Date of Submission

2019

Degree Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Psychology

Department Chair

Robert A DiTomasso, PhD, ABPP

Abstract

This study sought to explore the efficacy of group Problem-Solving Therapy (PST) adapted for individuals living with visual impairment. Specifically, this study investigated changes in quality of life, levels of acceptance, problem-solving, depression, and cognitive distortions following treatment. A group of ten participants (N = 10) were recruited in a large Northeastern city from a non-profit organization providing programming to individuals with visual impairment. Combined pretest-posttest experimental and qualitative study designs were utilized. Individuals were assessed using measures to acquire baseline and outcomes on depression (Beck Depression Inventory-II), acceptance (Acceptance and Action Questionnaire-II), quality of life (World Health Organization Quality of Life-Brief), problem-solving (Vision Specific Optimization in Primary and Secondary Control), and cognitive distortions (Inventory of Cognitive Distortions). Eight of the original ten participants completed posttest measures immediately following the PST group treatment and six of the original ten were assessed at three-month follow-up. Of the eight participants whose posttest data were available, five participants reported decreases in depression scores, two reported increases in acceptance, and seven reported decreased levels of cognitive distortions. Results on quality of life and problem-solving were mixed. Qualitative data were also explored and relevant themes were identified and discussed. This study identified a number of obstacles to efficacious, evidence-based treatment for the sight-impaired community and offers practical suggestions on how to overcome these impediments to effective treatment.

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