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Psychosocial outcomes 3 years after facial transplantation of a blind patient

Published online by Cambridge University Press:  23 March 2020

G. Lemmens ,
H. Hendrickx ,
C. Poppe ,
N. Roche ,
P. Peeters ,
H. Vermeersch ,
X. Rogiers ,
K. Van Lierde  and
P. Blondeel
G. Lemmens*
Affiliation:
Ghent university, psychiatry and medical psychology, Ghent, Belgium
H. Hendrickx
Affiliation:
Ghent university hospital, burn unit, Ghent, Belgium
C. Poppe
Affiliation:
Ghent university hospital, department of general and hepato-biliary surgery and transplantation- transplantation centre, Ghent, Belgium
N. Roche
Affiliation:
Ghent university hospital, department of plastic and reconstructive surgery, Ghent, Belgium
P. Peeters
Affiliation:
Ghent university hospital, department of nephrology, Ghent, Belgium
H. Vermeersch
Affiliation:
Ghent university hospital, department of head and neck and maxilo-facial surgery, Ghent, Belgium
X. Rogiers
Affiliation:
Ghent university hospital, department of general and hepato-biliary surgery and transplantation- transplantation centre, Ghent, Belgium
K. Van Lierde
Affiliation:
Department of speech, language and hearing science, Ghent, Belgium
P. Blondeel
Affiliation:
Ghent university hospital, department of plastic and reconstructive surgery, Ghent, Belgium
*
*Corresponding author.

Abstract

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Background

To date, psychosocial outcomes after facial transplantation are promising although long-term consequences, outcome of blind patients and the impact on family members are less well investigated. The aim of this study was to examine the long-term psychosocial of a blind patient and his partner 2 and 3 years after facial transplantation.

Methods

Depressive and anxiety symptoms, hopelessness, coping, resilience, illness cognitions, marital support, dyadic adjustment, family functioning and quality of life of the patient and the partner were assessed before and 2 and 3 years after transplantation. Reliable change index (RCI) was further calculated to evaluate the magnitude of change.

Results

Most psychological, marital and family scores of both the patient and the partner remained within a normative and healthy range at follow-up. Resilience (RCI: 2.5 & 3.4 respectively), affective responsiveness (RCI: −4.1 & −3.2 respectively), physical quality of life (RCI: 8.7 & 7.2 respectively) and helplessness (RCI: −2.2 & −2.9 respectively) of the patient improved at 2 and 3 years follow-up. Further, dyadic cohesion (RCI: 2.4) of the patient improved at 2 years whereas marital depth (RCI: −2.0) of the partner decreased at 3 years.

Conclusions

The results of this study point to positive long-term psychosocial outcomes of a blind patient and his partner after facial transplantation. Further, they may underscore the importance of patient selection, social support and involvement of family members in treatment.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV425
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S392
Copyright
Copyright © European Psychiatric Association 2016
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