Greer H S, Lal S, Lewis S C, Belsey E M, Beard R W
Br J Psychiatry. 1976 Jan;128:74-9. doi: 10.1192/bjp.128.1.74.
A follow-up study is reported of a consecutive series of 360 women who underwent termination of first trimester pregnancies by vacuum aspiration. Each patient received brief counselling before termination. Follow-up examinations were carried out by means of detailed, structured interviews at three months and between 15 months and two years (mean: 18 months) after termination. Outcome was assessed in terms of psychiatric symptoms, guilt feelings, and adjustment in marital and other interpersonal relationships, sexual responsiveness and work record. Compared with ratings of psychosocial adjustment before termination, significant improvement had occurred at follow-up in respect of psychiatric symptoms, guilt feelings and interpersonal and sexual adjustment; there was no significant change in marital adjustment. Adverse psychiatric and social sequelae were rare.
本文报告了一项对360名连续进行早孕期人工流产妇女的随访研究。每位患者在流产前均接受了简短的咨询。随访检查通过在流产后三个月以及15个月至两年（平均18个月）之间进行详细的结构化访谈来进行。评估结果涉及精神症状、内疚感以及婚姻和其他人际关系的调适、性反应能力和工作记录。与流产前的心理社会调适评分相比，随访时在精神症状、内疚感以及人际和性调适方面有显著改善；婚姻调适方面无显著变化。不良的精神和社会后遗症很少见。
