The Decline of Partner Relationships in the Aftermath of Abortion


  1. Adler, N.E., David, H.P., Major, B.N., Roth, S. H., Russo, N.F., & Wyatt, GE. (1990). Psychological responses after abortion. Science, 248, 41-44.
  2. Allanson, S., & Astbury, J. (1995). The abortion decision: Reasons and ambivalence. Journal of Psychosomatic Obstetrics and Gynecology, 16, 123-136.
  3. Amaro, H., Fried, L.W., Cabral, H., & Zuckerman, B. (1990). Violence during pregnancy and substance use. American Journal of Public Health, 80, 575-579.
  4. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
  5. Barnard, C. (1990). The long term psychosocial effects of abortion. Jacksonville, Florida: Institute for Pregnancy Loss.
  6. Barnett, W., Freudenberg, N., & Wille, R. (1992). Partnership after induced abortion: A prospective controlled study. Archives of Sexual Behaviour, 21, 443-455.
  7. Bianchi Demicelli, F., Perrin, E., Ludicke, F., Bianchi, PG Chatton, D., & Campana, A. (2002). Termination of pregnancy and women's sexuality. Gynecology and Obstetrics Investigation, 53, 48-53.
  8. Boesen, H. C., Rorbye, C., Norgaard, M., & Nilas, L. (2004). Sexual behavior during the first eight weeks after legal termination of pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 83, 1189-1192.
  9. Bracken, M. B., & Kasi, S. (1975). First and repeat abortions: A study of decision making and delay. Journal of Biosocial Science, 7, 473-491.
  10. Bradshaw, Z., & Slade P (2003). The effects of induced abortion on emotional experiences and relationships: A critical review of the literature. Clinical Psychology Review, 23, 929-958.
  11. Brady,K..T.,Back,S.E.,& Coffey,S.F. (2004). Substance abuse and post-traumatic stress disorder. Current Directions in Psychological Science, 13, 206-209.
  12. Coleman, R K., & Nelson, E. S. (1998). The quality of abortion decisions and college students' reports of post abortion emotional sequelae and abortion attitudes. Journal of Social and Clinical Psychology, 17, 425-442.
  13. Coleman, P. K., Reardon, D.C., & Cougle, J. (2005). Substance use among pregnant women in the context of previous reproductive loss and desire for current pregnancy. British Journal of Health Psychology, 10, 255-268 Coleman, R K., Reardon, D. C., Rue, V., & Cougle, J. (2002). Prior history of induced abortion and substance use during pregnancy. American Journal of Obstetrics and Gynecology, 187, 1673-1678. Cook, J. A. (1983). A death in the family: Parental bereavement in the first year. Suicide and Life threatening, 10, 42-61.Cote Arsenault, D., Dombeck, M. T. B. (2001). Maternal assignment of fetal personhood to a previous pregnancy loss: Relationship to anxiety in the current pregnancy. Health Care for Women International 22, 649-665 Cougle, J., Reardon, D. C., & Coleman, R K. (2003). Depression associated with abortion and childbirth: A long term analysis of the NLSY cohort. Medical Science Monitor, 9, 105-112.
  14. Cougle, J., Reardon, D. C., & Coleman, R K. (2005). Generalized anxiety associated with unintended pregnancy: A cohort study of the 1995 National Survey of Family Growth. Journal of Anxiety Disorders, 19, 137-142.
  15. Coyle, C. T., & Enright, R. D. (1997). Forgiveness intervention with post abortion men. Journal of Consulting and Clinical Psychology, 65, 1042-1046.
  16. 16: Fok, W.Y., Siu, S S.N., Lau, T.K. (2006). Sexual dysfunction after a first trimester induced abortion in a Chinese population. European Journal of Obstetrics & Gynecology, 126, 255-258.
  17. Freeman, E. (1980). Emotional distress patterns among women having first or repeat abortions. Obstetrics and Gynecology, 55, 630-636.
  18. Gissler, M., Kauppila, R., Merilainen, J., Toukomaa, H., & Hemminki, E. (1997). Pregnancy associated deaths in Finland 1987 1994 definition problems and benefits of record linkage. Acta Obstetricia et Gynecologica Scandinavica, 76, 651-657.
  19. Gould, N. B. (1980). Postabortion depressive reactions in college women. Journal of American College Health Association, 28, 316-320.
  20. Hagemeister, A. K., & Rosenblatt, R C. (1997). Grief and the sexual relationship of couples who have experienced a child's death. Death Studies, 21, 231-253.
  21. Harder, D. W. (1995). Shame and guilt assessment and relationships of shame and guilt proneness to psychopathology. In J. R Tangney & K.W. Fischer (Eds), Self conscious emotions: the psychology of shame, guilt, embarrassment, and pride (pp. 368-392). New York: Guilford.
  22. Heller, S. S., & Zeanah, C. H. (1999). Attachment disturbances in infants born subsequent to perinatal loss: A pilot study. Infant Mental Health Journal, 20, 188-199.
  23. Hess, R. F. (2004). Dimensions of women's long term postabortion experience. Maternal Child Nursing 29, 193-198.
  24. Holmes, M. C. (2004). Reconsidering a "women's issue:" Psychotherapy and one man's postabortion experiences. American Journal of Psychotherapy, 58, 103-115.
  25. Hsu, M., Tseng, Y., Banks, J.M., & Kuo, L. (2003). Interpretations of stillbirth. Journal of Advanced Nursing, 47, 408-416.
  26. Hughes, C. B., & Page Lieberman, J. (1989). Fathers experiencing a perinatal loss. Death Studies, 13, 537-556.
  27. Jacobsen, L. K, Southwick, S..M., & Kosten, T. R. (2001). Substance Use Disorders in Patients with Posttraumatic Stress Disorder: A Review of the Literature. American Journal of Psychiatry, 158, 1184-1190.
  28. Kero, A., Hogberg, U., & Lalos, A. (2004). Well being and mental growth long term effects of legal abortion. Social Science & Medicine, 58, 2559-2569.
  29. Kero, A., Hoegberg, U., Jacobsson, L., & Lalos, A. (2001). Legal abortion: A painful necessity. Social Science and Medicine, 53, 1481-1490.
  30. Kero, A., & Lalos, A. (2000). Ambivalence a logical response to legal abortion: A prospective study among men and women. Journal of Psychosomatic Obstetrics and Gynecology, 21, 81-91.
  31. Kero, A., & Lalos, A. (2004). Reactions and reflections in men, 4 and 12 months post abortion. Journal of Psychosomatic Obstetrics and Gynecology, 25, 135-143.
  32. Kluger Bell, K. (2000). Unspeakable losses: Healing from miscarriage, abortion, and other pregnancy losses. New York: Harper ollins Publishers.
  33. Lasker, J. N., & Toedter, L.J. (1994). Satisfaction with hospital care and interventions after pregnancy loss. Death Studies, 18, 41-63.
  34. Lauzon, R, Roger Achim, D., Achim, A., & Boyer, R. (2000). Emotional distress among couples. involved in first trimester abortions. Canadian Family Physician, 46, 2033-2040.
  35. Lloyd, J., & Laurence, K. M. (1985). Sequelae and support after termination of pregnancy for fetal malformation. British Medical Journal, 290, 907-909.
  36. Major, B., & Cozzarelli, C. (1992). Psychological predictors of adjustment to abortion. Journal of Social Issues, 48, 121-142.
  37. Mekosh Rosenbaum, V., & Lasker, J. N. (1995). Effects of pregnancy outcomes on marital satisfaction. Infant Mental Health, 16, 127-143.
  38. Menke, J.A., & McClead, R. E. (1990). Perinatal grief and mourning. Advances in Pediatrics, 37, 261-283.
  39. Miller, W. B. (1992). An empirical study of the psychological antecedents and consequences of induced abortion. Journal of Social Issues, 48, 67-93.
  40. Miller, W. B., Pasta, D. J., & Dean, C. L. (1998). Testing a model of the psychological consequences of abortion. In L. J. Beckman and S. M. Harvey (eds.), The new civil war: The psychology, culture, and politics of abortion (pp. 235-267). Washington, DC: American Psychological Association.
  41. Moseley, D. T., Follongstad, D. R., Harley, H., & Heckel, R.V. (1981). Psychological factors that predict reaction to abortion. Journal of Clinical Psychology, 37, 276-279. Ney, R G, Fung, T., Wickett, A. R., & Beaman-Dodd, C. (1994). The effects of pregnancy loss on women's health. Social Science and Medicine, 38, 1193-1200.
  42. Parkes, C. M. (1993). Bereavement as a psychological transition: Process of adaptation to change. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of Bereavement (pp 91-101). Cambridge, England: Cambridge University Press.
  43. Patterson, M. J., Hill, R. P., & Maloy, K. (1995). Abortion in America: A consumer based perspective. Journal of Consumer Research, 21, 677-694.
  44. Peppers, L..G & Knapp, R. J. (1980). Maternal reactions to involuntary fetal/infant death. Psychiatry, 43, 155-159.
  45. Puddifoot, J. E., & Johnson, M. R (1997). The legitimacy of grieving: the partner's experience at miscarriage. Social Science and Medicine, 45, 837-845.
  46. Puddifoot, J. E., & Johnson, M. R (1999). Active grief, despair, and difficult coping: Some measured characteristics of male response following their partner's miscarriage. Journal of Reproductive and Infant Psychology, 17, 89-93.
  47. Reardon, D. C, Coleman, R K, & Cougle, J. (2004). Substance use associated with unintended pregnancy outcomes in the National Longitudinal Study of Youth. American Journal of Drug and Alcohol Abuse, 26, 369-383.
  48. Reardon, D. C., Cougle, J., Ney, R G, Scheuren, F., Coleman, R K., & Strahan, T. W. (2002). Deaths associated with delivery and abortion among California Medicaid patients: A record linkage study. Southern Medical Journal, 95, 834-841.
  49. Reardon, D. C., & Ney, R G (2000). Abortion and subsequent substance abuse. American Journal of Drug and Alcohol Abuse, 26, 61-75.
  50. Rollins, J. (1988). Longitudinal grief responses of husbands and wives following the death of a child. Society for the Study of Social Problems, Atlanta, GA.
  51. Rue,V. M., Coleman,R K., Rue,J. J., & Reardon, D. C. (2004). Induced abortion and traumatic stress: A preliminary comparison of American and Russian women. Medical Science Monitor, 10, SR5-S16.
  52. Sarrel, RM. (1988). Male abortion counseling. Connecticut Medicine (April), 244.
  53. Schiff, H. (1986). The bereaved parent. New York: Penguin Books.
  54. Schwab, R. (1982). Effects of a child's death on the marital relationship: A preliminary study. Death Studies, 16, 141-154.
  55. Shostak, A., McLouth, G, & Seng, L. (1984). Men and abortion: Lessons, losses, and love. New York: Praeger.
  56. Smetana, J. (1981). Reasoning in the personal and moral domains: Adolescent and young adult women's decision-making regarding abortion. Journal of Applied Developmental Psychology, 2, 211-226.
  57. Speckhard, A., & Rue, V. (1992). Postabortion syndrome: An emerging public health concern. Journal of Social Issues, 48, 95-119.
  58. Stierman E. D. (1987). Emotional aspects of perinatal death. Clinical Obstetrics and Gynecology, 30, 352-361.
  59. Thorp, J. M., Hartmann, K. E., & Shadigian, E. (2003). Long term physical and psychological health consequences of induced abortion: Review of the evidence. Obstetrical and Gynecological Survey, 58, 67-79.
  60. Tornbom M., & Moller A. ( I 999). Repeat abortion: A qualitative study. Journal of Psychosomatic Obstetrics and Gynecology, 20, 21-30.
  61. Wagner, T., Higgins, R G, & Wallerstedt, C. (1997). Perinatal death: How fathers grieve, Journal of Perinatal Education, 6, 1058-1243.
  62. White Van Mourik, M.C., Connor, J.M., Ferguson Smith, M.A. The psychosocial sequelae of a second trimester termination of pregnancy for fetal abnormality. Prenatal Diagnosis, 12, 189-204.
  63. Williams, G B. (2000). Grief after elective abortion: Exploring nursing interventions for another kind of perinatal loss. AWHONN Lifetimes 4, 37-40.
  64. Williams, G B. (2001). Short term grief after an elective abortion. Journal of Obstetrics, Gynecologic, and Neonatal Nursing, 30, 174-183.
  65. Wing D. G, Clance, R R., Burge-Callaway K., Armistead L. (2001). Understanding gender differences in bereavement following the death of an infant: Implications for treatment. Psychotherapy 38, 60-73.
  66. Yamaguchi, D., & Kandel, D. (1987). Drug use and other determinants of premarital pregnancy and its outcome: A dynamic analysis of competing life events. Journal of Marriage and the Family, 49, 257-270.
  67. Zolese, G, & Blacker C. V. R. (1992). The psychological complications of therapeutic abortion. British Journal of Psychiatry, 160, 742-749

Dr Coleman is an Associate Professor of Human Development and Family Studies at Bowling Green State University in Ohio. She received her Ph.D. in Life Span Developmental Psychology from West Virginia University in 1998. A major concentration of her research has been on the psychological outcomes among women who have experienced abortion. Dr Coleman has published 25 articles on abortion and mental health in major psychology and medical professional journals and she has presented her research to national and international audiences. Her most recent speaking engagements were at Princeton University, Furman University, and the U.N. She is also currently serving on the editorial board for two medical journals, Current Women's Health Reviews and the General/Internal Medicine Journal.

1, 2,