| Previous experience of spontaneous or elective abortion and risk for posttraumatic stress and depression during subsequent pregnancy. | |
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MedLine Citation:
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PMID: 20577979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Few studies have considered whether elective and/or spontaneous abortion (EAB/SAB) may be risk factors for mental health sequelae in subsequent pregnancy. This paper examines the impact of EAB/SAB on mental health during subsequent pregnancy in a sample of women involved in a larger prospective study of posttraumatic stress disorder (PTSD) across the childbearing year (n=1,581). METHODS: Women expecting their first baby completed standardized telephone assessments including demographics, trauma history, PTSD, depression, and pregnancy wantedness, and religiosity. RESULTS: Fourteen percent (n=221) experienced a prior elective abortion (EAB), 13.1% (n=206) experienced a prior spontaneous abortion (SAB), and 1.4% (n=22) experienced both. Of those women who experienced either an EAB or SAB, 13.9% (n=220) appraised the EAB or SAB experience as having been "a hard time" (i.e., potentially traumatic) and 32.6% (n=132) rated it as their index trauma (i.e., their worst or second worst lifetime exposure). Among the subset of 405 women with prior EAB or SAB, the rate of PTSD during the subsequent pregnancy was 12.6% (n-51), the rate of depression was 16.8% (n=68), and 5.4% (n-22) met criteria for both disorders. CONCLUSIONS: History of sexual trauma predicted appraising the experience of EAB or SAB as "a hard time." Wanting to be pregnant sooner was predictive of appraising the experience of EAB or SAB as the worst or second worst (index) trauma. EAB or SAB was appraised as less traumatic than sexual or medical trauma exposures and conveyed relatively lower risk for PTSD. The patterns of predictors for depression were similar. |
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Authors:
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Lydia Hamama; Sheila A M Rauch; Mickey Sperlich; Erin Defever; Julia S Seng |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Depression and anxiety Volume: 27 ISSN: 1520-6394 ISO Abbreviation: Depress Anxiety Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2010-12-28 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 9708816 Medline TA: Depress Anxiety Country: United States |
Other Details:
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Languages: eng Pagination: 699-707 Citation Subset: IM |
Copyright Information:
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2010 Wiley-Liss, Inc. |
Affiliation:
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University of Michigan, Ann Arbor, 48109-1290, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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psychology* Abortion, Spontaneous / psychology* Adaptation, Psychological Adolescent Adult Comorbidity Female Humans Infant, Newborn Longitudinal Studies Pregnancy Pregnancy Complications / diagnosis*, psychology Socioeconomic Factors Spouse Abuse / diagnosis, psychology Stress Disorders, Post-Traumatic / diagnosis*, psychology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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R01 NR008767-04/NR/NINR NIH HHS; R01NR008767/NR/NINR NIH HHS |
| Comments/Corrections | |
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