What question did this study set out to answer?

Investigate the occurrence and clinical determinants of postoperative psychiatric complications in women undergoing major abdominal and pelvic operations.

July 1, 1941American Journal of Psychiatry

Observations on Psychiatric Sequelae to Surgical Operations in Women

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Why the study?

What are the psychiatric sequelae following major abdominal surgery in women?

Population

51 women, aged 20 to 55, undergoing major abdominal surgery.

Design

Cohort

Follow-up

12 to 18 months

Authors

ELErich LindemannUniversity of Iowa

Discussion

Member takes

Implication

May warrant heightened psychiatric monitoring after pelvic surgery in women with prior depression; leaves open need for prospective validation.

Key Points

Investigate the occurrence and clinical determinants of postoperative psychiatric complications in women undergoing major abdominal and pelvic operations.
Fifty-one women aged 20 to 55 years underwent preoperative neuropsychiatric evaluation before major abdominal surgery to assess psychiatric history, anxiety, and environmental stress.
Forty patients without somatic complications or eventful convalescences were reevaluated after a follow-up interval of 12 to 18 months.
Following surgery, 25 of 40 patients (62.5%) showed unchanged psychiatric status, 2 improved, and 13 (32.5%) developed agitation, insomnia, and depressive thought content beginning 3 to 4 weeks postoperatively and lasting over 3 months.
The postoperative depressive condition occurred more frequently after pelvic operations than cholecystectomies and among patients with previous depressive episodes, with no significant relationship to preoperative anxiety or environmental stressors.

Structured PICO

What are the psychiatric sequelae following major abdominal surgery in women?

Population

51 women, aged 20 to 55, undergoing major abdominal surgery.

Intervention

Major abdominal surgery (including pelvic operations and cholecystectomies)

Outcome

Postoperative psychiatric status at 12 to 18 monthspatient reported

Major abdominal surgery, particularly pelvic operations, is associated with a significant risk of postoperative depressive and agitation symptoms in women, especially those with a history of depression.

Cite This Study

Erich Lindemann (1941) studied this question.

synapsesocial.com/papers/6a71006235aa2c282ce25291 https://doi.org/10.1176/ajp.98.1.132

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Implication

May warrant heightened psychiatric monitoring after pelvic surgery in women with prior depression; leaves open need for prospective validation.

Observations on Psychiatric Sequelae to Surgical Operations in Women

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Observations on Psychiatric Sequelae to Surgical Operations in Women

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider