BREAKING BARRIERS: UNVEILING THE MENTAL HEALTH CHALLENGES OF STUDENTS WITH VISUAL IMPAIRMENT IN PAKISTAN
Main Article Content
Keywords
Mental health, Challenges, Students, Visual Impairment
Abstract
Objective: Students with visual impairment face unique challenges that can have a substantial impact on their mental health. There has been limited research addressing the mental health challenges of this population in Pakistan. Therefore, the aim of the current study was to address this gap by specifically identifying psychological distress, as well as emotional and behavioural problems, among students with visual impairment.
Methodology: In this study purposive sampling technique was used to collect data. Present study included a sample of (N=100) consisting of (n=52) males and (n=48) females who were students with visual impairment. The age range of participants was from 13 to 17 years. Standardized scales were used to assess the mental health outcomes. The Depression Anxiety Stress Scale (DASS-21) was employed to measure the participants' level of psychological distress. Additionally, emotional and behavioural problems of these students were evaluated by using the Strengths and Difficulties Questionnaire (SDQ). Data was collected in one-on-one sessions by orally administering the questionnaires.
Results: The results indicated that there was positive correlation between psychological distress (i.e. Depression, Anxiety, and Stress) and emotional and behavioural problems (i.e. emotional symptoms, conduct problems, hyperactivity/inattention, and peer relationship problems). However, prosocial behaviour showed negative correlation with psychological distress as well as with emotional and behavioural problems. Results also revealed that subscales of DASS-21 collectively explained variance in predicting emotional symptoms, conduct problems, hyperactivity/inattention, and peer relationship problems. However, depression negatively predicted prosocial behavior among students with visual impairment. Moreover, t-test revealed that females showed high level of psychological distress t(98) = -2.06, p<.05) as well as emotional and behavioural problems t(98) = -2.36, p<.05) compared to male students with visual impairment.
Conclusion: The results of current study highlighted the vital need for focused interventions aimed at improving the psychological health of students with visual impairment in order to reduce the likelihood of psychological distress as well as the emotional and behavioural problems. Understanding the ramifications of these findings can help educators, counselors, and legislators create more effective plans to promote the overall well-being of students with visual impairment in Pakistan.
References
2. Sarabandi, A., Kamali, M., &Mobaraki, H. (2013). The relationship between impaired visual function and quality of life of the blind. Research in Rehabilitation Sciences, 8(6), 1015 1023.https://doi.org/10.22122/jrrs.v8i6.679
3. Man, R. E. K., Gan, A. T. L., Fenwick, E. K., Thakur, S., Gupta, P., Teo, Z. L., ... & Lamoureux,E. L. (2020). Using uniocular visual acuity substantially underestimates the impact of visual impairment on quality of life compared with binocular visual acuity. Ophthalmology, 127(9), 1145-1151.
4. Lam, B. L., Christ, S. L., Lee, D. J., Zheng, D. D., & Arheart, K. L. (2008). Reported visual impairment and risk of suicide: the 1986-1996 national health interview surveys. Archives of ophthalmology, 126(7), 975-980.
5. Crews, J. E., Chou, C. F., Zack, M. M., Zhang, X., Bullard, K. M., Morse, A. R., & Saaddine, J. B. (2016). The association of health-related quality of life with severity of visual impairment among people aged 40–64 years: findings from the 2006–2010 Behavioral Risk Factor Surveillance System. Ophthalmic Epidemiology, 23(3), 145-153.
6. Munaw, M. B., & Tegegn, M. T. (2022). Visual impairment and psychological distress amongadults attending the University of Gondar tertiary eye care and training center, Northwest Ethiopia: A comparative cross-sectional study. PloS one, 17(2), e0264113.
7. Choi, H. G., Lee, M. J., & Lee, S.-M. (2018). Visual impairment and risk of depression: A longitudinal follow-up study using a national sample cohort. Scientific Reports, 8(1), 1. https://doi.org/10.1038/s41598-018-20374-5
8. Mayro, E. L., Murchison, A. P., Hark, L. A., Silverstein, M., Wang, O. Y., Gilligan, J. P., ... & Haller, J. A. (2021). Prevalence of depressive symptoms and associated factors in an urban, ophthalmic population. European Journal of Ophthalmology, 31(2), 740-747.
9. Bolat, N., Dogangun, B., Yavuz, M., Demir, T., &Kayaalp, L. (2011). Depression and anxiety levels and self-concept characteristics of adolescents with congenital complete visual impairment. Turk PsikiyatriDerg, 22(2), 77-82.
10. Greenaway, R., Pring, L., Schepers, A., Isaacs, D. P., & Dale, N. J. (2016). Neuropsychological presentation and adaptive skills in high-functioning adolescents with visual impairment: A preliminary investigation. Applied Neuropsychology: Child, 6(2), 145-157. doi: 10.1080/21622965.2015.1129608
11. Selepe, M. M., &Molelemane, M. E. (2022). The Challenges of Students with Disabilities Access and Participation in Higher Education in South Africa. African Journal of Development Studies, 12(1), 111.
12. Harris, J., & Lord, C. (2016). Mental health of children with vision impairment at 11 years of age. Developmental Medicine and Child Neurology, 58(7), 774-779.doi:10.1111/dmcn.13032.
13. Neupane, D. K. (2022). Factors Affecting School Participation of Visually Impaired Children. Scholars' Journal, 108-121.
14. Brambring, M. (2000) Behaviour problems in children and adolescents with visual impairment. Visions and strategies for the new century. Proceedings ICEVI European Conference. International Council for Education of People with Visual Impairment. Available at: http://www.icevieurope.org/cracow2000/proceedings/chap06.html#4
15. Carvill, S. (2001) Sensory impairments, intellectual disability and psychiatry. Journal of Intellectual Disability Research 45, 467–483.
16. Malekitabar, A., KhoshKonesh, A., &KhodabakhshiKoulaei, A. (2012). Comparison of self concept and social adjustment in healthy and blind male persons [Persian]. Zahedan Journal of Research in Medical Sciences, 13(1), 33. https://www.sid.ir/Fa/Journal/ViewPaper.aspx?id=154036
17. Akuffo, K. O., Sewpaul, R., Darrah, S., Dukhi, N., Kumah, D. B., Agyei-Manu, E., Addo, E. K., Asare, A. K., Duah, I. O., & Reddy, P. (2021). Vision loss, vision difficulty and psychological distress in South Africa: results from SANHANES-1. BMC Psychology, 9(1). https://doi.org/10.1186/s40359-021-00558-x
18. Antony, M. M., Bieling, P., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998a). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. https://doi.org/10.1037/1040-3590.10.2.176
19. Aslam, N., & Kamal, A. (2017). Translation, validation and effectiveness of depression, anxiety and stress scale (DASS-21) in assessing the psychological distress among flood affected individuals. Journal of Pakistan Psychiatric Society, 14(4), 16-20.
20. Goodman, R. (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child & Adolescent Psychiatry, 40(11), 1337-1345.
21. Samad, L., Hollis, C., Prince, M., & Goodman, R. (2005). Child and adolescent psychopathology in a developing country: testing the validity of the Strengths and Difficulties Questionnaire (Urdu version). International Journal of Methods in Psychiatric Research, 14(3), 158–166. https://doi.org/10.1002/mpr.3
22. Huda, N., Billah, M., Sharmin, S., Amanullah, A. S. M., &Hossin, M. Z. (2021). Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate? BMC Psychology, 9(1). https://doi.org/10.1186/s40359-021-00587-6
23. McLuckie, A., Matheson, K., Landers, A. L., Landine, J., Novick, J., Barrett, T., &Dimitropoulos, G. (2017). The relationship between psychological distress and perception of emotional support in medical students and residents and implications for educational institutions. Academic Psychiatry, 42(1), 41–47. https://doi.org/10.1007/s40596-017-0800-7
24. Bhuvaneswari, M., Selvaraj, C. I., Selvaraj, B., & Srinivasan, T. (2016). Assessment of psychological and psycho-physiological problems among visually impaired adolescents. Iranian journal of psychiatry and behavioral sciences, 10(1).
25. Kirk, H., Gray, K. M., Riby, D. M., Taffe, J. R., & Cornish, K. (2016). Visual attention and academic performance in children with developmental disabilities and behavioural attention deficits. Developmental Science, 20(6). https://doi.org/10.1111/desc.12468
26. Rees, G., Xie, J., Holloway, E. E., Sturrock, B. A., Fenwick, E. K., Keeffe, J. E., & Lamoureux, E. (2013). Identifying distinct risk factors for vision-specific distress and depressive symptoms in people with vision impairment. Investigative ophthalmology & visual science, 54(12), 7431-7438.
27. Gay, M. C., Bungener, C., Thomas, S., Vrignaud, P., Thomas, P. W., Baker, R., ... & Montreuil, M. (2017). Anxiety, emotional processing and depression in people with multiple sclerosis. BMC neurology, 17(1), 1-10.
28. Adedeji, A., Otto, C., Kaman, A., Reiß, F., Devine, J., & Ravens‐Sieberer, U. (2022). Peer relationships and depressive symptoms among adolescents: results from the German BELLA study. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.767922
29. Forbes, P., Aydogan, G., Braunstein, J., Todorova, B., Wagner, I. C., Lockwood, P. L., Apps, M. a. J., Ruff, C. C., &Lamm, C. (2023). Acute stress reduces effortful prosocial behaviour. Neuroscience. https://doi.org/10.7554/elife.87271.2
30. Zhang, M., Zhang, J., Zhang, F., Zhang, L., & Feng, D. (2018). Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: Does gender make a difference? Psychiatry Research, 267, 409–413. https://doi.org/10.1016/j.psychres.2018.06.038
31. Brunes, A., & Heir, T. (2020). Visual impairment and depression: Age-specific prevalence, associations with vision loss, and relation to life satisfaction. World Journal of Psychiatry, 10(6), 139–149. https://doi.org/10.5498/wjp.v10.i6.139
32. Pardhan, S., Lopez Sanchez, G. F., Bourne, R., Davis, A., Leveziel, N., Koyanagi, A., & Smith, L. (2021). Visual, hearing, and dual sensory impairment are associated with highdepression and anxiety in women. International Journal of Geriatric Psychiatry, 36(9),1378-1385.
33. Piccinelli, M., & Wilkinson, G. (2000). Gender differences in depression: Critical review. The British Journal of Psychiatry, 177(6), 486-492.
34. Li, S. H., & Graham, B. M. (2017). Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. The Lancet Psychiatry, 4(1), 73-82.
35. Demir, F., &Özdemir, S. (2016). A comparison of problem behaviours of students withvisual impairments and typically developing students. IJAEDU-International E-Journal of Advances in Education, 2(4).
36. Mikami, A. Y., &Lorenzi, J. (2011). Gender and conduct problems predict peer functioning among children with attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 40(5), 777-786.
37. Tiet, Q. Q., Wasserman, G. A., Loeber, R., McReynolds, L. S., & Miller, L. S. (2001).Developmental and sex differences in types of conduct problems. Journal of Child and Family Studies, 10, 181-197.