title: Psychiatric morbidity following hysterectomy in Egypt.
abstract: OBJECTIVE
  To evaluate psychiatric morbidity in Egyptian women before and after hysterectomy for benign indications.
  
  
  METHODS
  A 2-year prospective observational study at Sohag University Hospital, Egypt, in which 96 women scheduled for hysterectomy were assessed for psychiatric comorbidity before and after the operation using the General Health Questionnaire (GHQ-28), Beck Depression Inventory, and Hamilton Anxiety Scale.
  
  
  RESULTS
  Of these, 35 (36.5%) had scores of 4 or higher, signifying psychiatric comorbidity (group 1), and 61 (63.5%) had scores less than 4, suggesting no psychiatric comorbidity (group 2). Postoperatively, severe anxiety and depressive symptoms were common in group 1. In group 2, 48 (78.7%) of the 61 women had scores of 4 or higher. In that subgroup, depressive and anxiety symptoms were more common among nulliparas whereas women with a high parity experienced the least psychiatric comorbidity.
  
  
  CONCLUSIONS
  As women undergoing hysterectomy risk psychiatric morbidity, gynecologists should consider less invasive interventions to treat benign conditions.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Sohag University, Sohag, Egypt.
authors.forename: Yasser A
authors.initials: YA
authors.lastname: Helmy
authors.forename: Ibrahim M A
authors.initials: IM
authors.lastname: Hassanin
authors.forename: Taher Abd
authors.initials: TA
authors.lastname: Elraheem
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Bedaiwy
authors.forename: Rachele S
authors.initials: RS
authors.lastname: Peterson
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Bedaiwy
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D008875:Middle Aged