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Abortion and anxiety: What's the relationship?

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  • Steinberg, Julia Renee
  • Russo, Nancy F.

Abstract

Using data from the United States National Survey of Family Growth (NSFG) and the National Comorbidity Survey (NCS), we conducted secondary data analyses to examine the relationship of abortion, including multiple abortions, to anxiety after first pregnancy outcome in two studies. First, when analyzing the NSFG, we found that pre-pregnancy anxiety symptoms, rape history, age at first pregnancy outcome (abortion vs. delivery), race, marital status, income, education, subsequent abortions, and subsequent deliveries accounted for a significant association initially found between first pregnancy outcome and experiencing subsequent anxiety symptoms. We then tested the relationship of abortion to clinically diagnosed generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and social anxiety disorder, using NCS data. Contrary to findings from our analyses of the NSFG, in the NCS analyses we did not find a significant relationship between first pregnancy outcome and subsequent rates of GAD, social anxiety, or PTSD. However, multiple abortions were found to be associated with much higher rates of PTSD and social anxiety; this relationship was largely explained by pre-pregnancy mental health disorders and their association with higher rates of violence. Researchers and clinicians need to learn more about the relations of violence exposure, mental health, and pregnancy outcome to avoid attributing poor mental health solely to pregnancy outcomes.

Suggested Citation

  • Steinberg, Julia Renee & Russo, Nancy F., 2008. "Abortion and anxiety: What's the relationship?," Social Science & Medicine, Elsevier, vol. 67(2), pages 238-252, July.
    • Handle: RePEc:eee:socmed:v:67:y:2008:i:2:p:238-252
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    References listed on IDEAS

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    1. Molnar, B.E. & Buka, S.L. & Kessler, R.C., 2001. "Child sexual abuse and subsequent psychopathology: Results from the national comorbidity survey," American Journal of Public Health, American Public Health Association, vol. 91(5), pages 753-760.
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    1. Steinberg, Julia R. & Tschann, Jeanne M., 2013. "Childhood adversities and subsequent risk of one or multiple abortions," Social Science & Medicine, Elsevier, vol. 81(C), pages 53-59.
    2. Steinberg, Julia R. & Tschann, Jeanne M. & Furgerson, Dorothy & Harper, Cynthia C., 2016. "Psychosocial factors and pre-abortion psychological health: The significance of stigma," Social Science & Medicine, Elsevier, vol. 150(C), pages 67-75.
    3. Steinberg, Julia R. & Finer, Lawrence B., 2011. "Examining the association of abortion history and current mental health: A reanalysis of the National Comorbidity Survey using a common-risk-factors model," Social Science & Medicine, Elsevier, vol. 72(1), pages 72-82, January.
    4. Kelly, Kimberly, 2014. "The spread of ‘Post Abortion Syndrome’ as social diagnosis," Social Science & Medicine, Elsevier, vol. 102(C), pages 18-25.
    5. Kornelia Zaręba & Marta Makara-Studzińska & Michał Ciebiera & Jacek Gierus & Grzegorz Jakiel, 2018. "Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons," IJERPH, MDPI, vol. 15(12), pages 1-13, December.

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