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Abstract

Objective: Although not every woman is negatively affected by an abortion, researchers have identified a subgroup of women susceptible to grief and trauma. The primary providers for postabortion grief (PAG) groups are community faith-based agencies. Principle features of PAG are shame and post-traumatic stress disorder (PTSD) symptoms. Method: This study measured the efficacy of a spiritually based grief group intervention for women grieving an abortion. Thirty-five women completed the Impact of Event Scale-Revised(IES-R) and the Internalized Shame Scale (ISS) pre- and postintervention along with posttest open-ended questions. Results: Postintervention measures indicated significant decrease in shame (p < .000) and PTSD symptoms (p < .002). More than 80% reported their religious beliefs and the spiritual intervention played a strong to very strong role in the group. Conclusion: Social workers need to screen for PAG with a postabortive woman and when appropriate refer her to agencies offering such groups.

Keywords

postabortion grief spirituality group intervention shame faith-based agencies

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References

Barnard, C. (1990). The long term psychosocial effects of abortion. Dissertation Abstracts International, 51(08), 4038A. (UMI No. 9100897)

Burke, T. , & Reardon, D. C. (2002). Forbidden grief. Springfield, IL: Acorn Books.

Campbell, N. B. , Franco, K. , & Jurs, S. (1988). Abortion in adolescence. Adolescence, 23(92), 813-823.

Canda, E. R. (1997). Spirituality. In R. L. Edwards (Ed.), Encyclopedia of social work, 19th edition, 1997 supplement (pp. 299-309). Washington, DC: NASW Press.

Cook, D. R. (1988). Measuring shame: The Internalized Shame Scale. Alcoholism Treatment Quarterly, 4, 197-215.

Coyle, C. T. , & Enright, R. D. (1997). Forgiveness intervention with postabortion men. Journal of Consulting and Clinical Psychology, 65, 1042-1046.

Donnai, P. , & Harris, C. (1981). Attitudes of patients after genetic termination of pregnancy. British Medical Journal, 282, 621-622.

Falicov, C. (1998). Latino families in therapy: A guide to multicultural practice. New York: Guilford.

Franz, W. , & Reardon, D. (1992). Differential impact of abortion on adolescents and adults. Adolescence, 27, 105, 161-172.

10.

Freed, L. , & Salazar, P. Y. (1993). A season to heal: Help and hope for those working through post abortion stress. Nashville, TN: Thomas Nelson.

11.

Furlong, R. M. , & Black, R. B. (1984). Pregnancy termination for genetic indications: The impact on families. Social Work in Health Care, 10, 17-34.

12.

Gallup Poll . (2001). Gallup Poll topics a-z. Available at www.gallup.com/poll/indicators/inreligion2.asp

13.

Gilkes, C. (1995). The storm and the light: Church, family work, and social crisis in the African-American experience. In N. Ammerman & W. Roof (Eds.), Work, family, and religion in contemporary society (pp. 177-198). New York: Routledge.

14.

Harvath, S. (1990). Dear children...A story of post abortion healing [Video]. (Available from Liguori Publications, One Liguori Drive, Liguori, MO 63057-9999)

15.

Hodge, D. R. (2001). Spiritual assessment: A review of major qualitative methods and a new framework for assessing spirituality. Social Work, 46, 203-214.

16.

Joy, S. (1985). Abortion: An issue to grieve? Journal of Counseling and Development, 63, 375-376.

17.

Major, B. , Cozzarelli, C. , Cooper, L. , Zubek, J. , Richards, C. , Wilhite, M. , et al. (2000). Psychological responses of women after first trimester abortion. Archives of General Psychiatry, 57, 777-784.

18.

Major, B. , Mueller, P. , & Hildebrandt, K. (1985). Attributions, expectations, and coping with abortion. Journal of Personality and Social Psychology, 44(3), 585-599.

19.

Martin, E. , & Martin, J. (2002). Spirituality and the Black helping tradition in social work. Washington, DC: NASW Press.

20.

Mueller, P. , & Major, B. (1989). Self-blame, self-efficacy, and adjustment to abortion. Journal of Personality and Social Psychology, 57, 1059-1068.

21.

Ney, P. G. , Fung, T. , Wickett, A. R. , & Beaman-Dodd, C. (1994). The effects of pregnancy loss on women’s health. Social Science Medicine, 38, 1193-1200.

22.

Peppers, L. (1987). Grief and elective abortion: Breaking the emotional bond? Omega, 18, 1-12.

23.

Rosenfeld, J. A. (1992). Emotional responses to therapeutic abortion. American Family Physician, 45, 137-140.

24.

Russo, N. F. , & Zierk, K. L. (1992). Abortion, childbearing, and women’s well-being. Professional Psychology and Research Practice, 23, 269-280.

25.

Sandoval, M. (1995). Hispanics in the United States: Between conquest and liberation. In A. Pineda & R. Schreiter (Eds.), Dialogue rejoined (pp. 9-22). Collegeville, MN: Liturgical Press.

26.

Speckhard, A. C. , & Rue, V. M. (1993). Complicated mourning: Dynamics of impacted post abortion grief. Pre- and Perinatal Psychology Journal, 8, 5-32.

27.

Weiss, D. , & Marmar, C. (1997). The Impact of Event Scale-Revised. In J. Wilson & T. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). New York: Guilford.

28.

Zakus, G. , & Wilday, S. (1987). Adolescent abortion option. Social Work in Health Care, 12, 77-91.

29.

Zeanah, C. H. , Dailey, J. V. , Rosenblatt, M. J. , & Saller, D. N. (1993). Do women grieve after terminating pregnancies because of fetal anomalies? A controlled investigation. Obstetrics Gynecology, 82, 270-275.

Postabortion Grief: Evaluating the Possible Efficacy of a Spiritual Group Intervention

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