Journal of Psychosomatic Research
Volume 60, Issue 3 , Pages 320-321, March 2006

Article Outline

 

In the September issue of the Journal of Psychosomatic Research (volume 59, number 3), errors appeared in Table 4 of the 2005 article “Psychosocial effects of hysterectomy: literature review” (pages 117–29). The correct table is printed on the next page. In addition, the corresponding author's contact information was printed incorrectly, the correct information for Nicole Flory is:

Table 4. Prospective studies with control groups
AuthorsSample sizeSample typeAgeHys typeSurgical approach Time of FUData collectionSexual outcomesPain outcomesPsychological outcomesProblems/additional information
DesireArousalOrgasmFrequency of sexGlobalDyspareuniaPelvicaDepressionBody imageGlobalb
Zobbe 2004, Denmark504Conven?Tot/SubAbdomMixed1 yearASQ mail, med. recordsnd?ndndndnd????2?, 8, 9/only 319 patients were randomly assigned to Tot vs. Sub
Roovers 2003, Netherlands310Conven44Tot/SubAbdom/vagin?0.5 yearASQ?ndndndndnd????2?, 7, 8/post-op: sexual difficulties in 40%; no significant difference vagin vs. abdom and Tot vs. Sub
Ellstrom 2003, Sweden74Conven50TotAbdom/vaginMixed1 yearSSQ ?ndndndndndnd?nd?nd7/first study with random assignment to abdom/vagin; no significant difference between/within groups
Gutl et al. 2002, Austria90Conven52?Abdom/vaginPreM HRT2 yearsSSQ, ASQ interv, phone, mailnd??ndndndnd?⇐?2, 5/40% drop-out rate; no random assignment
Thakar 2002, GB279Conven43Tot/SubAbdomMixed1 yearASQ ?nd?ndndnd?nd???7, 8?/1st study with random assignment to Tot vs. Sub; 10–20% stopped having sex post-op
Rannestad 2001, Norway284Conven probab45?Abdom?1 yearSSQ, ASQ ?????nd?nd??nd2?, 5, 7/controls were a probability sample of women with intact uteri
Alexander 1995, GB202Conven40?Abdom/vagin?1 yearSSQ intervnd???nd??ndnd?2, 5, 6, 7/first study with random assignment to uterus sparing surgery
Carlson et al.691Probab41?Abdom/vagin?1 yearASQ face, phone, mailnd?????ndndnd?1, 5, 6, 7/controls had conservative surgery; women of lower SES choose hys
Bhatia 1990, India75Conven46MixedAbdom?4 weeksSSQ ASQ ????????nd?nd5, 6, 7/controls had minor gynecological surgeries
Kilkku 1983, Finland212Conven46MixedAbdomMixed1 yearASQ intervnd?⇐??⇒????7/controls had Sub; no random assignment

Abbreviations: FU: follow-up; probab: probability sample; conven: convenience sample; volun: volunteer sample; hys: hysterectomy/hysterectomy group; pre-op: before Hys; post-op: after Hys; SES: socioeconomic status.

Hysterectomy and surgery type: Tot: total Hys; Sub: subtotal Hys; abdom: abdominal Hys; vagin: vaginal Hys; lapar: laparoscopic Hys; LAVH: laparoscopic assisted vaginal Hys.

Hormonal status: PreM: premenopausal women with intact ovaries; HRT: menopausal or oophorectomized patients on HRT.

Data collection: SSQ: Standardized structured questionnaire; ASQ: ad hoc structured questionnaire/interview; PHYS: physiological measurement; interv: face-to-face interview; phone: phone interview; mail: mailed questionnaire; med. record: medical records.

Outcomes:

↑: significantly increased post-op as compared with pre-op; ↓: significantly decreased post-op as compared with pre-op; ⇒: significantly more in Group I (Hys) compared with controls; ⇐: significantly less in Group I (Hys) compared with controls; nd: no significant difference; ?: unspecified/not clear/missing/mixed

Methodological problems:

1. Included cervical carcinomas/cancer patients; 2. Postoperative functioning compared with functioning at day/time of surgery; 3. More than 50% drop-out; 4. No or rudimentary data analysis; 5. No analysis/presentation of data for different types of hysterectomy; 6. No analysis/presentation of data for different types of surgery; 7. No analysis/presentation of data for different types of hormonal status; 8. Assesses patients at inconsistent times before and/or after hysterectomy; 9. Asks patients to recall psychosexual functioning for time periods longer than 6 months; 10. Systematic drop-out of women with lower sexual functioning, depression, and SES

aPelvic pain or abdominal pain independent of sexual activity.

bPsychological functioning in general.

Dr Nicole Flory

c/o Dr Yitzchak M. Binik

McGill University

Department of Psychology

1205 Dr Penfield Ave

Stewart Biological Building

Montreal, QC, H3A1B1

Canada

E-mail: nflory@ego.psych.mcgill.ca

PII: S0022-3999(06)00073-0

doi:10.1016/j.jpsychores.2006.02.004

Refers to article:

  • Psychosocial effects of hysterectomy: Literature review

    Nicole Flory, François Bissonnette, Yitzchak M. Binik
    Journal of Psychosomatic Research September 2005 (Vol. 59, Issue 3, Pages 117-129)

Journal of Psychosomatic Research
Volume 60, Issue 3 , Pages 320-321, March 2006

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