首页|Characteristics and Risk factors of Psychosomatic Symp-toms Related to Female Tubal Sterilization in Rural Area in Hunan Province, China: A Prospective Study
Characteristics and Risk factors of Psychosomatic Symp-toms Related to Female Tubal Sterilization in Rural Area in Hunan Province, China: A Prospective Study
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Objectives To study characteristics of psychosomatic symptoms related to sterilization,to find out risk factors and their roles ascribed to psychosomatic symptoms, and toestablish a mathematic model for screening out susceptible women.Methods: This study enrolled 776 women in rural area at three counties of Linxiang,Qiyang, Changsha of Hunan province in China between February 1990 and April1992. Brief Neurosis Screening Scale (BNSS), Symptom Checklist 90 (SCL-90),sensitivity to pain, suggestibility were used to indicate subjects' psychological status.Logistic regression model and retrograde discriminant analysis were applied to developa mathematical model.Results: Prevalence of psychosomatic reactions or symptoms was 54. 8% before steril-ization, 26. 6% at three months and 16. 4% at one year after operation respectively.Psychosomatic symptoms were verified to be the result of joint effects of multiple riskfactors. The following risk factors were associated with postoperative symptoms:anger-hostility (RR= 33. 71), high suggestibility (RR= 4. 53), high neuroticism (RR= 3. 44), sensitivity to pain (RR = 2. 14) and operative sites (RR = 2. 05). A mathe-matical model to estimate the probability of developing psychosomatic symptoms in ster-ilization was established.Conclusions: More than half of women suffered from psychosomatic reactions beforeoperation, and some of them did not recover after operation. The postoperative psycho-somatic symptoms are the joint effect of multiple risk factors.
female tubal sterilizationpsychosomatic symptomsusceptibleprospective study
刘破资、岳伟华、郝伟、杨德森、凌天牖、张友明、彭光辉、武昆、刘红华、苏中华、王厚亮、谢永标
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Department of Mental Health, the Second Xiangya Hospital, Central South University,Changsha 410011, China
Department of Family Planning of Hunan Province, Changsha 410011, China
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