Cognitive appraisals, distress and disability among persons in low vision rehabilitation
Version of Record online: 24 DEC 2010
2008 The British Psychological Society
British Journal of Health Psychology
Volume 13, Issue 3, pages 449–461, September 2008
How to Cite
Dreer, L. E., Elliott, T. R., Berry, J., Fletcher, D. C., Swanson, M. and Christopher, J. M. (2008), Cognitive appraisals, distress and disability among persons in low vision rehabilitation. British Journal of Health Psychology, 13: 449–461. doi: 10.1348/135910707X209835
- Issue online: 24 DEC 2010
- Version of Record online: 24 DEC 2010
- Received 26 June 2006; revised version received 15 April 2007
Objective Examined cognitive appraisals of interference and tolerance in the prediction of distress and self-reported disability among persons presenting for low vision rehabilitation.
Design Cross-sectional; correlational and path analyses.
Methods One-hundred and thirteen patients (mean age, 71 years; 52 men and 61 women) presenting for low vision rehabilitation at a university-based centre for low vision rehabilitation participated in an initial clinical vision examination and completed several questionnaires to evaluate cognitive appraisals, emotional distress and self-reported disability.
Results Path analyses indicated that greater tolerance was associated with less interference imposed by vision loss. Greater tolerance was also associated with less emotional distress and symptom severity (visual acuity) was associated with self-reported disability. Cognitive appraisals (tolerance and interference) indirectly influenced self-reported disability through emotional distress.
Conclusions The data indicate that appraisals of personal ability to tolerate vision loss and the perceived interference of vision loss on goal-directed behaviour and expected activities have greater influence on distress and are subsequently predictive of disability in comparison with objective symptoms (visual acuity). Implications for clinical interventions and further research are discussed.