Depressive Symptoms Before and After Elective Hysterectomy

JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

Volumn 40, Issue 5, 2011, Pages 566-576

  Vandyk, Amanda Digel ^a   Brenner, Ingrid ^b   Tranmer, Joan ^a   Van Den Kerkhof, Elizabeth ^a  

^a QUEEN S UNIVERSITY   (Canada)

^b TRENT UNIVERSITY   (Canada)

Author keywords

Depression; Hysterectomy; Prospective study; Risk factors

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; CANADA; COHORT ANALYSIS; COMPARATIVE STUDY; CONFIDENCE INTERVAL; DEPRESSION; ELECTIVE SURGERY; FEMALE; FOLLOW UP; HOSPITALIZATION; HUMAN; HYSTERECTOMY; INCIDENCE; MENTAL STRESS; METHODOLOGY; MIDDLE AGED; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PSYCHOLOGICAL ASPECT; QUALITY OF LIFE; QUESTIONNAIRE; RETROSPECTIVE STUDY; RISK;

ADULT; AGE DISTRIBUTION; AGED; COHORT STUDIES; CONFIDENCE INTERVALS; DEPRESSION; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYSTERECTOMY; INCIDENCE; MIDDLE AGED; ODDS RATIO; ONTARIO; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; QUALITY OF LIFE; QUESTIONNAIRES; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; STRESS, PSYCHOLOGICAL; SURGICAL PROCEDURES, ELECTIVE;

EID: 84861713844     PISSN: 08842175     EISSN: 15526909     Source Type: Journal    
DOI: 10.1111/j.1552-6909.2011.01278.x     Document Type: Article

References (42)

1. Aisyaturridha, A., Naing, L., & Nizar, A. J. (2006). Validation of the Malay Brief Pain Inventory Questionnaire to measure cancer pain. Journal of Pain and Symptoms Management, 31(1), 13-31. doi:10.1016/j.jpainsymman.2005.06.011
2. Boyd, J. H., Weissman, M. M., Thompson, W. D., & Myers, J. K. (1982). Screening for depression in a community sample: understanding the discrepancies between depression symptom and diagnostic scales. Archives of General Psychiatry, 39, 1195-1200. doi:10.1001/archpsyc.1982.04290100059010
3. Canadian Institute for Health Information. (2010). Health care in Canada 2010. (ISBN 978-1-55645-855-8 PDF). Retrieved from
4. Canadian Women's Health Network. (2006). FAQ: Hysterectomy. Retrieved from .
5. Carr, E., Brockbank, K., Allen, S., & Strike, P. (2006). Patterns and frequency of anxiety in women undergoing gynaecological surgery. Journal of Clinical Nursing, 15(3), 341-341. doi:10.1111/j.1365-2702.2006.01285.x
6. Cheung, V. Y., Rosenthal, D. M., Morton, M., & Kadanka, H. (2007). Total laparoscopic hysterectomy: a five-year experience. Journal of Obstetrics and Gynaecology Canada, 29(4), 337-343.
7. Cipar, O. C., Muluk, N. B., Yalcinkaya, F., Rikan, O. K., Oguzturk, O., & Aslan, F. (2010). State-Trait Anxiety Inventory (STAI) assessment of mothers with language delayed children. Clinical and Investigative Medicine, 33(1), E30-E35.
8. Davies, J. E., & Doyle, P. M. (2002). Quality of life studies in unselected gynaecological outpatients and inpatients before and after hysterectomy. Journal of Obstetrics & Gynaecology, 22(5), 523-526. doi:10.1080/0144361021000003681
9. DesMeules, M., & Stewart, D. (Eds.). (2003). Women's Health Surveillance Report. A multi-dimensional look at the health of Canadian women (ISBN 1-55392-251-4). Retrieved from
10. Ewalds-Kvist, S. B., Hirvonen, T., Kvist, M., Lertola, K., & Niemela, P. (2005). Depression, anxiety, hostility and hysterectomy. Journal of Psychosomatic Obstetrics & Gynecology, 26(3), 193-204. doi:10.1080/01443610400023163
11. Farquhar, C. M., Harvey, S. A., Yu, Y., Sadler, L., & Stewart, A. W. (2005). A prospective study of 3 years of outcomes after hysterectomy with and without oophorectomy. American Journal of Obstetrics and Gynecology, 194(3), 711-717. doi:10.1016/j.ajog.2005.08.066
12. Flory, N., Bissonnette, F., & Binik, Y. M. (2005). Psychosocial effects of hysterectomy: Literature review. Journal of Psychosomatic Research, 59(3), 117-129. doi:10.1016/j.jpsychores.2005.05.009
13. Frances, A., Manning, O., Marin, D., Kocsis, J., McKinney, K., Hall, W., & Kline, M. (1992). Relationship of anxiety and depression. Psychopharmacology, 106(1), s82-s86.
14. Gerbershagen, H. J., Dagtekin, O., Gaertner, J., Petzke, F., Heidenreich, A., Sabatowski, R., & Ozgur, E. (2010). Preoperative chronic pain in radical prostatectomy patients: Preliminary evidence for enhanced susceptibility to surgically induced pain. European Journal of Anaesthesiology, 27(5), 448-454. doi:10.1097/EJA.0b013e3283349d9a
15. Gold, M. (2007). The gold standard: Ontario's depression strategy. Ontario, Canada: Canadian Mental Health Association. Retrieved from
16. Hartmann, K. E., Ma, C., Lamvu, G. M., Langenberg, P. W., Steege, J. F., & Kjerulff, K. H. (2004). Quality of life and sexual function after hysterectomy in women with preoperative pain and depression. Obstetrics & Gynecology, 104(4), 701-709. doi:10.1097/01.AOG.0000140684.37428.48
17. Helmy, Y. A., Hassanin, I. M. A., Elraheem, T. A., Bedaiwy, A. A., Peterson, R. S., & Bedaiwy, M. A. (2008). Psychiatric morbidity following hysterectomy in Egypt. International Journal of Gynecology and Obstetrics, 102(1), 60-64. doi:10.1016/j.ijgo.2008.02.007
18. Hishinuma, E. S., Miyamoto, R. H., Nishimura, S. T., Goebert, D. A., Yuen, N. Y., Makini, G. K., ... Carlton, B. S. (2001). Prediction of anxiety disorders using the State-Trait Anxiety Inventory for multiethnic adolescents. Journal of Anxiety Disorders, 15(6), 511-533.
19. Keller, S., Bann, C. M., Dodd, S. L., Schein, J., Mendoza, T. R., & Cleeland, C. S. (2004) Validity of the brief pain inventory for use in documenting the outcomes of patients with noncancer pain. Clinical Journal of Pain, 20, 309-318.
20. Lefebvre, G., Allaire, C., Jeffrey, J., & Vilos, G. (2002). Hysterectomy (Practice guideline N. 109). Retrieved from
21. Leppert, P. C., Legro, R. S., & Kjerulff, K. H. (2007). Hysterectomy and loss of fertility: Implications for women's mental health. Journal of Psychosomatic research, 63(3), 269-274. doi:10.1016/j.jpsychores.2007.03.018
22. Maas, C. P., Weijenborg, P. T. M., & ter Kuile, M. M. (2003). The effect of hysterectomy on sexual functioning. Annual Review of Sex Research, 14, 83-113.
23. McNeill, J. A., Sherwood, G. D., Starck, P. L., & Thompson, C. J. (1998). Assessing clinical outcomes: patient satisfaction with pain management. Journal of Pain and Symptom Management, 16, 29-40.
24. Kalaichandran, S. (2004). Hysterectomy. Retrieved from
25. Ontario Women's Health Council, Expert Panel of Best Practices in the use of Hysterectomy. (2002). Achieving best practices in the use of hysterectomy. Report of Ontario's Expert Panel on Best Practices in the Use of Hysterectomy. Retrieved from
26. Oudhoff, J. P., Timmermans, D. R., Knol, D. L., Bijnen, A. B., & Van der Wal, G. (2007). Waiting for elective general surgery: Impact on health related quality of life and psychosocial consequences. BMC Public Health, 7, 361-367.
27. Pandya, R., Patten, S. B., & Metz, L. M. (2005). Predictive value of CES-D in multiple sclerosis. Psychosomatics, 46, 131-134.
28. Posner, S. F., Stewart, A. L., Marin, G., & Perez-Stable, E. J. (2001). Factor variability of the Centre for Epidemiological Studies Depression Scale (CES-D) among urban Latinos. Ethnicity & Health, 6(2), 137-144. doi:10.1080/13557850120068469
29. Rannestad, T., Eikeland, O., Helland, H., & Qvarnström, U. (2001). The quality of life in women suffering from gynecological disorders is improved by means of hysterectomy. Acta Obstetricia Et Gynecologica Scandinavica, 80(1), 46-51. doi:10.1080/791201833
30. Ray, J. J. (1984). Measuring trait anxiety in general population samples. Journal of Social Psychology, 123(2), 189-193.
31. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 3, 385-401. doi:10.1177/014662167700100306
32. Radloff, L. S., & Locke, B. Z. (2000). Center for Epidemiologic Studies Depression Scale (CES-D). In A. J. Rush Jr., M. B. First, & D. Blacker (Eds.), Handbook of psychiatric measures (pp. 523-526). Washington, DC: American Psychiatric Association.
33. Spielberger, C. D. (1983). STAI manual for the state-trait anxiety inventory. Palto, CA: Consulting Psychologists Press.
34. Stansbury, J. P., Ried, L. D., & Velozo, C. A. (2006). Unidimensionality and bandwidth in the Center for Epidemiologic Studies Depression (CES-D) Scale. Journal of Personality Assessment, 86(1), 10-22. doi:10.1207/s15327752jpa8601_03
35. Soares, C. N., & Frey, B. N. (2010). Challenges and opportunities to manage depression during menopausal transition and beyond. Psychiatric Clinics of North America, 33(2), 295-308. doi:10.1016/j.psc.2010.01.007
36. Tan, G., Jensen, M. P., Thornby, J. I., & Shanti, B. F. (2004). Validation of the Brief Pain Inventory for chronic nonmalignant pain. Journal of Pain, 5(2), 133-137. doi:10.1016/j.jpain.2003.12.005
37. Thornton, E. W., McQueens, C. A., Rosser, R., Kneale, T., & Dixon, K. (1997). A prospective study of changes in negative mood states of women undergoing surgical hysterectomy: The relationship to cognitive predisposition and familial support. Journal of Psychosomatic Obstetrics and Gynecology, 18(1), 22-30. doi:10.3109/01674829709085565
38. VanDenKerkhof, E., Hopman, W., Towheed, T., Goldstein, D., Wilson, R., Harrison, M., ... McGrath, P. (2011, April). Understanding chronic pain following surgery in women. Poster session presented at the Canadian Pain Society Annual Meeting, Niagara Falls, Ontario, Canada.
39. Wang, X. Q., Lambert, C. E., & Lambert, V. A. (2007). Anxiety, depression and coping strategies in post-hysterectomy Chinese women prior to discharge. International Nursing Review, 54(3), 271-279. doi:10.1111/j.1466-7657.2007.00562.x
40. Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: a validation study. American Journal of Epidemiology, 106(3), 203-214.
41. Williams, L. J., Jacka, F. N., Pasco, J. A., Dodd, S., & Berk, M. (2006). Depression and pain: An overview. Acta Neuropsychiatrica, 18(2), 79-87. doi:10.1111/j.1601-5215.2006.00130.x
42. Yen, J., Chen, Y., Long, C., Chang, Y., Yen, C., Chen, C., & Ko, C. (2008). Risk factors for major depressive disorder and the psychological impact of hysterectomy: A prospective investigation. Psychosomatics: Journal of Consultation Liaison Psychiatry, 49(2), 137-142.