Analysis of risk factors for postoperative depressive disorders in patients with intrauterine adhesions

Table 4 Patients with concurrent medical conditions, mean ± SD

Indicator	Depressed group (n = 112)	Non-depressed group (n = 288)	Between-group P value	Change in depressed group Δ (%)	Change in non-depressed group Δ (%)	P value for change comparison
Psychological assessment
SDS score
Baseline	48.3 ± 6.7	42.1 ± 5.9	< 0.001
3 months postoperative	58.4 ± 7.2	41.8 ± 6.1	< 0.001	+10.1 (20.9)	-0.3 (0.7)	< 0.001
HAMD-17 score
Baseline	14.2 ± 3.8	10.5 ± 3.1	< 0.001
3 months postoperative	20.6 ± 4.9	9.8 ± 3.4	< 0.001	+6.4 (45.1)	-0.7 (6.7)	< 0.001
Quality of life scores (SF-36)
Role-emotional
Baseline	68.5 ± 15.7	78.5 ± 10.7	< 0.001
3 months postoperative	47.8 ± 18.2	62.5 ± 14.7	< 0.001	-20.7 (30.2)	-16.0 (20.4)	< 0.001
Social functioning
Baseline	75.2 ± 14.1	82.5 ± 15.7	< 0.001
3 months postoperative	60.3 ± 15.7	75.1 ± 15.7	< 0.001	-14.9 (19.8)	-7.4 (9.0)	< 0.001
General health
Baseline	70.5 ± 16.3	72.0 ± 15.9	0.372
3 months postoperative	55.2 ± 17.1	71.5 ± 16.2	< 0.001	-15.3 (21.7)	-0.5 (0.7)	< 0.001
Physical functioning
Baseline	80.0 ± 18.5	88.0 ± 17.8	< 0.001
3 months postoperative	65.0 ± 19.2	81.0 ± 18.0	< 0.001	-15.0 (18.8)	-7.0 (8.0)	< 0.001
Role-physical
Baseline	72.0 ± 16.0	74.0 ± 15.5	0.228
3 months postoperative	55.0 ± 17.0	73.5 ± 16.5	< 0.001	-17.0 (23.6)	-0.5 (0.7)	< 0.001
Mental health
Baseline	70.0 ± 14.5	72.0 ± 14.0	0.191
3 months postoperative	50.0 ± 15.5	71.5 ± 14.0	< 0.001	-20.0 (28.6)	-0.5 (0.7)	< 0.001
Vitality
Baseline	65.0 ± 15.0	67.0 ± 14.5	0.213
3 months postoperative	50.0 ± 16.0	66.5 ± 14.5	< 0.001	-15.0 (23.1)	-0.5 (0.7)	< 0.001
Pain
Baseline	75.0 ± 15.0	76.0 ± 14.5	0.541
3 months postoperative	60.0 ± 16.0	75.5 ± 14.5	< 0.001	-15.0 (20.0)	-0.5 (0.7)	< 0.001

Δ represents absolute change from baseline. Percentage change calculated as (postoperative-baseline)/baseline×100%. Higher scores indicate better quality of life for 36-Item Short Form Health Survey domains, while higher Self-Rating Depression Scale and 17-Item Hamilton Depression Scale scores indicate more severe depressive symptoms. SDS: Self-Rating Depression Scale; HAMD-17: 17-Item Hamilton Depression Scale; SF-36: 36-Item Short Form Health Survey.