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. 2021 Mar;41(2):331-341.
doi: 10.1111/opo.12784. Epub 2021 Jan 22.

The development of posttraumatic stress disorder in individuals with visual impairment: a systematic search and review

Alida J van der Ham  1   2 , Hilde Pa van der Aa  1   2 , Audun Brunes  3 , Trond Heir  3   4 , Ralph de Vries  5 , Ger Hmb van Rens  1   6 , Ruth Ma van Nispen  1
Affiliations

The development of posttraumatic stress disorder in individuals with visual impairment: a systematic search and review

Alida J van der Ham et al. Ophthalmic Physiol Opt. 2021 Mar.

Abstract

Purpose: Posttraumatic stress disorder (PTSD) is a mental health problem with a negative impact on quality of life. Little is known about the relationship between PTSD and visual impairment. According to diagnostic criteria for PTSD, vision loss in itself is generally not considered as a traumatic event. PTSD in people with visual impairment is more likely to be the result of traumatic events, which are not directly related, or are only indirectly related to, visual impairment. The purpose of this systematic review was to describe and discuss the literature on the development of PTSD in people with visual impairment.

Methods: A literature search in PubMed, Embase, PsycINFO and Web of Science was performed up to 15 November 2019 in collaboration with a medical information specialist. Additional search strategies included hand searches of references of retrieved papers and free-text hand searches in Google Scholar. Thematic content analysis of the extracted data was carried out in order to identify main themes and subthemes.

Results: Findings from 13 articles are presented in a narrative manner along three main themes: (1) posttraumatic stress disorder; (2) traumatic events and (3) impact of traumatic events. People with visual impairments may be at higher risk of being exposed to certain potentially traumatic events. Limited/restricted access to situational information during events may contribute to the stressfulness of the experience. Furthermore, visual impairment may shape the impact of traumatic events.

Conclusions: The current evidence suggests some unique experiences and challenges for people who are visually impaired. PTSD was prevalent in this population, and prevalence rates ranged from 4% to 50%. Future research may focus on gaining insight into the extent and burden of PTSD, and exploring help-seeking behaviour and treatment needs among those with visual impairment and PTSD.

Keywords: blindness; literature review; posttraumatic stress disorder; traumatic event; visual impairment.

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Conflict of interest statement

The authors report no conflicts of interest and have no proprietary interest in any of the materials mentioned in this article.

Figures

Figure 1
Figure 1
PRISMA flow diagram of the search process
See this image and copyright information in PMC

References

    1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub: Arlington, 2013.
    1. Bisson JI, Cosgrove S, Lewis C et al. Post-traumatic stress disorder. BMJ 2015; 351: h6161. - PMC - PubMed
    1. Gerhart JI, Canetti D & Hobfoll SE. Traumatic stress in overview: definition, context, scope, and long-term outcomes. In: Traumatic Stress and Long-Term Recovery, (Cherry K, editor), Springer: Cham, 2015; pp. 3–24.
    1. McFarlane AC. Traumatic stress in the 21st century. Aust N Z J Psychiatry 2000; 34: 896–902. - PubMed
    1. Brewin CR, Andrews B & Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult and Clin Psychol 2000; 68: 748–766. - PubMed

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