Depression - Revision history

Barb: /* Abortion-Related Depression */

2026-08-17T15:29:04Z

Abortion-Related Depression

← Older revision		Revision as of 10:29, 17 August 2026
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	==Abortion-Related Depression==		==Abortion-Related Depression==

			'''Association between induced abortion and depression: a systematic review and meta-analysis. Montoya-Gambini, N. J. S., Apaza-García, J. J., & Munares-García, O. F. (2024). ''Revista Médica del Instituto Mexicano del Seguro Social'', ''62''(1), e5430.'''

			'''Abstract''' This article is a systematic review (SR) and meta-analysis (MA) whose objective was to identify the association between induced abortion and the development of depression, based on the Cochrane guidelines for SRs. A systematic search was carried out in the WoS, PubMed and Scopus databases. Retrospective and prospective cohort studies, carried out until November 2020, that evaluated a population of women in childbearing age (12 to 46 years) with at least 1 induced and/or provoked abortion, including pharmacological and surgical abortion. Only studies with healthy women at the beginning of the research were included, i.e., with absence of psychiatric pathology prior to induced abortion. The quality of the included studies was measured with the Newcastle-Ottawa Scale (NOS), and for the MA random-effects models were specified using the DerSimonian & Laird method, grouping them into follow-up after abortion before and after one year. The results of the SR were measured with relative risk (RR), hazard ratio (HR), odds ratio (OR), and the chi-square test, which assessed the intensity of the statistical relationship between population and exposure. Systematic review demonstrated an OR of 1.38 (95% CI 1.14-1.68) of depression after induced abortion. Meta-analysis demonstrated a statistically significant association between depression and induced abortion when the assessment after one year was performed: OR: 1.37 (95% CI 1.09-1.71). The risks, harms and mental health consequences of induced abortion, such as depression, should be investigated and warned.


			'''Ilic, I., Babic, G., Sipetic Grujicic, S., Zivanovic Macuzic, I., Ilic, M., Ravic-Nikolic, A., & Milicic, V. (2026). Concurrent depression and anxiety in women undergoing additional diagnostic procedures due to positive screening for cervical cancer. ''Plos one'', ''21''(2), e0342492.'''<blockquote>Introduction
			Undergoing additional diagnostic procedures due to a positive cervical cancer screening in women can lead to psychosocial burden. This study investigated the co-occurrence of depression and anxiety in women both before and after additional diagnostic procedures for cervical cancer.

			Methods

			This prospective observational study with repeated measures was conducted in a cohort consisting of all consecutive women (N = 172) who received an abnormal Pap screening test result and therefore presented to a gynecologist for additional diagnostic examinations. Multivariate logistic regression was used to identify the independent predictors of the concurrent depression and anxiety occurrence among women while undergoing additional diagnostic procedures due to positive screening for cervical cancer.

			Results

			The prevalence of concurrent depression/anxiety among women while undergoing additional diagnostic procedures due to positive screening for cervical cancer was elevated from 34.3% before diagnostics to 46.5% after diagnostics (P < 0.05). Also, the prevalence of more severe concurrent depression/anxiety was higher after diagnostics than before diagnostics. Multivariate logistic regression presented that worry (regarding cervical cancer, general health, the result of the next cytology test, and having sex) was an independent significant predictive factor for concurrent depression/anxiety in women before undergoing additional diagnostic procedures due to positive screening for cervical cancer. Multivariate logistic regression presented that urban place of residence, history of induced abortion, and sedative use were predictive factors for concurrent depression and anxiety in women after undergoing additional diagnostic procedures due to positive screening for cervical cancer.

			Conclusion

			Concurrent depression and anxiety occurrence was highly prevalent among women while undergoing additional diagnostic procedures due to positive screening for cervical cancer. This prospective observational study showed a correlation between certain risk factors and concurrent depression/anxiety, although it is difficult to determine causality of this association due to the limitations of the study design. Only evidence that establishes causality can definitively guide the implementation of specific procedures and interventions during cervical cancer screening aimed at reducing concurrent depression/anxiety.</blockquote>'''Li, Z., Zhang, H., Wang, Y., Liu, X., Wang, X., Feng, Q., ... & Wang, C. (2026). Association of induced abortion with mental health among rural women: an epidemiological survey study. ''Current Psychology'', ''45''(2), 189. <nowiki>https://link.springer.com/article/10.1007/s12144-025-08889-3</nowiki>'''<blockquote>Previous studies have shown that induced abortion may be a risk factor for mental problems. However, these studies have only examined the association between induced abortion and mental problems, with limited evidence regarding its long-term impact on women’s overall health. In this study, a total of 12,275 women were included in the study from the Henan Rural Cohort. Logistic regression was employed to examine the connection between induced abortion and mental problems. To further explore the potential causal relationship, Mendelian randomization (MR) study was adopted. Additionally, the Sullivan method was used to estimate healthy life expectancy (HLE) among women with different numbers of induced abortion. The findings revealed that induced abortion was associated with higher risks of depressive symptoms, anxiety symptoms, suicidal ideation and mental disorder. The MR analysis confirmed a causal link between induced abortion and depressive symptoms. Moreover, women experiencing induced abortion exhibited shorter HLE compared to those without abortion. These results suggest that induced abortion may not only affect mental health but also contribute to a reduced the HLE. Therefore, greater attention should be devoted to the mental health of women with a history of abortion. It is recommended to incorporate routine mental health screening into post-abortion care, provide comprehensive pre-abortion and post-abortion counseling, especially for high-risk groups, and enhance the training of healthcare providers.</blockquote>

Barb: /* Abortion-Related Depression */

2025-12-31T14:38:17Z

Abortion-Related Depression

← Older revision		Revision as of 09:38, 31 December 2025
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	==Abortion-Related Depression==		==Abortion-Related Depression==


			'''[https://pmc.ncbi.nlm.nih.gov/articles/PMC11625657/#bjo17889-sec-0016 Pregnancy and birth complications and long-term maternal mental health outcomes: A systematic review and meta-analysis.] Bodunde EO, Buckley D, O'Neill E, Al Khalaf S, Maher GM, O'Connor K, McCarthy FP, Kublickiene K, Matvienko-Sikar K, Khashan AS. BJOG. 2025 Jan;132(2):131-142. doi: 10.1111/1471-0528.17889.'''<blockquote>Background: Few studies have examined the associations between pregnancy and birth complications and long‐term (>12 months) maternal mental health outcomes.

			Objectives: To review the published literature on pregnancy and birth complications and long‐term maternal mental health outcomes.

			Search strategy:Systematic search of Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (Embase), PsycInfo®, PubMed® and Web of Science from inception until August 2022.

			Selection criteria: Three reviewers independently reviewed titles, abstracts and full texts.

			Data collection and analysis: Two reviewers independently extracted data and appraised study quality. Random‐effects meta‐analyses were used to calculate pooled estimates. The Meta‐analyses of Observational Studies in Epidemiology (MOOSE) guidelines were followed. The protocol was prospectively registered on the International Prospective Register of Systematic Reviews (PROSPERO: CRD42022359017).

			Main results: Of the 16 310 articles identified, 33 studies were included (3 973 631 participants). T'''ermination of pregnancy was associated with depression (pooled adjusted odds ratio, aOR 1.49, 95% CI 1.20–1.83) and anxiety disorder (pooled aOR 1.43, 95% CI 1.20–1.71).''' Miscarriage was associated with depression (pooled aOR 1.97, 95% CI 1.38–2.82) and anxiety disorder (pooled aOR 1.24, 95% CI 1.11–1.39). Sensitivity analyses excluding early pregnancy loss and termination reported similar results. Preterm birth was associated with depression (pooled aOR 1.37, 95% CI 1.32–1.42), anxiety disorder (pooled aOR 0.97, 95% CI 0.41–2.27) and post‐traumatic stress disorder (PTSD) (pooled aOR 1.75, 95% CI 0.52–5.89). Caesarean section was not significantly associated with PTSD (pooled aOR 2.51, 95% CI 0.75–8.37). There were few studies on other mental disorders and therefore it was not possible to perform meta‐analyses.

			Conclusions: Exposure to complications during pregnancy and birth increases the odds of long‐term depression, anxiety disorder and PTSD.</blockquote>


	'''[https://pubmed.ncbi.nlm.nih.gov/31485778/ Prevalence of depression and anxiety in women with recurrent pregnancy loss and the associated risk factors.] He L, Wang T, Xu H, Chen C, Liu Z, Kang X, Zhao A. Arch Gynecol Obstet. 2019 Oct;300(4):1061-1066. doi: 10.1007/s00404-019-05264-z. Epub 2019 Aug 21. PMID: 31485778.'''<blockquote>'''Objective:''' To investigate the prevalence and explore potential risk factors of depression and anxiety in patients with recurrent pregnancy loss (RPL).		'''[https://pubmed.ncbi.nlm.nih.gov/31485778/ Prevalence of depression and anxiety in women with recurrent pregnancy loss and the associated risk factors.] He L, Wang T, Xu H, Chen C, Liu Z, Kang X, Zhao A. Arch Gynecol Obstet. 2019 Oct;300(4):1061-1066. doi: 10.1007/s00404-019-05264-z. Epub 2019 Aug 21. PMID: 31485778.'''<blockquote>'''Objective:''' To investigate the prevalence and explore potential risk factors of depression and anxiety in patients with recurrent pregnancy loss (RPL).

Barb: /* Abortion-Related Depression */

2025-08-25T19:23:24Z

Abortion-Related Depression

← Older revision		Revision as of 14:23, 25 August 2025
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	==Abortion-Related Depression==		==Abortion-Related Depression==

			'''[https://pubmed.ncbi.nlm.nih.gov/31485778/ Prevalence of depression and anxiety in women with recurrent pregnancy loss and the associated risk factors.] He L, Wang T, Xu H, Chen C, Liu Z, Kang X, Zhao A. Arch Gynecol Obstet. 2019 Oct;300(4):1061-1066. doi: 10.1007/s00404-019-05264-z. Epub 2019 Aug 21. PMID: 31485778.'''<blockquote>'''Objective:''' To investigate the prevalence and explore potential risk factors of depression and anxiety in patients with recurrent pregnancy loss (RPL).

			'''Methods:''' 1138 non-pregnant women aged 20-40 years old who attempted to conceive were invited to complete a questionnaire, including basic information, Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS).

			'''Results:''' 782 RPL women, 218 women with one pregnancy loss and 138 women with no history of pregnancy loss were included in this study. We found that both RPL patients and women with one pregnancy loss had significantly higher SDS and SAS scores than the control group (P = 0.006, 0.003). Furthermore, in RPL patients, those with lower education level (lower than university), lower household income (< 10,000 yuan) and history of induced abortion had significantly higher levels of depression and anxiety. Women with multiple pregnancy losses ( ≥ 3) and no live birth had significantly higher SDS scores. Women who had been married for 3 years or more had a significantly higher SAS score. Logistic regression revealed that lower education level (lower than university) was an independent risk factor for depression (adjusted OR = 1.75, 95% CI 1.10-2.77, P = 0.018) and anxiety (adjusted OR = 1.80, 95% CI 1.04-3.13, P = 0.037), and women with three or more pregnancy losses had increased odds of depression than those with two pregnancy losses (adjusted OR = 1.82, 95% CI 1.15-2.88, P = 0.012).

			'''Conclusion:''' RPL patients are more likely to develop depression and anxiety than women with no history of pregnancy loss. Lower education level and multiple pregnancy losses (≥ 3) appear to be two independent risk factors of depression and anxiety in women with RPL. Women with one pregnancy loss also show a significant higher level for depression and anxiety. Appropriate psychological intervention can be considered for such patients.</blockquote>


	'''[https://www.sciencedirect.com/science/article/abs/pii/S0165032719301727?via%3Dihub Association between induced abortion, spontaneous abortion, and infertility respectively and the risk of psychiatric disorders in 57,770 women followed in gynecological practices in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub 2019 Mar 20.'''		'''[https://www.sciencedirect.com/science/article/abs/pii/S0165032719301727?via%3Dihub Association between induced abortion, spontaneous abortion, and infertility respectively and the risk of psychiatric disorders in 57,770 women followed in gynecological practices in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub 2019 Mar 20.'''
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	:RESULTS: The mean age was 29.2 years (SD = 6.4 years) in women with and without psychiatric disorders. Induced abortion (odds ratios [ORs] ranging from 1.75 to 2.01), spontaneous abortion (ORs ranging from 2.16 to 2.60), and infertility (OR = 2.13) were positively associated with the risk of psychiatric disorders.		:RESULTS: The mean age was 29.2 years (SD = 6.4 years) in women with and without psychiatric disorders. Induced abortion (odds ratios [ORs] ranging from 1.75 to 2.01), spontaneous abortion (ORs ranging from 2.16 to 2.60), and infertility (OR = 2.13) were positively associated with the risk of psychiatric disorders.

	:CONCLUSIONS: A positive relationship between induced abortion, spontaneous abortion, and infertility respectively and psychiatric ~~disorderswas~~ observed in gynecological practices in Germany.		:CONCLUSIONS: A positive relationship between induced abortion, spontaneous abortion, and infertility respectively and psychiatric disorders was observed in gynecological practices in Germany.

Barb: /* Pregnancy outcome associated Distress */

2024-10-25T16:58:23Z

Pregnancy outcome associated Distress

← Older revision		Revision as of 11:58, 25 October 2024
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	== Pregnancy outcome associated Distress ==		== Pregnancy outcome associated Distress ==
	'''[https://pubmed.ncbi.nlm.nih.gov/36306037/ Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.] Sasaki N, Ikeda M, Nishi D. Arch Womens Ment Health. 2022 Dec;25(6):1119-1127. doi: 10.1007/s00737-022-01273-1. Epub 2022 Oct 28. PMID: 36306037.'''<blockquote>This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.</blockquote><blockquote>'''Notes:''' This study actually showed higher rates of distress among women who aborted versus unintended pregnancies carried to term (OR 1.57; 95% CI 1.38-1.78). This was reduced to slightly less than statistical significance by controlling for covariates that may not have been appropriate. But most importantly, the results did not show statistically significantly higher levels of distress for women who wanted an abortion but did not have one or for those who placed the child for adoption compared to women who had abortions. In other words, there was no significant benefit to abortion compared to any other group but significantly higher levels of stress compared to the unintended pregnancy carried to term overall group.</blockquote>		'''[https://pubmed.ncbi.nlm.nih.gov/36306037/ Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.] Sasaki N, Ikeda M, Nishi D. Arch Womens Ment Health. 2022 Dec;25(6):1119-1127. doi: 10.1007/s00737-022-01273-1. Epub 2022 Oct 28. PMID: 36306037.'''<blockquote>This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.</blockquote><blockquote>'''Notes:''' This study actually showed higher rates of distress among women who aborted versus unintended pregnancies carried to term (OR 1.57; 95% CI 1.38-1.78). This was reduced to slightly less than statistical significance by controlling for covariates that may not have been appropriate. But most importantly, the results did not show statistically significantly higher levels of distress for women who wanted an abortion but did not have one or for those who placed the child for adoption compared to women who had abortions. In other words, there was no significant benefit to abortion compared to any other group but significantly higher levels of stress compared to the unintended pregnancy carried to term overall group.

			It is also notable that 98% of unintended pregnancies that were carried to term were identified as "wanted births." </blockquote>

	==Abortion-Related Depression==		==Abortion-Related Depression==

Barb: /* Pregnancy outcome associated Distress */

2024-10-24T16:20:13Z

Pregnancy outcome associated Distress

← Older revision		Revision as of 11:20, 24 October 2024
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	== Pregnancy outcome associated Distress ==		== Pregnancy outcome associated Distress ==
	'''[https://pubmed.ncbi.nlm.nih.gov/36306037/ Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.] Sasaki N, Ikeda M, Nishi D. Arch Womens Ment Health. 2022 Dec;25(6):1119-1127. doi: 10.1007/s00737-022-01273-1. Epub 2022 Oct 28. PMID: 36306037.'''<blockquote>This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.</blockquote>		'''[https://pubmed.ncbi.nlm.nih.gov/36306037/ Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.] Sasaki N, Ikeda M, Nishi D. Arch Womens Ment Health. 2022 Dec;25(6):1119-1127. doi: 10.1007/s00737-022-01273-1. Epub 2022 Oct 28. PMID: 36306037.'''<blockquote>This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.</blockquote><blockquote>'''Notes:''' This study actually showed higher rates of distress among women who aborted versus unintended pregnancies carried to term (OR 1.57; 95% CI 1.38-1.78). This was reduced to slightly less than statistical significance by controlling for covariates that may not have been appropriate. But most importantly, the results did not show statistically significantly higher levels of distress for women who wanted an abortion but did not have one or for those who placed the child for adoption compared to women who had abortions. In other words, there was no significant benefit to abortion compared to any other group but significantly higher levels of stress compared to the unintended pregnancy carried to term overall group.</blockquote>

	==Abortion-Related Depression==		==Abortion-Related Depression==

Barb: /* Abortion-Related Depression */

2024-10-24T15:58:27Z

Abortion-Related Depression

← Older revision		Revision as of 10:58, 24 October 2024
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	''Depression, A.T. Beck, (New York: Hoeber, 1967) ''		''Depression, A.T. Beck, (New York: Hoeber, 1967) ''
	:Ed Note: This is an important work on depression.		:Ed Note: This is an important work on depression.

			== Pregnancy outcome associated Distress ==
			'''[https://pubmed.ncbi.nlm.nih.gov/36306037/ Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.] Sasaki N, Ikeda M, Nishi D. Arch Womens Ment Health. 2022 Dec;25(6):1119-1127. doi: 10.1007/s00737-022-01273-1. Epub 2022 Oct 28. PMID: 36306037.'''<blockquote>This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.</blockquote>

	==Abortion-Related Depression==		==Abortion-Related Depression==

Barb: /* Abortion-Related Depression */

2019-06-13T16:18:04Z

Abortion-Related Depression

← Older revision		Revision as of 11:18, 13 June 2019
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	==Abortion-Related Depression==		==Abortion-Related Depression==

			'''[https://www.sciencedirect.com/science/article/abs/pii/S0165032719301727?via%3Dihub Association between induced abortion, spontaneous abortion, and infertility respectively and the risk of psychiatric disorders in 57,770 women followed in gynecological practices in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub 2019 Mar 20.'''

			:Our goal was to analyze the association between induced abortion, spontaneous abortion, and infertility respectively and the risk of psychiatric disorders in 57,770 women followed in gynecological practices in Germany.

			:METHODS: This case-control study was based on data from the Disease Analyzer database (IQVIA). Women with a first documentation of depression, anxiety, adjustment disorder, or somatoform disorder in one of 281 gynecological practices in Germany between January 2013 and December 2017 were included in this study (index date). Controls without depression, anxiety, adjustment disorder, or somatoform disorder were matched (1:1) to cases by age, index year, and physician. A total of 57,770 women were included in the present study. The main outcome of the study was the risk of psychiatric disorders (i.e. depression, anxiety, adjustment disorder, somatoform disorder) as a function of induced abortion, spontaneous abortion, and infertility.

			:RESULTS: The mean age was 29.2 years (SD = 6.4 years) in women with and without psychiatric disorders. Induced abortion (odds ratios [ORs] ranging from 1.75 to 2.01), spontaneous abortion (ORs ranging from 2.16 to 2.60), and infertility (OR = 2.13) were positively associated with the risk of psychiatric disorders.

			:CONCLUSIONS: A positive relationship between induced abortion, spontaneous abortion, and infertility respectively and psychiatric disorderswas observed in gynecological practices in Germany.


	'''[https://www.sciencedirect.com/science/article/pii/S0022395619302730 Relationship between induced abortion and the incidence of depression, anxiety disorder, adjustment disorder, and somatoform disorder in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub		'''[https://www.sciencedirect.com/science/article/pii/S0022395619302730 Relationship between induced abortion and the incidence of depression, anxiety disorder, adjustment disorder, and somatoform disorder in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub

Barb: /* Abortion-Related Depression */

2019-04-30T15:36:26Z

Abortion-Related Depression

← Older revision		Revision as of 10:36, 30 April 2019
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	==Abortion-Related Depression==		==Abortion-Related Depression==

			'''[https://www.sciencedirect.com/science/article/pii/S0022395619302730 Relationship between induced abortion and the incidence of depression, anxiety disorder, adjustment disorder, and somatoform disorder in Germany.] Jacob L, Gerhard C, Kostev K, Kalder M. J Affect Disord. 2019 May 15;251:107-113. doi: 10.1016/j.jad.2019.03.060. Epub
			'''
			:Methods: Women who had undergone induced abortions for the first time in 281 gynecological practices in Germany between January 2007 and December 2016 were included (index date). Women with live births were matched (1:1) to those with induced abortion by age, index year, and physician. The main outcome of the study was the incidence of depression, anxiety disorder, adjustment disorder, and somatoform disorder as a function of induced abortion. Survival analyses and Cox regression models were used to investigate the association between induced abortion and psychiatric disorders.

			:Results: This study included 17581 women who had had an induced abortion and 17581 women who had had a live birth. Within 10 years of the index date, 6.7% of the participants with induced abortions and 5.4% of those with live births were diagnosed with depression (log-rank p-value = 0.003). The respective figures were 3.4% and 2.7% for anxiety disorder (log-rank p-value = 0.255), 6.2% and 5.6% for adjustment disorder (log-rank p-value = 0.116), and 19.3% and 13.3% for somatoform disorder (log-rank p-value<0.001). Induced abortion was significantly associated with depression (hazard ratio [HR] = 1.34), adjustment disorder (HR = 1.45) and somatoform disorder (HR = 1.56), but not with anxiety disorder (HR = 1.17).

			:Conclusions: There was a positive association between induced abortion and several psychiatric disorders in Germany. Further analyses are recommended to assess how induced abortion can have such a negative impact on mental health.


	'''[https://www.ncbi.nlm.nih.gov/pubmed/29847626 Examining the Association of Antidepressant Prescriptions With First Abortion and First Childbirth] Steinberg, J. R., Laursen, T. M., Adler, N. E., & Gasse, C. JAMA Psychiatry. 2018 May 30. doi: 10.1001/jamapsychiatry.2018.0849.'''		'''[https://www.ncbi.nlm.nih.gov/pubmed/29847626 Examining the Association of Antidepressant Prescriptions With First Abortion and First Childbirth] Steinberg, J. R., Laursen, T. M., Adler, N. E., & Gasse, C. JAMA Psychiatry. 2018 May 30. doi: 10.1001/jamapsychiatry.2018.0849.'''
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	''"Personality and Self-Efficacy as Predictors of Coping with Abortion," C Cozzarelli, Journal of Personality and Social Psychology 65(6): 1224-1236, 1993 ''		''"Personality and Self-Efficacy as Predictors of Coping with Abortion," C Cozzarelli, Journal of Personality and Social Psychology 65(6): 1224-1236, 1993 ''
	:A wide range of depression scores was obtained on women immediately following abortion and at three weeks post-abortion.		:A wide range of depression scores was obtained on women immediately following abortion and at three weeks post-abortion.


	==Bipolar Disorder==		==Bipolar Disorder==

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Postpartum Depression

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	:"The significance of abortions may not be revealed until later periods of emotional depression. During depressions occurring in the fifth or sixth decades of the patient's life, the psychiatrist frequently hears expressions of remorse and guilt concerning abortions that occurred twenty or more years earlier."		:"The significance of abortions may not be revealed until later periods of emotional depression. During depressions occurring in the fifth or sixth decades of the patient's life, the psychiatrist frequently hears expressions of remorse and guilt concerning abortions that occurred twenty or more years earlier."

	==Postpartum Depression==		==Postpartum Depression & Antenatal Depression==
	See also: [[Depression\|Postpartum_Depression_During_Subsequent_Pregnancies]]		See also: [[Depression\|Postpartum_Depression_During_Subsequent_Pregnancies]]

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Postpartum Depression

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	Format: AbstractSend to		Format: AbstractSend to

	'''Prevalence and determinants of antenatal depression among pregnant women in Ethiopia: a systematic review and meta-analysis. Zegeye A, Alebel A, Gebrie A, Tesfaye B, Belay YA, Adane F, Abie W. ''BMC Pregnancy Childbirth''. 2018 Nov 29;18(1):462. doi: 10.1186/s12884-018-2101-x.'''		'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264030/ Prevalence and determinants of antenatal depression among pregnant women in Ethiopia: a systematic review and meta-analysis.] Zegeye A, Alebel A, Gebrie A, Tesfaye B, Belay YA, Adane F, Abie W. ''BMC Pregnancy Childbirth''. 2018 Nov 29;18(1):462. doi: 10.1186/s12884-018-2101-x.'''

	:BACKGROUND: Antenatal depression is more prevalent in low and middle income countries as compared to high income countries. It has now been documented as a global public health problem owing to its severity, chronic nature and recurrence as well as its negative influence on the general health of women and development of children. However, in Ethiopia, there are few studies with highly variable and inconsistent findings. Therefore, the aim of this study was to determine the prevalence of antenatal depression and its determinants among pregnant women in Ethiopia.		:BACKGROUND: Antenatal depression is more prevalent in low and middle income countries as compared to high income countries. It has now been documented as a global public health problem owing to its severity, chronic nature and recurrence as well as its negative influence on the general health of women and development of children. However, in Ethiopia, there are few studies with highly variable and inconsistent findings. Therefore, the aim of this study was to determine the prevalence of antenatal depression and its determinants among pregnant women in Ethiopia.