Psychiatric aspects of hysterectomy

Deepa S. Subramaniam, D Subramaniam, Selvaraj Y. Subramaniam, S K Subramaniam, S X Charles, Sonya Charles, Abraham Verghese, A Verghese
Indian journal of psychiatry · 1982 · vol. 24(1) , pp. 75–9 · PMID:21965889 · PMC3012887 · W2213085027
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A prospective study of women undergoing hysterectomy found that 20% developed depressive symptoms within one year, with higher preoperative neuroticism scores predicting this psychiatric disturbance.

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This prospective psychiatric study evaluated women undergoing hysterectomy at Christian Medical College, Vellore, to identify risk factors for postoperative mental health complications. The researchers found that approximately 20% of patients developed depressive symptoms within the first year following the procedure. Patients who experienced these symptoms exhibited higher baseline scores on the Neuroticism scale of the Eysenck Personality Inventory and the Cornell Medical Index compared to those who remained mentally healthy. The authors emphasize the importance of identifying high-risk individuals preoperatively to mitigate potential psychiatric disturbances associated with the surgery. Relevance to endometriosis: Hysterectomy is a definitive treatment option for severe or recurrent endometriosis when conservative management fails, making this paper relevant to the surgical management of that condition.

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Abstract

A prospective psychiatric study of women undergoing hysterectomy conducted in Christian Medical College, Vellore, is described. About 20% of patients who had Hysterectomy developed depressive symptoms during the first year of follow up. Those who developed these symptoms had higher N score on Eysenck Personality Inventory and a higher M. R. Score on Cornell Medical Index before the operation when compared to those who did not develop psychiatric symptoms which suggests that the patients who have a higher score on Neuroticism are more prone to get psychiatric illness. It is emphasised that an attempt must be made to identify such patients who are more prone to get psychiatric disturbance in order to prevent or minimise these psychiatric disturbances. Prior consideration to these complications should be given before doing hysterectomy.
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SUMMARY A prospective psychiatric study of women undergoing hysterectomy conducted in Christian Medical College, Vellore, is described. About 20% of patients who had Hysterectomy developed depressive symptoms during the first year of follow up. Those who developed these symptoms had higher N score on Eysenck Personality Inventory and a higher M. R. Score on Cornell Medical Index before the operation when compared to those who did not develop psychiatric symptoms which suggests that the patients who have a higher score on Neuroticism are more prone to get psychiatric illness. It is emphasised that an attempt must be made to identify such patients who are more prone to get psychiatric disturbance in order to prevent or minimise these psychiatric disturbances. Prior consideration to these complications should be given before doing hysterectomy. Full Text The Full Text of this article is available as a PDF (198.6 KB).

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