title: Psychosocial adaptations to dual sensory loss in middle and late adulthood.
abstract: Concurrent losses of hearing and vision function, or dual sensory loss, affect a large number of individuals of all ages and particularly older adults. Dual sensory loss may present at any age as a result of genetic defect, accident, injury, disease, or environmental insult; however, most persons develop this condition as a result of age-related disease processes that rarely result in total deafness or blindness. This condition has wide-ranging implications for physical and psychological functioning and quality of life. In this article, we review the prevalence and causes of dual impairment and its effects on functioning for both individuals affected and their families. We examine psychosocial coping and adaptation to this condition using biopsychosocial-spiritual and ecological models and discuss various strategies for coping and adaptation. The impact of larger societal forces on psychosocial adaptation is presented, followed by recommendations for how rehabilitation and other professionals can meet the challenge of dual sensory loss that awaits us with the aging of the population.
authors.affiliation: Arlene R. Gordon Research Institute, Lighthouse International, New York 10022-1202, USA. mbrennan@lighthouse.org
authors.forename: Mark
authors.initials: M
authors.lastname: Brennan
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Bally
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D000375:Aging; D001307:Auditory Perception; D035843:Biomedical Research; D012048:Correction of Hearing Impairment; D054062:Deaf-Blind Disorders / Q000191:economics / Q000523:psychology* / Q000534:rehabilitation; D005195:Family Relations; D006801:Humans; D007348:Insurance, Health; D007398:Interpersonal Relations; D008875:Middle Aged; D010348:Patient Care Team; D019986:Persons with Hearing Disabilities; D011610:Psychosocial Deprivation; D011788:Quality of Life; D012959:Socioeconomic Factors; D029181:Spirituality; D014796:Visual Perception; D019987:Persons with Visual Disabilities