Literature DB >> 22579105

Fatal flaws in a recent meta-analysis on abortion and mental health.

Julia R Steinberg1, James Trussell, Kelli S Hall, Kate Guthrie.   

Abstract

Similar to other reviews within the last 4 years, a thorough review by the Royal College of Psychiatrists, published in December 2011, found that compared to delivery of an unintended pregnancy, abortion does not increase women's risk of mental health problems. In contrast, a meta-analysis published in September 2011 concluded that abortion increases women's risk of mental health problems by 81% and that 10% of mental health problems are attributable to abortions. Like others, we strongly question the quality of this meta-analysis and its conclusions. Here we detail seven errors of this meta-analysis and three significant shortcomings of the included studies because policy, practice and the public have been misinformed. These errors and shortcomings render the meta-analysis' conclusions invalid.
Copyright © 2012 Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 22579105      PMCID: PMC3646711          DOI: 10.1016/j.contraception.2012.03.012

Source DB:  PubMed          Journal:  Contraception        ISSN: 0010-7824            Impact factor:   3.375


  38 in total

1.  Generalized anxiety following unintended pregnancies resolved through childbirth and abortion: a cohort study of the 1995 National Survey of Family Growth.

Authors:  Jesse R Cougle; David C Reardon; Priscilla K Coleman
Journal:  J Anxiety Disord       Date:  2005

2.  Substance use among pregnant women in the context of previous reproductive loss and desire for current pregnancy.

Authors:  Priscilla K Coleman; David C Reardon; Jesse R Cougle
Journal:  Br J Health Psychol       Date:  2005-05

3.  Depression and unwanted first pregnancy: longitudinal cohort study.

Authors:  Sarah Schmiege; Nancy Felipe Russo
Journal:  BMJ       Date:  2005-10-28

4.  Suicides after pregnancy in Finland, 1987-94: register linkage study.

Authors:  M Gissler; E Hemminki; J Lönnqvist
Journal:  BMJ       Date:  1996-12-07

5.  Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth.

Authors:  Anjani Chandra; Gladys M Martinez; William D Mosher; Joyce C Abma; Jo Jones
Journal:  Vital Health Stat 23       Date:  2005-12

6.  Childbirth, abortion and subsequent substance use in young women: a population-based longitudinal study.

Authors:  Willy Pedersen
Journal:  Addiction       Date:  2007-12       Impact factor: 6.526

7.  Substance use associated with unintended pregnancy outcomes in the National Longitudinal Survey of Youth.

Authors:  David C Reardon; Priscilla K Coleman; Jesse R Cougle
Journal:  Am J Drug Alcohol Abuse       Date:  2004-05       Impact factor: 3.829

8.  Termination of pregnancy and psychiatric morbidity.

Authors:  A C Gilchrist; P C Hannaford; P Frank; C R Kay
Journal:  Br J Psychiatry       Date:  1995-08       Impact factor: 9.319

9.  The relationship between abortion and depression: new evidence from the fragile families and child wellbeing study.

Authors:  Daniel I Rees; Joseph J Sabia
Journal:  Med Sci Monit       Date:  2007-10

10.  Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women's experience of violence.

Authors:  Angela J Taft; Lyndsey F Watson
Journal:  BMC Public Health       Date:  2008-02-26       Impact factor: 3.295

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  15 in total

1.  Psychological Aspects of Contraception, Unintended Pregnancy, and Abortion.

Authors:  Julia R Steinberg; Lisa R Rubin
Journal:  Policy Insights Behav Brain Sci       Date:  2014-10

2.  Adolescent childbirth, miscarriage, and abortion: associations with changes in alcohol, marijuana, and cigarette use.

Authors:  Irene Tung; Jordan Beardslee; Dustin Pardini; Tammy Chung; Kate Keenan; Alison E Hipwell
Journal:  J Child Psychol Psychiatry       Date:  2019-08-19       Impact factor: 8.982

Review 3.  The abortion and mental health controversy: A comprehensive literature review of common ground agreements, disagreements, actionable recommendations, and research opportunities.

Authors:  David C Reardon
Journal:  SAGE Open Med       Date:  2018-10-29

4.  The risk of unintended pregnancy among young women with mental health symptoms.

Authors:  Kelli Stidham Hall; Yasamin Kusunoki; Heather Gatny; Jennifer Barber
Journal:  Soc Sci Med       Date:  2013-11-07       Impact factor: 4.634

5.  Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United States.

Authors:  M Antonia Biggs; John M Neuhaus; Diana G Foster
Journal:  Am J Public Health       Date:  2015-10-15       Impact factor: 9.308

6.  Does existing research inform policies authorizing abortion for mental health reasons?

Authors:  Julia R Steinberg
Journal:  Aust N Z J Psychiatry       Date:  2013-07-16       Impact factor: 5.744

Review 7.  Contraception and mental health: a commentary on the evidence and principles for practice.

Authors:  Kelli Stidham Hall; Julia R Steinberg; Carrie A Cwiak; Rebecca H Allen; Sheila M Marcus
Journal:  Am J Obstet Gynecol       Date:  2014-12-12       Impact factor: 8.661

8.  Psychosocial factors and pre-abortion psychological health: The significance of stigma.

Authors:  Julia R Steinberg; Jeanne M Tschann; Dorothy Furgerson; Cynthia C Harper
Journal:  Soc Sci Med       Date:  2015-12-12       Impact factor: 4.634

9.  Hormonal contraception and suicide: a new dimension of risk.

Authors:  Lloyd D Hughes; Olwkayode Majekodunmi
Journal:  Br J Gen Pract       Date:  2018-11       Impact factor: 5.386

10.  Posttraumatic stress among women after induced abortion: a Swedish multi-centre cohort study.

Authors:  Inger Wallin Lundell; Susanne Georgsson Öhman; Örjan Frans; Lotti Helström; Ulf Högberg; Sigrid Nyberg; Inger Sundström Poromaa; Gunilla Sydsjö; Ingrid Östlund; Agneta Skoog Svanberg
Journal:  BMC Womens Health       Date:  2013-12-23       Impact factor: 2.809

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