Psychosocial impact of visual impairment in working-age adults

Aim: To review the evidence for the presence of lower levels of psychosocial well-being in working age adults with visual impairment, and for interventions to improve such levels of psychosocial well-being. Methods: Systematic review of quantitative studies published in English from 2001 to July 2008 that measured depression/mental health, anxiety, quality of life, social functioning or social support. Results: Included were 29 studies that measured one or more outcomes (N¼52). Working-age adults with visual impairment were significantly more likely to report lower levels of mental health (mean difference¼14.51/100), social functioning (MD¼11.55/100) and quality of life. Studies regarding the prevalence of depressive symptoms produced inconsistent results but had methodological limitations. Conclusions: Future research is required into the prevalence of loneliness, anxiety, and depression in adults with visual impairment, and to evaluate the effectiveness of interventions for improving psychosocial well-being such as counselling, peer support, and employment programmes