This study compared the coping strategies, psychological stressors, and adjustment of 40 elderly male veterans with diabetic retinopathy and 40 with vision loss from other causes. The presence of diabetes, the recent onset of vision loss, coping by escape-avoidance, blaming oneself, and the absence of planful problem solving were associated with difficulties in daily activities, a diminished sense of well-being, and symptoms of depression. The psychological symptoms were usually of mild severity.
Get full access to this article
View all access options for this article.
References
1.
AshD. D., KeeganD. L., & GreenoughT. (1978). Factors in adjustment to blindness. Canadian Journal of Ophthalmology, 13, 15–21.
2.
BeckA. T., WardC. H., MendelsonM., MockJ. E., & ErbaughJ. K. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
3.
BernbaumM., AlbertS., & DuckroP. (1988). Psychosocial profiles in patients with visual impairment due to diabetic retinopathy. Diabetes Care, 11, 551–557.
4.
BillingsA. G., & MoosR. H. (1981). The role of coping responses in attenuating the impact of life stresses. Journal of Behavioral Medicine, 4, 139–157.
5.
BradburnN. M. (1969). The structure of psychological well-being.Chicago: Aldine.
6.
CatanzaroS. J., HoraneyF., & CreaseyG. (1995). Hassles, coping, and depressive symptoms in an elderly community sample: The role of mood regulation expectancies. Journal of Counseling Psychology, 42, 259–265.
7.
CohenF., & LazarusR. S. (1983). Coping and adaptation in health and illness. In MechanicD. (Ed.), Handbook of health, health care, and the health professions (pp. 608–635). New York: Macmillan.
8.
DerogatisL. R., LipmanR. S., RickelsK., UhlenhuthE. H., & CoviL. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.
9.
FeltonB. J., & RevensonT. A. (1984). Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment. Journal of Consulting and Clinical Psychology, 52, 343–353.
10.
FeltonB. J., RevensonT. A., & HinrichsenG. A. (1984). Stress and coping in the explanation of psychological adjustment among chronically ill adults. Social Science and Medicine, 18, 889–898.
11.
FitzgeraldR. G. (1970). Reactions to blindness: An exploratory study of adults with recent loss of sight. Archives of General Psychiatry, 20, 370–379.
12.
FolkmanS., & LazarusR. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.
13.
FolkmanS., LazarusR.S., Dunkel-SchetterC., DeLongisA., & GruenR. (1986). The dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992–1003.
14.
HarelZ., NoelkerL., & BlakeB. F. (1985). Comprehensive services for the aged: Theoretical and empirical perspectives. The Gerontologist, 25, 644–649.
15.
HollingsheadA. B. (1957). Two-factor index of social position. Unpublished manuscript. Yale University, Department of Sociology, New Haven, CT.
16.
HolmesD. M. (1986). The person and diabetes in psychosocial context. Diabetes Care, 9, 194–206.
17.
JacobsonA. M., RandL. I., & HauserS. T. (1985). Psychologic stress and glycemic control: A comparison of patients with and without diabetic retinopathy. Psychosomatic Medicine, 47, 372–381.
18.
LandisB. J. (1996). Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues in Mental Health Nursing, 17, 217–231.
19.
LaPlanteM. P. (1996). Health conditions and impairments causing disability. Disability Statistics Abstract, 16.Washington, DC: National Institute on Disability and Rehabilitation Research.
20.
LawtonM. P., & BrodyE. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.
PearlinL. I., & SchoolerC. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.
23.
Pibernik-OkanovicM., RoglicG., PrasekM., & MetelkoZ. (1996). Emotional adjustment and metabolic control in newly diagnosed diabetic persons. Diabetes Research & Clinical Practice, 34, 99–105.
24.
PolonskyW. H. (1993). Psychosocial issues in diabetes mellitus. In GatchellR. J. & BlanchardE. B. (Eds.), Psychophysiological disorders (pp. 357–381). Washington, DC: American Psychological Association.
25.
RickelsK., LipmanR.S., GarciaC. R., & FisherE. (1972). Evaluating clinical improvement in anxious outpatients. American Journal of Psychiatry, 128, 119–123.
26.
RothS., & CohenL. J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813–819.
27.
SherbourneC. D., HaysR. D., OrdwayL., DiMatteoM. R., & KravitzR. L. (1992). Antecedents of adherence to medical recommendations: Results from the medical outcomes study. Journal of Behavioral Medicine, 15, 447–468.
28.
ShindellS. (1989). Assessing the older adult with visual impairment. In HuntT. & LindleyC. J. (Eds.), Testing older adults: A reference guide for geropsychological assessments.Austin, TX: PRO-ED.
29.
StraussG. J. (1996). Psychological factors in intensive management of insulin-dependent diabetes mellitus. Nursing Clinics of North America, 31, 737–745.
30.
SulsJ., & FletcherB. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis. Health Psychology, 4, 249–288.
31.
TurkD. C., RudyT. E., & SaloveyP. (1986). Implicit models of illness. Journal of Behavioral Medicine, 9, 453–474.
32.
UhlenhuthE. H., LipmanR. S., BaiterM. B., & SternM. (1974). Symptom intensity and life stress in the city. Archives of General Psychiatry, 31, 759–764.
33.
VitalianoP. P., MaiuroR. D., RussoJ., & BeckerJ. (1987). Raw versus relative scores in the assessment of coping strategies. Journal of Behavioral Medicine, 10, 1–18.
34.
VitalianoP. P., RussoJ., CarrJ.E., MaiuroR. D., & BeckerJ. (1985). The Ways of Coping Checklist: Revision and psychometric properties. Multivariate Behavioral Research, 20, 3–26.
35.
WarrP., BarterJ., & BrownbridgeG. (1983). On the independence of positive and negative affect. Journal of Personality and Social Psychology, 44, 644–651.
36.
WelchG. W., JacobsonA. M., & PolonskyW. H. (1997). The Problem Areas in Diabetes Scale: An evaluation of its clinical utility. Diabetes Care, 20, 760–766.
37.
WortmanC. B., & SilverR. C. (1989). The myths of coping with loss. Journal of Consulting and Clinical Psychology, 57, 349–357.
38.
WortmanC. B., SilverR. C., & KesslerR. C. (1993). The meaning of loss and adjustment to bereavement. In StroebeM. S., StroebeW., & HanssonR. O. (Eds.), Handbook of bereavement: Theory, research, and intervention.New York: Cambridge University Press.
39.
WulsinL. R., JacobsonA. M., & RandL. I. (1987). Psychosocial aspects of diabetic retinopathy. Diabetes Care, 10, 367–373.
40.
WulsinL. R., JacobsonA. M., & RandL. I. (1993). Psychosocial adjustment to advanced proliferative diabetic retinopathy. Diabetes Care, 16, 1061–1066.