Schmidt R, Priest R G
Br J Med Psychol. 1981 Sep;54(Pt 3):267-76. doi: 10.1111/j.2044-8341.1981.tb01457.x.
A series of 57 women presenting in the first years of the implementation of the Abortion Act for a psychiatric opinion on termination of pregnancy (TP) were carefully examined. The average scores on psychometric tests were well into the pathological range. Of the 25 recommended for TP 24 were single, 20 had been separated from one or both parents and 6 had a psychiatric history. On those women available for follow-up the mean psychometric scores improved early (1-17 months after consultation) and eventually fell to the normal range (3-6 years after consultation). A particular feature of the study wa an in-depth follow-up fo the subsample of 10 women. This was especially illuminating on the meaning that the pregnancy had for the patient. Ambivalent feelings towards the pregnancy were recalled. Some had used the pregnancy to hold on to the father. Many were still acting out problems with the family of origin. Their relationships with the medical profession were often unsatisfactory. The study increases our (still patchy) understanding of this population and confirms the need for counselling at the time that the woman first presents, both to avoid adverse psychiatric sequelae and to use the abortion as a critical experience to improve overall adjustment.
在《堕胎法案》实施的头几年，对57名前来寻求终止妊娠（TP）精神科意见的女性进行了仔细检查。心理测试的平均得分处于病理范围内。在被建议进行TP的25名女性中，24名单身，20名与父母一方或双方分离，6名有精神病史。对于那些可以进行随访的女性，心理测试的平均得分在早期（咨询后1 - 17个月）有所改善，最终降至正常范围（咨询后3 - 6年）。该研究的一个特别之处是对10名女性的子样本进行了深入随访。这对于了解怀孕对患者的意义特别有启发性。回忆起对怀孕的矛盾情绪。一些人利用怀孕来留住孩子的父亲。许多人仍在重演与原生家庭有关的问题。她们与医疗行业的关系往往不尽人意。这项研究增进了我们（仍然不全面）对这一人群的了解，并证实了在女性首次就诊时进行咨询的必要性，这既能避免不良的精神后遗症，又能将堕胎作为一次关键经历来改善整体适应能力。
