Daley Amanda J, Macarthur Christine, Winter Heather
Department of Primary Care and General Practice Clinical Sciences Building, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
J Midwifery Womens Health. 2007 Jan-Feb;52(1):56-62. doi: 10.1016/j.jmwh.2006.08.017.
There is now evidence to support the antidepressant effects of exercise in general and in clinical populations. This article reviews the evidence regarding the potential role of exercise, particularly pram walking, as an adjunctive treatment for postpartum depression. Database searches revealed two small randomised controlled trials conducted in Australia which support exercise as a useful treatment for women with postpartum depression. In addition, uncontrolled studies and observational evidence suggest that postpartum women, some of whom were depressed, report benefit from participation in exercise programmes. There are plausible mechanisms by which exercise could have such an effect. Limited evidence supports a relationship between participation in exercise and reduction in postpartum depression. Given the reluctance by some women to use antidepressant medication postpartum and the limited availability of psychological therapies, exercise as a therapeutic possibility deserves further exploration. Further research using well-designed randomised controlled trial methodologies are warranted.
目前有证据支持运动对一般人群及临床患者的抗抑郁作用。本文综述了运动，尤其是散步，作为产后抑郁症辅助治疗方法的潜在作用的相关证据。数据库检索发现，澳大利亚进行的两项小型随机对照试验支持运动作为产后抑郁症女性的有效治疗方法。此外，非对照研究和观察性证据表明，一些产后女性（其中一些患有抑郁症）报告称参与运动项目有益。运动可能产生这种效果的机制是合理的。有限的证据支持参与运动与产后抑郁症减轻之间存在关联。鉴于一些女性产后不愿使用抗抑郁药物，且心理治疗的可及性有限，运动作为一种治疗可能性值得进一步探索。有必要采用设计良好的随机对照试验方法进行进一步研究。
