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Induced Abortion and Mental Health (Dec 2011)

Induced Abortion and Mental Health (Dec 2011)

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Published by: Michael_Cook_1714 on Apr 02, 2012
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INDUCED ABORTION AND MENTALHEALTH
 A SYSTEMATIC REVIEW OF THE MENTAL HEALTHOUTCOMES OF INDUCED ABORTION, INCLUDING THEIR PREVALENCE AND ASSOCIATED FACTORS.DECEMBER 2011
Developed for the Academy of Medical Royal Colleges by National Collaborating Centrefor Mental Health, London, 2011
 
This review was funded by the Department of Health
The National Collaborating Centre for Mental Health (NCCMH) was established in2001 at the Royal College of Psychiatrists, in partnership with the British PsychologicalSociety. Its primary role is to develop evidence-based mental health reviews and clinicalguidelines
 
Steering Group Members................................................,............................................................................................05Executive summary.......................................................................................................................................................071 Introduction.........................................................................................................................................................09
1.1 Background...........................................................................................................................................................................091.2 Terminology...........................................................................................................................................................................111.3 Abortion Legislation..............................................................................................................................................................111.4 Previous reviews: the relationship between induced abortion and mentalhealth..........................................................121.4.1 Recent systematic reviews..................................................................................................................................................121.4.2 Limitations of the research included in the previous reviews...........................................................................................141.4.3 Limitations in methodology of the previous reviews..........................................................................................................171.4.4 Summary of key findings from the APA, Charles and Coleman reviews..........................................................................181.5 The present review: The relationship between induced abortion and mental health....................................................19
2 Methods...............................................................................................................................................................21
2.1 The steering group................................................................................................................................................................212.2 Review questions..................................................................................................................................................................222.3 Eligibility criteria....................................................................................................................................................................222.4 Information sources..............................................................................................................................................................242.5 Study selection......................................................................................................................................................................252.6 Results of literature search..................................................................................................................................................252.7 Quality assurance.................................................................................................................................................................262.8 Risk of bias in individual studies.........................................................................................................................................282.9 Applicability to research questions......................................................................................................................................282.10 Data items and extraction....................................................................................................................................................302.10.1 Prevalence .............................................................................................................................................................................302.10.2 Factors associated with poor mental health.......................................................................................................................302.10.3 Mental health outcomes for women following abortion compared with those following a delivery............................302.11 Data analysis and synthesis of results.................................................................................................................................312.12 Grading the evidence............................................................................................................................................................322.13 Consultation..........................................................................................................................................................................35
3 Prevalence of mental health problems in women following an induced abortion........................................37
3.1 Review question....................................................................................................................................................................373.2 Studies considered...............................................................................................................................................................373.3 Studies that did not account for previous mental health Problems.................................................................................373.3.1 Study characteristics............................................................................................................................................................373.3.2 Findings..................................................................................................................................................................................423.3.3 Limitations.............................................................................................................................................................................543.4 Studies that account for previous mental health problems..............................................................................................563.4.1 Study characteristics............................................................................................................................................................563.4.2 Findings..................................................................................................................................................................................583.4.3 Limitations.............................................................................................................................................................................623.5 Comparison of studies that accounted for previous mental health problems and studies that did not account forprevious mental health problems........................................................................................................................................633.6 Evidence statements............................................................................................................................................................64 
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