Alatawi Meaad F, Al-Saif Abdulaziz, Alosaimi Fahad D
Department of Psychiatry, College of Medicine, King Saud University, Riyadh, SAU.
Department of General Surgery, College of Medicine, King Saud University, Riyadh, SAU.
Cureus. 2024 May 30;16(5):e61343. doi: 10.7759/cureus.61343. eCollection 2024 May.
Psychosomatic medicine has been known to play a pivotal role in the management of complex medical cases by providing a bridge between the physical disease and psychological distress. This case study focuses on a 42-year-old Saudi female diagnosed with breast cancer and generalized anxiety disorder. In addition to anxiety, the patient had a history of obsessive-compulsive personality traits, which contributed to her reluctance to undergo mastectomy. Significant challenges and noncompliance with treatment were caused by her unwillingness and inadequate interaction with the medical team. An integrated multidisciplinary strategy including psycho-oncological interventions was necessary because of the complexity of this case. Communication issues were addressed through the concerted efforts of the specialist teams. A comprehensive patient-practitioner understanding was established, which enabled the teams to persuade the patient to undergo surgical intervention. Overcoming her initial resistance, the patient eventually complied with the treatment plan, leading to a successful surgery. Postsurgical evaluations using the Hamilton Anxiety Scale indicated a significant reduction in anxiety levels. This case underscores the critical contribution of psychosomatic medicine to healthcare, especially in challenging situations that demand additional resource allocation, further highlighting the importance of an interdisciplinary approach, efficient communication, and patient-practitioner rapport in healthcare outcomes.
心身医学通过在身体疾病和心理困扰之间架起一座桥梁，在复杂医疗病例的管理中发挥着关键作用。本案例研究聚焦于一名42岁的沙特女性，她被诊断患有乳腺癌和广泛性焦虑症。除焦虑外，该患者有强迫性人格特质病史，这导致她不愿接受乳房切除术。她的不情愿以及与医疗团队的互动不足引发了重大挑战和治疗不依从。由于该病例的复杂性，需要一种包括心理肿瘤学干预在内的综合多学科策略。通过专家团队的共同努力解决了沟通问题。建立了全面的医患理解，这使团队能够说服患者接受手术干预。患者克服了最初的抵触情绪，最终遵守了治疗计划，手术成功。使用汉密尔顿焦虑量表进行的术后评估表明焦虑水平显著降低。本案例强调了心身医学对医疗保健的关键贡献，尤其是在需要额外资源分配的具有挑战性的情况下，进一步凸显了跨学科方法、有效沟通以及医患关系对医疗结果的重要性。
