3 Psychological aspects of gynaecological surgery

Oates, Margaret R.; Gath, Dennis

doi:10.1016/s0950-3552(89)80062-8

Cited by 15 publications

(12 citation statements)

References 31 publications

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“…It has been alleged that hysterectomy causes depression [41], although this hypothesis has been refuted by others [42,43]. Depressive illness can give rise to constipation [44] and this can be aggravated by the use of antidepressants.…”

Section: Psychological Factorsmentioning

confidence: 99%

Bowel Function and Hysterectomy – A Review

et al. 2001

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Hysterectomy is the most common major gynecological operation performed in the United Kingdom and in the United States. As the operation disrupts the innervation and the intimate anatomical relationship of the pelvic organs such as the bowel and the bladder, function of these organs may be affected. Frequently women date the onset of their bowel symptoms to the time of hysterectomy, though there is no scientific evidence to support causation. Although so frequently performed little is understood of the true incidence of bowel dysfunction after a hysterectomy or the pathophysiology behind it.

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Section: Psychological Factorsmentioning

confidence: 99%

Bowel Function and Hysterectomy – A Review

et al. 2001

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“…The causal relationship between gynaecological disorders and psychiatric disorders is complex 9,10,11 . The self-regulation model (SRM) 12 provides a useful framework for understanding how people think about their health status.…”

Section: Introductionmentioning

confidence: 99%

The illness experiences of women with fibroids: An exploratory qualitative study

Nicholls

Glover

Pistrang

2004

Journal of Psychosomatic Obstetrics & Gynecology

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Previous research suggests that women attending gynaecology clinics experience high rates of psychological distress and psychiatric morbidity. Although the reasons for this are poorly understood, certain conditions appear to cause women particularly high levels of anxiety and depression. This paper reports a qualitative study, using Interpretative Phenomenological Analysis (IPA), to examine the illness experiences of women with the common gynaecological condition of fibroids. The study employs semi-structured interviews, guided by Leventhal's self-regulation model, to explore 18 women's understanding and experiences of having fibroids. Qualitative analysis revealed eight themes drawn into two higher-order themes - 'Managing uncertainty' and 'Struggling between defeat and optimism'. These higher-order themes illustrate the multiplicity of experiences and meanings used by women attempting to understand their condition, treatment options and future health outcomes. The differences in women's illness representations may account for differences in their relative distress levels. The findings indicate the importance of considering an individual's illness representations in order to facilitate the provision of appropriate medical and psychological care to women with fibroids.

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“…Psychological problems often decrease a woman’s capacity to cope with symptoms from surgery that would otherwise be tolerable, and are related to more subjective feelings of distress. This may interfere with treatment and delay recovery 2 . The experience and intensity of postoperative symptoms are related to a capacity to cope with stressful situations: women with lower stress coping capacity have greater problems recovering after surgery than those with a higher stress coping capacity 3–5 …”

Section: Introductionmentioning

confidence: 99%

“…Introduction may interfere with treatment and delay recovery. 2 The experience and intensity of postoperative symptoms are related to a capacity to cope with stressful situations: women with lower stress coping capacity have greater problems recovering after surgery than those with a higher stress coping capacity. [3][4][5] During the past 10 years, fast-track surgery has gained much attention.…”

mentioning

confidence: 99%

Impact of stress coping capacity on recovery from abdominal hysterectomy in a fast‐track programme: a prospective longitudinal study

Kjølhede

Wodlin

Nilsson

et al. 2012

BJOG

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Objective: To evaluate the effect of stress coping capacity in combination with mode of anaesthesia on postoperative recovery in fast track abdominal hysterectomy.Design: Prospective longitudinal study.Setting: Five hospitals in the South-East of Sweden.Population: One-hundred sixty-two women undergoing fast track abdominal hysterectomy for benign conditions. Methods: Self-administered questionnaires, the Stress Coping Inventory (SCI) and the Swedish Postoperative Symptom Questionnaire (SPSQ), and clinical information collected prospectively. Stress coping capacity was categorized as high and low according to the sum score of the SCI. Comparisons of effect variables were adjusted using a propensity score matching model. Main outcome measures:Associations between stress coping capacity and hospital stay, sick leave, use of analgesic, and self-reported postoperative symptoms.Results: Women with high stress coping capacity had a significantly shorter sick leave, experienced postoperative symptoms significantly less often and with lower intensity than women with low stress coping capacity. This was almost exclusively related to having had the operation under spinal anaesthesia. Hospital stay, use of analgesics and having abdominal pain were not related to stress coping capacity. Conclusions:As was shown for almost all variables, in patients for whom spinal anaesthesia was applied, high stress coping seems to be a quality that helps the patients to manage the burden of surgery. It is desirable for the individual as well as for the health care system to enhance recovery by using intervention programs designed to improve or manage stress coping, particularly for individuals with low stress coping capacity. This recommendation merits further investigation.Stress coping capacity and fast track abdominal hysterectomy 3

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3 Psychological aspects of gynaecological surgery

Cited by 15 publications

References 31 publications

Bowel Function and Hysterectomy – A Review

Bowel Function and Hysterectomy – A Review

The illness experiences of women with fibroids: An exploratory qualitative study

Impact of stress coping capacity on recovery from abdominal hysterectomy in a fast‐track programme: a prospective longitudinal study

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