Meikle S, Brody H, Pysh F
J Nerv Ment Dis. 1977 Jan;164(1):36-41. doi: 10.1097/00005053-197701000-00007.
The major aim of the present study was to determine whether women exposed to a hysterectomy procedure showed any greater evidence of postsurgery mood disorder than a cholecystectomy control group. In addition, the investigation also considered whether sterilization by hysterectomy resulted in more frequent mood disturbance than in tubal ligation where the uterus remains undisturbed. Fifty-five hysterectomy patients were compared with 38 cholecystectomy and 60 tubal ligation patients by means of the Profile of Mood States. Presurgery, 6-weeks postsurgery, and 3-months postsurgery measures were obtained. No evidence was found to support the view that the special psychological significance of the uterus results in greater postsurgery mood disturbance than occurs with a control procedure such a cholecystectomy. Neither did the results suggest that sterilization involving organ removal was psychologically more traumatic than where the sterilization procedure left the uterus undisturbed. The two significant group X occasion interactions implied that the groups differed in their pattern of responding to surgery with respect to the Tension-Anxiety and the Fatigue-Inertia variables.
本研究的主要目的是确定接受子宫切除手术的女性是否比胆囊切除对照组有更明显的术后情绪障碍迹象。此外，该调查还考虑了子宫切除绝育术是否比子宫未受影响的输卵管结扎术导致更频繁的情绪障碍。通过情绪状态剖面图，将55名子宫切除患者与38名胆囊切除患者和60名输卵管结扎患者进行了比较。获取了术前、术后6周和术后3个月的测量数据。没有证据支持这样的观点，即子宫的特殊心理意义会导致比胆囊切除等对照手术更严重的术后情绪障碍。结果也没有表明涉及器官切除的绝育术在心理上比绝育手术未影响子宫的情况更具创伤性。两个显著的组×时机交互作用表明，在紧张焦虑和疲劳惰性变量方面，各组对手术的反应模式不同。
