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基于电话的运动干预预防产后抑郁症的研究:设计、方法学及“健康妈妈”研究的基线数据。

Examination of a telephone-based exercise intervention for the prevention of postpartum depression: design, methodology, and baseline data from The Healthy Mom study.

机构信息

School of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

Contemp Clin Trials. 2012 Nov;33(6):1150-8. doi: 10.1016/j.cct.2012.07.015. Epub 2012 Aug 5.

DOI:10.1016/j.cct.2012.07.015
PMID:22890220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3468699/
Abstract

Research indicates that exercise is an efficacious intervention for depression among adults; however, little is known regarding its efficacy for preventing postpartum depression. The Healthy Mom study was a randomized controlled trial examining the efficacy of an exercise intervention for the prevention of postpartum depression. Specifically, postpartum women with a history of depression or a maternal family history of depression (n=130) were randomly assigned to a telephone-based exercise intervention or a wellness/support contact control condition each lasting six months. The exercise intervention was designed to motivate postpartum women to exercise based on Social Cognitive Theory and the Transtheoretical Model. The primary dependent variable was depression based on the Structured Clinical Diagnostic Interview (SCID). Secondary dependent variables included scores on the Edinburgh Postnatal Depression Scale, the PHQ-9, and the Perceived Stress Scale. The purpose of this paper is to describe the study design, methodology, and baseline data for this trial. Upon completion of the trial, the results will yield important information about the efficacy of exercise in preventing postpartum depression.

摘要

研究表明,运动对于成年人的抑郁症是一种有效的干预手段;然而,对于其预防产后抑郁症的功效知之甚少。健康妈妈研究是一项随机对照试验,旨在检验运动干预预防产后抑郁症的功效。具体来说,有抑郁症病史或家族中有抑郁症病史的产后妇女(n=130)被随机分配到基于电话的运动干预组或健康/支持联系对照组,每组持续六个月。运动干预旨在根据社会认知理论和跨理论模型来激励产后妇女进行运动。主要的因变量是基于结构临床诊断访谈(SCID)的抑郁。次要的因变量包括爱丁堡产后抑郁量表、PHQ-9 和感知压力量表的得分。本文的目的是描述该试验的研究设计、方法和基线数据。试验完成后,结果将提供关于运动预防产后抑郁症的功效的重要信息。

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本文引用的文献

1
A pilot study evaluating a telephone-based exercise intervention for pregnant and postpartum women.一项评估基于电话的运动干预对孕妇和产后妇女的初步研究。
J Midwifery Womens Health. 2011 Mar-Apr;56(2):127-31. doi: 10.1111/j.1542-2011.2010.00016.x. Epub 2011 Feb 28.
2
An exercise and education program improves well-being of new mothers: a randomized controlled trial.一项锻炼和教育计划可改善新手妈妈的幸福感:一项随机对照试验。
Phys Ther. 2010 Mar;90(3):348-55. doi: 10.2522/ptj.20090139. Epub 2010 Jan 7.
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A randomized clinical trial of exercise to alleviate postpartum depressed mood.一项关于运动缓解产后抑郁情绪的随机临床试验。
J Psychosom Obstet Gynaecol. 2009 Sep;30(3):191-200. doi: 10.1080/01674820903212136.
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Exercise for depression.抑郁症的运动疗法
Cochrane Database Syst Rev. 2009 Jul 8(3):CD004366. doi: 10.1002/14651858.CD004366.pub4.
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Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial.针对产后抑郁症女性的运动干预的可行性:一项试点随机对照试验。
Br J Gen Pract. 2008 Mar;58(548):178-83. doi: 10.3399/bjgp08x277195.
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Effects of a home-based exercise intervention on fatigue in postpartum depressed women: results of a randomized controlled trial.一项居家运动干预对产后抑郁女性疲劳状况的影响:一项随机对照试验的结果
Ann Behav Med. 2008 Apr;35(2):179-87. doi: 10.1007/s12160-008-9020-4.
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Effectiveness of an exercise support program in reducing the severity of postnatal depression in Taiwanese women.一项运动支持计划对减轻台湾女性产后抑郁严重程度的有效性。
Birth. 2008 Mar;35(1):60-5. doi: 10.1111/j.1523-536X.2007.00192.x.
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Ongoing physical activity advice by humans versus computers: the Community Health Advice by Telephone (CHAT) trial.人类与计算机提供的持续身体活动建议:电话社区健康建议(CHAT)试验
Health Psychol. 2007 Nov;26(6):718-27. doi: 10.1037/0278-6133.26.6.718.
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Psychosocial and psychological interventions for treating postpartum depression.治疗产后抑郁症的社会心理和心理干预措施。
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