Consecuencias psicológicas de la histerectomía en mujeres jóvenes adultas: una revisión sistemática a partir de la experiencia práctica

Abstract

Abstract: This curricular integration project addresses the issue of the psychological consequences of hysterectomy in adult women aged 18 to 35 years. Based on this concern, a research question was formulated, and a systematic review was conducted following the PRISMA protocol. Three studies were included with the aim of analyzing the correlation between hysterectomy and psychological disturbances. The findings revealed a high prevalence of severe anxiety, depression, identity crises, chronic stress, decreased libido, and deterioration of body image, all of which were intensified by cultural factors and the loss of reproductive capacity. Additionally, Cognitive Behavioral Therapy (CBT) and mindfulness were found to be effective in reducing postoperative distress. Based on this evidence, a simulated clinical case was developed involving a 21-year-old woman diagnosed with Major Depressive Disorder who had undergone a hysterectomy. The case included identification data, reason for consultation, psychological assessment, and a proposed treatment plan. This work integrated theory, professional practice, and scientific evidence, promoting a clinically sensitive perspective toward the psychosocial factors that influence the mental health of this population.