Depression and anxiety Post Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy.

Sarosh Khan, Sheema Khan, Shehla Channa, Muhammad Adnan Bawany
In: The Professional Medical Journal · 2020 · vol. 27(02) , pp. 217–224 · doi:10.29309/tpmj/2020.27.03.2338 · W3003171493
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This cross-sectional study found that 27.2% of women experienced anxiety and 32.4% experienced depression, mostly mild to moderate, following total abdominal hysterectomy with bilateral salpingo-oophorectomy.

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This cross-sectional study assessed the frequency and severity of depression and anxiety among 136 women who underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy at Isra University Hospital between January 2015 and January 2016, using the Zung self-rating depression and anxiety scales. Anxiety was reported in 27.2% of participants and depression in 32.4%, with most cases classified as mild to moderate severity; the authors also found significant associations between anxiety and depression and age, parity, and education level. The study excluded women with certain hysterectomy types and those with pre-existing depression/psychosis, but it does not report longitudinal or causal assessment beyond this single time point. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Objectives: To determine the frequency and severity of depression and anxiety in patients who had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy. Study Design: A cross-sectional study. Setting: Department of Obstetrics and Gynecology, Isra University Hospital, Hyderabad, Sindh. Period: From 14th January 2015 to 14th January 2016. Material & Methods: Total 136 women were included in the study that had undergone total abdominal hysterectomy along with bilateral salpingo-oophorectomy. Women who had an obstetrical hysterectomy, vaginal hysterectomy, subtotal hysterectomy, hysterectomized women with pre-existing depression and psychosis and women who did not agree to participate were excluded. Anxiety and depression were labelled along with severity as per operational definition using Zung self-rating depression and Zung self-rating anxiety scale and were analyzed by using SPSS 11.0. Result: Majority of the women were married (88.2%), educated (66.9%), and grand multiparous (46.3%). Commonest age group was more than 40 years (29.4%). Anxiety was present in 27.2% whereas depression was seen in 32.4% women. Conclusion: There was a highly significant association of age, parity and level of education with anxiety as well as depression. Majority of the women suffered from mild to moderate level of anxiety and depression.
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Depression and anxiety Post Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy. DOI: https://doi.org/10.29309/TPMJ/2020.27.02.2338Keywords: Anxiety, Depression, Hysterectomy, Salpingo-oophorectomy, Total abdominal hysterectomyAbstract Objectives: To determine the frequency and severity of depression and anxiety in patients who had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy. Study Design: A cross-sectional study. Setting: Department of Obstetrics and Gynecology, Isra University Hospital, Hyderabad, Sindh. Period: From 14th January 2015 to 14th January 2016. Material & Methods: Total 136 women were included in the study that had undergone total abdominal hysterectomy along with bilateral salpingo-oophorectomy. Women who had an obstetrical hysterectomy, vaginal hysterectomy, subtotal hysterectomy, hysterectomized women with pre-existing depression and psychosis and women who did not agree to participate were excluded. Anxiety and depression were labelled along with severity as per operational definition using Zung self-rating depression and Zung self-rating anxiety scale and were analyzed by using SPSS 11.0. Result: Majority of the women were married (88.2%), educated (66.9%), and grand multiparous (46.3%). Commonest age group was more than 40 years (29.4%). Anxiety was present in 27.2% whereas depression was seen in 32.4% women. Conclusion: There was a highly significant association of age, parity and level of education with anxiety as well as depression. Majority of the women suffered from mild to moderate level of anxiety and depression.

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