Psychiatric morbidity after hysterectomy

Abstract

Fifty-four women were examined 3 to 6 months after hysterectomy, with General Health Questionnaire and DSM-IV to find out the psychiatric morbidity. 38.8% women had psychiatric disorder, which is higher than general population. Depressive disorder and generalized anxiety disorder were the common psychiatric diagnosis. To minimize the psychiatric complications, it was suggested that the women should undergo counseling before and after the operation to minimize the psychiatric complications.

Psychiatric disorders following hysterectomy

“…This was highly significant difference in hysterectomized women as compared to control group (p<0.0001) ( Table 5). 13,15 So the present study finding was consistent with the findings of other studies. Regarding the parity, current study showed that, 98.6% respondents of the hysterectomized group were multiparous.…”

“…In this regards, another Bangladeshi study showed that 86.96% respondents were multiparous and an Indian study showed that 74% respondents were multiparous. 13,15 This preponderance of multiparity could be due to the fact that before completion the family (at least two children) it was hardly tried by the gynecologist to manage the adverse gynecological condition conservatively. Consequently patient and her family member might also refuse to give consent before completion her family.…”

“…Regarding the psychiatric disorders the study showed a highly . 13,14 An Egyptian study detected 78.7% of psychiatric morbidity. 16 The common psychiatric disorder in hysterectomized women was major depressive disorder (26.5%) followed by panic disorder (5.2%), obsessive compulsive disorder (3.8%) and conversion disorder (2.7%)…”

“…Regarding the patterns of psychiatric disorders the study also showed a highly significant difference in hysterectomized women as compared to control group (p<0.0001).In this regards Habib et al found major depressive disorder was 33.3%, generalized anxiety disorder was 23.8%, panic disorder was 14.3%, somatization disorder was 14.3%, somatoform disorder was 9.5% and obsessive compulsive disorder was 4.8%. 13 Presence of more psychiatric morbidities in the hysterectomized group than the control group might be due to the removal of organ that predispose psychiatric disorder in the same way as any loss.…”

“…12 In our country the prevalence of psychiatric morbidities following hysterectomy were found as 38.8% and out of them 33% patient were suffering from depressive disorders. 13 But in an earlier study it was estimated about 73.1%, out of which 27% were suffering from anxiety disorders. 14 So woman following hysterectomy should examine by a psychiatrist for proper evaluation and appropriate management of the psychiatric morbidities.…”