Bewältigungsstrategien junger Frauen vor und nach einer Hysterektomie: Trends und erste Ergebnisse einer 3jährigen Follow-up-Untersuchung

A. Zintl-Wiegand, Frank Köhler, W. Wiest
In: Psychosomatische Gynäkologie und Geburtshilfe 1988 · 1989 · pp. 39–50 · doi:10.1007/978-3-642-74085-5_7 · W192870312
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This study examines coping strategies of young women before and after hysterectomy, presenting initial findings from a three-year follow-up.

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This paper reports trends and initial findings from a three-year follow-up study examining coping strategies of young women before and after hysterectomy, framed in the broader context of changing hysterectomy debate and surgery rates in prior decades. At a high level, it draws on prospective follow-up of women undergoing elective gynecological surgery and uses psychosocial coping constructs and measurement tools previously developed in related work. The key finding emphasized in the provided text is the reported stabilization/decline of public and emotional discourse around hysterectomy over time, alongside the reported fluctuations and long-standing prominence of hysterectomy rates in the United States, but the excerpt does not include specific coping-outcome results. The paper’s main caveat, as reflected by the “first results” framing, is that the published report provides only early follow-up findings rather than complete longitudinal conclusions. 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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Zusammenfassung Die Diskussion um das Für und Wider der Hysterektomie, wie sie in den Jahren 1980/82 geführt wurde, hat merklich abgenommen. Emotionale Wogen haben sich geglättet. Die breite öffentliche Diskussion (z.B. Der Spiegel 1981) hatte offenbar auch zur Folge, daß die Operationsziffern wieder zurückgegangen sind. Aus den USA wird eine Rückläufigkeit seit 1976 berichtet (Easterday et al. 1983). Die Raten schwankten von 1971 bis 1980 zwischen 540 und 670 pro 100000 Frauen. Dennoch bleibt die Hysterektomie in den Vereinigten Staaten die häufigste Operation. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Amendt G (1985) Macht der Frauenärzte. Fischer, Frankfurt am Main Bangert-Verleger A (1984) Indikationen zur Hysterektomie. Dargestellt anhand von Kliniken in Mannheim. Dissertation an der Frauenklinik der Fakultät für Klinische Medizin Mannheim, Universität Heidelberg Bellak L, Harvich M, Gediman HK (1979) Ego-functions in schizophrenics, neurotics and normals. Wiley, New York Bernhard L (1986) Methodologic issues in studies of sexuality and hysterectomy. J Sex Research 22: 108 Braukmann W, Filipp SH, Angleitner A, Olbrich E (1981) Problem solving and coping with critical life events. Forschungsbericht 15. Universität Trier Coppen A, Bishop M, Beard RJ, Barnard GJR, Collins WP (1981) Hysterectomy, hormones and behavior. Lancet I: 17 Drellich M, Bieber I (1958) The psychological importance of the uterus and its functions. J Nervous Mental Disease 27: 332 Easterday CL, Grimes D, Riggs JA (1983) Hysterectomy in the United States. Obstetrics and Gynecology 62: 203 Folkman S, Lazarus RS (1980) Coping in an adequately functioning middle-age population. J Health Soc Behavior 21: 219 Gath D, Cooper P, Day A (1982) Hysterectomy and Psychiatric Disorder: I Brit J Psychiatry 140: 335 Haan N (1977) Coping and defending. Academic Press, New York Lazarus RS (1974) Psychological stress and coping in adaption and illness. Int J Psychiatry Med 5: 321 Lindemann E (1941) Observations of psychiatric sequelae to surgical operations in women. Am J Psychiatry 98: 132 Martin RL, Roberts RV, Clayton PJ (1980) Psychic status after hysterectomy. JAMA 244: 350–353 Moore JT, Tolley DH (1976) Depression following hysterectomy. Psychosomatics 17: 86 Prystav G (1981) Psychologische Coping-Forschung: Konzeptbildungen, Operationalisierungen und Meßinstrumente. Diagnostica 27: 189 Richards DH (1973) Depression after Hysterectomy. Lancet II: 430 Singh B, Raphael B, Gyaweshwar R, Johnston P (1983) Post-hysterectomy adaption: A review and report of two follow-up studies. Austr New Zealand J Psychiatry 17: 227 „Der Spiegel“ (1981) Nutzloses Organ (H. 7:196–197) Vaillant GE (1977) Adaption to life. Little, Brown, Boston Webb C, Wilson-Barnett J (1983) Hysterectomy: A study in coping with recovery. J Adv Nursing 8: 311 Zerssen D von (unter Mitarbeit von Koeller DM) (1976) Klinische Selbstbeurteilungsskalen (KSb-S) aus dem Münchener Psychiatrischen Informationssystem (Psychis München). Beltz, Weinheim Zintl-Wiegand A, Krumm B (1983) A prospective study of young women undergoing elective gynecological surgery, Unveröff. Manuskript, Zentralinstitut für Seelische Gesundheit, Mannheim Zintl-Wiegand A, Krumm B (1986) Psychosomatic risk groups in connection with elective gynecological surgery. In: Lacey JH, Sturgeon DA (eds) Proceedings of the 15th European Conference on Psychosomatic Research. John Libbey (Engl.), pp 261–266 Zintl-Wiegand A, Cooper B, Krumm B (1980) Psychisch Kranke in der ärztlichen Allgemeinpraxis. Beltz, Weinheim Editor information Editors and Affiliations Rights and permissions Copyright information © 1989 Springer-Verlag Berlin Heidelberg About this paper Cite this paper Zintl-Wiegand, A., Köhler, F., Wiest, W. (1989). Bewältigungsstrategien junger Frauen vor und nach einer Hysterektomie: Trends und erste Ergebnisse einer 3jährigen Follow-up-Untersuchung. In: Teichmann, A.T., Dmoch, W., Stauber, M. (eds) Psychosomatische Gynäkologie und Geburtshilfe 1988. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74085-5_7 Download citation DOI: https://doi.org/10.1007/978-3-642-74085-5_7 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-50307-1 Online ISBN: 978-3-642-74085-5 eBook Packages: Springer Book Archive

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