The goal of this interventional clinical trial involving minimal risks and constraints is to evaluate whether an innovative approach to managing catastrophizing in the preoperative context of hysterectomy improves psychological outcomes compared to usual care in women of childbearing age who have been informed of an indication for hysterectomy. The main questions it aims to answer are: * Does the use of a personal narrative book improve adaptive emotional regulation and reduce catastrophizing, anxiety, and depressive symptoms in the preoperative period? * Does this intervention improve postoperative patient satisfaction and reduce the need for additional supportive measures? Researchers will compare standard care (CNGOF information leaflet with psychological consultation if needed) with an intervention including a personal narrative book in addition to standard care, to see if the intervention improves emotional regulation, psychological well-being, and satisfaction. Participants will: * provide explicit oral informed consent; * complete questionnaires on their emotional and psychological experience; * read a personal narrative book if they are randomized to the intervention group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
156
Reading a personal narrative book written by a patient who underwent a hysterectomy
Clinique Tivoli-Ducos
Bordeaux, France
RECRUITINGClinique Charcot
Sainte-Foy-lès-Lyon, France
RECRUITINGClinique Pasteur Toulouse
Toulouse, France
RECRUITINGClinique St Cyprien Rive Gauche
Toulouse, France
RECRUITINGAdaptive regulation
The adaptative regulation is measured using the Cognitive Emotion Regulation Questionnaire - Adaptive (CERQ-A) wich include five adaptive subscales . Scores range from 20 to 100, with higher scores indicating better adaptive regulation.
Time frame: between inclusion (D0) and surgery (S0), occurring 1 to 3 months later.
Anxiety and depression
The outcome is measured using the Hospital Anxiety and Depression Scale (HADS). The scale includes two subscales: Anxiety (HADS-A) and Depression (HADS-D). Each subscale ranges from 0 to 21, with higher scores indicating more severe symptoms.
Time frame: between inclusion (D0) and surgery (S0), occurring 1 to 3 months later.
Adaptive and maladaptive regulation
This outcomes is measured using the Cognitive Emotion Regulation Questionnaire (CERQ). Two composite scores are derived: adaptive regulation and maladaptive regulation. The adaptative regulation is measured using the Cognitive Emotion Regulation Questionnaire - Adaptive (CERQ-A) wich include five adaptive subscales . Scores range from 20 to 100, with higher scores indicating better adaptive regulation. The maldaptative regulation is measured using the Cognitive Emotion Regulation Questionnaire - Non-Adaptive (CERQ-NA) wich include four maladaptive subscales. Scores range from 16 to 80, with higher scores indicating greater use of maladaptive regulation strategies.
Time frame: between inclusion (D0) and surgery (S0), occurring 1 to 3 months later.
Catastrophizing
The outcome is measured using the Symptom Catastrophizing Scale (SCS), a 7-item questionnaire assessing catastrophic thinking related to symptoms. Total scores range from 0 to 14.
Time frame: between inclusion (D0) and surgery (S0), occurring 1 to 3 months later.
Use of additional supportive measures
The questionnaire is completed by the physician based on the prescription made or recommended to the patient. The questions are independent and do not generate a score.
Time frame: at the inclusion (D0)
Use of additional supportive measures
The questionnaire is completed by the patient. The questions are independent and do not generate a score.
Time frame: Postoperative, occuring 1 to 3 months after inclusion.
Patient satisfaction
The outcome is measured using the Likert-type satisfaction scale to determine satisfaction with their care. Responses range from "extremely satisfied" to "extremely dissatisfied."
Time frame: Postoperative, occuring 1 to 3 months after inclusion.
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