An Investigation Into the Psychological Effects of Hysterectomy

Meikle, Stewart; Brody, Harry; Pysh, Fred

doi:10.1097/00005053-197701000-00007

Cited by 39 publications

(7 citation statements)

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“…The means for anxiety and confusion for each measurement were at or below ''a little" on a scale of "not at all" to "extremely." Meikle, Brody, and Pysh (1977) also used the POMS in a study of hysterectomy patients and reported mood scores that were similar to those of the present study. The low mood scores from the POMS contrasts with the fact that 70% of the patients reported on the third postoperative day that they had felt nervous or upset sometime after the surgery.…”

Section: Discusslonsupporting

confidence: 75%

Personal control interventions: Short‐ and long‐term effects on surgical patients

Johnson

Christman

Stitt

1985

Research in Nursing & Health

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A randomized 2 X 3 X 2 factorial design was used to evaluate the short- and long-term effects of interventions that provided different means of exerting personal control over postoperative experiences in a sample of 121 black and 47 white hysterectomy patients. One variable was the presence or absence of the description of the experience in concrete sensory terms; the second variable was instruction in a cognitive-coping strategy, instruction in a behavior-coping strategy, or no instruction; and the third variable was experimental or control information about the posthospital experience. There was support for the coping processes that concrete sensory information was expected to stimulate, but no significant effects on resumption of usual life activities as was expected. The behavioral-coping technique was associated with a reduction in pain medication. The cognitive-coping technique was associated with reports of better physical recovery during hospitalization, but longer hospitalization. Posthospitalization recovery data, collected 2, 4, and 12 weeks after discharge, showed a different pattern of effects for the interventions than observed during hospitalization.

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Section: Discusslonsupporting

confidence: 75%

Personal control interventions: Short‐ and long‐term effects on surgical patients

Johnson

Christman

Stitt

1985

Research in Nursing & Health

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“…Ackner [7] found that 30% of women under 40 years of age undergoing hysterectomy for benign les› sions had psychiatric complaints. However our findings are in agreement with a few prospective studies which concluded that hysterectomy seldom led to psychiatric dis› orders [10][11][12][13]. The high psychiatric morbid› ity reported in some studies [2,3,6] were most probably due to methodological shortcom› ings including the fact that patients were not evaluated pre-operatively [2,3], not using standardised scales for the assessment of emotional disturbances [6], studying only psychatric referrals of hysterectomised pa› tients [2], studying only prescriptions of medications by general practioners [3] and studying mixed samples, for example, pa› tients undergoing hysterectomy for prolapse, cancer or in combination with abortion or childbirth [2].…”

Section: Resultssupporting

confidence: 93%

“…Not sur› prisingly therefore a number of studies had reported that hysterectomywas followed by adverse sequelae including psychosis [1], de› pression [2][3][4], agitation and insomnia [5], anxiety [6J. reduced psychosexual function› ing [7,8J and psychosomatic disorder [9]. On the other hand a few prospective studies con› cluded that hysterectomy seldom led to psy› chiatric disorders [10][11][12]. Two Indian studies [4,13] also came to diametrically opposite conclusions.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Effects of Hysterectomy

Chaudhary

Bhattacharyya²

1995

Medical Journal Armed Forces India

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An excess of psychiatric symptoms in post-hysterectomy women have been reported by some authors but denied by others. Thirty six women undergoing hysterectomy for non-malignant pathologies were compared with equal number ofcomparable patients who underwent other gynaecological operations. Patients were assessed pre-and post-operatively by semi-structured psychiatric interview, Sinha's anxiety scale and Hamilton's depression rating scale. Patients undergoing hysterectomy were signifi› cantly more anxious and depressed both pre-and post-operatively as compared to the control patients. Hysterectomy was not associated with significantly higher psychiatric morbidity.

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“…It is probably due to the fact that the initial research on psychosexual outcomes of hysterectomy suggested higher rates of depression following hysterectomy-oophorectomy that depression was commonly cited as a negative outcome [59,105]. In the light of recent prospective studies, there is no evidence to conclude that hysterectomy is associated with psychiatric illness or depression [12,37,38,49,98,100,106].…”

Section: Depressionmentioning

confidence: 99%