Contraception
Volume 78, Issue 6 , Pages 436-450 , December 2008

Abortion and long-term mental health outcomes: a systematic review of the evidence

  • Vignetta E. Charles

      Affiliations

    • Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Chelsea B. Polis

      Affiliations

    • Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    • ,
  • Srinivas K. Sridhara

      Affiliations

    • Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA
    • ,
  • Robert W. Blum

      Affiliations

    • Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA

Received 28 January 2008 ,Revised 19 May 2008 ,Accepted 2 July 2008.

References 

  1. Speckhard A. Psycho-social stress following abortion. Kansas City (Mo): Sheed and Ward; 1987;
  2. Speckhard A, Rue V. Postabortion syndrome: an emerging public health concern. J Soc Issues. 1992;48:95–120
  3. Stotland NL. The myth of the abortion trauma syndrome. JAMA. 1992;268:2078–2079
  4. Major B, Cozzarelli C, Cooper ML, Zubek J, Richards C, Wilhite M, et al. Psychological responses of women after first-trimester abortion. Arch Gen Psychiatr. 2000;57:777–784
  5. Koop CE. Letter to President Reagan. In: Medical and psychological impact of abortion. Washington (DC): Government Printing Office; 1989;p. 68–71
  6. Ney PG, Wickett AR. Mental health and abortion: review and analysis. Psychiatr J Univ Ott. 1989;14:506–516
  7. Rogers JL, Stoms GB, Phifer JL. Psychological impact of abortion: methodological and outcomes summary of empirical research between 1966 and 1988. Health Care Women Int. 1989;10:347–376
  8. Thorp JM, Hartmann KE, Shadigan E. Long-term physical and psychological health consequences of induced abortion: a review of the evidence. Linacre Q. 2005;72:44–69
  9. Adler NE, David HP, Major BN, Roth SH, Russo NF, Wyatt GE. Psychological responses after abortion. Science. 1990;248:41–44
  10. Adler NE, David HP, Major BN, Roth SH, Russo NF, Wyatt GE. Psychological factors in abortion. A review. Am Psychol. 1992;47:1194–1204
  11. Bradshaw Z, Slade P. The effects of induced abortion on emotional experiences and relationships: a critical review of the literature. Clin Psychol Rev. 2003;23:929–958
  12. Dagg PKB. The psychological sequelae of therapeutic abortion-denied and completed. Am J Psychiatr. 1991;148:578–585
  13. Lewis WJ. Factors associated with post-abortion adjustment problems: implications for triage. Can J Hum Sex. 1997;6:9–16
  14. Romans-Clarkson SE. Psychological sequelae of induced abortion. Aust N Z J Psychiatr. 1989;23:555–565
  15. Turell SC, Armsworth MW, Gaa JP. Emotional response to abortion: a critical review of the literature. Wom Ther. 1990;9:49–68
  16. Zolese G, Blacker CV. The psychological complications of therapeutic abortion. Br J Psychiatr. 1992;160:742–749
  17. Major B, Applebaum M, Beckman L, Dutton MA, Russo NF, West C. Report of APA Task Force on Abortion and Mental Health. Washington, DC; 2008.
  18. Cheng C, Fowles ER, Walker LO. Continuing education module: postpartum maternal health care in the United States: a critical review. J Perinat Educ. 2006;15:34–42
  19. Moher D, Pham B, Klassen T, Schulz K, Berlin J, Jadad A, et al. What contributions do languages other than English make on the results of meta-analyses?. J Clin Epi. 2000;53:964–972
  20. Juni P, Holenstein F, Sterne J, Bartlett C, Egger M. Direction and impact of language bias in meta-analyses of controlled trials: empirical study. Int J Epidemiol. 2002;31:115–123
  21. Schulz KF, Grimes DA. The Lancet Handbook of Essential Concepts in Clinical Research. Philadelphia: Elsevier; 2006;
  22. Santelli J, Rochat R, Hatfield-Timajchy K, Gilbert BC, Curtis K, Cabral R, et al. The measurement and meaning of unintended pregnancy. Perspect Sex Reprod Health. 2003;35:94–101
  23. Koenig MA, Acharya R, Singh S, Roy TK. Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India. Popul Stud. 2006;60:243–256
  24. Tsuang MT, Tohen M. Textbook in psychiatric epidemiology. 2nd ed.. New York: Wiley-Liss; 2002;
  25. Jones EF, Forrest JD. Underreporting of abortion in surveys of U.S. women: 1976 to 1988. Demography. 1992;29:113–126
  26. Udry JR, Gaughan M, Schwingl PJ, van den Berg BJ. A medical record linkage analysis of abortion underreporting. Fam Plan Perspec. 1996;28:228–231
  27. Posavac EJ, Miller TQ. Some problems caused by not having a conceptual foundation for health research: an illustration from studies of the psychological effects of abortion. Psychol Health. 1990;5:13–23
  28. Miller W. An empirical study of the psychological antecedents and consequences of induced abortion. J Soc Issues. 1992;48:67–93
  29. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984;
  30. Steinberg JR, Russo NF. Abortion and anxiety: what's the relationship?. Soc Sci Med. 2008;67:238–252
  31. Cougle JR, Reardon DC, Coleman PK. Generalized anxiety following unintended pregnancies resolved through childbirth and abortion: a cohort study of the 1995 National Survey of Family Growth. J Anxiety Disorders. 2005;19:137–142
  32. Gilchrist AC, Hannaford PC, Frank P, Kay CR. Termination of pregnancy and psychiatric morbidity. Br J Psychiatr. 1995;167:243–248
  33. Russo N, Zierk K. Abortion, childbearing, and women's well-being. Prof Psychol: Res Practice. 1992;23:269–280
  34. Schmiege S, Russo NF. Depression and unwanted first pregnancy: longitudinal cohort study. Br Med J. 2005;331:1303–1306
  35. Reardon DC, Cougle JR. Depression and unintended pregnancy in the National Longitudinal Survey of Youth: a cohort study. Br Med J. 2002;324:151–152
  36. Fergusson DM, Horwood LJ, Ridder EM. Abortion in young women and subsequent mental health. J Child Psychol Psychiatr Allied Discipl. 2006;47:16–24
  37. Taft AJ, Watson LF. Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women's experience of violence. BMC Publ Health. 2008;8:75
  38. Zabin LS, Hirsch MB, Emerson MR. When urban adolescents choose abortion: effects on education, psychological status and subsequent pregnancy. Fam Plann Perspect. 1989;21:248–255
  39. Broen AN, Moum T, Bodtker AS, Ekeberg O. Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study. Acta Obstet Gynecol Scand. 2006;85:317–323
  40. Broen AN, Moum T, Bodtker AS, Ekeberg O. The course of mental health after miscarriage and induced abortion: a longitudinal, five-year follow-up study. BMC Med. 2005;3:51
  41. Broen AN, Moum T, Bodtker AS, Ekeberg O. Psychological impact on women of miscarriage versus induced abortion: a 2-year follow-up study. Psychosom Med. 2004;66:265–271
  42. Bailey PE, Bruno ZV, Bezerra MF, Queiroz I, Oliveira CM, Chen-Mok M. Adolescent pregnancy 1 year later: the effects of abortion vs. motherhood in Northeast Brazil. J Adolesc Health. 2001;29:223–232
  43. Cougle JR, Reardon DC, Coleman PK. Depression associated with abortion and childbirth: a long-term analysis of the NLSY cohort. Med Sci Monitor. 2003;9:CR105–CR112
  44. Rees DI, Sabia JJ, Coleman PK. The relationship between abortion and depression: new evidence from the Fragile Families and Child Wellbeing Study. Med Sci Monit. 2007;13:CR430–CR436
  45. Pedersen W. Abortion and depression: a population-based longitudinal study of young women. . Scand J Publ Health. 2008;36:424–428
  46. Coleman PK, Reardon DC, Rue VM, Cougle J. State-funded abortions versus deliveries: a comparison of outpatient mental health claims over 4 years. Am J Orthopsychiatr. 2002;72:141–152
  47. Gissler M, Berg C, Bouvier-Colle MH, Buekens P. Injury deaths, suicides and homicides associated with pregnancy, Finland 1987-2000. Europ J Pub Health. 2005;15:459–463
  48. Reardon DC, Cougle JR, Rue VM, Shuping MW, Coleman PK, Ney PG. Psychiatric admissions of low-income women following abortion and childbirth. CMAJ. 2003;168:1253–1256
  49. Reardon DC, Ney PG, Scheuren F, Cougle J, Coleman PK, Strahan TW. Deaths associated with pregnancy outcome: a record linkage study of low income women. Soc Med J. 2002;95:834–841

PII: S0010-7824(08)00369-7

doi: 10.1016/j.contraception.2008.07.005

Contraception
Volume 78, Issue 6 , Pages 436-450 , December 2008

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