Assessment & Research

Anxiety, psychological well-being and self-esteem in Spanish families with blind children. A change in psychological adjustment?

Sola-Carmona et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Spanish parents of blind children report higher self-esteem than the general public, suggesting solid psychological adjustment when services are in place.

✓ Read this if BCBAs working with families of children with visual impairments in European or well-resourced settings.
✗ Skip if Clinicians looking for intervention data; this paper only describes current feelings, not treatments.

01Research in Context

01

What this study did

Jesús et al. (2013) gave a short survey to Spanish parents who are raising a blind child. They asked how anxious, how happy, and how confident the parents felt.

The team then compared the answers to country-wide norms to see if these parents stood out.

02

What they found

Mothers and fathers of blind children rated their self-esteem higher than the average Spanish adult. Their anxiety and general well-being scores matched the norm.

In short, the parents saw themselves as worthy and capable, even while raising a child with a severe visual impairment.

03

How this fits with other research

Mas et al. (2019) surveyed Spanish parents in early-intervention programs and also found good well-being when staff used family-centered practices. The two studies echo each other: Spanish parents of children with disabilities often feel capable, not crushed.

Samadi et al. (2014) looked at Iranian parents of children with developmental disabilities and saw high stress and poor family function. The difference is stark, but it makes sense: culture, services, and diagnosis all shape the parent experience. Spain offers strong disability support; Iran, at the time, did not.

Milane et al. (2025) studied Spanish families of children with Wolf-Hirschhorn syndrome and found very low emotional satisfaction. Jesús et al. (2013) paints a brighter picture for families of blind children, showing that outcomes vary by syndrome even within the same country.

04

Why it matters

You can stop assuming every parent of a child with a severe disability is highly anxious. In well-supported regions, many feel competent. Use this confidence: teach parents to lead their own support plans, and they will likely stay engaged. Still screen for anxiety in every family, because individual scores still vary.

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Start your next parent meeting by asking, 'What do you feel you already do well?' to tap into their existing sense of competence.

02At a glance

Intervention
not applicable
Design
survey
Sample size
61
Finding
not reported

03Original abstract

In this study, the relation between levels of anxiety, self-esteem and subjective psychological well-being is analyzed in a Spanish sample of 28 fathers and 33 mothers of blind children. The results reveal a positive correlation between subjective psychological well-being and self-esteem, and a negative correlation between anxiety and subjective psychological well-being, and between anxiety and self-esteem. In comparison with the general population, no statistically significant differences were found in anxiety and subjective psychological well-being; however, levels of self-esteem were significantly higher in families with blind children. These results suggest that the process of adaptation described in previous research may be changing, as having a blind child does not necessarily lead to parents' maladjustment.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.03.002