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Late-Term Elective Abortion and Susceptibility to Posttraumatic Stress Symptoms

By Priscilla K. Coleman, Catherine T. Coyle and Vincent M. Rue

Abstract

The primary aim of this study was to compare the experience of an early abortion (1st trimester) to a late abortion (2nd and 3rd trimester) relative to Posttraumatic Stress Disorder (PTSD) symptoms after controlling for socio-demographic and personal history variables. Online surveys were completed by 374 women who experienced either a 1st trimester abortion (up to 12 weeks gestation) or a 2nd or 3rd trimester abortion (13 weeks gestation or beyond). Most respondents (81%) were U.S. citizens. Later abortions were associated with higher Intrusion subscale scores and with a greater likelihood of reporting disturbing dreams, reliving of the abortion, and trouble falling asleep. Reporting the pregnancy was desired by one's partner, experiencing pressure to abort, having left the partner prior to the abortion, not disclosing the abortion to the partner, and physical health concerns were more common among women who received later abortions. Social reasons for the abortion were linked with significantly higher PTSD total and subscale scores for the full sample. Women who postpone their abortions may need more active professional intervention before securing an abortion based on the increased risks identified herein. More research with diverse samples employing additional measures of mental illness is needed

Topics: Research Article
Publisher: Hindawi Publishing Corporation
OAI identifier: oai:pubmedcentral.nih.gov:3066627
Provided by: PubMed Central

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Citations

  1. (2002). A comparison of World-Wide Web and paperand-pencil personality questionnaires,”
  2. (1999). A meta-analytic study of social desirability distortion in computer-administered questionnaires, traditional questionnaires, and interviews,”
  3. (2008). Abortion complications,”
  4. (2002). Abortion surveillance—United States,
  5. (1995). Beliefs about the fetus as a moderator of postabortion psychological well-being,”
  6. (2005). C.HewsonandJ.P.Charlton,“Measuringhealthbeliefsonthe Internet: a comparison of paper and Internet administrations of the Multidimensional Health Locus
  7. (2002). Citizen perceptions of community policing: comparing Internet and mail survey responses,”
  8. (2001). Comorbidity, impairment, and suicidality in subthreshold PTSD,”
  9. (2007). Comparison of pain, cortisol levels, and psychological distress in women undergoing surgical termination of pregnancy under local anaesthesia versus intravenous sedation,”
  10. (1975). Delay in seeking induced abortion: a review and theoretical analysis,”
  11. (1980). Delayed abortion in an area of easy accessibility,”
  12. (1973). Emotional patterns related to delay in decision to seek legal abortion,”
  13. (2005). G a m b l e ,L .T .S t r a u s s ,W .Y .P a r k e r
  14. (1995). Generalized anxiety associated with unintended pregnancy: a cohort study of the
  15. (1978). Induced abortion after feeling fetal movements: its causes and emotional consequences,”
  16. (2009). Induced abortion and anxiety, mood, and substance abuse disorders: isolating the effects of abortion in the national comorbidity survey,”
  17. (2005). Induced abortion and increased risk of substance use: a review of the evidence,”
  18. (2004). Induced abortion and traumatic stress: a preliminary comparison of
  19. (1980). K.Rickels,and G.R.Huggins, “Emotionaldistress patterns among women having first or repeat abortions,”
  20. Longterm physical and psychological health consequences of induced abortion:
  21. (1979). N.B.Kaltreider,S.Goldsmith,andA.J.Margolis,“Theimpact of midtrimester abortion techniques on patients and staff,”
  22. (1998). o d e r b e r g ,L .J a n z o n ,a n dN . - O .S j ¨ oberg, “Emotional distress following induced abortion a study of its incidence and determinants among abortees in Malmo,
  23. (2008). o n e s ,M .R .S .Z o l n a ,S .K .H e n s h a w ,a n dL .B . Finer, “Abortion in the United States: incidence and access to services,2005,”PerspectivesonSexualandReproductiveHealth,
  24. (1993). Post-abortion perceptions: a comparison of self-identified distressed and nondistressed populations,”
  25. (2002). Post-traumatic stress disorder in women: current concepts and treatments,”
  26. (1979). Predicting the psychological consequences of abortion,”
  27. (2002). Predictors of posttraumaticstressdisorderfollowingabortioninaformerSoviet Union country,”
  28. (2004). Psychological impact on women of miscarriage versus induced abortion: a 2-year follow-up study,”
  29. (1975). Psychosocial aspects of abortion in
  30. (2004). Risk factors for legal induced abortion-related mortality
  31. (1992). Selfselected and randomly selected respondents in a computer network survey,”
  32. (2004). Shouldwetrustweb-basedstudies?Acomparativeanalysisof six preconceptions about Internet questionnaires,”
  33. (2007). Sleep, sex, and the web: surveying the difficult-to-reach clinical population suffering from sexsomnia,”
  34. (2002). The ‘virtual focus group’: using the Internet to reach pregnant women on home bed rest,”
  35. (1995). The black hole of trauma,” in Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society,B .A .v a nd e rK o l k ,A
  36. (1974). The decision making process and the outcome of therapeutic abortion,”
  37. (2003). The effects of induced abortion on emotional experiences and relationships: a critical review of the literature,”
  38. (2006). The Internet as psychological laboratory,”
  39. (1981). the last? A study of the personality factors underlying repeated failure of contraception,”
  40. (2005). The psychology of abortion: a review and suggestions for future research,”
  41. (2000). The web experiment method: advantages, disadvantages, and solutions,”
  42. (2001). Use of the internet in survey research,”
  43. (2003). Using pencil and paper, Internet and touch-tone phones for self-administered surveys: does methodology matter?”
  44. (1999). Using the Internet for psychological research: personality testing on the World Wide Web,”
  45. (2003). Validating Internet research: a test of the psychometric equivalence of Internet and inperson samples,”
  46. (2000). Web-based research: an innovative method for nursingresearch,”CanadianOncologyNursingJournal,vol.10,
  47. (1988). Why do women have abortions?” Family Planning Perspectives,