Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up
- Author
- Gilbert Lemmens (UGent) , Prof dr 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)
- Organization
-
- Department of Oto-rhino-laryngology and logopaedic-audiologic sciences (ceased 1-10-2018)
- Department of Internal medicine (ceased 1-10-2018)
- Department of Psychiatry and Medical Psychology (ceased 1-10-2018)
- Department of Speech, Language and Hearing Sciences (ceased 1-10-2018)
- Department of Surgery (ceased 1-10-2018)
- 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
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-7099943
- MLA
- Lemmens, Gilbert, et al. “Facial Transplantation in a Blind Patient : Psychologic, Marital, and Family Outcomes at 15 Months Follow-Up.” PSYCHOSOMATICS, vol. 56, no. 4, 2015, pp. 362–70, doi:10.1016/j.psym.2014.05.002.
- APA
- Lemmens, G., Poppe, P. dr C., Hendrickx, H., Roche, N., Peeters, P., Vermeersch, H., … Blondeel, P. (2015). Facial transplantation in a blind patient : psychologic, marital, and family outcomes at 15 months follow-up. PSYCHOSOMATICS, 56(4), 362–370. https://doi.org/10.1016/j.psym.2014.05.002
- Chicago author-date
- Lemmens, Gilbert, Prof dr 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): 362–70. https://doi.org/10.1016/j.psym.2014.05.002.
- Chicago author-date (all authors)
- Lemmens, Gilbert, Prof dr 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. doi:10.1016/j.psym.2014.05.002.
- Vancouver
- 1.Lemmens G, Poppe P dr 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, Prof dr 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://doi.org/10.1016/j.psym.2014.05.002}}, volume = {{56}}, year = {{2015}}, }
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