Mortilla Simona, Pruneti Carlo, Masellis Giuseppe, Guidotti Sara, Caramuscio Chiara
Obstetrics and Gynecology Unit, Carpi Hospital, Modena, Italy. Carpi Hospital Modena Italy.
Clinical Psychology, Clinical Psychophysiology and Clinical Neuropsychology Labs., Dept. of Medicine and Surgery, University of Parma, Italy. Università degli Studi di Parma University of Parma Italy.
Int J Psychol Res (Medellin). 2023 Jun 20;16(1):56-66. doi: 10.21500/20112084.5981. eCollection 2023 Jan-Jun.
Within the current literature concerning the gynecological surgery, there are only a few studies that focus on the psychological aspects that characterize the peri-operative period. In this research, the psychopathological symptoms and the illness behavior were assessed in order to confirm previous results about clinical variables such as the type and method of intervention, as well as psychological aspects regarding the positive anamnesis for mental disorders. Moreover, other factors including the desire for maternity and previous surgical interventions and pregnancies were also investigated.
In this observational research, 58 women (age = 41.58.8), that undergone gynecological surgery (conservative and non-conservative) for benign pathologies, were consecutively recruited. Information on psychopathological symptoms was collected 15 days (T0) and one day before surgery (T1), and at the time of discharge (T2) through the Symptom Questionnaire (SQ). At T2, the Illness Behavior Questionnaire (IBQ) was also administered.
The descriptive analyzes conducted on the total sample demonstrated that while anxious activation and irritable mood decrease from T0 to T1, somatizations and depression mood increase between T1 and T2. Moreover, the comparisons between groups, dividing the sample according to the clinical-medical and psychological variables, highlighted that the type and modality of the intervention, as well as a positive history for the presence of psychological disorders, the desire for maternity, and previous surgical interventions and pregnancies, can influence the course of psychopathological symptoms.
This study highlights the need to include a clinical-psychological evaluation and to pay attention to specific clinical variables regarding women that are undergoing a conservative or non-conservative gynecological surgery. Considering the psychological impact of these type of interventions, the clinical history of these women, as well as their fears and desires, could facilitate a better management of the patients in terms of well-being, adherence to treatment, and recovery.
在当前有关妇科手术的文献中，仅有少数研究关注围手术期的心理特征。在本研究中，对心理病理症状和患病行为进行了评估，以证实先前关于临床变量（如干预类型和方法）的结果，以及关于精神障碍阳性既往史的心理方面。此外，还调查了其他因素，包括生育愿望、既往手术干预和妊娠情况。
在这项观察性研究中，连续招募了58名因良性病变接受妇科手术（保守性和非保守性）的女性（年龄=41.5±8.8岁）。通过症状问卷（SQ）在术前15天（T0）、手术前1天（T1）和出院时（T2）收集心理病理症状信息。在T2时，还进行了患病行为问卷（IBQ）调查。
对总样本进行的描述性分析表明，虽然焦虑激活和易怒情绪从T0到T1有所下降，但躯体化和抑郁情绪在T1和T2之间有所增加。此外，根据临床-医学和心理变量对样本进行分组比较，结果显示干预类型和方式，以及心理障碍阳性病史、生育愿望、既往手术干预和妊娠情况，均可影响心理病理症状的发展过程。
本研究强调了对接受保守性或非保守性妇科手术的女性进行临床-心理评估并关注特定临床变量的必要性。考虑到这类干预的心理影响，这些女性的临床病史以及她们的恐惧和愿望，有助于在幸福感、治疗依从性和康复方面更好地管理患者。
