group. Arch Ophthalmol. 1991;109:637–641.
Ulldemolins AR, Lansingh VC, Valencia LG, Carter MJ, Eckert KA. Social inequalities in blindness and visual impairment: a review of social determinants. Indian J Ophthalmol. 2012;60:368–375.
Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health. 2021;9:e489–e551.
Wang W, Yan W, Müller A, Keel S, He M. Association of socioeconomics with prevalence of visual impairment and blindness. JAMA Ophthalmol. 2017;135:1295–1302.
Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health. 2021;9:e489–e551.
Dahlgren G, Whitehead M. European strategies for tackling social inequities in health: levelling up part 2. Copenhagen: WHO Regional Office for Europe; 2006.
Dahlgren G, Whitehead M. Policies and strategies to promote social equity in health. In: Dahlgren G, Whitehead M, editors. European strategies for tackling social inequities in health: levelling up part 2 [Internet]. Copenhagen: WHO Regional Office for Europe; 2007. Available from: http://www.euro.who.int/__data/assets/pdf_file/0018/103824/E89384.pdf.
Dahlgren G, Whitehead M. Tackling inequalities in health: what can we learn from what has been tried? In: Dahlgren G, Whitehead M, editors. European strategies for tackling social inequities in health: levelling up part 2. London; Copenhagen: King’s Fund; WHO Regional Office for Europe; 1993.
Booth A, Papaioannou D, Sutton A. Systematic approaches to a successful literature review. 1st ed. London: SAGE; 2012.
World Health Organization. Mental health [Internet]. 2022 [cited 2024 May 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210.
Yaffe J, Montgomery P, Hopewell S, Shepard LD. Empty reviews: a description and consideration of Cochrane systematic reviews with no included studies. PLoS One. 2012;7:e36626.
Bassey E, Ellison C. Perspectives on social support among adults with acquired vision impairment. Br J Vis Impair. 2022;40:240–254.
Stevelink SAM, Malcolm EM, Fear NT. Visual impairment, coping strategies and impact on daily life: a qualitative study among working-age UK ex-service personnel. BMC Public Health. 2015;15:1118.
Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13:141–146.
Daniels K. Understanding context in reviews and synthesis of health policy and systems research. In: Langlois EV, Daniels K, Akl EA, editors. Evidence synthesis for health policy and systems: a methods guide. Geneva: World Health Organization; 2018. p. 42–53.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
MapChart. World map [Internet]. 2024 [cited 2024 Aug 12]. Available from: https://www.mapchart.net/world.html.
Tantirattanakulchai P, Hounnaklang N, Pongsachareonnont PF, Khambhiphant B, Hounnaklang S, Win N, et al. Impact of COVID-19 on depressive symptoms among patients with low vision and blindness. Clin Ophthalmol. 2023;17:789–796.
Rozon J-P, Hébert M, Bourgault S, Caissie M, Letartre L, Tourville E, et al. Fear associated with COVID-19 in patients with neovascular age-related macular degeneration. Clin Ophthalmol. 2021;15:1153–1161.
Duyan V, Karatas K. Effects of the 1999 earthquake on the completely blind living in and outside Marmara, Turkey. Int Soc Work. 2005;48:609–619.
Brennan M, Horowitz A, Reinhardt JP. The September 11th attacks and depressive symptomatology among older adults with vision loss in New York City. J Gerontol Soc Work. 2004;40:55–71.
Gori M, Bertonati G, Mazzoni E, Freddi E, Amadeo MB. The impact of COVID-19 on the everyday life of blind and sighted individuals. Front Psychol. 2022;13:897098.
Alworikat N, Abduljaber S, Darawsheh W. Quality of life and academic experiences of students with visual impairments. Res J Med Sci. 2020;14:77–83.
Lloyd J, Budge C, La Grow S, Stafford K. The end of the partnership with a guide dog: emotional responses, effects on quality of life and relationships with subsequent dogs. Front Vet Sci. 2021;8:543463.
World Health Organization. Rehabilitation [Internet]. 2025 [cited 2025 Sep 24]. Available from: https://www.who.int/news-room/fact-sheets/detail/rehabilitation.
Covarrubias CM. Exploration of quality of life with the use of assistive technology for individuals that are visually impaired or blind [Internet]. [Chicago, IL]: The Chicago School of Professional Psychology; 2022 [cited 2023 Oct 22]. Available from: https://www.proquest.com/docview/2645173900.
Nguyen BJ, Kim Y, Park K, Chen AJ, Chen S, Van Fossan D, et al. Improvement in patient-reported quality of life outcomes in severely visually impaired individuals using the Aira assistive technology system. Transl Vis Sci Technol. 2018;7:30.
Do AT, Ilango K, Ramasamy D, Kalidasan S, Balakrishnan V, Chang RT. Effectiveness of low vision services in improving patient quality of life at Aravind Eye Hospital. Indian J Ophthalmol. 2014;62:1125–1131.
Gyawali R, Paudel N, Adhikari P. Quality of life in Nepalese patients with low vision and the impact of low vision services. J Optom. 2012;5:188–195.
Rishi P, Rishi E, Maitray A, Agarwal A, Nair S, Gopalakrishnan S. Hospital anxiety and depression scale assessment of 100 patients before and after using low vision care: a prospective study in a tertiary eye-care setting. Indian J Ophthalmol. 2017;65:1203–1208.
Rosner Y, Perlman A. The effect of the usage of computer-based assistive devices on the functioning and quality of life of individuals who are blind or have low vision. J Vis Impair Blind. 2018;112:87–99.
Waisbourd M, Ahmed OM, Newman J, Sahu M, Robinson D, Siam L, et al. The effect of an innovative vision simulator (OrCam) on quality of life in patients with glaucoma. J Vis Impair Blind. 2019;113:332–340.
Hinds A, Sinclair A, Park J, Suttie A, Paterson H, Macdonald M. Impact of an interdisciplinary low vision service on the quality of life of low vision patients. Br J Ophthalmol. 2003;87:1391–1396.
Horowitz A, Brennan M, Reinhardt JP, Macmillan T. The impact of assistive device use on disability and depression among older adults with age-related vision impairments. J Gerontol B Psychol Sci Soc Sci. 2006;61:S274–S280.
Lorenzini M-C, Wittich W. Head-mounted visual assistive technology-related quality of life changes after telerehabilitation. Optom Vis Sci. 2021;98:582–591.
Ovenseri-Ogbomo GO, Osafo-Agyei H, Akpalaba REU, Addy J, Ovenseri EO. Impact of low vision services on the quality of life of low vision patients in Ghana. Afr Vis Eye Health. 2016;75:5.
Bassey E, Ellison C, Walker R. Perception of blind rehabilitation services among adults with acquired blindness in Nigeria: attention to functional goals. Br J Vis Impair. 2019;37:6–16.
Bellomo RG, Barassi G, Iodice P, Di Pancrazio L, Megna M, Saggini R. Visual sensory disability: rehabilitative treatment in an aquatic environment. Int J Immunopathol Pharmacol. 2012;25:17S–21S.
Donohue B, Acierno R, van Hasselt VB, Hersen M. Social skills training in a depressed, visually impaired older adult. J Behav Ther Exp Psychiatry. 1995;26:65–75.
Kaltenegger K, Kuester S, Altpeter-Ott E, Eschweiler GW, Cordey A, Ivanov IV, et al. Effects of home reading training on reading and quality of life in AMD: a randomized and controlled study. Graefes Arch Clin Exp Ophthalmol. 2019;257:1499–1512.
Singletary C. Psychological effects of intensive and comprehensive training centers on blind and visually impaired adults [Internet]. [Ruston, LA]: Louisiana Tech University; 2012 [cited 2023 Nov 21]. Available from: https://digitalcommons.latech.edu/dissertations/376.
McCulloh KJ, Crawford I, Resnick JD. A structured support group for midlife and older adults with vision loss. J Vis Impair Blind. 1994;88:152–156.
McIver S, Hall S, Mills DS. The impact of owning a guide dog on owners’ quality of life: a longitudinal study. Anthrozoos. 2020;33:103–117.
Miner RJ-T. The experience of living with and using a dog guide. RE:view. 2001;32:183–190.
Li K, Kou J, Lam Y, Lyons P, Nguyen S. First-time experience in owning a dog guide by older adults with vision loss. J Vis Impair Blind. 2019;113:452–463.
Lieberman LJ, Haibach-Beach PS, Sherwood J, Trad A. “We now fly”: perspectives of adults who are blind with guide dogs trained for running. Br J Vis Impair. 2019;37:213–226.
Rellini E. Self-help group for addressing depression and anxiety in the visually impaired: a pilot study. Mediterr J Clin Psychol. 2021;9:1–18.
Thomas T, Urbano J. A telephone group support program for the visually-impaired elderly. Clin Gerontol. 1993;13:61–72.
Birk T, Hickl S, Wahl H-W, Miller D, Kämmerer A, Holz F, et al. Development and pilot evaluation of a psychosocial intervention program for patients with age-related macular degeneration. Gerontologist. 2004;44:836–843.
Riazi A, Aspden T, Rubin G, Ambler G, Jichi F, Mynors-Wallice L, et al. Problem-solving treatment for people recently diagnosed with visual impairment: pilot randomised controlled trial. J Pers Med. 2022;12:1431.
Rovner BW, Casten RJ. Preventing late-life depression in age-related macular degeneration. Am J Geriatr Psychiatry. 2008;16:454–459.
Ueda Y, Tsuda A. Differential outcomes of skill training, group counseling, and individual cognitive therapy for persons with acquired visual impairment. Jpn Psychol Res. 2013;55:229–240.
Evans RL, Jaureguy BM. Telephone counselling with visually impaired adults. Int J Rehabil Res. 1981;4:550–552.
Wu N, Kong X, Sun X. Anxiety and depression in Chinese patients with glaucoma and its correlations with vision-related quality of life and visual function indices: a cross-sectional study. BMJ Open. 2022;12:e046194.
Reinhardt JP. Effects of positive and negative support received and provided on adaptation to chronic visual impairment. Appl Dev Sci. 2001;5:76–85.
Panigrahi A, Nageswar Rao G, Kumari Konar A. Vision-related quality of life and its sociodemographic correlates among individuals with visual impairments. J Vis Impair Blind. 2021;115:319–328.
Kim AM, Park J-H. Mental health and depressive mood in people with visual impairments. J Vis Impair Blind. 2023;117:314–325.
Schliermann R, Heydenreich P, Bungter T, Anneken V. Health-related quality of life in working-age adults with visual impairments in Germany. Disabil Rehabil. 2017;39:428–437.
Cimarolli VR, Wang S. Differences in social support among employed and unemployed adults who are visually impaired. J Vis Impair Blind. 2006;100:545–556.
Brennan M. Spirituality and psychosocial development in middle-age and older adults with vision loss. J Adult Dev. 2002;9:31–46.
Rees G, Xie J, Holloway EE, Sturrock BA, Fenwick EK, Keeffe JE, et al. Identifying distinct risk factors for vision-specific distress and depressive symptoms in people with vision impairment. Invest Ophthalmol Vis Sci. 2013;54:7431–7438.
Rees G, Tee HW, Marella M, Fenwick E, Dirani M, Lamoureux EL. Vision-specific distress and depressive symptoms in people with vision impairment. Invest Ophthalmol Vis Sci. 2010;51:2891–2896.
Dreer LE, Elliott TR, Fletcher DC, Swanson M. Social problem-solving abilities and psychological adjustment of persons in low vision rehabilitation. Rehabil Psychol. 2005;50:232–238.
Cimarolli VR, Reinhardt JP, Horowitz A. Perceived overprotection: support gone bad? J Gerontol B Psychol Sci Soc Sci. 2006;61:S18–S23.
Donoyama N, Takeda F. Mental health and related factors among massage practitioners with visual impairment. Ind Health. 2007;45:191–198.
Raadabadi M, Emamgholipour S, Daroudi R, Madadizadeh F, Veisi A. Health-related quality of life among adult patients with visual impairments in Yazd, Iran. J Educ Health Promot. 2022;11:242.
Gong X, Ni Z, Wu B. The mediating roles of functional limitations and social support on the relationship between vision impairment and depressive symptoms in older adults. Ageing Soc. 2020;40:465–479.
Weber JA, Wong KB. Older adults coping with vision loss. Home Health Care Serv Q. 2010;29:105–119.
Cimarolli VR, Boerner K. Social support and well-being in adults who are visually impaired. J Vis Impair Blind. 2005;99:521–534.
Hersen M, Kabacoff RI, Van Hasselt VB, Null JA, et al. Assertiveness, depression, and social support in older visually impaired adults. J Vis Impair Blind. 1995;89:524–530.
Hess I. Students with visual impairments in Israel: quality of life as a subjective experience. Int J Adolesc Med Health. 2011;23:257–262.
McIlvane JM, Reinhardt JP. Interactive effect of support from family and friends in visually impaired elders. J Gerontol B Psychol Sci Soc Sci. 2001;56:P374–P382.
Papadopoulos K, Papakonstantinou D. The impact of friends’ social support on depression of young adults with visual impairments. Int J Disabil Dev Educ. 2020;67:484–496.
Reinhardt JP, Boerner K, Horowitz A. Personal and social resources and adaptation to chronic vision impairment over time. Aging Ment Health. 2009;13:367–375.
Wang Y, Zhao Y, Xie S, Wang X, Chen Q, Xia X. Resilience mediates the relationship between social support and quality of life in patients with primary glaucoma. Front Psychiatry. 2019;10:22.
Papadopoulos K, Papakonstantinou D, Montgomery A, Solomou A. Social support and depression of adults with visual impairments. Res Dev Disabil. 2014;35:1734–1741.
Reinhardt JP, Boerner K, Horowitz A. Good to have but not to use: differential impact of perceived and received support on well-being. J Soc Pers Relat. 2006;23:117–129.
Wang C-W, Chan CLW, Ho AHY, Xiong Z. Social networks and health-related quality of life among Chinese older adults with vision impairment. J Aging Health. 2008;20:804–823.
Salehi M, Azarbayejani A, Shafiei K, Ziaei T, Shayegh B. Self-esteem, general and sexual self-concepts in blind people. J Res Med Sci. 2015;20:930–936.
Bookwala J. Marital quality as a moderator of the effects of poor vision on quality of life among older adults. J Gerontol B Psychol Sci Soc Sci. 2011;66B:605–616.
Jackson R, Lawson G. Family environment and psychological distress in persons who are visually impaired. J Vis Impair Blind. 1995;89:157–160.
Reinhardt JP. The importance of friendship and family support in adaptation to chronic vision impairment. J Gerontol B Psychol Sci Soc Sci. 1996;51:P268–P278.
Smith M. Giving support and mental health in older adults at risk for vision impairment [Internet]. [Morgantown, WV]: West Virginia University; 2013 [cited 2023 Nov 22]. Available from: https://researchrepository.wvu.edu/etd/425.
Smith M, Cui R, Odom JV, Leys MJ, Fiske A. Giving support and suicidal ideation in older adults with vision-related diagnoses. Clin Gerontol. 2020;43:17–23.
Bassey E, Ellison C. Psychological changes among working-age adults with acquired vision impairment: the need for psychological intervention? Br J Vis Impair. 2020;40:61–74.
Wang C-W, Chan CLW, Ng S-M, Ho AHY. The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment. Aging Ment Health. 2008;12:267–275.
Silverman AM, Molton IR, Smith AE, Jensen MP, Cohen GL. Solace in solidarity: disability friendship networks buffer well-being. Rehabil Psychol. 2017;62:525–533.
Jackson SE, Hackett RA, Pardhan S, Smith L, Steptoe A. Association of perceived discrimination with emotional well-being in older adults with visual impairment. JAMA Ophthalmol. 2019;137:825–832.
Verstraten PFJ, Brinkmann WLJH, Stevens NL, Schouten JSAG. Loneliness, adaptation to vision impairment, social support and depression among visually impaired elderly. Int Congr Ser. 2005;1282:317–321.
Evans RL. Loneliness, depression, and social activity after determination of legal blindness. Psychol Rep. 1983;52:603–608.
Haegele JA, Zhu X. Physical activity, self-efficacy and health-related quality of life among adults with visual impairments. Disabil Rehabil. 2021;43:530–536.
Łabudzki J, Tasiemski T. Physical activity and life satisfaction in blind and visually impaired individuals. Hum Mov. 2018;14:210–216.
Soares NM, Pereira GM, Soares LEB, Soares NM, Júnior CC, Oliveira ELM. Physical activity and quality of life in persons with visual impairment: an observational study. Sci Med (Porto Alegre). 2019;29:e33838.
Haegele JA, Zhu X, Healy S. Behavioral correlates of depression among adults with visual impairments. J Vis Impair Blind. 2021;115:403–413.
Miszko TA, Ramsey VK, Blasch BB. Tai Chi for people with visual impairments: a pilot study. J Vis Impair Blind. 2004;98:5–13.
Strongman C, Lindsay RK, Riches A, Cavallerio F, Gordon D, Morrison A. “Sometimes I feel like dancing afterwards”: exploring experiences of Pilates as a “return to sport” intervention after the COVID-19 lockdown in UK adults with visual impairment. Br J Vis Impair. 2023;41:437–455.
da Silva RBP, Caputo EL, Feter N, Reichert FF. Effects of two exercise programs on health-related fitness, quality of life and exercise enjoyment in adults with visual impairment: a randomized crossover trial. BMC Sports Sci Med Rehabil. 2022;14:176.
Boerner K. Adaptation to disability among middle-aged and older adults: the role of assimilative and accommodative coping. J Gerontol B Psychol Sci Soc Sci. 2004;59:P35–P42.
Brennan M, Horowitz A, Reinhardt JP, Cimarolli VR, Benn D, Leonard R. In their own words. J Gerontol Soc Work. 2001;35:107–129.
Boerner K, Cimarolli VR. Optimizing rehabilitation for adults with visual impairment: attention to life goals and their links to well-being. Clin Rehabil. 2005;19:790–798.
Garnefski N, Kraaij V, de Graaf M, Karels L. Psychological intervention targets for people with visual impairments: the importance of cognitive coping and goal adjustment. Disabil Rehabil. 2010;32:142–147.
Wang C-W, Chan CLW. Psychosocial adaptation status and health-related quality of life among older Chinese adults with visual disorders. Qual Life Res. 2009;18:841–851.
Papadopoulos K, Paralikas T, Barouti M, Chronopoulou E. Self-esteem, locus of control and various aspects of psychopathology of adults with visual impairments. Int J Dev Disabil Educ. 2014;61:403–415.
Sturrock BA, Xie J, Holloway EE, Hegel M, Casten R, Mellor D, et al. Illness cognitions and coping self-efficacy in depression among persons with low vision. Invest Ophthalmol Vis Sci. 2016;57:3032–3038.
Rovner BW, Casten RJ, Hegel MT, Hauck WW, Tasman WS. Dissatisfaction with performance of valued activities predicts depression in age-related macular degeneration. Int J Geriatr Psychiatry. 2007;22:789–793.
van der Ham AJ, van der Aa HPA, Verstraten P, van Rens GHMB, van Nispen RMA. Experiences with traumatic events, consequences and care among people with visual impairment and post-traumatic stress disorder: a qualitative study from the Netherlands. BMJ Open. 2021;11:e041469.
Sturrock BA, Xie J, Holloway EE, Lamoureux EL, Keeffe JE, Fenwick EK, et al. The influence of coping on vision-related quality of life in patients with low vision: a prospective longitudinal study. Invest Ophthalmol Vis Sci. 2015;56:2416–2422.
World Health Organization. Rehabilitation [Internet]. 2024 [cited 2024 Jan 15]. Available from: https://www.afro.who.int/health-topics/rehabilitation.
Society of Clinical Psychology. What is problem-solving therapy? [Internet]. [cited 2024 May 7]. Available from: https://www.div12.org/sites/default/files/WhatIsProblemSolvingTherapy.pdf.
APA Dictionary of Psychology. Social support [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/.
Cross CJ, Nguyen AW, Chatters LM, Taylor RJ. Instrumental social support exchanges in African American extended families. J Fam Issues. 2018;39:3535–3563.
APA Dictionary of Psychology. Emotional support [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/.
Folkman S, Moskowitz JT. Coping: pitfalls and promise. Annu Rev Psychol. 2004;55:745–774.
APA Dictionary of Psychology. Assimilative coping [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/
APA Dictionary of Psychology. Accommodative coping [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/.
Nakamura YM, Orth U. Acceptance as a coping reaction: adaptive or not? Swiss J Psychol. 2005;64:281–292.
APA Dictionary of Psychology. Avoidance coping [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/.
APA Dictionary of Psychology. Locus of control [Internet]. [cited 2024 Jun 8]. Available from: https://dictionary.apa.org/.
National Health Service. What is peer support? [Internet]. [cited 2024 May 8]. Available from: https://www.england.nhs.uk/long-read/peer-support/.
Glossary of Psychology. Overprotection [Internet]. [cited 2024 May 8]. Available from: https://www.psychology-lexicon.com/cms/glossary/48-glossary-o/22352-overprotection.html.
Ronca M, Peach B, Thompson I, Sin C. Demonstrating the impact and value of vision rehabilitation. London: OPM Group; 2017.
World Health Organization. Disability: draft WHO global disability action plan 2014–2021: better health for all people with disability [Internet]. 2014 [cited 2024 Jan 15]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA67/A67_16-en.pdf.
Whitehead M, Dahlgren G. Concepts and principles for tackling social inequities in health: levelling up part 1 [Internet]. Copenhagen: WHO Regional Office for Europe; 2006. Available from: https://www.enothe.eu/cop/docs/concepts_and_principles.pdf.
Kuettel A, Larsen CH. Risk and protective factors for mental health in elite athletes: a scoping review. Int Rev Sport Exerc Psychol. 2020;13:231–265.
Antonucci TC, Lansford JE, Akiyama H. Impact of positive and negative aspects of marital relationships and friendships on well-being of older adults. Appl Dev Sci. 2001;5:68–75.
Research4Life. Research4Life launches a new committee to address equity for researchers in LMICs [Internet]. 2023 [cited 2024 Jan 17]. Available from: https://www.research4life.org/news/research4life-launches-a-new-committee-to-address-equity-for-researchers-in-lmics/.
Anane-Binfoh NA, Flaherty KE, Zakariah AN, Nelson EJ, Becker TK, Afaa TJ. Barriers to decolonizing global health: identification of research challenges facing investigators residing in low- and middle-income countries. Glob Health Sci Pract. 2024;12:e2300269.
Charani E, Abimbola S, Pai M, Adeyi O, Mendelson M, Laxminarayan R, et al. Funders: the missing link in equitable global health research? PLoS Glob Public Health. 2022;2:e0000583.
American Optometric Association. Low vision and vision rehabilitation [Internet]. [cited 2023 Mar 13]. Available from: https://www.aoa.org/healthy-eyes/caring-for-your-eyes/low-vision-and-vision-rehab.
Carroll TJ. Blindness: what it is, what it does, and how to live with it. Boston, MA: Little, Brown and Company; 1961.
Dina Diatta I, Berchtold A. Impact of missing information on day-to-day research based on secondary data. Int J Soc Res Methodol. 2023;26:759–772.
Morrison A, Polisena J, Husereau D, Moulton K, Clark M, Fiander M, et al. The effect of English-language restriction on systematic review-based meta-analyses: a systematic review of empirical studies. Int J Technol Assess Health Care. 2012;28:138–144.
Zachariah R, Tayler-Smith K, Ngamvithayapong-Yanai J, Ota M, Murakami K, Ohkado A, et al. The published research paper: is it an important indicator of successful operational research at programme level? Trop Med Int Health. 2010 Nov. 15(11):1274 to 1277.
Miiro GM, Ouwe Missi Oukem-Boyer O, Sarr O, Rahmani M, Ntoumi F, Dheda K, et al. EDCTP regional networks of excellence: initial merits for planned clinical trials in Africa. BMC Public Health. 2013;13:258.
Dandona L, Dandona R. Revision of visual impairment definitions in the International Statistical Classification of Diseases. BMC Med. 2006;4:7.
McCleod S. Qualitative vs quantitative research: what’s the difference? [Internet]. 2023 [cited 2024 May 23]. Available from: https://www.simplypsychology.org/qualitative-quantitative.html.