Primary Care Clinical Sciences, School of Health and Population Sciences, University of Birmingham, Birmingham, UK.
BMC Pregnancy Childbirth. 2012 Jun 9;12:45. doi: 10.1186/1471-2393-12-45.
Postnatal depression can have a substantial impact on the woman, the child and family as a whole. Thus, there is a need to examine different ways of helping women experiencing postnatal depression; encouraging them to exercise may be one way. A meta analysis found some support for exercise as an adjunctive treatment for postnatal depression but the methodological inadequacy of the few small studies included means that it is uncertain whether exercise reduces symptoms of postnatal depression. We aim to determine whether a pragmatic exercise intervention that involves one-to-one personalised exercise consultations and telephone support plus usual care in women with postnatal depression, is superior to usual care only, in reducing symptoms of postnatal depression.
We aim to recruit 208 women with postnatal depression in the West Midlands. Recently delivered women who meet the ICD-10 diagnosis for depression will be randomised to usual care plus exercise or usual care only. The exercise intervention will be delivered over 6 months. The primary outcome measure is difference in mean Edinburgh Postnatal Depression Scale score between the groups at six month follow-up. Outcome measures will be assessed at baseline and at six and 12 month post randomisation.
Findings from the research will inform future clinical guidance on antenatal and postnatal mental health, as well as inform practitioners working with postnatal depression.
ISRCTN84245563.
产后抑郁症会对女性、儿童和整个家庭产生重大影响。因此，需要研究帮助产后抑郁症女性的不同方法；鼓励她们锻炼可能是一种方法。一项荟萃分析发现，锻炼作为产后抑郁症的辅助治疗有一定的支持，但由于纳入的少数小型研究方法上存在不足，尚不确定锻炼是否能减轻产后抑郁症的症状。我们旨在确定在患有产后抑郁症的女性中，一对一的个性化锻炼咨询和电话支持加常规护理的实用锻炼干预是否优于仅常规护理，从而降低产后抑郁症的症状。
我们计划在西米德兰兹地区招募 208 名患有产后抑郁症的女性。最近分娩并符合 ICD-10 抑郁诊断的女性将被随机分配到常规护理加锻炼或仅常规护理组。锻炼干预将持续 6 个月。主要观察指标是两组在 6 个月随访时的爱丁堡产后抑郁量表评分差异。将在基线、随机分组后 6 个月和 12 个月评估结果测量值。
研究结果将为产前和产后心理健康的未来临床指导提供信息，并为治疗产后抑郁症的从业者提供信息。
ISRCTN84245563。
