Warning messageThis content is filtered. APPPAH membership is required for full access to journal articles.
One hundred and fifty women who had abortions in Belarus (former Soviet republic) were interviewed regarding reproductive history, decision-making and psychological outcomes. Positive and negative responses (including PTSD, guilt, grief, depression, anxiety/panic and emotional numbness) were assessed during the interview with the Impact of Events-R Scale to objectively measure aspects of PTSD. It was hypothesized that a portion of the sample would evidence PTSD with recognition of life, attachment, time, number of weeks of pregnancy, coercion, supported decision-making, wantedness, and age all predictive of negative responses. Forty-six percent of the sample suffered PTSD the best predictors being recognition of the life of the fetus, attachment, time since the abortion, and number of weeks of pregnancy.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Allanson, S. & Astbury, J. (2001). Attachment style and broken attachments: Violence, pregnancy, and abortion. Australian Journal of Psychology, 53(3), 146-151.
Bagarozzi, D. (1994). Identification, assessment and treatment of women suffering from post traumatic stress after abortion. Journal of Family Psychotherapy, 5(3), 25-55.
Barnard (1990). The long-term psychosocial effects of abortion. Dissertation Abstracts International 51/08-B: 4038.
Blustein, D. L., Walbridge, M. M., Friedlander, M. L. & Palladino, D. E. (1991). Contributions of psychological separation and parental attachment to the career development process. Journal of Counseling Psychology, 38(1), 39-50.
Butterfield, L (1988). Incidence of complicated grief and posttraumatic stress in a post-abortion population. Dissertation Abstracts International 49/08-B: 3431.
Donovan, D. M (1991). Traumatology: A field whose time has come. Journal of Traumatic Stress, 4(3), 433-436.
Forst, J. G. (1992). The psychosocial aftermath of abortion. Masters Abstracts 31/01: 151.
Gordon, D. E. (1990). Formal operational thinking: The role of cognitive-developmental process in adolescent decision-making about pregnancy and contraception. American Journal of Orthopsychiatry, 60, 346-356.
Kegeles, S. M., Adler, N. E. & Irwin, C. E. (1988). Adolescents and condoms: Associations of beliefs with intentions to use. Paper presented at the 96th Annual Convention of the American Psychological Association, Atlanta, GA.
Karlin, E. (1997). Affidavit of Elizabeth Karlin in Karlin, et al. v. Foust et al. (Case Number 96-C-0374-C) in the United States District Court for the Western District of Wisconsin.
Leifer, M (1980). Psychological effects of motherhood: A study of first pregnancy. New York: Praeger Special Studies.
Major, B. N., Cozzarelli, C., Sciacchitano, A. M., Cooper, M. L., Testa, M. & Mueller, P. M. (1990). Perceived social support, self-efficacy, and adjustment to abortion. Journal of Personality and Social Psychology, 59(3), 452-463.
Mufel, N. (2000). Decision-making about abortion in adolescents. Health and Living Scientific Journal, 3, 43-48.
Ney (1982). A consideration of abortion survivors. Child Psychiatry in Human Development, 13, 168-179.
Pope, L., Adler, N. & Tschann, J. (1999). Post-abortion psychological adjustment: Are minors at increased risk? Unpublished paper. Exhibit 2. Affidavit of Nancy E. Adler, Ph.D. in North Florida Women's Health et al. v. Florida, et al.
Remennick, L. I. & Segal, R. (2001). Socio-cultural context and women's experiences of abortion: Israeli women and Russian immigrants compared. Culture, Health & Sexuality, 3(1), 49-66.
Romans-Clarkson, Sarah E. (1989). Psychological sequelae of induced abortion. Australian and New Zealand Journal of Psychiatry, 23(4), 555-565.
Rue, V. & Speckhard, A. (1996). Getting beyond traumatic pregnancy loss: Research findings and clinical applications. Paper presented at the 2nd Annual Conference, Foundations of 21st Century Traumatology, Georgetown University Medical Center, Alexandria, VA.
Rue, V. & Speckhard, A. (1992a). Informed consent & abortion: Issues in medicine and counseling, Medicine & Mind, 7, 75-94.
Rue, V. & Speckhard, A. (1992b). Post abortion trauma: Incidence and diagnostic considerations. Medicine & Mind, 6(1-2), 57-73.
Speckhard, A. (1987). Psycho-social stress following abortion. Kansas City, MO: Sheed & Ward Publishers.
Speckhard, A. & Rue, V. (1992). Post-abortion syndrome: An emerging public health concern. Journal of Social Issues, 48(3), 95-119.
Speckhard, A. & Rue, V. (1993). Complicated mourning: Dynamics of impacted post-abortion grief. Journal of Pre- and Peri-Natal Psychology, 8(1), 5-32.
Speckhard, A. (1996). Traumatic death in pregnancy: The significance of meaning and attachment. In Charles Figley, Brian Bride, & Nicholas Mazza (Eds.), Death and trauma: The traumatology of surviving. Taylor & Francis.
Sturges, James W. & Rogers, Ronald W. (1996). Preventive health psychology from a developmental perspective: An extension of protection motivation theory. Health Psychology, 15(3), 158-166.
Tarabrina, N. V., Lazebnaya, E. O., Zelonova, M. E., Lasko, N. B., Orr, S. P. & Pitman, R. K. (1993). Psychophysiological responses ofChernobyl liquidators during script-driven imagery. Paper presented at the Annual Meeting, International Society for Traumatic Stress Studies, San Antonio, Texas.
Weiss, D. S. & Mannar, C. R. (1995). The impact of Event Scale, revised. In: J. P. Wilson & T. M. Keane (Eds.) Assessing psychological trauma and PTSD: A practitioner's handbook. New York: Guilford.
Wolfe, J., Erickson, D. J., Sharkansky, E. J., King, D. W., & King, L. A. (1999). Course and predictors of posttraumatic stress disorder among Gulf War veterans: A prospective analysis. Journal of Consulting & Clinical Psychology, 67(4), 520-528.
Van der Kolk, B. (1994). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1 (5), 253-265.
Natalia Mufel, Anne Speckhard, Ph.D., and Sergei Sivuha, Ph.D.
Natalia Mufel is psychologist for Women's Wellness Center, Minsk, Belarus and a doctoral candidate in Belarusian State University. Anne Speckhard, Ph.D. is Professor of Research, Vesalius College, Free University of Brussels, and Psychological Consultant of Advances in Health. She currently resides at 3 Avenue des Fleurs, 1150 Brusssels, Belgium. Please direct correspondence about this paper to her at Aspeckhard@brutele.be or Speckhardl@aol.com. Sergei Sivuha is Head of the Psychology Department at European Humanities University, Minsk Belarus. He served as the statistician for this project.
To speak with a representative about our products and services or for technology inquiries, please call 1-720-490-5612.