AN INVESTIGATION INTO THE PSYCHOLOGICAL EFFECTS OF HYSTERECTOMY

In: The Journal of Nervous and Mental Disease · 1977 · vol. 164(1) , pp. 36–41 · doi:10.1097/00005053-197701000-00007 · PMID:830800 · W2067042817
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This study found no greater postsurgery mood disturbance after hysterectomy compared to cholecystectomy or tubal ligation, though tension-anxiety and fatigue-inertia patterns differed across groups.

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Abstract

The major aim of the present study was to determine whether women exposed to a hysterectomy procedure showed any greater evidence of postsurgery mood disorder than a cholecystectomy control group. In addition, the investigation also considered whether sterilization by hysterectomy resulted in more frequent mood disturbance than in tubal ligation where the uterus remains undisturbed. Fifty-five hysterectomy patients were compared with 38 cholecystectomy and 60 tubal ligation patients by means of the Profile of Mood States. Presurgery, 6-weeks postsurgery, and 3-months postsurgery measures were obtained. No evidence was found to support the view that the special psychological significance of the uterus results in greater postsurgery mood disturbance than occurs with a control procedure such a cholecystectomy. Neither did the results suggest that sterilization involving organ removal was psychologically more traumatic than where the sterilization procedure left the uterus undisturbed. The two significant group X occasion interactions implied that the groups differed in their pattern of responding to surgery with respect to the Tension-Anxiety and the Fatigue-Inertia variables.

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