title: Perceived overprotection: support gone bad?
abstract: OBJECTIVE
  This article focuses on the effects of perceived overprotection, a potentially problematic aspect of receiving support, on the ability to adjust to a chronic impairment, specifically, age-related vision loss. Perceived overprotection is an especially critical issue in this population of chronically ill older adults because of the safety issues associated with vision impairment and because perceptions on the part of the older adult that the support providers are overprotective may lead to excess disability.
  
  
  METHODS
  Participants were 584 older men and women with age-related vision impairment who applied for services at a vision rehabilitation agency. Path analysis was used to examine the effects of perceived overprotection on two positive indicators of adjustment: vision-specific adaptation and environmental mastery. Moreover, antecedents of perceived overprotection were examined.
  
  
  RESULTS
  Higher levels of perceived overprotection were associated with less optimal adjustment to age-related vision loss, with lower scores on measures of vision-specific adaptation and environmental mastery. Higher levels of functional disability and instrumental support received were associated with higher levels of perceived overprotection.
  
  
  CONCLUSIONS
  Findings indicate that support providers of older adults with visual impairment as well as vision rehabilitation service providers need to be aware of the detrimental impact of perceived overprotection.
authors.affiliation: Arlene R. Gordon Research Institute, Lighthouse International, 111 East 59 Street, New York, NY 10022, USA. VCimarolli@lighthouse.org
authors.forename: Verena R
authors.initials: VR
authors.lastname: Cimarolli
authors.forename: Joann P
authors.initials: JP
authors.lastname: Reinhardt
authors.forename: Amy
authors.initials: A
authors.lastname: Horowitz
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D012944:Social Support; D019987:Persons with Visual Disabilities / Q000523:psychology*