Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study
Abstract Background Jordan is a collectivist society where fertility is rated highly. Hysterectomy, therefore, has the potential to negatively impact a woman’s standing in a collectivist society leading to increased levels of anxiety and stress. Purpose To assess the impact of hysterectomy on the le...
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BMC
2025-03-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-025-02623-1 |
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| author | Rasmieh Al-amer Maha Atout Malakeh. Z. Malak Ahmad Ayed Wafa’Mousa Othman Mohammad Y.N. Saleh Lobna Harazne Amira Ali Sue Randall |
| author_facet | Rasmieh Al-amer Maha Atout Malakeh. Z. Malak Ahmad Ayed Wafa’Mousa Othman Mohammad Y.N. Saleh Lobna Harazne Amira Ali Sue Randall |
| author_sort | Rasmieh Al-amer |
| collection | DOAJ |
| description | Abstract Background Jordan is a collectivist society where fertility is rated highly. Hysterectomy, therefore, has the potential to negatively impact a woman’s standing in a collectivist society leading to increased levels of anxiety and stress. Purpose To assess the impact of hysterectomy on the levels of anxiety, stress, body appreciation, and social support among women. Methods A cross-sectional design was utilized to recruit 251 women post-hysterectomy. The study used the Depression, Anxiety, and Stress Scale (DASS), the Enriched Social Support Instrument (ESSI), and the Body Appreciation Scale (BAS). Results Sexual difficulties were experienced by the majority. Severe anxiety was reported by 39% with around 89% of women reporting stress that was moderate or higher. Overall, participants had moderate levels of body appreciation and a high level of perceived support. Sexual problems, body appreciation, stress, post-surgery duration, and social support predicted the levels of anxiety, with both a desire for more children and longer post-surgery durations heightening both anxiety and stress. Conclusion Hysterectomy negatively impacts women’s mental health, leading to high levels of anxiety and stress. Body appreciation and social support are important facets in buffering the consequences of hysterectomy. A culturally sensitive healthcare addressing the individual needs of women in collectivist communities is paramount. |
| format | Article |
| id | doaj-art-5e93698afb414eb6a5c287fbee84cf8e |
| institution | DOAJ |
| issn | 2050-7283 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj-art-5e93698afb414eb6a5c287fbee84cf8e2025-08-20T03:15:14ZengBMCBMC Psychology2050-72832025-03-0113111010.1186/s40359-025-02623-1Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre studyRasmieh Al-amer0Maha Atout1Malakeh. Z. Malak2Ahmad Ayed3Wafa’Mousa Othman4Mohammad Y.N. Saleh5Lobna Harazne6Amira Ali7Sue Randall8Faculty of Nursing, Yarmouk University, Irbid - JordanPediatric Nursing, Philadelphia University| Faculty of NursingFaculty of Nursing, Al-Zaytoonah University of JordanPaediatric health nursing, Arab American UniversityClinical Nursing Department, Faculty of Nursing, Hashemite UniversityClinical Nursing Department, The University of Jordan, School of NursingPsychiatric and mental health nursing, Arab American universityDepartment of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria UniversityThe University of Sydney, Faculty of Medicine and Health, Susan Wakil School of Nursing and MidwiferyAbstract Background Jordan is a collectivist society where fertility is rated highly. Hysterectomy, therefore, has the potential to negatively impact a woman’s standing in a collectivist society leading to increased levels of anxiety and stress. Purpose To assess the impact of hysterectomy on the levels of anxiety, stress, body appreciation, and social support among women. Methods A cross-sectional design was utilized to recruit 251 women post-hysterectomy. The study used the Depression, Anxiety, and Stress Scale (DASS), the Enriched Social Support Instrument (ESSI), and the Body Appreciation Scale (BAS). Results Sexual difficulties were experienced by the majority. Severe anxiety was reported by 39% with around 89% of women reporting stress that was moderate or higher. Overall, participants had moderate levels of body appreciation and a high level of perceived support. Sexual problems, body appreciation, stress, post-surgery duration, and social support predicted the levels of anxiety, with both a desire for more children and longer post-surgery durations heightening both anxiety and stress. Conclusion Hysterectomy negatively impacts women’s mental health, leading to high levels of anxiety and stress. Body appreciation and social support are important facets in buffering the consequences of hysterectomy. A culturally sensitive healthcare addressing the individual needs of women in collectivist communities is paramount.https://doi.org/10.1186/s40359-025-02623-1HysterectomyAnxietyStressBody appreciationSocial support |
| spellingShingle | Rasmieh Al-amer Maha Atout Malakeh. Z. Malak Ahmad Ayed Wafa’Mousa Othman Mohammad Y.N. Saleh Lobna Harazne Amira Ali Sue Randall Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study BMC Psychology Hysterectomy Anxiety Stress Body appreciation Social support |
| title | Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study |
| title_full | Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study |
| title_fullStr | Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study |
| title_full_unstemmed | Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study |
| title_short | Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study |
| title_sort | prevalence and predictors of anxiety and stress among jordanian women following hysterectomy an observational multicentre study |
| topic | Hysterectomy Anxiety Stress Body appreciation Social support |
| url | https://doi.org/10.1186/s40359-025-02623-1 |
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