Does abortion increase women's risk for post-traumatic stress? Findings from a prospective longitudinal cohort study

BMJ Open
M Antonia BiggsDiana Greene Foster

Abstract

To prospectively assess women's risk for post-traumatic stress disorder (PTSD) and of experiencing post-traumatic stress symptoms (PTSS) over 4 ears after seeking an abortion, and to assess whether symptoms are attributed to the pregnancy, abortion or birth, or other events in women's lives. Prospective longitudinal cohort study which followed women from approximately 1 week after receiving or being denied an abortion (baseline), then every 6 months for 4 years (9 interview waves). 30 abortion facilities located throughout the USA. Among 956 women presenting for abortion care, some of whom received an abortion and some of whom were denied due to advanced gestational age; 863 women are included in the longitudinal analyses. PTSS and PTSD risk were measured using the Primary Care PTSD Screen (PC-PTSD). Index pregnancy-related PTSS was measured by coding the event(s) described by women as the cause of their symptoms. We used unadjusted and adjusted logistic mixed-effects regression analyses to assess whether PTSS, PTSD risk and pregnancy-related PTSS trajectories of women obtaining abortions differed from those who were denied one. At baseline, 39% of participants reported any PTSS and 16% reported three or more symptoms. Among wo...Continue Reading

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Sep 15, 2017·Current Psychiatry Reports·Sarah Horvath, Courtney A Schreiber
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