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• W2138667886 startingPage "729" @default.
• W2138667886 abstract "Although recent studies refute the assumption that hysterectomy and sexual sterilization are associate with psychiatric morbidity and longterm psychological sequelae, it is important that gynecologist be familiar with their clients' psychiatric histories, if any. A past history of a psychiatric disorder repeatedly has emerged as the major predictor of an adverse psychiatric outcome following gynecological surgery. The outcome of hysterectomy is influenced more by the presence of a pre-existing psychiatric diagnosis than by physical or demographic factors, including marital status, age, and parity. Hysterectomy candidates with a past or current history of minor or neurotic psychiatric disorders should be monitored for 18 months after surgery for possible depression or anxiety. For women suffering from a major mental disorder, such as schizophrenia or manic-depression, the hysterectomy should be delayed until the psychiatric condition is under control. There is also strong research evidence linking preoperative psychiatric status to adverse reactions to sterilization, especially regret and a deterioration in psychosexual functioning. Interval sterilization appears to be associated with a lower risk of subsequent mental disturbance than procedures performed postabortion or postpartum. Since psychological problems often decrease a woman's capacity to cope with symptoms that would otherwise be tolerable and increase subjective feelings of distress, an assessment should be made as to which is more basic--the gynecological symptoms or the emotional disorder. attention to psychiatric history is also important since mental problems may interfere with treatment and delay recovery from surgery." @default.
• W2138667886 created "2016-06-24" @default.
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• W2138667886 date "1989-12-01" @default.
• W2138667886 modified "2023-10-16" @default.
• W2138667886 title "3 Psychological aspects of gynaecological surgery" @default.
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• W2138667886 doi "https://doi.org/10.1016/s0950-3552(89)80062-8" @default.
• W2138667886 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/2700140" @default.
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