COMPARATIVE ANALYSIS OF PSYCHIC FUNCTIONING IN PERIMENOPAUSAL WOMEN TREATED SURGICALLY AND CONSERVATIVELY

Investigation of differences in psychic functioning of women with history of hysterectomy with adnexectomy due to uterus myoma, women who were treated with metotrexate due to the same illness and the group of women who are in physiological perimenopause. The population of 120 women was divided in three equal groups of 40. The first group consisted of women with history of hysterectomy with adnexectomy due to uterus myoma, the second group consisted of women who were treated with metotrexate due to the same illness and the third group consisted of women in physiological perimenopause. The Hamilton Scales were used for evaluation of depression and anxiety (HAMD and HAMA, 1960). The t-test, the Kruskal-Walis test and the Mann-Whytny test were used in statistical processing. The usage of ANOVA on HAMD scale scores is shown in listed groups of patients. Achieved result p=0.001, shows that there is statistically significant difference in levels of depression between groups. The result is confirmed by Mann-Whytny test and the Kruskal-Wallis test (p=0,0001).The usage of ANOVA in HAMA scale scores in investigated groups. Achieved result p=0.002, shows that there is statistically significant difference in levels of anxiety.The result is confirmed by Mann-Whytny test and the Kruskal-Wallis test (p=0,000). Significantly higher levels of depression and anxiety were registered in hysterectomized women compared to women from other groups. There is no significant difference in levels of anxiety and depression between the group of women treated with methotrexate and the group of those in physiological perimenopause. Hysterectomy with adnexectomy influences negatively on woman’s later quality of life. This surgical procedure increases the risk of developing dysfunction in psychic sphere. In most of the hysterectomized women the process of inner-psychic suffering reaches the level of fullblown depression. Significantly lower levels of depression and anxiety were registered in population of women who were in physiological perimenopause, and also in population of those who were treated conservatively with metotrexate due to uterus myoma. From the aspect of mental health, the advantage of conservative treatment of uterus myoma compared to surgery is obvious.