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33 Issues L. & Med. 133 (2018)
Negative Abortion Experiences: Predictors and Development of the Post-Abortion Psychological and Relational Adjustment Scale

handle is hein.journals/ilmed33 and id is 146 raw text is: Negative Abortion Experiences: Predictors and Development of the Post-Abortion Psychological and Relational Adjustment Scale Priscilla K. Coleman, Ph.D.* ABSTRACT: Associations between several personal and contextual predic- tors of negative post-abortion mental health outcomes were explored using a large national sample of U.S. women who sought out post-abortion care from a crisis pregnancy center. The predictors examined included decisional regret, pregnancy wantedness, various forms of pressure, understanding of the procedure, and satisfaction with counseling provided by the abortion facility. Well-established measures of depression, anxiety, and substance abuse in addition to a newly developed assessment of abortion-related out- comes, the Post-Abortion Psychological and Relational Adjustment Scale (PAPRAS) were employed as the criteria in regression models. All analyses included controls for pre-abortion psychological adjustment and various forms of abuse in addition to a number of demographic variables. When the PAPRAS served as the outcome measure, the abortion context variables as a group accounted for 45.8% of the variance in women's post-abortion psychological and relational adjustment scores. Using the same sets of pre- dictors in a series of regression models and employing established measures of general anxiety, depression, PTSD, alcohol abuse, and substance abuse, 3.5% to 8.8% of the variance was explained. Based on psychometric analy- sis of the PAPRAS, there is evidence that this newly developed instrument holds promise for addressing the unique post-abortion mental health and relational concerns of women. * Professor of Human Development and Family Studies, Bowling Green State University, Bowling Green, OH 43403; pcolema@bgsu.edu.

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