Clinical Medicine Research
Volume 6, Issue 4, July 2017, Pages: 143-148
Received: Aug. 1, 2017;
Published: Aug. 2, 2017
Views 2623 Downloads 69
Yongmei Li, Department of Pathology, Binzhou People's Hospital, Binzhou City, China
Ni Wang, Department of Ultrasound, Binzhou People's Hospital, Binzhou City, China
Lin Li, Department of Pathology, Binzhou People's Hospital, Binzhou City, China
Jichang Li, Department of Pathology, Binzhou People's Hospital, Binzhou City, China
Objective: This paper aims to explore the trend, extent and impacting factors of the change in the psychological status of women before and after hysterectomy. Methods: A prospective study was performed to investigate the psychological statuses of 98 female subjects who underwent hysterectomy upon admission and three months after the hysterectomy. Results: The self-rating of the psychological status survey showed significantly lower factor scores including the postoperative BDI and SCL-90 (except paranoid factors) scores than those before the surgery and the same HAMD score as the nurse-administered rating scale. The incidence rate of moderate to severe depression dropped from 48.98% to 13.54% after the surgery. Differently aged patients showed different change extents of SCL-90, and the postoperative BDI and HAMD scores were significantly positively correlated with the preoperative levels. The preoperative HAMD score was negatively correlated with the length of education and positively correlated with the chief complaint. The postoperative HAMD score was positively correlated with the parity and the presence of medical complications and negatively correlated with age. Conclusion: Hysterectomy benefits the psychiatric and somatic health of the patients, and the women who were younger, more prolific, less educated, complain of dysmenorrhea or menorrhagia and have other medical disorders are more prone to perioperative depression.
Psychological Statuses of Premenopausal Women Before and After Hysterectomy, Clinical Medicine Research.
Vol. 6, No. 4,
2017, pp. 143-148.
Okunlola MA. Umuerri C. Pattern of mental ill health morbidities following hysterectomy for benign gynaecological disorders among Nigerian women [J]. Int J Ment Health Syst, 2009, 3 (1): 18-20.
Marvan ML. Catillo-Lopez RL. Psychological meaning of a woman with a hysterectomy among Mexican physicians and women [J]. Women Health, 2012, 52 (7): 658-78.
Wong LP. Arumugam K. et al. Physical, psychological and sexual effects in multi-ethnic Malaysian women who have undergone hysterectomy [J]. J Obstet Gynaecol Res, 2012, 38 (8): 1095-105.
Shehmar M. Gupta JK. et al. The influence of psychological factors on recovery from hysterectomy [J]. J R Soc Med, 2010, 103 (2): 56-9.
Brouwer D, Meijer RR. On the Factor Structure of the Beck Depression Inventory-II: G Is the Key [J]. Psychol Assess, 2012, 7 (16): 334-38.
Zimmerman M, Martinez J. Symptom differences between depressed outpatients who are in remission according to the Hamilton Depression Rating Scale who do and do not consider themselves to be in remission [J]. 2012, 142 (3): 77-81.
Russinova Z. Rogers ES. Conceptualization and measurement of mental health providers' recovery-promoting competence: The Recovery Promoting Relationships Scale (RPRS)[J]. Psychiatr Rehabil J, 2013, 36 (1): 7-14.
Esplen MJ. Stuckless N. et al. The FAP self-concept scale (adult form) [J]. Fam Cancer, 2009, 8 (1): 39-50.
Oppermann K. Fuchs SC. et al. Physical, psychological, and menopause-related symptoms and minor psychiatric disorders in a community-based sample of Brazilian premenopausal, perimenopausal, and postmenopausal women [J]. Menopause, 2012, 19 (3): 355-60.
Bauld R. Brown RF. et al. Stress, psychological distress, psychosocial factors, menopause symptoms and physical health in women [J]. Maturitas, 2009, 62 (2): 160-5.
Wuntakal R. Erskine K. et al. Subtotal hysterectomy and possible psychological benefits with regards to keeping the cervix in afrocarribean women [J]. BJOG, 2009, 118 (6): 1137-8.
Cooper R. Mishra G. et al. Hysterectomy and subsequent psychological health: findings from a British birth cohort study [J]. J Affect Disord, 2009, 115 (1): 122-30.
Yen JY. Chen YH. et al. Risk factors for major depressive disorder and the psychological impact of hysterectomy: a prospective investigation [J]. Psychosomatics, 2008, 49 (2): 137-42.
Persson P. Brynhildsen J. et al. A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy--a randomised study [J]. BJOG, 2010, 117 (4): 479-87.
Izydorczyk B. Psychological profile of bodily self features of young Polish women--comparative analysis of bodily self structure of woman with eating disorders and psychosis [J]. Psychiatr Pol, 2011, 45 (5): 653-70.
Garcia-Arroyo JM. Dominguez-Lopez ML. et al. Psychological study of the dysthymic disorder in the woman [J]. Actas Esp Psiquiatr, 2011, 39 (5): 331-3.
Moliver N. Mika E. et al. Yoga experience as a predictor of psychological wellness in women over 45 years [J]. Int J Yoga, 2013, 6 (1): 11-9.
Molina KM. Alcantara C. et al. Household structure, family ties, and psychological distress among U.S.-born and immigrant Latino women [J]. J Fam Psychol, 2013, 27 (1): 147-58.
Lachmi-Epstein A. Mazor M. et al. Psychological and mental aspects and "tender loving care" among women with recurrent pregnancy losses [J]. Harefuah, 2012, 151 (11): 633-7.
Bjelanovic V. Babic D. et al. Pathological pregnancy and psychological symptoms in women [J]. Coll Antropol, 2012, 36 (3): 847-52.
Whang W. Davidson KW. et al. Global Psychological Distress and Risk of Atrial Fibrillation Among Women: The Women's Health Study [J]. J Am Heart Assoc, 2012, 1 (3): 107-9.
Lustyk MK. Douglas HA. et al. Hemodynamic and psychological responses to laboratory stressors in women: assessing the roles of menstrual cycle phase, premenstrual symptomatology, and sleep characteristics [J]. Int J Psychophysiol, 2012, 86 (3): 283-90.