Comparison of the Quality of Life and Post-traumatic Stress in Postmenopausaland Non-menopausal Women after Hysterectomy in Selected Hospitalsof Shiraz University of Medical Sciences in 2020

Zohreh Radmehr, Mahnaz Zarshenas, Maryam Keshavarz, Marzieh Akbarzadeh
In: Current Women s Health Reviews · 2022 · vol. 19(2) · doi:10.2174/1573404818666220505154823 · W4229018148
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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

This study found a significant negative correlation between quality of life and post-traumatic stress two months after hysterectomy in both postmenopausal and non-menopausal women.

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This cross-sectional analytical study evaluated post-traumatic stress and quality of life in hysterectomized postmenopausal and non-menopausal women in Shiraz, Iran, using the Impact of Event Scale-Revised and WHOQOL-BREF at baseline and two months after surgery. With 77 participants per group selected by convenience sampling, it found that while early (before and one week after surgery) quality-of-life and post-traumatic stress associations were not significant, there was a significant negative relationship between the two measures two months postoperatively (P=0.001). The authors reported that mean post-traumatic stress scores increased after hysterectomy (not significant; P=0.179) but that quality of life improved and stress decreased by two months (P=0.0001). 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

Background: Hysterectomy is one of the most common gynecological surgeries that affect women's mental health and quality of life. Objective: This study aimed to investigate the correlation between the quality of life and posttraumatic stress in hysterectomized postmenopausal and non-menopausal women. Materials and Methods: This cross-sectional analytical study was conducted from August to December 2019 on hysterectomies postmenopausal and non-menopausal women. There were 77 subjects in each group with a mean age of 52.55 ± 1.098. They were selected via convenience sampling at Hazrat Zeinab (PBUH) and Shahid Dr. Faghihi Hospitals in Shiraz. They were evaluated in a two-month follow-up using the Impact of Event Scale-Revised (Weiss & Marmar, 1997) and WHO Quality of Life-BREF (WHOQOL-BREF) questionnaires. Data were analyzed in SPSS-16 software using descriptive and inferential statistics (independent t-test, paired t-test, and Pearson or Spearman correlation coefficients). Results: Unlike the first stage of the study (before and a week after the surgery, P = 0.289), there was a significant negative relationship in the quality of life and post-traumatic stress between postmenopausal and non-menopausal women (P = 0.001) in the second stage (two months after the surgery). Hysterectomy increased the mean score of post-traumatic stress in postmenopausal and nonmenopausal women after the surgery (P = 0.179), while the quality of life improved and stress decreased two months later (P = 0.0001). Conclusion: Hysterectomy improved the quality of life in postmenopausal and significantly in nonmenopausal women. Hence, due to the correlation and significant negative relationship between post-traumatic stress and quality of life, midwives, families, and society need to pay attention to women’s quality of life.
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Abstract

Background: Hysterectomy is one of the most common gynecological surgeries that affect women's mental health and quality of life.

Objective

This study aimed to investigate the correlation between the quality of life and posttraumatic stress in hysterectomized postmenopausal and non-menopausal women.

Materials and methods

This cross-sectional analytical study was conducted from August to December 2019 on hysterectomies postmenopausal and non-menopausal women. There were 77 subjects in each group with a mean age of 52.55 ± 1.098. They were selected via convenience sampling at Hazrat Zeinab (PBUH) and Shahid Dr. Faghihi Hospitals in Shiraz. They were evaluated in a two-month follow-up using the Impact of Event Scale-Revised (Weiss & Marmar, 1997) and WHO Quality of Life-BREF (WHOQOL-BREF) questionnaires. Data were analyzed in SPSS-16 software using descriptive and inferential statistics (independent t-test, paired t-test, and Pearson or Spearman correlation coefficients).

Results

Unlike the first stage of the study (before and a week after the surgery, P = 0.289), there was a significant negative relationship in the quality of life and post-traumatic stress between postmenopausal and non-menopausal women (P = 0.001) in the second stage (two months after the surgery). Hysterectomy increased the mean score of post-traumatic stress in postmenopausal and nonmenopausal women after the surgery (P = 0.179), while the quality of life improved and stress decreased two months later (P = 0.0001).

Conclusion

Hysterectomy improved the quality of life in postmenopausal and significantly in nonmenopausal women. Hence, due to the correlation and significant negative relationship between post-traumatic stress and quality of life, midwives, families, and society need to pay attention to women’s quality of life.

Keywords

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