Evidence map›Paper›PMID 42471686›Full record

ArticleBMC women's health2026

The interplay of risk and protective factors for psychosocial outcome in women after induced abortion - an interview study from Germany.

Jennifer Stünkel, Samuel Tomczyk

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Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jennifer StünkelDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, Greifswald, 17487, Germany. jennifer.stuenkel@uni-greifswald.de.
Samuel TomczykDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, Greifswald, 17487, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbortions are one of the most common gynecological treatments worldwide. Although many studies investigate risk factors (RF) for a negative abortion-related psychosocial outcome (APO), less is known about protective factors (PF) and the interplay of RFs and PFs.

methodsFrom May to August 2022, we conducted a semi-structured interview study in Germany and interviewed 23 women (21-43 years) who had undergone an elective abortion within the last 12 months, asking them about their experiences, perceived RF, PF and APO. The data was analyzed using qualitative content analysis.

resultsWe found three different patterns: The first group of women found the process, especially the legal requirements, stressful but reported a mostly positive outcome with sufficient social support as PF. Women who reported neuroticism-related personality factors as RF sought less social support and more frequently used emotion-focused coping strategies such as self-care and distraction and often showed a mixed outcome. A third group of women experienced intimate partner violence (IPV) and also reported distraction as PF. Regardless, all women who survived IPV reported a negative APO.

conclusionsThe majority of women find the legal requirements (e.g., mandatory counseling, waiting periods) burdensome. At the same time, they offer no benefit to women who find themselves in critical situations such as coercion and domestic violence, which was a major RF. The protection of women who survived IPV should therefore be improved and the access to abortion improved. Further research is needed to include effects on more vulnerable groups such as migrants or queer individuals.

Indexed as

Abortion, InducedAdaptation, PsychologicalAdultFemaleGermanyHumansInterviews as TopicIntimate Partner ViolencePregnancyProtective FactorsQualitative ResearchRisk FactorsSocial SupportYoung AdultInduced abortionInterview studyIntimate partner violenceProtective factorReproductive healthRisk factor

Identifiers

PMID42471686
PMCPMC13380845

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