Document Detail


Prevalence and prediction of re-experiencing and avoidance after elective surgical abortion: a prospective study.
MedLine Citation:
PMID:  19115456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study investigated short-term re-experiencing and avoidance after elective surgical abortion. In addition, it was prospectively investigated whether peritraumatic dissociation and pre-abortion dissociative tendencies and alexithymia predict re-experiencing and avoidance.
METHOD: In a prospective observational design, Dutch-speaking women presenting for first trimester elective surgical abortion completed self-report measures for dissociative tendency and alexithymia. Peritraumatic dissociation was measured immediately post-abortion. Re-experiencing and avoidance were measured 2 months post-abortion.
RESULTS: Participants reported moderately elevated levels of re-experiencing and avoidance that exceeded a clinical cut-off point for 19.4% of the participants. Peritraumatic dissociation predicted intrusion and avoidance at 2 months. In addition, avoidance was predicted by the alexithymic aspect of difficulty describing feelings.
CONCLUSIONS: Re-experiencing and avoidance after elective surgical abortion represent a significant clinical problem that is predicted by peritraumatic dissociation and alexithymia. Psychological screening and intervention might be a useful adjunct to elective abortion procedures.
Authors:
Arnold A P van Emmerik; Jan H Kamphuis; Paul M G Emmelkamp
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical psychology & psychotherapy     Volume:  15     ISSN:  1099-0879     ISO Abbreviation:  Clin Psychol Psychother     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-12-30     Completed Date:  2009-05-13     Revised Date:  2011-05-23    
Medline Journal Info:
Nlm Unique ID:  9416196     Medline TA:  Clin Psychol Psychother     Country:  England    
Other Details:
Languages:  eng     Pagination:  378-85     Citation Subset:  IM    
Copyright Information:
2008 John Wiley & Sons, Ltd.
Affiliation:
Department of Clinical, Health and Neuropsychology, Leiden University, the Netherlands. A.A.P.vanEmmerik@uva.nl
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / statistics & numerical data*
Adult
Affective Symptoms / diagnosis,  epidemiology
Dissociative Disorders / diagnosis,  epidemiology
Female
Humans
Netherlands / epidemiology
Personality Disorders / diagnosis,  epidemiology*
Predictive Value of Tests
Prevalence
Prospective Studies
Psychiatric Status Rating Scales
Questionnaires
Stress Disorders, Post-Traumatic / diagnosis,  epidemiology*
Stress, Psychological / diagnosis,  epidemiology
Surgical Procedures, Elective / statistics & numerical data*
Urban Population / statistics & numerical data

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