Skip to main content Accessibility help
×
Home

Psychological Aspects of Hysterectomy: A Prospective Study

  • Margaret M. Ryan (a1), Lorraine Dennerstein (a2) and Roger Pepperell (a3)

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.

Copyright

Corresponding author

254 Albert Street, East Melbourne, Victoria, Australia 3002

References

Hide All
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.
Ballinger, C. B. (1975) Psychiatric morbidity and the menopause: screening of general population sample. British Medical Journal, iii, 344346.
Ballinger, C. B. (1977) Psychiatric morbidity and the menopause: survey of a gynaecological outpatient clinic. British Journal of Psychiatry, 131, 8389.
Barker, M. G. (1968) Psychiatric illness after hysterectomy. British Medical Journal, ii 9195.
Bebbington, P., Hurry, J., Tennant, C., et al (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561579.
Bem, S. L. (1974) The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155162.
Bem, S. L. (1975) Sex-role adaptability: one consequence of psychological androgyny. Journal of Personality and Social Psychology, 31, 634643.
Byrne, P. (1984) Psychiatric morbidity in a gynaecology clinic: an epidemiological surgery. British Journal of Psychiatry, 144, 2834.
Drellich, M. G. & Bieber, K. (1958) The psychological importance of the uterus and its functions. Journal of Nervous Disorders, 126, 322366.
Eysenck, H. J. & Eysenck, S. B. (1964) Manual of the Eysenck Personality Inventory. London: London University Press.
Feighner, J. P., Robins, E., Guze, S. B., et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.
Fraser, I. (1981) Perception of menstrual cycle symptomatology. In Obstetrics, Gynaecology and Psychiatry (eds Dennerstein, L. & Burrows, G.). Melbourne: York Press.
Gath, D., Cooper, P. & Day, A. (1982a) Hysterectomy and psychiatric disorder: I. Levels of psychiatric morbidity before and after hysterectomy. British Journal of Psychiatry, 140, 335342.
Gath, D., Cooper, P., Bond, A., et al (1982b) Hysterectomy and psychiatric disorder: II. Demographic psychiatric and physical factors in relation to psychiatric outcome. British Journal of Psychiatry, 140, 342350.
Henderson, S., Byrne, A. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.
Kincey, J. & McFarlane, T. (1984) Psychological aspects of hysterectomy. In Psychology and Gynaecology Problems (eds Broome, A. & Wallace, L.). London: Tavistock.
McNair, D. M., Lorr, M. & Droopleman, L. F. (1971) Profile of Mood States. San Diego: Educational and Industrial Testing Service.
Martin, R. L., Roberts, W. V., Clayton, P. J., et al (1977) Psychiatric illness and non-cancer hysterectomy. Disease of Nervous System, 38, 974980.
Martin, R. L., Roberts, W. V., & Clayton, P. J.,(1980) Psychiatric status after hysterectomy. Journal of the American Medical Association, 244, 350353.
Munday, R. N. & Cox, L. W. (1967) Hysterectomy for benign lesions. Medical Journal of Australia, 2, 759763.
Richards, D. H. (1973) Depression after hysterectomy. Lancet, ii 430432.
Richards, D. H. (1974) A post-hysterectomy syndrome. Lancet, ii 983985.
Roseske, N. C. (1978) Hysterectomy and other gynaecological surgeries: a psychological view. In The Woman's Place in Medical and Psychological Interfaces, Vol. 1 (eds Notman, M. T. & Nadelson, C. C.). New York: Plenum Press.
Selwood, T. & Wood, C. (1978) Incidence of hysterectomy in Australia. Medical Journal of Australia, 2, 201.
Tennant, C. & Andrews, G. (1976) A scale to measure the stress of life events. Australian and New Zealand Journal of Psychiatry, 10, 2732.
Wing, J. K., Cooper, E. & Sartorious, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.

Related content

Powered by UNSILO

Psychological Aspects of Hysterectomy: A Prospective Study

  • Margaret M. Ryan (a1), Lorraine Dennerstein (a2) and Roger Pepperell (a3)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.

Psychological Aspects of Hysterectomy: A Prospective Study

  • Margaret M. Ryan (a1), Lorraine Dennerstein (a2) and Roger Pepperell (a3)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *