Depressive Symptoms Before and After Elective Hysterectomy

Vandyk, Amanda; Brenner, Ingrid K. M.; Tranmer, Joan; Kerkhof, Elizabeth Van Den

doi:10.1111/j.1552-6909.2011.01278.x

Cited by 28 publications

(24 citation statements)

References 30 publications

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“…One of the most recent systematic reviews targeting the role of psychosocial predictors of CPSP demonstrates a significant positive association between preoperative anxiety as well as pain catastrophizing and CPSP after hysterectomy [ 27 ]. Likewise, pre-surgical depression was considered to relate to an elevated incidence of chronic pain in a prospective cohort study concerning hysterectomy [ 28 ]. In the present study, we also found that preoperative anxiety and depression as predisposing factors for the development of chronic pain after hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

et al. 2017

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BackgroundChronic post-surgical pain (CPSP) after hysterectomy has been recognized as a major clinical problem in the Western World. Reports on post-hysterectomy pain are relatively scarce in China. The aim of the current study was to prospectively investigate the incidence and the potential risk factors of CPSP at 3 months following hysterectomy in Chinese population.MethodsWe assessed and collected data on preoperative socio-demographic characteristics, preexisting pain, anxiety and depression, sexual satisfaction, intra-operative variables, and acute postoperative pain intensity in a cohort of 870 women undergoing hysterectomy. The participants were interviewed to determine their suitability to diagnostic criteria of CPSP 3 months later. Logistic regression analyses were subsequently performed to identify predictors for CPSP.ResultsThe incidence of CPSP at 3 months after hysterectomy was 27.7%. Most of the women with CPSP suffered from mild pain and had a slight impact on daily life with sleep and emotion functional limitation. Risk factors for CPSP after hysterectomy were preoperative anxiety, depression, pelvic pain, preexisting pain, very-moderate sexual dissatisfaction, and acute postoperative pain at movement. Intra-operative dexmedetomidine infusion with 0.5 μg/kg/h was associated with a decreased incidence rate of chronic post-hysterectomy pain.ConclusionTwenty-eight percent of patients after hysterectomy in southern Jiangsu china had CPSP with 92% of those women describing it as mild with sleep and emotion functional limitation. Patients with preoperative anxiety and depression, poor sexual satisfaction, preexisting pain, and acute postoperative pain on movement have been identified to be at risk to develop CPSP.

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Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

et al. 2017

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“…(Abbott et al, 2011;Brandsborg, Nikolajsen, Kehlet, & Jensen, 2008;Fletcher et al, 2015;K. E. Hartmann et al, 2004;Jackson et al, 2016;Vandyk, Brenner, Tranmer, & Kerkhof, 2011;Weinrib et al, 2017)), it may be linked to physical/genetic factors [1; 10] and appears to be independent of the magnitude of nerve damage.…”

Section: Discussionmentioning

confidence: 99%

“…While the development of neuropathic post‐surgical pain may seem less dependent on pre‐existing psychological components than described for predictors of any type of CPSP (e.g. (Abbott et al., 2011; Brandsborg, Nikolajsen, Kehlet, & Jensen, 2008; Fletcher et al., 2015; K. E. Hartmann et al., 2004; Jackson et al., 2016; Vandyk, Brenner, Tranmer, & Kerkhof, 2011; Weinrib et al., 2017)), it may be linked to physical/genetic factors [1; 10] and appears to be independent of the magnitude of nerve damage.…”

Section: Discussionmentioning

confidence: 99%

Neuropathic pain after thoracotomy: Tracking signs and symptoms before and at monthly intervals following surgery

Gandhi

Pomares

Naso

et al. 2020

European Journal of Pain

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“…Available data indicate, for example, that a hysterectomy may lead to the development of depression (Gandyk, Brenner, Tranmer, & Van Den Kerkhof, 2011;Khastgir, Studd, & Catalan, 2000;Leppert, Legro, & Kjerulff, 2007;Raza, Waqas, & Jamal, 2015;Yen et al, 2008; see also Darwish, Atlantis, & Mohamed-Taysir, 2014). This effect can also be seen after a diagnosis of polycystic ovarian syndrome (PCOS) (Cipkala-Gaffin, Talbott, Song, Bromberger, & Wilson, 2012;Jones, Hall, Lashen, Balen, & Ledger, 2011).…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic stress symptoms in women with gynaecologic pathology: the role of temperament, self-esteem and mental health

Oniszczenko¹,

Szulc²,

Bulsa³

et al. 2016

Current Issues in Personality Psychology

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Background Women with gynaecological pathology are affected by diseases associated with their femininity, attractiveness and fertility. Diseases like these can potentially be sources of trauma for women. The aim of this cross-sectional study was to investigate temperament traits, self-esteem and mental health dimensions that may contribute to the intensity of trauma in hospitalized women. Participants and procedure The study was conducted on 136 women aged from 18 to 60, hospitalized for a variety of gynaecological diseases. The level of trauma symptoms was assessed with the PTSD-Factorial Version inventory. Temperament traits were assessed with the Formal Characteristics of Behaviour – Temperament Inventory (FCB-TI), self-esteem was measured using the Multidimensional Self-Esteem Inventory, and mental health was diagnosed with the General Health Questionnaire – 28 items. Results Emotional reactivity and anxiety symptoms increase trauma symptom intensity in gynaecological patients, whereas briskness, endurance and lovability as a dimension of self-esteem may serve as protective buffers against intensification of trauma symptoms. Together, emotional reactivity, anxiety symptoms and lovability account for 48% of the variance of trauma intensity symptoms. Conclusions Emotional reactivity and anxiety symptoms increase trauma symptom intensity in gynaecological patients, whereas lovability as a dimension of self-esteem (and to a lesser extent briskness and endurance as temperament traits) may serve as protective buffers against intensification of trauma symptoms. The findings may have implications for the social support programmes that may be arranged for gynaecological patients.

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Depressive Symptoms Before and After Elective Hysterectomy

Cited by 28 publications

References 30 publications

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

Neuropathic pain after thoracotomy: Tracking signs and symptoms before and at monthly intervals following surgery

Posttraumatic stress symptoms in women with gynaecologic pathology: the role of temperament, self-esteem and mental health

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