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

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

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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.

Impact and interest:

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21 citations in Web of Science®

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ID Code: 61635
Item Type: Journal Article
Refereed: Yes
Additional Information: Articles free to read on journal website after 12 months
Keywords: Abortion, Miscarriage, Depression, Anxiety, Cohort study
DOI: 10.1192/bjp.bp.108.055079
ISSN: 0007-1250
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PAEDIATRICS AND REPRODUCTIVE MEDICINE (111400) > Reproduction (111404)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Mental Health (111714)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Funding:
Deposited On: 02 Aug 2013 00:15
Last Modified: 27 Jan 2015 23:50

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