Pregnancy loss and psychiatric disorders in young women: an Australian birth cohort study

Dingle, Kaeleen, Alati, Rosa, Clavarino, Alexandra, Najman, Jake M. and Williams, Gail M. (2008) Pregnancy loss and psychiatric disorders in young women: an Australian birth cohort study. The British Journal of Psychiatry, 193 6: 455-460. doi:10.1192/bjp.bp.108.055079

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Author Dingle, Kaeleen
Alati, Rosa
Clavarino, Alexandra
Najman, Jake M.
Williams, Gail M.
Title Pregnancy loss and psychiatric disorders in young women: an Australian birth cohort study
Journal name The British Journal of Psychiatry   Check publisher's open access policy
ISSN 0007-1250
Publication date 2008-12-01
Sub-type Article (original research)
DOI 10.1192/bjp.bp.108.055079
Volume 193
Issue 6
Start page 455
End page 460
Total pages 6
Editor Peter Tryer
Place of publication London, United Kingdom
Publisher Royal College of Psychiatrists
Collection year 2009
Language eng
Subject C1
920414 Substance Abuse
111714 Mental Health
Formatted abstract
Background
Recent evidence has linked induced abortion with later adverse psychiatric outcomes in young women.

Aims
To examine whether abortion or miscarriage are associated with subsequent psychiatric and substance use disorders.

Method
A sample (n=1223) of women from a cohort born between 1981 and 1984 in Australia were assessed at 21 years for psychiatric and substance use disorders and lifetime pregnancy histories.

Results
Young women reporting a pregnancy loss had nearly three times the odds of experiencing a lifetime illicit drug disorder (excluding cannabis): abortion odds ratio (OR)=3.6 (95% CI 2.0–6.7) and miscarriage OR=2.6 (95% CI 1.2–5.4). Abortion was associated with alcohol use disorder (OR=2.1, 95% CI 1.3–3.5) and 12-month depression (OR=1.9, 95% CI 1.1–3.1).

Conclusions
These findings add to the growing body of evidence suggesting that pregnancy loss per se, whether abortion or miscarriage, increases the risk of a range of substance use disorders and affective disorders in young women.
Keyword Depressive symptoms
Substance Use
Abortion
Predictors
Termination
Adulthood
outcomes
anxiety
Risk
Q-Index Code C1
Q-Index Status Confirmed Code

 
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Created: Sat, 21 Mar 2009, 00:38:13 EST by Yvonne Flanagan on behalf of School of Public Health