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Mental Health Abortion Report

Mental Health Abortion Report

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Published by shyznogud
The differing patterns of psychological experiences observed among women who terminate an unplanned pregnancy versus those who terminate a planned and wanted pregnancy highlight the importance of taking pregnancy intendedness and wantedness into account when seeking to understand psychological reactions to abortion. None of the literature reviewed addressed adequately the prevalence of mental health problems among women in the U.S. who have had an abortion. However, the prevalence of mental health problems among U.S. women who had a single, legal, first- trimester abortion for non-therapeutic reasons was consistent with rates of comparable mental health problems in the general population. Nonetheless, some women do experience sadness, grief, and feelings of loss following termination of a pregnancy, and some experience clinically significant disorders, including depression and anxiety. However, the TFMHA reviewed no evidence supporting the claim that an association between abortion history and mental health was caused by the abortion per se, as opposed to other factors.
The differing patterns of psychological experiences observed among women who terminate an unplanned pregnancy versus those who terminate a planned and wanted pregnancy highlight the importance of taking pregnancy intendedness and wantedness into account when seeking to understand psychological reactions to abortion. None of the literature reviewed addressed adequately the prevalence of mental health problems among women in the U.S. who have had an abortion. However, the prevalence of mental health problems among U.S. women who had a single, legal, first- trimester abortion for non-therapeutic reasons was consistent with rates of comparable mental health problems in the general population. Nonetheless, some women do experience sadness, grief, and feelings of loss following termination of a pregnancy, and some experience clinically significant disorders, including depression and anxiety. However, the TFMHA reviewed no evidence supporting the claim that an association between abortion history and mental health was caused by the abortion per se, as opposed to other factors.

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Published by: shyznogud on Feb 02, 2009
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05/18/2013

 
Reportofthe
APATaskForceon
MentalHealthandAbortion
APATaskForceonMentalHealthandAbortio
Brenda Major, PhD, ChairMark Appelbaum, PhDLinda Beckman, PhDMary Ann Dutton, PhDNancy Felipe Russo, PhDCarolyn West, PhD
A copy of the report is available online at 
http://www.apa.org/pi/wpo/mental-health-abortion-report.pdf 
Suggested bibliographic reference: American Psychological Association, Task Force on Mental Health and Abortion. (2008). Report of the Task Force onMental Health and Abortion. Washington, DC: Author. Retrieved from
http://www.apa.org/pi/wpo/mental-health-abortion-report.pdf 
Also APA reports synthesize current psychological knowledge in a given area and may offer recommendations for future action. They do not constituteAPA policy nor commit APA to the activities described therein.
 
Copyright © 2008 by the American Psychological Association. This material may be reproduced in whole or in part without fees or per-mission provided that acknowledgment is given to the American Psychological Association. This material may not be reprinted, translated,or distributed electronically without prior permission in writing from the publisher. For permission, contact APA, Rights and Permissions,750 First Street, NE, Washington, DC 20002–4242.Printed in the USA.
 
REPORTOFTHEAPATASKFORCEONMENTALHEALTHANDABORTION 
TableofContents
ExecutiveSummary
.................................................................................................3
Introduction
.........................................................................................................5Overview........................................................................................................6DefinitionsandScopeofReport .................................................................................6QuestionsAddressed ............................................................................................7ImportanceofRecognizingVariabilityintheAbortionExperience ................................................9
ConceptualFrameworks...................................................................................
10AbortionWithinaStress-and-CopingPerspective ...............................................................10AbortionasaTraumaticExperience.............................................................................11AbortionWithinaSocioculturalContext ........................................................................11AbortionandCo-OccurringRiskFactors.........................................................................12Systemicriskfactors.......................................................................................13Personalriskfactors .......................................................................................13SummaryofConceptualFrameworks...........................................................................14
MethodologicalIssuesinAbortionResearch
......................................................................15Comparison/ContrastGroups...................................................................................15Co-OccurringRiskFactors ......................................................................................16Sampling.......................................................................................................16MeasurementofReproductiveHistoryandProblemsofUnderreporting.........................................17Attrition........................................................................................................18OutcomeMeasures:Timing,Source,andClinicalSignificance ....................................................18OtherStatisticalIssues..........................................................................................19InterpretationalProblemsandLogicalFallacies..................................................................19SummaryofMethodologicalIssues.............................................................................20
ReviewofScientificLiterature
.....................................................................................21SearchStrategyandCriteriaforInclusion .......................................................................21DescriptiveOverviewofLiteratureIdentifiedforThisReview ....................................................21
ReviewofComparisonGroupStudies
.............................................................................22Record-BasedStudiesandSecondaryAnalysesWithComparisonGroups........................................22Medicalrecords ...........................................................................................22Secondaryanalysesofsurveydata.........................................................................31Evaluationofrecord-basedandsecondaryanalysesstudies ................................................55Summaryofmedical-recordandsecondaryanalysesstudies ...............................................56
Report of the APATask Force on
MentalHealthandAbortion
1

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