Psychological distress after hysterectomy—a predictive study

Schulze, Christa; Florin, Irmela; Matschin, Elke; Sougioultzi, Corinna; Schulze, Hans-Henning

doi:10.1080/08870448808400341

Cited by 14 publications

(5 citation statements)

References 25 publications

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“…Both Hispanic American women and Mexican students associated hysterectomy with psychological problems, especially "depression". However, it has been demonstrated that psychosocial variables such as social support, locus of control, attitude toward loss of uterus and its objective consequences, and cognitive appraisal of hysterectomy as measured prior to surgery predict high post-hysterectomy psychological distress, even more than medical variables (Schulze et al 1988).…”

Section: Discussionmentioning

confidence: 99%

Hysterectomy as Viewed by Mexican Women and Men

2009

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This study explored the views of Mexican men and women concerning hysterectomy. We studied 120 women and 135 men between the ages of 36 and 55. Women had not had a hysterectomy and men were married to a woman without a hysterectomy. The most negative views about hysterectomy were women's suppositions about male perceptions, but only among people with a limited educational background. This group was more likely to believe that women who undergo hysterectomy are incomplete, rejected by their partners, and experience emotional changes. These findings are discussed in light of sociocultural features.

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Section: Discussionmentioning

confidence: 99%

Hysterectomy as Viewed by Mexican Women and Men

2009

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“…Andererseits wurden soziodemographische Variablen wie Kinderlosigkeit, Schichtzugehörigkeit, Familienstand, Berufstätigkeit auf ihre protektiven bzw. traumatisierenden Wirkungen hin überprüft (Schulze et al [30], Roeske [27]).…”

Section: Entwicklung Der Forschungsinteressenunclassified

Langzeitergebnisse nach einer Hysterektomie - Eine interdisziplinäre Verlaufsstudie

Zintl-Wiegand¹,

Krumm²,

Köhler³

et al. 2001

Geburtsh u Frauenheilk

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ZusammenfassungFragestellung: Die Daten wurden von einem Gynäkologen, einem Psychologen, einer Nervenärztin mit psychoanalytischer Ausbildung und den Hausärzten erhoben. Dadurch war es möglich, verschiedene Outcomemaûe zu betrachten. Methode: 64 Frauen im generativen Alter wurden präoperativ und 3 Jahre nach der UE gesehen. Ergebnisse: Der Operationsanlass war zu 70 % ein Organbefund. Die Indikation wurde bei 30 % als erweitert bezeichnet. Psychische Störungen nach DSM-III gingen von 31 % auf 7 % zurück, während die sexuelle Dysfunktion auf hohem Niveau blieb (57 % auf 48 %). In der Selbsteinschätzung waren 28 % der Frauen nicht zufrieden. Die Hausärzte sahen 3 Jahre nach dem Eingriff bei 58 % der Frauen eine weniger günstige Entwicklung der allgemeinen Gesundheit. 35 % der Frauen hatten das Ereignis noch nicht zufriedenstellend integriert. Zusammenhänge zwischen Outcome und unabhängigen Merkmalen aus den Bereichen Prämorbidität und Variablen, die das Ereignis betreffen und in der Literatur wiederholt Erwähnung finden, wurden analysiert. Schlussfolgerungen: Die ermittelten Chancen und Risiken zeigten überwiegend in die vermutete Richtung. Als Schutzfaktoren erwiesen sich u. a. eine ungestörte weibliche Identifikation, reife Entscheidungsfindung und Antizipation, aber auch eine strenge Operationsindikation. Ungünstig waren postoperative Traumareaktionen, Vorhandensein von präoperativen psychiatrischen Diagnosen. SummaryObjective: We undertook a multidisciplinary study of the biological and psychosocial consequences of hysterectomy. We studied correlations between outcomes and independent factors such as pre-exisiting morbidity. Methods: Sixty-four women of reproductive age were interviewed before and 3 years after hysterectomy. Data were collected by a gynecologist, a psychologist, a psychoanalytical psychiatrist, and the patientsgeneral practioners. In 70 % of women the operation was performed for a pathologic indication whereas in 30 % the operation was elective.Results: After hysterectomy psychiatric problems according to DSM III decreased from 31 % to 7 % and the prevalence of sexual dysfunction decreased from 57 % to 48 %. Overall, 28 % of the women described themselves as dissatisfied. At 3 years the general practioners found an unfavorable trend in the general health of 58 % of the women and 35 % had not yet fully coped with the event. Conclusion: A healthy female identity, mature decision making and anticipation, and a strong medical indication for hysterectomy are protective factors in women undergoing hysterectomy. Postoperative trauma and preexisiting psychiatric problems are risk factors for unfavorable outcomes.

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“…Finally, the level of social support available to patients may also partly determine their postoperative activity levels. Although greater support has been linked to better emotional outcome after an operation (14), it has also been suggested that having more help with everyday chores might delay mobilization (7). Although two studies that have examined this issue failed to identify any link between postoperative support and fatigue levels (15,16), greater support has been shown to be a risk factor for increased fatigue after viral infection (17).…”

Section: Introductionmentioning

confidence: 99%

Psychological Factors in Postoperative Fatigue

Rubin

Cleare

Hotopf

2004

Psychosomatic Medicine

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The results indicate that psychological processes may well be relevant in the etiology of postoperative fatigue. In particular, the results relating to mood and expectations suggest that somatization may be particularly important in the first few weeks following surgery, whereas cognitive-behavioral factors and cardiovascular deconditioning may be more important in determining later-stage recovery.

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Psychological distress after hysterectomy—a predictive study

Cited by 14 publications

References 25 publications

Hysterectomy as Viewed by Mexican Women and Men

Hysterectomy as Viewed by Mexican Women and Men

Langzeitergebnisse nach einer Hysterektomie - Eine interdisziplinäre Verlaufsstudie

Psychological Factors in Postoperative Fatigue

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