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Systematic reviews of the scientific literature have concluded that that there are no difference in the long term mental health of women who obtain induced abortions as compared to women in appropriate control groups.[4] While some studies have reported a statistical correlation between abortion and clinical depression, anxiety, suicidal behaviors, or adverse effects on women's sexual functions for a small number of women, these studies are typically methodologically flawed and fail to account for confounding factors. Higher quality studies have consistently found no causal relationship between abortion and mental health problems.[4] The correlations observed in some studies may be explained by pre existing social circumstances and emotional health.[17] Various factors, such as emotional attachment to the pregnancy, lack of support, and conservative views on abortion, may increase the likelihood of experiencing negative reactions. Surgeon General C. Everett Koop, an evangelical Christian and abortion opponent,[18] to issue a report on the health effects of abortion. Reportedly, the idea for the review was conceived by Reagan advisors Dinesh D'Souza and Gary Bauer as a means of "rejuvenat[ing]" the pro life movement by producing evidence of the risks of abortion.[19] Koop was reluctant to accept the assignment, believing that Reagan was more concerned with appeasing his political base than with improving women's health.[18]

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The term post abortion syndrome (PAS) has subsequently been popularized and widely used by pro life advocates to describe a broad range of adverse emotional reactions which they attribute to abortion.[1][14][27] "" has not found widespread acceptance outside the pro life community; the American Psychological Association and the American Psychiatric Association do not recognize PAS as an actual diagnosis or condition, and it is not included in the Diagnostic and Statistical Manual of Mental Disorders DSM IV TR or in the ICD 10 list of psychiatric conditions. Some physicians and pro choice advocates have argued that the focus on "post abortion syndrome" is a tactic used by pro life advocates for political purposes.[12][15][28][29]The psychological response of male partners to abortion has been the subject of limited research. A study of 75 men in Sweden found that most participating men agreed with their partner's decision to have an abortion, and that many experienced a complex mix of emotions including anxiety, responsibility, guilt, relief and grief.[30] Other studies have suggested that abortion can be a point of conflict when partners disagree about it,[31] and that like women, many male partners experience an ambivalent mix of emotions in response to their partner's abortion, underscoring the complexity of the abortion issue.[32]

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