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The Use of Dog Guides for Orientation and Mobility by Individuals With the Argus II Retinal Prosthesis: A Case Series 使用阿格斯II型视网膜假体的个体的定位和移动犬指南:一个案例系列
4区 医学 Q4 REHABILITATION Pub Date : 2023-09-01 DOI: 10.1177/0145482x231205581
Marine Flourence, Francesco Merlini, Ana Leffel, Marco Fossati, Sophia Meddouri, Valentina Carbone, Matthias Benninghofen, Fouzia Studer, Hélène Dollfus, David Gaucher, Bernd Kirchhof, Marco Mura, Andy Fisher
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引用次数: 0
Using Checklists as a Vocational Rehabilitation Tool for Employed Consumers 使用清单作为就业消费者的职业康复工具
4区 医学 Q4 REHABILITATION Pub Date : 2023-09-01 DOI: 10.1177/0145482x231169734
Cantrice Moffitt
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引用次数: 0
“Being Yourself”: Self-Determination at a Summer Sports Camp for Youths With Visual Impairments “做你自己”:视力受损青少年暑期运动营的自我决定
4区 医学 Q4 REHABILITATION Pub Date : 2023-09-01 DOI: 10.1177/0145482x231197676
Maria Lepore-Stevens, Heather Schugar
Introduction: This mixed-methods study examined self-determination at a summer sports camp for youths with visual impairments (i.e., those who are blind or have low vision). Educators of students with visual impairment have reported that the expanded core curriculum should be taught outside of the school day and have reported placing a lower priority on teaching self-determination skills during school hours. Methods: Athletes at a mid-Atlantic sports camp for youths with visual impairments responded to the American Institute for Research (AIR) Self-Determination Scale survey regarding perceptions of their own self-determination across three settings, a questionnaire about their experiences of self-determination during camp, and interviews about their understanding of self-determination at camp. Adult coaches responded to a questionnaire concerning opportunities for athletes to develop self-determination skills. Results: A repeated measures ANOVA on composite scores of AIR Self-Determination Scale across home, school, and camp settings revealed athletes were statistically significant, F (2.13) = 24.24, p < .001. Athletes were more confident in their self-determination skills at camp ( M = 26.6, SD = 3.33) compared to home ( M = 19.1, SD = 5.76) and school ( M = 19.2, SD = 5.21). Athletes reported the camp setting allowed for the development of self-determination skills by fostering positive relationships between coaches and athletes, providing emotional support, and promoting inclusion with respect to visual impairment. Limitations included the small sample size, question comprehension, shortened data collection, busy environment, and nature of the relationship between participants and researchers. Discussion: This research will contribute to literature related to teaching self-determination skills to young people with visual impairments and has implications for classroom learning. Implications for Practitioners: Low student-to-staff ratios, access to adapted sports, options to follow one's interests throughout the day, and goal-setting are aspects of camp that educators can adopt to promote self-determination in school.
前言:本研究采用混合方法对一个有视觉障碍的青少年(即那些失明或视力低下的人)的夏季运动营地的自我决定进行了调查。视障学生的教育工作者报告说,扩大的核心课程应该在上课时间之外教授,并报告说,在上课时间教授自我决定技能的优先级较低。方法:参加中大西洋地区青少年视力障碍运动营的运动员对美国研究所(AIR)自决量表进行了问卷调查,内容涉及他们在三种环境下对自我决定的感知,问卷调查涉及他们在运动营中对自我决定的体验,访谈涉及他们在运动营中对自我决定的理解。成人教练回答了一份关于运动员发展自我决定技能的机会的问卷。结果:通过重复测量方差分析(repeated measures ANOVA)对AIR自决量表在家庭、学校和营地环境下的综合得分进行分析,结果显示运动员具有统计学意义,F (2.13) = 24.24, p <措施。与家庭(M = 19.1, SD = 5.76)和学校(M = 19.2, SD = 5.21)相比,运动员在营地(M = 26.6, SD = 3.33)对自己的自决技能更有信心。运动员报告说,营地环境通过培养教练和运动员之间的积极关系,提供情感支持和促进对视力障碍的包容,允许自我决定技能的发展。局限性包括样本量小、问题理解能力强、数据收集时间短、环境繁忙以及参与者与研究者之间关系的性质。讨论:本研究将有助于与向有视觉障碍的年轻人教授自我决定技能相关的文献,并对课堂学习有影响。对实践者的启示:较低的学生与教师比例,获得适应的体育运动,全天遵循个人兴趣的选择,以及目标设定是教育工作者可以采用的营地方面,以促进学校的自决。
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引用次数: 0
Erratum: Telehealth for Pediatric Gastroenterology Care Now: The Transition to Telehealth and the Impact of Webinar-Based Didactics: Erratum. 校误:远程医疗儿科胃肠病学护理现在:过渡到远程医疗和影响的网络研讨会为基础的教学:校误。
4区 医学 Q4 REHABILITATION Pub Date : 2023-08-22 eCollection Date: 2023-11-01 DOI: 10.1097/PG9.0000000000000361

[This corrects the article DOI: 10.1097/PG9.0000000000000182.].

[这更正了文章DOI: 10.1097/PG9.0000000000000182.]。
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引用次数: 0
Barriers at Workplace: Challenges for Adults With Visual Impairments—A Systematic Literature Review 工作场所的障碍:成人视力障碍的挑战——系统文献综述
4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482x231195637
Madhurenu Basu, K. Sambath Rani
Introduction: A systematic review was carried out to determine and address the employment-related barriers encountered by persons with visual impairment. The existing database has been analyzed to summarize employment-related issues, facilitate support, and ensure rehabilitation and equal participation in employment. Methods: Fourteen peer-reviewed publications in more than 13 countries from 1998 to 2021 that met the criteria to address employment issues were selected to summarize workplace-related barriers, workplace experience, and assistive technology usage. A three-point rating scale was used to evaluate the studies based on the number of employment-related issues they emphasized. Results: The findings were drawn thematically and suggested that (a) various workplace-related issues, including transportation, (b) the employer's intention to hire, and (c) lack of assistive technology are the most crucial barriers to employment. Discussions: The article identified the barriers to employment of persons with visual impairment from the existing literature and discussed the significant issues. Society needs to support the inclusion of each individual and ensure equal participation. Implications for the Practitioners: The review will enable rehabilitation professionals to get an insight into the issues and risk factors related to the employment of persons with visual impairment. This will allow the professionals to work out strategies to address the same.
引言:本研究进行了一项系统的评估,以确定和解决视障人士在就业方面遇到的障碍。对现有数据库进行了分析,以总结与就业有关的问题,促进支助,并确保康复和平等参与就业。方法:从1998年到2021年,在超过13个国家中选择了14份同行评议的出版物,这些出版物符合解决就业问题的标准,以总结与工作场所相关的障碍、工作场所经验和辅助技术的使用。根据他们强调的与就业有关的问题的数量,采用了一个三点评分表来评价这些研究。结果:调查结果是按主题绘制的,并表明(a)各种与工作场所相关的问题,包括交通,(b)雇主的雇用意图,以及(c)缺乏辅助技术是就业的最关键障碍。讨论:本文从现有文献中找出了视障人士的就业障碍,并讨论了其中的重要问题。社会需要支持每个人的融入,并确保平等参与。对从业员的影响:是次检讨有助康复专业人士深入了解与聘用视障人士有关的问题及风险因素。这将使专业人士能够制定出解决同样问题的策略。
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引用次数: 0
On “Teaching Social Skills to Children and Adolescents With Visual Impairments: A Systematic Review” 关于“视觉障碍儿童和青少年的社交技能教学:系统回顾”
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231188881
Arielle Silverman
In the recent JVIB article entitled, “Teaching social skills to children and adolescents with visual impairments: A systematic review,” Caron and colleagues presented a review of 32 studies of social skills instruction for children who are blind or have low vision, conducted across eight countries between 1983 and 2020 (Caron et al., 2023). I came to this review article in a unique position, as both the director of research at the American Foundation for the Blind (AFB) and as a woman who has been totally blind since birth and grew up receiving itinerant instruction during the 1990s. With this dual perspective as both a researcher and as a former blind child, I urge JVIB readers to consider two important but distinct metrics of research quality: the scientific validity of the evidence, and the practical impact of its application. The article begins with a review of evidence demonstrating social participation challenges for individuals who are blind or have low vision in comparison to their sighted peers, such as “tending to spend more time in solitary occupations” than sighted peers and reduced social role participation among adolescents and adults. A review is then presented of 32 investigations of various interventions that target specific behavioral outcomes in blind or low vision students, ranging from initiation of play for young children to asking questions during job interviews for older adolescents. The scientific quality of studies varied, but most studies were of moderate to high quality. The authors concluded that “Given the high rate of social skills difficulties reported in this population and the effect of these difficulties on all stages of development, it seems particularly relevant for practitioners to integrate social skills assessment and explicit teaching into intervention programs.” A systematic review is a great tool for evaluating the scientific quality of a body of evidence. Researchers can use objective criteria to evaluate the strength, reliability, and reproducibility of an intervention’s effects on a specific outcome variable (or series of outcome variables). A scientific quality evaluation is value neutral. However, research is never value-free; the questions being asked and the conclusions drawn from the data are always influenced by the underlying beliefs and biases of the researchers and the wider community. In addition to scientific quality, any body of evidence can be judged subjectively by the individuals it impacts. There is clear evidence of the fact that individuals who are blind or have low vision face challenges to social participation. However, these challenges are not necessarily attributable to limited social skills within these individuals. Structural and attitudinal barriers in the environment may also contribute to social exclusion. The environments in which young children typically play, such as playgrounds and open parks where children run or play with balls, are often partially or wholly inaccessib
在最近JVIB的一篇题为“向有视觉障碍的儿童和青少年教授社交技能:系统回顾”的文章中,Caron和他的同事们对1983年至2020年在八个国家进行的32项关于盲人或低视力儿童社交技能教学的研究进行了回顾(Caron et al., 2023)。我以一个独特的身份来到这篇评论文章,既是美国盲人基金会(AFB)的研究主任,也是一名自出生以来就完全失明的女性,在20世纪90年代接受巡回指导长大。作为一名研究人员和一名曾经的盲童,我以这种双重视角敦促JVIB的读者考虑研究质量的两个重要但不同的指标:证据的科学有效性和其应用的实际影响。这篇文章首先回顾了一些证据,这些证据表明,与视力正常的同龄人相比,失明或视力低下的人在社会参与方面面临挑战,例如,与视力正常的同龄人相比,“倾向于花更多的时间从事孤独的职业”,青少年和成年人的社会角色参与减少。然后回顾了32项针对盲人或低视力学生特定行为结果的各种干预措施的调查,从幼儿开始玩耍到年龄较大的青少年在工作面试中提出问题。研究的科学质量各不相同,但大多数研究都是中等到高质量的。作者总结道:“考虑到这些人群中社交技能困难的发生率很高,以及这些困难对所有发展阶段的影响,从业者将社交技能评估和明确的教学纳入干预计划似乎尤为重要。”系统综述是评估大量证据的科学质量的一个很好的工具。研究人员可以使用客观标准来评估干预措施对特定结果变量(或一系列结果变量)影响的强度、可靠性和可重复性。科学的质量评价是价值中立的。然而,研究从来都不是没有价值的;所提出的问题和从数据中得出的结论总是受到研究人员和更广泛社区的潜在信念和偏见的影响。除了科学质量之外,任何证据都可以由它所影响的个人进行主观判断。有明确的证据表明,盲人或视力低下的人在社会参与方面面临挑战。然而,这些挑战并不一定归因于这些人有限的社交技能。环境中的结构性和态度障碍也可能造成社会排斥。幼儿通常玩耍的环境,如儿童跑步或玩球的游乐场和露天公园,往往部分或完全无法让盲人或低视力儿童进入。这可以解释为什么这些孩子可能更喜欢“孤独的职业”。此外,有任何明显差异的儿童或青少年往往因同龄人的偏见而被排除在外。在阅读系统综述时,我对缺乏对视力正常的同龄人或社会环境的干预措施感到震惊。相反,大多数干预措施的重点是让盲人或低视力儿童遵守社会规范,比如与同龄的同龄人一起玩耍,类似于《致编辑的信》
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引用次数: 1
Beyond Hand's Reach: Haptic Feedback Is Essential to Toddlers With Visual Impairments Achieving Independent Walking 手够不着:触觉反馈对有视觉障碍的幼儿独立行走至关重要
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231188728
Grace Ambrose-Zaken
Introduction: A toddler's ability to stand alone in the middle of a room (static standing) is an essential skill for independent walking and is accomplished visually or through haptic feedback. Toddlers who are blind or mobility visually impaired (hereafter, “visually impaired”) use haptic feedback to attain static balance as evidenced by their continued use of cruising furniture and walking with assistance long after it is age-appropriate. Methods: This study analyzed demographic data, motor skills, learning ability, mobility tool usage, and the solitary play activities of 562 learners who were visually impaired and born between 2012 and 2021. Results: A cross-sectional analysis of learners aged 8- to 180-months, found motor skill delays began at 12 months. The most frequent walking method reported was “walks with assistance” (n = 274). The most frequent mobility tool provided was a gait trainer (n = 131). A major reason for obtaining the pediatric belt cane was the child “does not use other tools correctly” (n = 112). Discussion: The children received handheld mobility tools (e.g., long canes, gait trainers, push toys, and adaptive mobility devices) at 13 months of age. Adults were seeking belt canes for children aged 8 to 180 months because they did not benefit from handheld mobility tools. Physical therapists provided gait trainers to the children with visual impairments who had no motor impairments. PTs use gait trainers to provide the user with static and dynamic balance. Implications for Practitioners: Children who are born with visual impairments, as defined by the current study, acquire independent walking delays. These delays may be a function of how they learned to achieve static balance as toddlers, walking with assistance. Current instructional strategies and tools do not prevent these delays. The field of visual impairment must continue to search for new mobility tools and more effective strategies because the delayed achievement of independent walking appears to have long-lasting negative effects on development.
幼儿在房间中央独立站立的能力(静态站立)是独立行走的基本技能,是通过视觉或触觉反馈完成的。盲人或视障儿童(以下简称“视障儿童”)使用触觉反馈来获得静态平衡,这可以从他们在年龄合适后很长时间内继续使用巡航家具和在辅助下行走中得到证明。方法:本研究分析了2012年至2021年出生的562名视障学习者的人口统计数据、运动技能、学习能力、移动工具使用情况和单独游戏活动。结果:对8- 180个月的学习者进行横断面分析,发现运动技能延迟始于12个月。最常见的步行方式是“辅助步行”(n = 274)。提供的最常见的活动工具是步态训练器(n = 131)。获得儿童皮带手杖的主要原因是儿童“不能正确使用其他工具”(n = 112)。讨论:儿童在13个月大时接受手持移动工具(例如,长手杖,步态训练器,推玩具和自适应移动设备)。成年人正在为8至180个月的儿童寻找皮带手杖,因为他们无法从手持移动工具中获益。物理治疗师为没有运动障碍的视觉障碍儿童提供步态训练。PTs使用步态训练器为使用者提供静态和动态平衡。对从业人员的启示:根据目前的研究,出生时患有视觉障碍的儿童会获得独立行走迟缓。这些延迟可能是他们在蹒跚学步时如何学会保持静态平衡,在帮助下行走的功能。目前的教学策略和工具并不能防止这些延误。视力障碍领域必须继续寻找新的行动工具和更有效的策略,因为延迟实现独立行走似乎对发展有长期的负面影响。
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引用次数: 0
Orientation and Mobility Competency Agreements From 1983 to 2019: A Comparative Analysis of Professional Standards 从1983年到2019年的取向和流动能力协议:专业标准的比较分析
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231188698
William M. Penrod, Ximena D. Burgin, W. Wiener, Eileen Siffermann, B. Blasch
Introduction: In 1983, Mark Uslan, Everett (Butch) Hill and Alec Peck conducted research to identify the competencies essential to the practice of the orientation and mobility (O&M) profession. This study compares the levels of agreement to those standards by O&M professionals in 2019. Methods: In a 1983 study, Uslan et al. interviewed practitioners to determine the goal areas and competencies that underlie the profession. In 2019, an institutional review board approved this study to compare current practice competencies related to O&M with the competencies documented in the 1983 study. The survey methodology utilized the survey used by Uslan et al. to determine if current practitioners have similar levels of agreement with the competencies and if there have been shifts in the ranking of their importance. Results: Survey data are surprisingly similar between the 1983 and 2019 evaluation of competencies, with some changes in the relative importance of some categories. The results indicated the current relevance of the competencies for the O&M profession in the twenty-first century. Discussion: The evidence indicates that the professional standards reported in 1983 remain extant and viable in the twenty-first century. As the profession develops, it is important these standards be revisited periodically to ensure they reflect the core standards of the O&M profession. Implications for Practitioners: It is evident that professionals support all original competencies and those competencies remain viable. Universities should be certain that all competencies are being taught to meet the requirements for quality services.
简介:1983年,Mark Uslan、Everett(Butch)Hill和Alec Peck进行了一项研究,以确定定向和流动(O&M)职业实践所必需的能力。这项研究将2019年运维专业人员的协议水平与这些标准进行了比较。方法:在1983年的一项研究中,Uslan等人采访了从业者,以确定职业的目标领域和能力。2019年,一个机构审查委员会批准了这项研究,将当前与运维相关的实践能力与1983年研究中记录的能力进行比较。调查方法利用Uslan等人使用的调查来确定当前从业者是否对能力有类似的认同程度,以及他们的重要性排名是否发生了变化。结果:1983年和2019年的能力评估的调查数据惊人地相似,一些类别的相对重要性发生了一些变化。研究结果表明了21世纪运维专业能力的当前相关性。讨论:证据表明,1983年报告的专业标准在21世纪仍然存在和可行。随着行业的发展,定期重新审查这些标准以确保它们反映运维行业的核心标准是很重要的。对从业者的影响:很明显,专业人员支持所有原始能力,这些能力仍然可行。大学应该确信,所有的能力都是为了满足优质服务的要求而教授的。
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引用次数: 0
Kendall's W and Inter-rater Reliability Kendall's W和内部信度
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482x231188882
R. W. Emerson
In this issue, the article entitled, “Improving Learning of Figurative Concepts in Individuals with Blindness: Adopting Teaching Strategies to Enhance Learning Motivation,” reports the results of a statistical test called Kendall’s W. The full name of the test is Kendall’s Coefficient of Concordance, and it is a statistical test that is designed to measure the level of agreement among raters, or a measure of interrater reliability. It ranges from 0 to 1, with 1 being full agreement among raters and 0 being absolutely no agreement among raters. The easiest way to measure how much agreement exists among raters is by looking at the percent agreement, which also ranges between 0 and 1. A more rigorous and more common statistic is Cohen’s Kappa, which calculates the percentage of items the raters agree on but also accounts for the fact that raters might happen to agree by chance on some items. Cohen’s Kappa (k) also ranges from 0 to 1. As with most statistical tests, Kendall’s W comes along with a p value or level of significance. This means that the W statistic can be evaluated both from the point of view of statistical significance as well as the actual size of the effect. This item is similar to one known as a Pearson correlation coefficient, which is a measure of how closely two variables are related. This statistical test also results in an output measure (r) that ranges from 0 to 1 and a significance level. However, Kendall’s W is not a true correlation coefficient and the raw W measure cannot be viewed in exactly the same way that we view the r connection between two variables. However, there is a linear transformation between the two. The equation is
本期,题为《提高盲人形象概念的学习:采用教学策略提高学习动机》的文章报道了一项名为肯德尔W的统计测试的结果。该测试的全名是肯德尔一致系数,这是一种统计测试,旨在衡量评分者之间的一致性水平,或衡量评分者间的可靠性。它的范围从0到1,1表示评分者完全同意,0表示评分者绝对不同意。衡量评分者之间达成一致程度的最简单方法是查看百分比一致性,该百分比也在0到1之间。一个更严格、更常见的统计数据是Cohen的Kappa,它计算了评分者同意的项目的百分比,但也解释了评分者可能碰巧在某些项目上同意的事实。Cohen的Kappa(k)也在0到1的范围内。与大多数统计测试一样,Kendall的W伴随着p值或显著性水平。这意味着W统计量既可以从统计学意义的角度进行评估,也可以从效应的实际大小进行评估。这一项类似于皮尔逊相关系数,后者是衡量两个变量之间关系密切程度的指标。该统计测试还产生范围从0到1的输出度量(r)和显著性水平。然而,Kendall的W不是一个真正的相关系数,并且原始W测度不能以与我们看待两个变量之间的r联系完全相同的方式来看待。然而,两者之间存在线性变换。方程式为
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引用次数: 0
Mental Health and Depressive Mood in People With Visual Impairments 视觉障碍患者的心理健康与抑郁情绪
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231193970
Agnus M. Kim, Jae-Hyun Park
Introduction: Understanding depression in view of the characteristics of disability would be important for establishing strategies for mental health among people with visual impairment. This study was conducted to assess the mental health of people with visual impairments and examine the factors associated with depressive mood. Methods: The data were obtained from the 2016 Panel Survey of Employment for the Disabled in Korea. The group difference in explanatory variables according to depressive mood was examined by the chi-square. To assess the effect of demographic and socioeconomic characteristics, health-related behavior, stresses, discrimination, and social relationships on depressive mood, a binary logistic regression analysis was performed. Results: The prevalence of depressive mood was higher in people with visual impairments compared to the general population. The demographic characteristics of people with visual impairments differed from the general population in terms of economic conditions and marital status. Not only stress in daily life but also stress due to disability was found to contribute to a depressive mood. Satisfaction with relationships with friends and family was associated with a lower likelihood of depressive mood. Discussion: This study demonstrates that people with visual impairments are likely to be more susceptible to depression than the general population. The association of depressive mood with not only stress in daily life but also stress due to their visual impairment suggests that disability, aside from the inconvenience due to it, can have a negative effect on mental health. The association of friends and family relationship suggests the importance of their supportive role. Implications for Practitioners: The specific characteristics of people with visual impairments in relation to mental health need to be considered and reflected in designing mental health support for the population.
引言:从残疾特征的角度理解抑郁症对于制定视力障碍患者的心理健康策略至关重要。这项研究旨在评估视觉障碍患者的心理健康状况,并检查与抑郁情绪相关的因素。方法:数据来自2016年韩国残疾人就业小组调查。根据抑郁情绪的解释变量的组间差异通过卡方检验。为了评估人口统计学和社会经济特征、健康相关行为、压力、歧视和社会关系对抑郁情绪的影响,进行了二元逻辑回归分析。结果:与普通人群相比,视觉障碍患者的抑郁情绪患病率更高。视力障碍者的人口特征在经济条件和婚姻状况方面与普通人群不同。研究发现,不仅日常生活中的压力,而且残疾造成的压力都会导致抑郁情绪。对与朋友和家人的关系感到满意与抑郁情绪的可能性较低有关。讨论:这项研究表明,视觉障碍患者可能比普通人群更容易患抑郁症。抑郁情绪不仅与日常生活中的压力有关,还与视力障碍引起的压力有关。这表明,残疾除了带来不便外,还会对心理健康产生负面影响。朋友和家庭关系的结合表明了他们的支持作用的重要性。对从业者的影响:在为人群设计心理健康支持时,需要考虑并反映视觉障碍患者与心理健康相关的具体特征。
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Journal of Visual Impairment & Blindness
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