Priscilla K. Coleman
|Priscilla K. Coleman|
|Residence||Bowling Green, Ohio|
|Institutions||Bowling Green State University|
|Alma mater||Southern Connecticut State University, James Madison University, West Virginia University|
|Thesis||Maternal self-efficacy beliefs as predictors of parenting competence and toddlers' emotional, social, and cognitive development (1998)|
|Known for||Research regarding the proposed link between abortion and mental health problems|
Priscilla K. Coleman is a Professor of Human Development and Family Studies at Bowling Green State University in Ohio. She has published a number of articles claiming a statistical correlation or causal relationship between abortion and mental health problems.
Her research has mostly met with poor reception from her professional colleagues. Researchers were unable to reproduce Coleman's results on abortion and mental health despite using the same dataset, and have described her findings as "logically inconsistent" and potentially "substantially inflated" by faulty methodology. The American Psychological Association (APA) and other major medical bodies have concluded that the evidence does not support a link between abortion and mental health problems, and APA panelists charged with reviewing the evidence were similarly critical of the methodology of Coleman's studies. Coleman has responded that she is not the only qualified scientist whose research suggests that abortion may have serious mental health risks for many women.
Biography and publications
Coleman's most cited work is "Self-Efficacy and Parenting Quality: Findings and Future Applications", co-authored with Katherine Hildebrandt Karraker in Developmental Review Vol. 18, no. 1 (March 1998). She has also published a series of articles reporting a correlation between induced abortion and mental-health problems, findings which have proven controversial.
In September 2011 Coleman published a meta-analysis of 22 studies, largely her own, in the British Journal of Psychiatry, in which she reported an association between abortion and mental-health problems. The Royal College of Obstetricians and Gynaecologists noted that Coleman's results conflict with those of four previous literature reviews, all of which found that women who have abortions did not face an increased risk of mental health problems. The College suggested that Coleman's results were due to her failure to control for pre-existing mental-health problems, which tend to be more prevalent in women having abortions. This meta-analysis was also criticized by Julia Steinberg and a number of other researchers, who wrote in 2012 that it contained seven significant errors, as well as three shortcomings of the included studies. Steinberg et al. concluded that these errors and shortcomings "render the meta-analysis’ conclusions invalid."
Reception and reaction
The statistical methods Coleman and her co-authors use have been criticized by the American Psychological Association (APA). An APA panel found that studies by Coleman and her co-authors have "inadequate or inappropriate" controls and don't adequately consider "women's mental health prior to the pregnancy and abortion." Coleman defended her methodology, arguing that it is consistent with recommendations in the Handbook of Research Synthesis and Meta-Analysis.
Coleman and her coauthors have also been criticized by other researchers in the field over the meaning and reproducibility of their data. Psychologist Brenda Major criticized one of Coleman's studies, saying that it did not distinguish correlation and cause; that the direction of causality could be reversed, with psychiatric problems leading to a greater incidence of abortion; and that the study failed to control for factors such as relationship stability and education. Jillian Henderson, a professor of gynecology, and Katharine Miller wrote to the Journal of Anxiety Disorders, saying, "We believe that Cougle, et al., operate with strong political views regarding abortion, and unfortunately their biases appear to have resulted in serious methodological flaws in the analysis published in your journal. [Reardon, Coleman and Cougle] are involved in building a literature to be used in efforts to restrict access to abortion." Nancy Russo, a psychology professor and abortion researcher, examined two of Coleman's articles and found that when the methodological flaws in the studies were corrected, the supposed correlation between abortion and poor mental health disappeared.
Other researchers were unable to reproduce Coleman's analysis of the National Comorbidity Survey, which she had used to support an association between abortion and depression or substance abuse. Coleman and her colleagues, according to one review, failed to control for pre-existing mental health problems and for other risk factors for mental health problems, such as sexual or physical violence. Julia Steinberg, one of the researchers attempting to verify Coleman's findings, said: "We were unable to reproduce the most basic tabulations of Coleman and colleagues... Moreover, their findings were logically inconsistent with other published research—for example, they found higher rates of depression in the last month than other studies found during respondents' entire lifetimes. This suggests that the results were substantially inflated."
Coleman initially responded that her analysis had used different methods and examined long-term psychological problems. Subsequently, she and her coauthors issued a correction to their paper, stating that they had made an error in weighting the study variables. After correcting their error, the association between abortion and some mental-health problems weakened or disappeared, but the authors concluded that "fortunately, the overall pattern of the results has not changed very much". Separately, the journal editor and the principal investigator of the NCS (from which Coleman had drawn her data) opined that, in light of the concerns raised, Coleman et al.'s analysis "does not support their assertions that abortions led to psychopathology." Despite the correction, further concerns about the accuracy of Coleman's analysis were raised; Coleman responded to these criticisms and pointed to other work she had published.
- BGSU :: College of Education and Human Development :: Priscilla Coleman, PhD
- Bazelon, Emily (January 21, 2007). "Is there a Post-Abortion Syndrome?". The New York Times.
- "NOW with David Brancaccio". PBS.
HINOJOSA: In emails, two prominent independent scientists, on a panel that is reviewing the scientific literature for the American Psychological Association told us the studies have 'inadequate or inappropriate' controls and don't adequately control 'for women's mental health prior to the pregnancy and abortion.'
- Steinberg JR, Finer LB (January 2011). "Examining the association of abortion history and current mental health: A reanalysis of the National Comorbidity Survey using a common-risk-factors model". Soc Sci Med 72 (1): 72–82. doi:10.1016/j.socscimed.2010.10.006. PMID 21122964.
- Stein, Rob (December 13, 2010). "Study disputes link between abortion and mental health problems". Washington Post.
- "Mental Health and Abortion". American Psychological Association. August 2008. Retrieved February 3, 2011.
- Bowling Green State University bio of Coleman
- Coleman, Priscilla K. (2011). "Abortion and mental health: quantitative synthesis and analysis of research published 1995–2009". The British Journal of Psychiatry 199 (3): 180–186. doi:10.1192/bjp.bp.110.077230. Retrieved September 2, 2011.
- "RCOG statement on BJPsych paper on mental health risks and abortion". Royal College of Obstetricians and Gynaecologists. September 1, 2011. Retrieved September 5, 2011.
- Steinberg, JR; Trussell, J; Hall, KS; Guthrie, K (November 2012). "Fatal flaws in a recent meta-analysis on abortion and mental health.". Contraception 86 (5): 430–7. PMID 22579105.
- Priscilla K. Coleman. "Re: Abortion and Mental Health". BJP.
- Laidman, Jenni (January 22, 2004). "After decades of research, evaluating abortion's effect still difficult". Toledo Blade.
- Coyne, James C. (November 15, 2011). "More on Review Claiming Abortion Hurts Women's Mental Health". Psychology Today.
- Coleman PK, Coyle CT, Shuping M, Rue VM (May 2009). "Induced abortion and anxiety, mood, and substance abuse disorders: isolating the effects of abortion in the national comorbidity survey". J Psychiatr Res 43 (8): 770–6. doi:10.1016/j.jpsychires.2008.10.009. PMID 19046750.
- Coleman PK, Coyle CT, Shupin M, Rue VM (2011). "Corrigendum". J Psychiatr Res 45 (8): 1133–4. doi:10.1016/j.jpsychires.2011.06.010.
- Kessler RC, Schatzberg AF (2012). "Commentary on Abortion Studies of Steinberg and Finer and Coleman". J Psychiatr Res 46 (3): 410–411. doi:10.1016/j.jpsychires.2012.01.021.
- Steinberg JR, Finer LB (March 2012). "Coleman, Coyle, Shuping, and Rue make false statements and draw erroneous conclusions in analyses of abortion and mental health using the National Comorbidity Survey". J Psychiatr Res 46 (3): 407–8. doi:10.1016/j.jpsychires.2012.01.019. PMID 22348853.
- Coleman PK (March 2012). "Response to Dr Steinberg and Dr Finer's letter to the Editor". J Psychiatr Res 46 (3): 408–9. doi:10.1016/j.jpsychires.2012.01.020. PMID 22348854.