Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence
Objective: There have been debates about the linkages between abortion and mental health. Few reviews have considered the extent to which abortion has therapeutic benefits that mitigate the mental health risks of abortion. The aim of this review was to conduct a re-appraisal of the evidence to exami...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 2013-09, Vol.47 (9), p.819-827 |
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| container_title | Australian and New Zealand journal of psychiatry |
| container_volume | 47 |
| creator | Fergusson, David M Horwood, L John Boden, Joseph M |
| description | Objective:
There have been debates about the linkages between abortion and mental health. Few reviews have considered the extent to which abortion has therapeutic benefits that mitigate the mental health risks of abortion. The aim of this review was to conduct a re-appraisal of the evidence to examine the research hypothesis that abortion reduces rates of mental health problems in women having unwanted or unintended pregnancy.
Methods:
Analysis of recent reviews (Coleman, 2011; National Collaborating Centre for Mental Health, 2011) identified eight publications reporting 14 adjusted odds ratios (AORs) spanning five outcome domains: anxiety; depression; alcohol misuse; illicit drug use/misuse; and suicidal behaviour. For each outcome, pooled AORs were estimated using a random-effects model.
Results:
There was consistent evidence to show that abortion was not associated with a reduction in rates of mental health problems (p>0.75). Abortion was associated with small to moderate increases in risks of anxiety (AOR 1.28, 95% CI 0.97−1.70; p |
| doi_str_mv | 10.1177/0004867413484597 |
| format | Article |
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There have been debates about the linkages between abortion and mental health. Few reviews have considered the extent to which abortion has therapeutic benefits that mitigate the mental health risks of abortion. The aim of this review was to conduct a re-appraisal of the evidence to examine the research hypothesis that abortion reduces rates of mental health problems in women having unwanted or unintended pregnancy.
Methods:
Analysis of recent reviews (Coleman, 2011; National Collaborating Centre for Mental Health, 2011) identified eight publications reporting 14 adjusted odds ratios (AORs) spanning five outcome domains: anxiety; depression; alcohol misuse; illicit drug use/misuse; and suicidal behaviour. For each outcome, pooled AORs were estimated using a random-effects model.
Results:
There was consistent evidence to show that abortion was not associated with a reduction in rates of mental health problems (p>0.75). Abortion was associated with small to moderate increases in risks of anxiety (AOR 1.28, 95% CI 0.97−1.70; p<0.08), alcohol misuse (AOR 2.34, 95% CI 1.05−5.21; p<0.05), illicit drug use/misuse (AOR 3.91, 95% CI 1.13−13.55; p<0.05), and suicidal behaviour (AOR 1.69, 95% CI 1.12−2.54; p<0.01).
Conclusions:
There is no available evidence to suggest that abortion has therapeutic effects in reducing the mental health risks of unwanted or unintended pregnancy. There is suggestive evidence that abortion may be associated with small to moderate increases in risks of some mental health problems.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.1177/0004867413484597</identifier><identifier>PMID: 23553240</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Abortion ; Abortion, Induced - psychology ; Biological and medical sciences ; Confidence intervals ; Diseases of mother, fetus and pregnancy ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Mental Disorders - psychology ; Mental illness ; Pregnancy ; Pregnancy, Unwanted ; Pregnancy, Unwanted - psychology ; Pregnancy. Fetus. Placenta ; Psychological aspects ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Assessment ; Risk Factors</subject><ispartof>Australian and New Zealand journal of psychiatry, 2013-09, Vol.47 (9), p.819-827</ispartof><rights>The Royal Australian and New Zealand College of Psychiatrists 2013</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-6387e9f591d92cc4df134f905bb20f52c3e6c0f41411b9df6eeb7758a04d46b03</citedby><cites>FETCH-LOGICAL-c422t-6387e9f591d92cc4df134f905bb20f52c3e6c0f41411b9df6eeb7758a04d46b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0004867413484597$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0004867413484597$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,997736233602837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0$$DView this record in NLNZ$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27659590$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23553240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fergusson, David M</creatorcontrib><creatorcontrib>Horwood, L John</creatorcontrib><creatorcontrib>Boden, Joseph M</creatorcontrib><title>Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective:
There have been debates about the linkages between abortion and mental health. Few reviews have considered the extent to which abortion has therapeutic benefits that mitigate the mental health risks of abortion. The aim of this review was to conduct a re-appraisal of the evidence to examine the research hypothesis that abortion reduces rates of mental health problems in women having unwanted or unintended pregnancy.
Methods:
Analysis of recent reviews (Coleman, 2011; National Collaborating Centre for Mental Health, 2011) identified eight publications reporting 14 adjusted odds ratios (AORs) spanning five outcome domains: anxiety; depression; alcohol misuse; illicit drug use/misuse; and suicidal behaviour. For each outcome, pooled AORs were estimated using a random-effects model.
Results:
There was consistent evidence to show that abortion was not associated with a reduction in rates of mental health problems (p>0.75). Abortion was associated with small to moderate increases in risks of anxiety (AOR 1.28, 95% CI 0.97−1.70; p<0.08), alcohol misuse (AOR 2.34, 95% CI 1.05−5.21; p<0.05), illicit drug use/misuse (AOR 3.91, 95% CI 1.13−13.55; p<0.05), and suicidal behaviour (AOR 1.69, 95% CI 1.12−2.54; p<0.01).
Conclusions:
There is no available evidence to suggest that abortion has therapeutic effects in reducing the mental health risks of unwanted or unintended pregnancy. There is suggestive evidence that abortion may be associated with small to moderate increases in risks of some mental health problems.</description><subject>Abortion</subject><subject>Abortion, Induced - psychology</subject><subject>Biological and medical sciences</subject><subject>Confidence intervals</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mental Disorders - psychology</subject><subject>Mental illness</subject><subject>Pregnancy</subject><subject>Pregnancy, Unwanted</subject><subject>Pregnancy, Unwanted - psychology</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Psychological aspects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE2LFDEQhoMo7rh69yQBEby05judkyzrJyx40XOTTio7WXuSNulW119vmhkVBE9VoZ56kzwIPabkBaVavySEiF5pQbnohTT6DtpRIUhHFRV30W4bd9v8DD2o9YYQyqnU99EZ41JyJsgOza8zVGzHXJaYEy7gVwd42QM-QFrshPdgp2WPS6xfKs4Br-m7TQt4nEvrY2uTb6e5wHWyyd2-whctpbPzXGysLaDtbHHwLXpIDh6ie8FOFR6d6jn6_PbNp8v33dXHdx8uL646JxhbOsV7DSZIQ71hzgkf2h-DIXIcGQmSOQ7KkSCooHQ0PiiAUWvZWyK8UCPh5-j5MXcu-esKdRkOsTqYJpsgr3WgghlGpTKsoeSIupJrLRCGucSDLbcDJcPmefjXc1t5ckpfxwP4Pwu_xTbg2Qmw1dkplOYm1r-cVtJIs3FPj1ya0s8hNpc_WjVGa64Y54qwnm_XdUeq2msYbvJaUnP3_-f9AnOTnNM</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Fergusson, David M</creator><creator>Horwood, L John</creator><creator>Boden, Joseph M</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>DUNLO</scope><scope>GOM</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence</title><author>Fergusson, David M ; Horwood, L John ; Boden, Joseph M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-6387e9f591d92cc4df134f905bb20f52c3e6c0f41411b9df6eeb7758a04d46b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion</topic><topic>Abortion, Induced - psychology</topic><topic>Biological and medical sciences</topic><topic>Confidence intervals</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mental Disorders - psychology</topic><topic>Mental illness</topic><topic>Pregnancy</topic><topic>Pregnancy, Unwanted</topic><topic>Pregnancy, Unwanted - psychology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Psychological aspects</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fergusson, David M</creatorcontrib><creatorcontrib>Horwood, L John</creatorcontrib><creatorcontrib>Boden, Joseph M</creatorcontrib><collection>Index New Zealand (A&I)</collection><collection>Index New Zealand</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fergusson, David M</au><au>Horwood, L John</au><au>Boden, Joseph M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>47</volume><issue>9</issue><spage>819</spage><epage>827</epage><pages>819-827</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective:
There have been debates about the linkages between abortion and mental health. Few reviews have considered the extent to which abortion has therapeutic benefits that mitigate the mental health risks of abortion. The aim of this review was to conduct a re-appraisal of the evidence to examine the research hypothesis that abortion reduces rates of mental health problems in women having unwanted or unintended pregnancy.
Methods:
Analysis of recent reviews (Coleman, 2011; National Collaborating Centre for Mental Health, 2011) identified eight publications reporting 14 adjusted odds ratios (AORs) spanning five outcome domains: anxiety; depression; alcohol misuse; illicit drug use/misuse; and suicidal behaviour. For each outcome, pooled AORs were estimated using a random-effects model.
Results:
There was consistent evidence to show that abortion was not associated with a reduction in rates of mental health problems (p>0.75). Abortion was associated with small to moderate increases in risks of anxiety (AOR 1.28, 95% CI 0.97−1.70; p<0.08), alcohol misuse (AOR 2.34, 95% CI 1.05−5.21; p<0.05), illicit drug use/misuse (AOR 3.91, 95% CI 1.13−13.55; p<0.05), and suicidal behaviour (AOR 1.69, 95% CI 1.12−2.54; p<0.01).
Conclusions:
There is no available evidence to suggest that abortion has therapeutic effects in reducing the mental health risks of unwanted or unintended pregnancy. There is suggestive evidence that abortion may be associated with small to moderate increases in risks of some mental health problems.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>23553240</pmid><doi>10.1177/0004867413484597</doi><tpages>9</tpages></addata></record> |
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| ispartof | Australian and New Zealand journal of psychiatry, 2013-09, Vol.47 (9), p.819-827 |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Abortion Abortion, Induced - psychology Biological and medical sciences Confidence intervals Diseases of mother, fetus and pregnancy Female Gynecology. Andrology. Obstetrics Humans Medical sciences Mental Disorders - psychology Mental illness Pregnancy Pregnancy, Unwanted Pregnancy, Unwanted - psychology Pregnancy. Fetus. Placenta Psychological aspects Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Assessment Risk Factors |
| title | Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence |
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