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Psychiatric Morbidity in a Gynaecology Clinic

An Epidemiological Survey

Published online by Cambridge University Press:  29 January 2018

Patrick Byrne
Patrick Byrne*
Affiliation:
King's College Hospital and the Belgrave Hospital for Children, 1 Clapham Road, London SW9
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Summary

Two hundred and eleven women between the ages of 18 and 65 years referred to a gynaecological out-patient clinic were screened for psychiatric disorder using the General Health Questionnaire (GHQ) and a Demographic Questionnaire. A random sub-sample of 35 women were interviewed using the Present State Examination (PSE) and the Brown and Harris Life Events and Difficulties Schedule (LEDS), and compared to a general population sample (N = 140) matched for life stage (LS) and social class. Forty six per cent of women in the clinic scored as cases on the GHQ. High scores were associated with being divorced, separated, or widowed, and with complaints of pelvic pain. PSE case rates were higher in the clinic sample than in the general population group (29 per cent and 17 per cent). Younger women (LS 1) and middle class women in the clinic sample had higher rates than in the general population. Only the middle class women in the clinic sample showed significantly higher rates for severely threatening life events and/or difficulties before onset of psychiatric disorder. The study supports the view that rates of psychiatric disorder are high among women referred to a gynaecology clinic and indicates the importance of associations with demographic factors and recent experience of life stress, especially marital difficulties.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 144 , Issue 1 , January 1984 , pp. 28 - 34
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Andrews, G. & Tennant, C. (1978) Life Event Stress and Psychiatric Illness (Editorial). Psychological Medicine, 8, 545–9.Google Scholar
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981) Epidemiology of Mental Disorders in Camberwell. Psychological Medicine, 11, 561–79.Google Scholar
Ballinger, C. B. (1975) Psychiatric Morbidity and the Menopause. British Medical Journal, 3, 344–6.CrossRefGoogle ScholarPubMed
Ballinger, C. B. (1977) Psychiatric morbidity and the Menopause: survey of a gynaecology out-patient clinic. British Journal of Psychiatry, 131, 83–9.CrossRefGoogle Scholar
Barker, M. G. (1968) Psychiatric Illness after Hysterectomy. British Medical Journal, 2, 91–5.Google Scholar
Brown, G. W & Harris, T. O. (1978) Social Origins of Depressions. A study of psychiatric disorder in women. London: Tavistock Publications.Google Scholar
Brown, G. W, Ni Bhrolchain, M. & Harris, T. (1975) Social class and psychiatric disturbance among women in an urban population. Sociology, 9, 225–54.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B.S. (1969) Social Status and Psychological Disorder: A Causal Enquiry. New York: Wiley.Google Scholar
Faris, R. & Dunham, H. W. (1939) Mental Disorders in Urban Areas. Chicago: University of Chicago Press.Google Scholar
Gath, D., Cooper, P. & Day, A. (1982) Hysterectomy and Psychiatric Disorder. I: Levels of Psychiatric Morbidity before and after Hysterectomy. British Journal of Psychiatry, 140, 335–50.CrossRefGoogle ScholarPubMed
Goldberg, D. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph No. 21. London: Oxford University Press.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupations: a new approach and scale. London: Oxford University Press.Google Scholar
Gomez, J. & Dally, P. (1977) Psychologically Mediated Abdominal Pain in Surgical and Medical Outpatient clinics. British Medical Journal, 1, 1451–3.CrossRefGoogle Scholar
Munro, A. (1972) Psychosomatic medicine — XI. Gynaecology. Practitioner, 209, 713–20.Google Scholar
Paykel, E. (1974) Life stress and psychiatric disorder. In: Gunderson, E. K. and Rahe, R. H. (eds) Life Stress and Illness, Springfield, Illinois: Thomas.Google Scholar
Richards, D. H. (1973) Depression after hysterectomy. Lancet, ii, 430–2.Google Scholar
Robinson, D. W., Walmsley, G. L., Horrocks, J. L., Milson, P., Jenkins, D. M., De Dombal, F. T. & Scott, J. S. (1975) Histories obtained by two-stage questionnaire with automated transcript in specialist gynaecological practice. British Medical Journal, 4, 510–3.CrossRefGoogle ScholarPubMed
Sainsbury, P. (1960) Psychosomatic disorders and neurosis among out-patients. Journal of Psychosomatic Research, 4, 261.CrossRefGoogle ScholarPubMed
Smith, D. M. (1979) Psychological aspects of obstetrics and gynaecology. Obstetrics and Gynaecology Annual, 8, 457–73.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., McMiller, P. & Sashidharan, S. P. (1983) Psychiatric disorders in women from an Edinburgh community sample. British Journal of Psychiatry, 142, 238–46.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The measurement and classification of psychiatric symptoms. Cambridge: Cambridge University Press.Google Scholar
Woodruff, R. A., Robins, L. N., Winokur, G. & Reich, T. (1971) Manic depressive illness and social achievement. Acta Psychiatrica Scandinavica, 47, 237–49.CrossRefGoogle ScholarPubMed
Worsley, A. & Walters, W. A. W. (1977) Screening for psychological disturbance amongst gynaecology patients. Australia and New Zealand Journal of Obstetrics and Gynaecology, 17, 214.Google Scholar
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