Ohkawa R, Tanaka K, Morikawa S, Takeda S, Katoh K
Department of Obstetrics and Gynecology, Chiba Municipal Hospital.
Nihon Sanka Fujinka Gakkai Zasshi. 1992 Jun;44(6):676-82.
Psychosomatic reaction to hysterectomy was prospectively studied by means of psychological tests and a questionnaire. One hundred and twenty patients who had simple hysterectomy were examined before and as long as one year after operation. The mean score for A-state, a state anxiety scale, was high before operation and rapidly declined postoperatively. SRQ-D and CMI, which represent depressive and neurotic states, respectively, showed rather high scores before and 2 weeks after operation. Mean scores in these psychological tests declined to a plateau within 6 months after operation, and there were less psychological and physiological symptoms and there was improved physical activity, showing that most patients can over come psychosomatic problems caused by hysterectomy. A close correlation was observed between the results of psychological tests and the number of psychological symptoms. Forty patients with a high SRQ-D score showed abnormality in other scales. Psychosomatic disorders associated with hysterectomy are characterized by various symptoms but mainly by a depressive state. High SRQ-D patients were divided into three subgroups: A) the SRQ-D score is constantly high, B) the SRQ-D is high for the first several weeks, and C) the score increased after discharge. Patients in each subgroup showed signs of a characteristic personality. These results show the presence of a different psychosomatic approach to the patients personally.
通过心理测试和问卷调查对子宫切除术后的身心反应进行了前瞻性研究。对120例行单纯子宫切除术的患者在术前及术后长达1年的时间里进行了检查。状态焦虑量表A状态的平均得分在术前较高，术后迅速下降。分别代表抑郁状态和神经症状态的SRQ-D和CMI在术前及术后2周得分较高。这些心理测试的平均得分在术后6个月内降至平稳状态，心理和生理症状减少，身体活动能力改善，表明大多数患者能够克服子宫切除术引起的身心问题。心理测试结果与心理症状数量之间存在密切相关性。40例SRQ-D得分高的患者在其他量表上表现异常。与子宫切除术相关的身心障碍具有多种症状，但主要以抑郁状态为特征。SRQ-D得分高的患者分为三个亚组：A）SRQ-D得分持续较高；B）SRQ-D在最初几周较高；C）出院后得分升高。每个亚组的患者都表现出具有特征性人格的迹象。这些结果表明针对患者个体存在不同的身心应对方式。
