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Psychological Aspects of Hysterectomy

A Prospective Study

Published online by Cambridge University Press:  02 January 2018

Margaret M. Ryan*
Affiliation:
Royal Australian College of Obstetricians and Gynaecologists
Lorraine Dennerstein
Affiliation:
Department of Psychiatry
Roger Pepperell
Affiliation:
Department of Obstetrics and Gynaecology, University of Melbourne
*
254 Albert Street, East Melbourne, Victoria, Australia 3002

Abstract

Sixty women aged between 30 and 55 years, having hysterectomy for benign conditions, were prospectively studied to investigate psychological adjustment to operation, and to explore social, psychological and physical factors associated with psychological outcome. A further 30 women were included for prospective research on psychological outcome. Investigations took place within two weeks of operation and after four months and 14 months. The findings indicated a high prevalence of pre-operative psychological morbidity (55%), which reduced to 31.7% afterwards. There was no evidence that hysterectomy led to a greater psychological distress. The principal risk factors of poor psychological outcome were the previous scores on the mental health measures and personality inventory. Involvement in the research process did not appear to affect psychological outcome.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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