Psychological distress in women with recurrent spontaneous abortion: A case-control study

Abstract
Objective: The aim of the present study was to evaluate of the psychological problem in recurrent spontaneous abortion (RSA).
Materials and Methods: In this case-control study, 115 women with RSA were assigned to the case group and 240 non-pregnant women were assigned to the control group. The revised version of the Symptom Checklist-90 (SCL-90-R) and the Intolerance of Uncertainty Scale (IUS) were used for assessing mental health problems.
Results: The results showed that the mean global severity index (GSI) of the SCL-90-R and the IUS scores in the case and control groups were 109.10 ± 59.85 and 68.91 ± 22.17, and 82.98 ± 52.99 and 59.19 ± 23.01, respectively. GSI was the strongest predictor of RSA (OR = 6.43; 95% CI: 3.52–11.72). The chance estimate of RSA was approximately 2.1 times higher in women in rural areas (OR = 2.07; 95% CI: 1.16–3.69), 2 times higher at 12 months after the last pregnancy (OR = 1.99; 95% CI: 1.42–2.78).
Conclusion: The psychological problem was higher after RSA. Therefore, it is suggested that the treatment of RSA emphasizes psychological counseling and psychological management.