Integrale (biopsychosociale) behandeling in de praktijk: Een zwangere patiente met een sacrumtumor en een ernstige posttraumatische stressstoornis

Translated title of the contribution: Integrated (biopsychosocial) treatment in practice: A pregnant woman with a tumour of the sacrum and a severe posttraumatic stress disorder

A. D. Boenink*, P. Zandstra, F. S. Spreekmeester, F. J. Huyse, W. J.R. Van Ouwerkerk, P. I.J.M. Wuisman

*Corresponding author for this work

Research output: Contribution to journalArticleProfessional

Abstract

In A 25-year-old woman pregnant for the second time after a successful first pregnancy, a locally aggressive, invasive sacrum tumour was diagnosed. The execution of the necessary but potentially mutilating surgical procedures was seriously hampered even during the preparative phase, in spite of the conscious wish of the patient to comply, by her severe psychiatric problems (posttraumatic stress disorder with dissociative symptoms). The Psychiatric Consultation Service took over the case management and an integrated (biopsychosocial) diagnostic investigation was carried out, involving analysis of the problems on four system levels the biological, the psychological, the social and the health care level. An integrated treatment plan was drafted. By collaboration of the entire multidisciplinary treatment team conditions were secured under which patient would let herself be treated. In this way she was enabled to undergo the necessary procedures, with good results.

Translated title of the contributionIntegrated (biopsychosocial) treatment in practice: A pregnant woman with a tumour of the sacrum and a severe posttraumatic stress disorder
Original languageDutch
Pages (from-to)1274-1277
Number of pages4
JournalNederlands Tijdschrift voor Geneeskunde
Volume142
Issue number22
Publication statusPublished - 30 May 1998

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