Depression, anxiety, hostility and hysterectomy.
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.
Ewalds-Kvist
S Béatrice M
SB
Department of Psychology, University of Turku, Finland. Bekvist2@hotmail.com
Hirvonen
Toivo
T
Kvist
Mårten
M
Lertola
Kaarlo
K
Niemelä
Pirkko
P
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