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<p>Young adults living with chronic illness and acquired visual impairment are at increased risk of depression due to disruptions in identity, autonomy, and social functioning. While reminiscence therapy has been widely studied in older adults, its application in younger individuals with complex medical and sensory conditions remains limited. This case report describes a 29-year-old woman with end stage renal disease undergoing long-term hemodialysis, with total blindness and clinically significant depressive symptoms (PHQ-9 score 19). A sensory-adapted reminiscence-based psychosocial intervention was delivered during routine hemodialysis sessions. The intervention consisted of two sessions over one week, each lasting approximately 45–60&#xa0;min. Sessions used audio-based stimuli including nature sounds, spiritual recordings, culturally familiar narratives, and guided autobiographical reflection to facilitate emotional processing and recall. During the sessions, the patient showed observable changes in affect, emotional expression, and narrative engagement. These included reduced visible distress, improved emotional flexibility, increased narrative coherence, and greater willingness to engage in social interaction. No post intervention psychometric reassessment or follow up evaluation was conducted. This case illustrates the feasibility of delivering sensory adapted reminiscence-based psychosocial support within a medical setting. The observations suggest potential clinical utility; however, conclusions regarding efficacy remain limited due to the absence of standardized outcome measures and follow up.</p>

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Reminiscence-Based Psychosocial Intervention for Depression in a Young Adult with Total Blindness Undergoing Hemodialysis: A Case Report

  • 期刊论文

  • 发表日期：

    2026年5月22日

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  • Aisyah Rusyd,
  • Hendy Muagiri Margono,
  • Muhamad Reza Utama

摘要

Young adults living with chronic illness and acquired visual impairment are at increased risk of depression due to disruptions in identity, autonomy, and social functioning. While reminiscence therapy has been widely studied in older adults, its application in younger individuals with complex medical and sensory conditions remains limited. This case report describes a 29-year-old woman with end stage renal disease undergoing long-term hemodialysis, with total blindness and clinically significant depressive symptoms (PHQ-9 score 19). A sensory-adapted reminiscence-based psychosocial intervention was delivered during routine hemodialysis sessions. The intervention consisted of two sessions over one week, each lasting approximately 45–60 min. Sessions used audio-based stimuli including nature sounds, spiritual recordings, culturally familiar narratives, and guided autobiographical reflection to facilitate emotional processing and recall. During the sessions, the patient showed observable changes in affect, emotional expression, and narrative engagement. These included reduced visible distress, improved emotional flexibility, increased narrative coherence, and greater willingness to engage in social interaction. No post intervention psychometric reassessment or follow up evaluation was conducted. This case illustrates the feasibility of delivering sensory adapted reminiscence-based psychosocial support within a medical setting. The observations suggest potential clinical utility; however, conclusions regarding efficacy remain limited due to the absence of standardized outcome measures and follow up.