Advanced search
1 file | 172.03 KB Add to list

Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up

Gilbert Lemmens (UGent) , Carine Poppe (UGent) , Hannelore Hendrickx (UGent) , Nathalie Roche (UGent) , Patrick Peeters (UGent) , Hubert Vermeersch (UGent) , Xavier Rogiers (UGent) , Kristiane Van Lierde (UGent) and Phillip Blondeel (UGent)
(2015) PSYCHOSOMATICS. 56(4). p.362-370
Author
Organization
Abstract
Background: Quality of life has frequently been reported to improve after vascularized composite allo-transplantation of the face. However, psychosocial functioning of the partner or of particular patient groups such as blind patients are until now less well investigated. Objective: The aim of this study is to investigate psychologic, marital, and,family functioning of a blind 54-year-old patient, Mr. A, and his partner after facial transplantation. Methods: Depressive and anxiety,symptoms, hopelessness, personality, coping, resilience, illness cognitions, marital support, dyadic adjustment, family functioning, and quality of life of Mr. A and his partner were assessed before and after facial transplantation and at 15 months follow-up. Reliable change index (RCI) was further calculated to evaluate the magnitude of change. Results: Most psychologic, marital, and family scores of both Mr. A and his partner were within a normative and healthy range before and after transplant and at 15 months,follow-up. Resilience (3.6), affective responsiveness (RCI: -3.6), and disease benefits (RCI: 2.6) of Mr. A farther improved at 15 months follow-up whereas the physical quality of life (RCI: -14.8) strongly decreased. Only marital support (RCI: -2.1) and depth (RCI: -2.0) of the partner decreased at 15 months. Conclusions: The results of this study point to positive psychosocial outcomes in a blind patient after,facial transplantation. Further, they may underscore the importance of good psychosocial functioning before transplantation of both partners and of their involvement in psychologic and psychiatric treatment. Clinical Question/Level of Evidence: Therapeutic, V.
Keywords
RECOMMENDATIONS, PREDICTORS, PERSONALITY, ALLOTRANSPLANTATION, HEALTH SURVEY, CLINICAL-SIGNIFICANCE, QUALITY-OF-LIFE, ASSESSMENT DEVICE, FACE TRANSPLANTATION, CANDIDATES

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 172.03 KB

Citation

Please use this url to cite or link to this publication:

MLA
Lemmens, Gilbert et al. “Facial Transplantation in a Blind Patient : Psychologic, Marital, and Family Outcomes at 15 Months Follow-up.” PSYCHOSOMATICS 56.4 (2015): 362–370. Print.
APA
Lemmens, G., Poppe, C., Hendrickx, H., Roche, N., Peeters, P., Vermeersch, H., Rogiers, X., et al. (2015). Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up. PSYCHOSOMATICS, 56(4), 362–370.
Chicago author-date
Lemmens, Gilbert, Carine Poppe, Hannelore Hendrickx, Nathalie Roche, Patrick Peeters, Hubert Vermeersch, Xavier Rogiers, Kristiane Van Lierde, and Phillip Blondeel. 2015. “Facial Transplantation in a Blind Patient : Psychologic, Marital, and Family Outcomes at 15 Months Follow-up.” Psychosomatics 56 (4): 362–370.
Chicago author-date (all authors)
Lemmens, Gilbert, Carine Poppe, Hannelore Hendrickx, Nathalie Roche, Patrick Peeters, Hubert Vermeersch, Xavier Rogiers, Kristiane Van Lierde, and Phillip Blondeel. 2015. “Facial Transplantation in a Blind Patient : Psychologic, Marital, and Family Outcomes at 15 Months Follow-up.” Psychosomatics 56 (4): 362–370.
Vancouver
1.
Lemmens G, Poppe C, Hendrickx H, Roche N, Peeters P, Vermeersch H, et al. Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up. PSYCHOSOMATICS. 2015;56(4):362–70.
IEEE
[1]
G. Lemmens et al., “Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up,” PSYCHOSOMATICS, vol. 56, no. 4, pp. 362–370, 2015.
@article{7099943,
  abstract     = {Background: Quality of life has frequently been reported to improve after vascularized composite allo-transplantation of the face. However, psychosocial functioning of the partner or of particular patient groups such as blind patients are until now less well investigated.
Objective: The aim of this study is to investigate psychologic, marital, and,family functioning of a blind 54-year-old patient, Mr. A, and his partner after facial transplantation.
Methods: Depressive and anxiety,symptoms, hopelessness, personality, coping, resilience, illness cognitions, marital support, dyadic adjustment, family functioning, and quality of life of Mr. A and his partner were assessed before and after facial transplantation and at 15 months follow-up. Reliable change index (RCI) was further calculated to evaluate the magnitude of change.
Results: Most psychologic, marital, and family scores of both Mr. A and his partner were within a normative and healthy range before and after transplant and at 15 months,follow-up. Resilience (3.6), affective responsiveness (RCI: -3.6), and disease benefits (RCI: 2.6) of Mr. A farther improved at 15 months follow-up whereas the physical quality of life (RCI: -14.8) strongly decreased. Only marital support (RCI: -2.1) and depth (RCI: -2.0) of the partner decreased at 15 months.
Conclusions: The results of this study point to positive psychosocial outcomes in a blind patient after,facial transplantation. Further, they may underscore the importance of good psychosocial functioning before transplantation of both partners and of their involvement in psychologic and psychiatric treatment.
Clinical Question/Level of Evidence: Therapeutic, V.},
  author       = {Lemmens, Gilbert and Poppe, Carine and Hendrickx, Hannelore and Roche, Nathalie and Peeters, Patrick and Vermeersch, Hubert and Rogiers, Xavier and Van Lierde, Kristiane and Blondeel, Phillip},
  issn         = {0033-3182},
  journal      = {PSYCHOSOMATICS},
  keywords     = {RECOMMENDATIONS,PREDICTORS,PERSONALITY,ALLOTRANSPLANTATION,HEALTH SURVEY,CLINICAL-SIGNIFICANCE,QUALITY-OF-LIFE,ASSESSMENT DEVICE,FACE TRANSPLANTATION,CANDIDATES},
  language     = {eng},
  number       = {4},
  pages        = {362--370},
  title        = {Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up},
  url          = {http://dx.doi.org/10.1016/j.psym.2014.05.002},
  volume       = {56},
  year         = {2015},
}

Altmetric
View in Altmetric
Web of Science
Times cited: