1. Brief acute psychosis following hysterectomy in ethnopsychiatric context.
- Author
-
Tsoh JM, Leung HC, Ungvari GS, and Lee DT
- Subjects
- Acute Disease, Adult, Anti-Anxiety Agents therapeutic use, Antipsychotic Agents therapeutic use, Anxiety Disorders complications, China ethnology, Culture, Female, Follow-Up Studies, Hong Kong, Humans, Hypnosis, Hysterectomy adverse effects, Lorazepam therapeutic use, Malaysia ethnology, Marital Therapy, Myanmar ethnology, Psychotic Disorders drug therapy, Psychotic Disorders ethnology, Trifluoperazine therapeutic use, Hysterectomy psychology, Psychotic Disorders etiology
- Abstract
The psychiatric morbidity following hysterectomy has received increasing attention. One of the sequelae of hysterectomy has been a brief, acute psychosis with excellent outcome, the etiology and pathomechanism of which is still unclear. Two Chinese patients born of Southeast Asian origin who manifested brief, acute psychosis following hysterectomy are presented. Therapy comprised drug treatment with low dose antipsychotics and benzodiazepines coupled with hypnosis and marital therapy to explore and treat the underlying pathology. Both psychotic states resolved. Follow-up at 12 months revealed stable mental condition in one subject; however, the second patient was lost to follow up. The impact of the womb's removal is explored in the context of the ethnicity of the patients and their sociocultural background.
- Published
- 2000