In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients?
ObjectivesFace transplantation aims to improve patients’ quality of life and psychosocial functioning in patients with a disfiguring injury. With 40 cases worldwide, little is known about coping strategies predicting resilient outcomes.DesignSix patients followed in Boston, completed the Brief COPE...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.995222/full |
| _version_ | 1811312320643596288 |
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| author | Marie-Christine Nizzi Marie-Christine Nizzi Marie-Christine Nizzi Bohdan Pomahac |
| author_facet | Marie-Christine Nizzi Marie-Christine Nizzi Marie-Christine Nizzi Bohdan Pomahac |
| author_sort | Marie-Christine Nizzi |
| collection | DOAJ |
| description | ObjectivesFace transplantation aims to improve patients’ quality of life and psychosocial functioning in patients with a disfiguring injury. With 40 cases worldwide, little is known about coping strategies predicting resilient outcomes.DesignSix patients followed in Boston, completed the Brief COPE (Carver, 1997) along with validated measures of depression, self-esteem, and quality of life – every 3 months during the first year post-transplant and every 6 months thereafter, up to 36 months post-transplant.AnalysesDue to sample size and distribution of the data, nonparametric tests were used to characterize the relation of coping strategies with psychosocial outcomes.ResultsAs expected, active coping strategies were associated with better mental health pre-transplant, while avoidant coping strategies were associated with poorer mental health. Patients using support-based strategies reported better mental health at baseline. Post-transplant, the pattern reversed such that avoidant strategies appeared protective, when looking at mental health trajectories over 18 months. Importantly, trends identified during the first 18 months matched the trajectories of all patients with existing data up to 36 months post-transplant, for all outcomes measured.ConclusionDifferent coping strategies support optimal outcomes in the pre-versus post-transplant phases. Pre-transplant data may better inform interventions supporting mental health of transplant candidates than predict post-transplant behavior. Early post-transplant data seems to provide promising insight in long term psychosocial outcomes.Clinical implicationsOur data stresses the need for pre-transplant assessment of coping and post-transplant coping training. Research aiming to optimize post-transplant psychosocial outcomes should consider coping as a promising target for intervention. |
| first_indexed | 2024-04-13T10:35:14Z |
| format | Article |
| id | doaj.art-bdfb629b051d4b1681b0c4d3d9e4bb2f |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-13T10:35:14Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-bdfb629b051d4b1681b0c4d3d9e4bb2f2022-12-22T02:50:05ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-11-011310.3389/fpsyg.2022.995222995222In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients?Marie-Christine Nizzi0Marie-Christine Nizzi1Marie-Christine Nizzi2Bohdan Pomahac3Dartmouth College, Hanover, MD, United StatesUCLA Health System, Los Angeles, CA, United StatesChapman University, Los Angeles, CA, United StatesYale University, New Haven, CT, United StatesObjectivesFace transplantation aims to improve patients’ quality of life and psychosocial functioning in patients with a disfiguring injury. With 40 cases worldwide, little is known about coping strategies predicting resilient outcomes.DesignSix patients followed in Boston, completed the Brief COPE (Carver, 1997) along with validated measures of depression, self-esteem, and quality of life – every 3 months during the first year post-transplant and every 6 months thereafter, up to 36 months post-transplant.AnalysesDue to sample size and distribution of the data, nonparametric tests were used to characterize the relation of coping strategies with psychosocial outcomes.ResultsAs expected, active coping strategies were associated with better mental health pre-transplant, while avoidant coping strategies were associated with poorer mental health. Patients using support-based strategies reported better mental health at baseline. Post-transplant, the pattern reversed such that avoidant strategies appeared protective, when looking at mental health trajectories over 18 months. Importantly, trends identified during the first 18 months matched the trajectories of all patients with existing data up to 36 months post-transplant, for all outcomes measured.ConclusionDifferent coping strategies support optimal outcomes in the pre-versus post-transplant phases. Pre-transplant data may better inform interventions supporting mental health of transplant candidates than predict post-transplant behavior. Early post-transplant data seems to provide promising insight in long term psychosocial outcomes.Clinical implicationsOur data stresses the need for pre-transplant assessment of coping and post-transplant coping training. Research aiming to optimize post-transplant psychosocial outcomes should consider coping as a promising target for intervention.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.995222/fullcopingvascularized composite tissue allotransplantationquality of lifeSelfesteemdepressionpsychosocial outcomes |
| spellingShingle | Marie-Christine Nizzi Marie-Christine Nizzi Marie-Christine Nizzi Bohdan Pomahac In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? Frontiers in Psychology coping vascularized composite tissue allotransplantation quality of life Selfesteem depression psychosocial outcomes |
| title | In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? |
| title_full | In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? |
| title_fullStr | In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? |
| title_full_unstemmed | In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? |
| title_short | In the face of change: Which coping strategies predict better psychosocial outcomes in face transplant recipients? |
| title_sort | in the face of change which coping strategies predict better psychosocial outcomes in face transplant recipients |
| topic | coping vascularized composite tissue allotransplantation quality of life Selfesteem depression psychosocial outcomes |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.995222/full |
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