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• W2040595575 abstract "The present study aimed to identify significant predictors of Chinese women's psychosexual adjustment after sterilization. One hundred fifteen multiparous Chinese women, aged 25-51 years, were interviewed before and after elective laparoscopic or postpartum sterilization. Eight-seven women were also interviewed about their pshychosexual adjustment at 1 year after sterilization. Results showed that the fear of negative evaluation by others, family cohesion and adaptability, and preoperative psychological distress were robust predictors of adverse psychosexual outcome immediately and 1 year after sterilization. There was significant improvement in women's mental health following sterilization, and their sexual adjustment such as coital frequency and sexual satisfaction were not adversely affected at 1 year follow-up. Women with either elective or postpartum sterilization had similar adjustment throughout, except the latter group tended to experience more physical discomfort at 1 year follow-up. About 3.4% of the women experienced regret at 12 months after sterilization.To identify predictors of Chinese women's psychosexual adjustment after sterilization, 115 multiparous women (mean age, 33.7 years) from Hong Kong were interviewed 1 week before and 1-3 days after elective or postpartum sterilization; 87 of these women were available for interview 12 months after the procedure. 70% were housewives and 25% were employed full-time; 59% had at least a high school education. The primary reasons for sterilization were husband's demand and the financial burdens inherent in raising more children. 35.5% of sterilization acceptors were considered to have preoperative psychological distress; such distress was significantly associated with low levels of family cohesion and adaptability and the expectation the procedure would be dangerous and painful. The rate of psychological distress dropped to 28.9% immediately after sterilization. Significant predictors of postoperative distress were high preoperative distress, the fear of negative evaluation, feminine gender role stress, low family cohesion and adaptability, and high postoperative ratings on pain, danger, dissatisfaction, and regret. At the 12-month follow-up, the psychological distress rate was 10.3%--comparable to that in the general population. At follow-up, 63.5% reported sexual satisfaction. Although women in the postpartum sterilization group were more likely to report pain at the 12-month follow-up than those in the elective group (25.8% vs. 7.1%), about 80% of women in both groups were satisfied with the procedure and only three (3.4%)--all in the elective group--expressed regret about their decision. These findings suggest that female sterilization is not associated with adverse psychological sequelae; it is recommended, however, that another follow-up be conducted 5 years after sterilization." @default.
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• W2040595575 date "1997-02-01" @default.
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• W2040595575 title "Psychosexual adjustment following sterilization: A prospective study on Chinese women" @default.
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• W2040595575 doi "https://doi.org/10.1016/s0022-3999(96)00238-3" @default.
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