Dimensions of decision difficulty in women's decision-making about abortion: A mixed methods longitudinal study.

Relatively little is known about the ease or difficulty with which women decide to have an abortion, and most research uses single-item measurements. We used a mixed methods approach to combine data from the Dutch Abortion and Mental Health Study (DAMHS, n = 325) with data from a qualitative study about the decision process with a small subsample (n = 69) of the DAMHS study. We used the findings from the qualitative study to develop the Dimensions of Abortion Decision Difficulty [DADD] scale, and tested this scale among a larger sample of women who took part in the second wave of the cohort study (n = 264).

Understanding Decision-Making and Decision Difficulty in Women With an Unintended Pregnancy in the Netherlands.

Previous research indicates that a considerable number of women with an unintended pregnancy experience difficulty deciding about continuing or terminating the pregnancy. We examined the decision-making processes of women who experienced high decision difficulty and women who experienced little decision difficulty, to gain insight in the factors that contribute to experienced decision difficulty. Sixty-nine women who had an abortion, and 40 women who had decided to continue their unintended pregnancy, participated in qualitative interviews.

Long-term incidence and recurrence of common mental disorders after abortion. A Dutch prospective cohort study.

In a previous study (Van Ditzhuijzen et al., 2017) we investigated the incidence and recurrence of mental disorders 2.5 to 3 years post-abortion.

Correlates of Common Mental Disorders Among Dutch Women Who Have Had an Abortion: A Longitudinal Cohort Study.

Context: Credible research has not found any evidence that abortion causes mental disorders. It is not known, however, whether abortion-specific risk indicators and other variables are associated with the incidence or recurrence of mental disorders after abortion.

Methods: As part of a prospective cohort study conducted in the Netherlands, 325 women were interviewed between April 2010 and January 2011, between 20 and 40 days after having an abortion; 264 were followed up an average of 2.

Incidence and recurrence of common mental disorders after abortion: Results from a prospective cohort study.

Research in the field of mental health consequences of abortion is characterized by methodological limitations. We used exact matching on carefully selected confounders in a prospective cohort study of 325 women who had an abortion of an unwanted pregnancy and compared them 1-to-1 to controls who did not have this experience. Outcome measures were incidence and recurrence of common DSM-IV mental disorders (mood, anxiety, substance use disorders, and the aggregate measure 'any mental disorder') as measured with the Composite International Diagnostic Interview (CIDI) version 3.

Young People Smokers' Reactions on Peer Influence Not to Smoke.

Background: Peers exert influence not to smoke but little is yet known on how this affects young people's behavior and cognitions.

Objectives: This experimental study investigates the impact of two types of peer influence not to smoke on the verbalized attitudes and responses of daily-smoking young people.

Methods: Two conditions were conducted: 1) a peer confederate stating three times that s/he had quit smoking and was glad to have done so (covert peer influence); 2) a peer confederate making similar statements, but urging to quit smoking (overt peer influence).

The impact of psychiatric history on women's pre- and postabortion experiences.

Objective: The objective of this study is to investigate to what extent psychiatric history affects preabortion decision difficulty, experienced burden, and postabortion emotions and coping. Women with and without a history of mental disorders might respond differently to unwanted pregnancy and subsequent abortion.

Study Design: Women who had an abortion (n=325) were classified as either with or without a history of mental disorders, using the Composite International Diagnostic Interview version 3.

Psychiatric history of women who have had an abortion.

Prior research has focused primarily on the mental health consequences of abortion; little is known about mental health before abortion. In this study, the psychiatric history of women who have had an abortion is investigated. 325 Women who recently had an abortion were compared with 1902 women from the population-based Netherlands Mental Health Survey and Incidence Study (NEMESIS-2).

Communicative empowerment of people with intellectual disability.

Background: Personal narratives are conditional for victims of sexual abuse to overcome their trauma. Counsellors can help victims with intellectual disability to take an active position in conversations about sexuality and to co-construct a personal narrative.

Method: Using discourse and conversational analysis, we studied 4 conversations between a counsellor and a woman with autism and mild intellectual disability.

Juvenile participation in conversations with probation officers.

Juvenile probation work comprises a mixture of repressive and empowering strategies, since probation officers need to control young offenders' conduct and at the same time help the offender to take responsibility and live life within the margins of society. This ambiguous nature of juvenile probation work may confuse the communication between probation officers and juveniles. Interviews with offenders of Moroccan origin and their probation officers in the Netherlands show that both parties are unhappy with the mutual communication.

Child protection and the conception of parental responsibility.

The legal discourse on child protection that is characterized by the normalization-moralization paradigm focuses more on society's response to parental failure than on the predicament of the child. Findings from texts of legal discourse in Israel and in Holland portray an alliance between the respective legal systems and an epistemology of normality with regard to parenting that thereby turns normality into normalization. Both sets of texts are guided by an ontology of moral judgment that protects societal morale rather than the child.