产前抑郁：研究运动的基本原理。
Antenatal depression: a rationale for studying exercise.
机构信息
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
出版信息
Depress Anxiety. 2011 Mar;28(3):234-42. doi: 10.1002/da.20777. Epub 2010 Dec 13.
BACKGROUND
Major depressive disorder (MDD) in pregnancy or antenatal depression poses unique treatment challenges and has serious consequences for mothers, unborn babies, and families when untreated. This review presents current knowledge on exercise during pregnancy, antidepressant effects of exercise, and the rationale for the specific study of exercise for antenatal depression.
METHOD
A systematic literature review was performed using English language articles published in Medline, PsycINFO, CINAHL, and the Cochrane Library from 1985 to January 2010.
RESULTS
There is a broad literature supporting the antidepressant effects of exercise, but a paucity of studies specifically for antenatal depression. A small number of observational studies have reported that regular physical activities improve self-esteem and reduce symptoms of anxiety and depression during pregnancy. To date, there have not been randomized controlled studies of exercise for the treatment of MDD in pregnant women.
CONCLUSIONS
Systematic studies are needed to assess exercise as a treatment alternative for MDD during pregnancy. In consideration of the benefits of exercise for the mother and baby, and the burden of depression, studies are needed to determine the role of exercise for pregnant women with depression.
背景
怀孕期间的重度抑郁症（MDD）或产前抑郁症带来了独特的治疗挑战，如果不加以治疗，会对母亲、未出生的婴儿和家庭造成严重后果。本综述介绍了怀孕期间运动的现有知识、运动对抑郁症的治疗作用，以及专门研究运动治疗产前抑郁症的基本原理。
方法
使用 Medline、PsycINFO、CINAHL 和 Cochrane Library 从 1985 年到 2010 年 1 月发表的英文文章进行了系统的文献综述。
结果
有大量文献支持运动对抑郁症的治疗作用，但针对产前抑郁症的研究很少。一些观察性研究报告称，定期进行体育活动可以提高自尊心，并减轻怀孕期间焦虑和抑郁的症状。迄今为止，还没有针对孕妇 MDD 的运动治疗的随机对照研究。
结论
需要进行系统研究，以评估运动作为治疗怀孕期间 MDD 的替代方法。考虑到运动对母亲和婴儿的益处，以及抑郁症的负担，需要研究来确定运动在治疗患有抑郁症的孕妇中的作用。
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