2897 Sleep, Fatigue, and Life Satisfaction After Hysterectomy in Women with Preoperative Pain and Depression

Abstract

Study Objective To examine differences in life satisfaction, sleep, and fatigue after hysterectomy among women with preoperative pelvic pain and/or depression. Design Secondary data analysis of a prospective, observational cohort study of women undergoing hysterectomy for benign conditions. Setting Academic tertiary care center. Patients or Participants 336 patients undergoing hysterectomy for benign indications. Interventions Patients completed validated assessments of life satisfaction, sleep, and fatigue preoperatively and 6-months after hysterectomy. Patients were divided into four groups based on preoperative characteristics: pelvic pain only, depression only, pain + depression, and no pain or depression. Presence of pelvic pain was defined as average pelvic pain score of ≥ 4 (on numerical rating scale 0-10) at baseline survey. Measurements and Main Results Preoperatively, women with pelvic pain only reported worse sleep (p=0.01) and fatigue (p At 6-month follow-up, women with pelvic pain only reported significant improvements in life satisfaction (p=0.04), sleep (p Conclusion Women with pre-existing pelvic pain only demonstrate improvements in life satisfaction, sleep disturbance, and fatigue following hysterectomy and achieve similar levels to those with no pain or depression. Women with coexisting depression fare significantly worse in these domains than those without.