Abstract
Background
Previous research into the psychological consequences of abortion has presented misleading results, as some studies suggest negative consequences and others do not.
The current study focuses on the relationship between having or not having an abortion and psychological distress in the form of depression, anxiety and anger.
Methods
The study uses data from 792 female participants in a random national health survey of Icelandic adults, age 18-75. The survey was conducted in the Spring of 2015. Respondents were given the option of answering an anomymous study questionnaire via mail or online (response rate 58%). The questionnaire asked respondents about psychiatric and physical conditions requiring medical attention in the past 12 months, stressful life-events in the past 12 months, and ongoing life-strains. Female respondents were asked whether or not they had had an induced abortion in the past 12 months. Psychological distress during the past week was assessed with the depression, anxiety, and anger subscales of the SCL-90 checklist.
Results
Women who had had an abortion (2% of female respondents) reported higher levels of anxiety, depression, and anger than other women. The differences were statistically significant when controlling for age, education, family income, previous psychiatric and physical conditions, and previous stressful life-events and life-strains.
Conclusions
The study indicates that women who have had an abortion are worse off psychologically than other women, and the difference is only partially accounted for by previous mental and physical health, or previous stressful circumstances. Health services for women considering abortion should be carefully considered, psychological distress assessed, and ways explored to ameliorate the distress they may experience following the abortion.
Key messages
Abortion is related to higher levels of anxiety, depression and anger in Icelandic women. Health services for women considering abortion should be carefully considered and psychological distress assessed.