title: 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.
authors.affiliation: Department of Psychology, University of Turku, Finland. Bekvist2@hotmail.com
authors.forename: S Béatrice M
authors.initials: SB
authors.lastname: Ewalds-Kvist
authors.forename: Toivo
authors.initials: T
authors.lastname: Hirvonen
authors.forename: Mårten
authors.initials: M
authors.lastname: Kvist
authors.forename: Kaarlo
authors.initials: K
authors.lastname: Lertola
authors.forename: Pirkko
authors.initials: P
authors.lastname: Niemelä
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology*; D003075:Coitus / Q000523:psychology; D003863:Depression / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D006791:Hostility; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D008016:Life Change Events; D008875:Middle Aged; D009948:Orgasm; D010555:Personality Inventory; D011183:Postoperative Complications / Q000523:psychology*; D012307:Risk Factors