Depression, anxiety, hostility and hysterectomy

Abstract

Sixty-five women (aged 32 - 54 yrs) were assessed at 2 months before to 8 months after total abdominal hysterectomy on four separate occasions. Beck's Depression Inventory (BDI), Taylor's Manifest Anxiety Scale (TMAS), the Buss-Durkee Hostility Inventory (BDHI), Measurement of Masculinity-Femininity (MF), Likert scales and semantic differentials for psychological, somatic and sexual factors varied as assessment tools. High-dysphoric and low-dysphoric women were compared with regard to hysterectomy outcomes. Married nulliparae suffered from enhanced depression post-surgery. Pre-surgery anxiety, back pain and lack of dyspareunia contributed to post-surgery anxiety. Pre-surgery anxiety was related to life crises. Pre- and post-surgery hostility occurred in conjunction with poor sexual gratification. Post-hysterectomy health improved, but quality of sexual relationship was impaired. Partner support and knowledge counteracted hysterectomy aftermath. Post-hysterectomy symptoms constituted a continuum to pre-surgery signs of depression, anxiety or hostility.

The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study

“…The powerful social factors affecting the reactions of women after hysterectomy are indicated as the educational status, income level, cultural structure, age at hysterectomy, short decision period before the operation, little support from the spouse and existence of a mental disorder preoperatively [14]. In our study, no relationship was found between age groups and the level of anxiety (p > .05) (Tablo 4).…”

“…It was concluded in some studies that preoperative anxiety levels were high; however, the nursing approach and instructions given are effective in reducing the level of anxiety [14-16]. Ozdemir and Pasinlioglu (2009) found in their study on 34 study group cases and 32 control group cases undergoing hysterectomy with benign causes that while the average state anxiety score was 40.9 ± 6.3, it fell to 27.6 ± 3.7 in the postoperative period (p = 0.001).…”

Psychiatric morbidity following hysterectomy in Egypt

“…This may be explained by the strong desire for a child in nulliparous women in this population. Ewalds-Kvist et al [22] also reported that married nulliparous women experienced more severe depression after hysterectomy.…”

Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy

“…It was considered as the second common surgical operation among women of reproductive age after cesarean section. [2,3] The most common reasons for hysterectomy are conditions like excessive bleeding, uterine leiomyomas, endometriosis, adenomyosis, uterine prolapse, Pelvic Inflammatory Disease, and cancer of the reproductive tract. [4] Hysterectomy clients are bound to feel more stress because no other surgical procedure has such significant meaning to women involving alteration in their reproductive organ.…”