The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study

Abstract Background Available studies have limitations in identifying risk factors after abortion. Therefore, this study aimed to investigate the prevalence of perceived stress and depression in women facing abortion and to identify related obstetric and non-obstetric risk factors. Method This is a...

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Main Authors: Bita Jamali, Omolbanin Zare, Majedeh Nabavian, Fatemeh Rezaei
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-025-02006-0
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author Bita Jamali
Omolbanin Zare
Majedeh Nabavian
Fatemeh Rezaei
author_facet Bita Jamali
Omolbanin Zare
Majedeh Nabavian
Fatemeh Rezaei
author_sort Bita Jamali
collection DOAJ
description Abstract Background Available studies have limitations in identifying risk factors after abortion. Therefore, this study aimed to investigate the prevalence of perceived stress and depression in women facing abortion and to identify related obstetric and non-obstetric risk factors. Method This is a cross-sectional study that conducted from October 2023 to March 2024, involving 250 women seeking first-trimester abortions who visited the obstetrics emergency department at Amol hospitals. After obtaining informed consent, a questionnaire that includes demographic characteristics, perceived stress scale, Patient Health Questionnaire- 4, domestic violence questionnaire, 6-question marriage quality questionnaire, Medical Outcomes Social Support and Brief Resilience Scale were filled out. Data analyzed using descriptive statistics and logistic regression with a significance level of p < 0.05 in SPSS software version 23. Result The prevalence of high perceived stress and depressive symptoms was 18.8% and 15.6%, respectively. There was a significant relationship between depression and perceived stress (p = 0.029), as well as low social support (p = 0.034), history of previous abortion (p = 0.001), and social factors of abortion (p = 0.045) with perceived stress (p < 0.05). There was no significant relationship between other variables such as resilience, domestic violence, quality of marriage with perceived stress and depression (p > 0.05). Conclusion The prevalence of perceived stress and depression was not high in this women. Previous abortion history, low social support, and abortion for social reasons were the most important factors affecting perceived stress, which was also significantly associated with depression. The findings emphasize the importance of assessing the mental health of women seeking abortion, especially those with high-risk factors for Appropriate interventions.
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spelling doaj-art-0a85ff137b3c4e5ea2f92ebcae9d2ba82025-08-20T02:12:06ZengBMCReproductive Health1742-47552025-04-012211910.1186/s12978-025-02006-0The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional studyBita Jamali0Omolbanin Zare1Majedeh Nabavian2Fatemeh Rezaei3Department of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityDepartment of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityDepartment of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityDepartment of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityAbstract Background Available studies have limitations in identifying risk factors after abortion. Therefore, this study aimed to investigate the prevalence of perceived stress and depression in women facing abortion and to identify related obstetric and non-obstetric risk factors. Method This is a cross-sectional study that conducted from October 2023 to March 2024, involving 250 women seeking first-trimester abortions who visited the obstetrics emergency department at Amol hospitals. After obtaining informed consent, a questionnaire that includes demographic characteristics, perceived stress scale, Patient Health Questionnaire- 4, domestic violence questionnaire, 6-question marriage quality questionnaire, Medical Outcomes Social Support and Brief Resilience Scale were filled out. Data analyzed using descriptive statistics and logistic regression with a significance level of p < 0.05 in SPSS software version 23. Result The prevalence of high perceived stress and depressive symptoms was 18.8% and 15.6%, respectively. There was a significant relationship between depression and perceived stress (p = 0.029), as well as low social support (p = 0.034), history of previous abortion (p = 0.001), and social factors of abortion (p = 0.045) with perceived stress (p < 0.05). There was no significant relationship between other variables such as resilience, domestic violence, quality of marriage with perceived stress and depression (p > 0.05). Conclusion The prevalence of perceived stress and depression was not high in this women. Previous abortion history, low social support, and abortion for social reasons were the most important factors affecting perceived stress, which was also significantly associated with depression. The findings emphasize the importance of assessing the mental health of women seeking abortion, especially those with high-risk factors for Appropriate interventions.https://doi.org/10.1186/s12978-025-02006-0Perceived stressDepressionAbortionRisk factors
spellingShingle Bita Jamali
Omolbanin Zare
Majedeh Nabavian
Fatemeh Rezaei
The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
Reproductive Health
Perceived stress
Depression
Abortion
Risk factors
title The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
title_full The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
title_fullStr The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
title_full_unstemmed The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
title_short The prevalence of perceived stress and depression in women facing abortion and related obstetric and non-obstetric risk factors: a cross-sectional study
title_sort prevalence of perceived stress and depression in women facing abortion and related obstetric and non obstetric risk factors a cross sectional study
topic Perceived stress
Depression
Abortion
Risk factors
url https://doi.org/10.1186/s12978-025-02006-0
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