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The measurements were performed before <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>, at 3\u00a0months and 1\u00a0year after <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>. Inclusion criteria were age \u226518\u00a0years, residence in Helsinki, duration of gestation &lt;12\u00a0weeks, non\u2010medical indication for <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>, and approval of intrauterine contraception. The trial was registered with Clinical Trials [<jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>01223521].<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>When compared with baseline, the overall anxiety level was significantly lower and quality of life higher at 3\u00a0months and at 1\u00a0year. Reduction of anxiety and improvement of quality of life was especially evident (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a00.001) in the 58% of women reporting clinically relevant anxiety at baseline. High levels of anxiety at baseline, history of psychiatric morbidity and smoking predicted significantly greater risk of poorer quality of life and elevated level of anxiety during the follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content> is associated with a significant overall reduction of anxiety and an improvement of quality of life among women undergoing it for non\u2010medical indications. High baseline anxiety, history of psychiatric morbidity and smoking are risk factors of persistently high levels of anxiety and poor quality of life after an induced abortion. These data are important when designing and providing post\u2010abortion care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12959","type":"journal-article","created":{"date-parts":[[2016,8,8]],"date-time":"2016-08-08T20:29:31Z","timestamp":1470688171000},"page":"1171-1180","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Anxiety and quality of life after first\u2010trimester termination of pregnancy: a prospective study"],"prefix":"10.1111","volume":"95","author":[{"given":"Elena","family":"Toffol","sequence":"first","affiliation":[{"name":"Department of Health National Institute for Health and Welfare Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elina","family":"Pohjoranta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satu","family":"Suhonen","sequence":"additional","affiliation":[{"name":"Department of Social Services and Health Care Centralized Family Planning Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritva","family":"Hurskainen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hyvink\u00e4\u00e4 Hospital Hyvink\u00e4\u00e4 Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo","family":"Partonen","sequence":"additional","affiliation":[{"name":"Department of Health National Institute for Health and Welfare Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarit","family":"Mentula","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8671-130X","authenticated-orcid":false,"given":"Oskari","family":"Heikinheimo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2010.02.001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0017497"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0687-7"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.07.005"},{"key":"e_1_2_10_6_1","unstructured":"Abortion and Mental Health.UK Academy of Medical Royal Colleges 2011."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714003213"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0905882"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494814560844"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.03.033"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dev233"},{"key":"e_1_2_10_12_1","volume-title":"Manual for the State\u2010Trait Anxiety Inventory","author":"Spielberger CDGLR","year":"1983"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1983.tb00610.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20561"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"e_1_2_10_16_1","unstructured":"OhinmaaAS SintonenH(eds).Inconsistencies and modelling of the Finnish EuroQol (EQ\u20105D) reference values. 15th EuroQol Plenary Meeting; 1998 1\u20133 October; Hannover."},{"key":"e_1_2_10_17_1","doi-asserted-by":"crossref","unstructured":"SzendeA OppeM DevlinN(eds).EQ\u20105D Value Sets: Inventory Comparative Review and User Guide. 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