자궁절제술 후 우울성향에 영향을 미치는 요인들

Factors Relevant to Depression Following Hysterectomy

One hundred six post hysterectomy patients were evaluated in their severity of degree of depression using Hamilton Depression Rating Scale. Their mean age was 46.4 土 7.4 years. Those factors which were thought to be related to posthysterectomy depression were also evaluated in their relationship with the severity of depression. Factors included were age of patients, gynecological diagnosis(cancer vs. non-cancer), type of operation(radical hysterectomy vs. total hysterectomy), duration after hysterectomy in years and past history of pychiatric problems. The results were as follows; 1) The patients who received hysterectomy due to malignancy showed more frequent and severe depression than those who received hysterectomy due to nonmalignant diseases. 2) Among the patients who received hysterectomy due to nonmalignancy, those who had hysterectomy plus bilateral oophorectomy showed more severe depression than those who had hysterectomy only. 3) Severity of depression tended to become more profound as the time went on after hysterectomy up to 3 years. Those patients who received hysterectomy 2-3 years ago were more depressed than those who had hysterectomy within one year ago. 4) Severity of depression following hysterectomy was also noted to be related with the coping strategies the patients were using. Regardless of the nature of gynecological diseases as well as the type of surgery, the patients who were using undesirable coping strategies appeared to be more depressed than those who were using desirable coping strategies.