Identifying underlying factors in risk factors and emotional sequelae self-attributed to abortion: development and validation of a brief assessment tool.

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-04-02 DOI:10.1080/0167482X.2026.2654140

David C Reardon

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引用次数: 0

Abstract

Background: Risk factors for adverse emotional and psychological reactions to abortion have not been studied for their interactions. This study used factor analytic methods to develop concise screening scales for pre-abortion risk and post-abortion outcomes.

Methods: A topic-blind electronic survey was administered to a random sample of U.S. women aged 41-45. Among 2,191 respondents with reproductive histories, 466 (21.3%) reported a prior induced abortion; 409 completed the full survey. Participants rated 10 risk-factor and 25 outcome statements using 0-100 visual analog scales. Exploratory factor analysis (EFA) identified latent constructs, confirmatory factor analysis (CFA) tested model fit, and structural equation modeling (SEM) assessed relationships between risk and outcome factors.

Results: Risk-factor EFA supported two domains: attachment/support and internal conflict. Outcome EFA identified three domains: internalized distress, intrusive symptoms, and behavioral risks. CFA demonstrated good fit (CFI > .90; RMSEA < .08). SEM showed attachment/support more strongly predicted internalized distress (β = .65), intrusive symptoms (β = .58), and behavioral risks (β = .34) than internal conflict (β = .21-.30). Attachment/support and behavioral risks predicted greater survey-related stress (R² = .30).

Conclusions: Two core risk dimensions predict post-abortion emotional and behavioral outcomes, supporting further development of factor-based screening tools for counseling.

查看原文本刊更多论文

确定风险因素和自我归因于流产的情感后遗症的潜在因素：一种简短评估工具的开发和验证。

背景：对流产的不良情绪和心理反应的危险因素尚未进行相互作用的研究。本研究采用因子分析方法，对流产前风险和流产后结局制定简明的筛查量表。方法：对年龄在41-45岁之间的美国女性随机抽样进行主题盲电子调查。在2191名有生育史的应答者中，466人（21.3%）报告有过人工流产史；409人完成了完整的调查。参与者使用0-100视觉模拟量表对10个风险因素和25个结果陈述进行评分。探索性因素分析（EFA）确定潜在构念，验证性因素分析（CFA）检验模型拟合，结构方程模型（SEM）评估风险因素与结果因素之间的关系。结果：风险因素全民教育支持两个领域：依恋/支持和内部冲突。结果：全民教育确定了三个领域：内化痛苦、侵入性症状和行为风险。CFA表现出良好的拟合（CFI >.90; RMSEA β =）。65)，侵入性症状(β =。行为风险（β = 0.34）高于内部冲突风险（β = 0.21 - 0.30）。依恋/支持和行为风险预测更大的调查相关压力（R²= 0.30）。结论：两个核心风险维度预测流产后的情绪和行为结果，支持进一步开发基于因素的筛查工具进行咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.