Dagg P K
Department of Psychiatry, Mount Sinai Hospital, Toronto, Ont., Canada.
Am J Psychiatry. 1991 May;148(5):578-85. doi: 10.1176/ajp.148.5.578.
The purpose of this article is to review the available literature on the psychological sequelae of therapeutic abortion, addressing both the issue of the effects of the abortion on the woman involved and the effects on the woman and on the child born when abortion is denied.
Papers reviewed were initially selected by using a Medline search. This procedure resulted in 225 papers being reviewed, which were further selected by limiting the papers to those reporting original research. Finally, studies were assessed as to whether or not they used control groups or objective, validated symptom measures.
Adverse sequelae occur in a minority of women, and when such symptoms occur, they usually seem to be the continuation of symptoms that appeared before the abortion and are on the wane immediately after the abortion. Many women denied abortion show ongoing resentment that may last for years, while children born when the abortion is denied have numerous, broadly based difficulties in social, interpersonal, and occupational functions that last at least into early adulthood.
With increasing pressure on access to abortion services in North America, nonpsychiatrist physicians and mental health professionals need to keep in mind the effects of both performing and denying therapeutic abortion. Increased research into these areas, focusing in particular on why some women are adversely affected by the procedure and clarifying the relationship issues involved, continues to be important.
本文旨在综述有关治疗性流产心理后遗症的现有文献，探讨流产对相关女性的影响，以及拒绝流产时对女性和所生孩子的影响。
最初通过医学文献数据库检索来筛选所综述的论文。这一过程产生了225篇被综述的论文，通过将论文限定为报告原创研究的论文进行进一步筛选。最后，评估这些研究是否使用了对照组或客观、有效的症状测量方法。
少数女性会出现不良后遗症，当出现此类症状时，它们通常似乎是流产前就已出现且流产后立即减弱的症状的延续。许多被拒绝流产的女性会持续心怀怨恨，这种怨恨可能会持续数年，而被拒绝流产时出生的孩子在社会、人际和职业功能方面存在诸多广泛的困难，这些困难至少会持续到成年早期。
在北美，随着获得堕胎服务的压力不断增加，非精神科医生和心理健康专业人员需要牢记进行和拒绝治疗性流产的影响。对这些领域进行更多研究，尤其关注为何有些女性会受到该手术的不利影响并阐明其中涉及的关系问题，仍然很重要。
