[Differences in the psychological status of hysterectomy and non-hysterectomy women]. / Unterschiede in der psychischen Befindlichkeit zwischen hysterektomierten und nicht-hysterektomierten Frauen.

PURPOSE OF THE STUDY: Despite numerous investigations on the well-being of hysterectomized women, this issue is still discussed controversially. The aim of the present study was to reveal differences between a group of hysterectomized women with a fairly long follow-up period (7.9 years) and a group of non-hysterectomized women with respect to their psychological well-being. RESEARCH METHOD AND MATERIAL: In a questionnaire study we compared a group of 216 women who underwent hysterectomy with a group of 90 non-hysterectomized women. Dependent variables were: body complaints, psychological well-being, dysphoria, socio-sexual assertiveness, and gender-role orientation. RESULTS AND CONCLUSIONS: The group of hysterectomized women showed significantly higher levels of body complaints, depression, and unassertiveness in sexual situations, as well as decreased psychological well-being, and a more traditional gender-role orientation. Within the group of hysterectomized women, duration since hysterectomy, surgical techniques, and hormone substitution therapy seem to be unrelated to the psychological variables. The group differences cannot be causally attributed to the hysterectomy, since they may already have existed premorbidly. Nevertheless, the results suggest that a more thorough psychological examination prior to hysterectomy, as well as provision of support for the coping process after intervention is advantageous.

Autobiographical memories in women remitted from major depression.

Several studies show that depressed people tend to overgeneralize when asked to recall autobiographical memories (AM); in particular, they respond with categoric descriptions. The authors sought to find out whether this tendency also occurs after remission from depression. Two groups of women who were not depressed at the time of the study were compared; only 1 group had a history of major depression. With an AM test, women in remission from major depression retrieved significantly more categoric descriptions when responding to negative cue words than women without a major depression in their biography. These findings support the assumption that AM is a correlate and a consequence of depression.