Depression, anxiety, hostility and hysterectomy

S. Béatrice M. Ewalds‐Kvist, T Hirvonen, Mårten Kvist, Kaarlo Lertola, Pirkko Niemelä
In: Journal of Psychosomatic Obstetrics & Gynecology · 2005 · vol. 26(3) , pp. 193–204 · doi:10.1080/01443610400023163 · PMID:16295517 · W2115786531
article OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study assessed psychological and somatic factors in 65 women before and after hysterectomy, finding improved health but impaired sexual relationships, with pre-existing psychological states and partner support influencing outcomes.

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Abstract

Sixty-five women (aged 32 - 54 yrs) were assessed at 2 months before to 8 months after total abdominal hysterectomy on four separate occasions. Beck's Depression Inventory (BDI), Taylor's Manifest Anxiety Scale (TMAS), the Buss-Durkee Hostility Inventory (BDHI), Measurement of Masculinity-Femininity (MF), Likert scales and semantic differentials for psychological, somatic and sexual factors varied as assessment tools. High-dysphoric and low-dysphoric women were compared with regard to hysterectomy outcomes. Married nulliparae suffered from enhanced depression post-surgery. Pre-surgery anxiety, back pain and lack of dyspareunia contributed to post-surgery anxiety. Pre-surgery anxiety was related to life crises. Pre- and post-surgery hostility occurred in conjunction with poor sexual gratification. Post-hysterectomy health improved, but quality of sexual relationship was impaired. Partner support and knowledge counteracted hysterectomy aftermath. Post-hysterectomy symptoms constituted a continuum to pre-surgery signs of depression, anxiety or hostility.

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dyspareunia

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