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产前瑜伽作为一种治疗孕期抑郁症的干预手段的潜力。

Potential for prenatal yoga to serve as an intervention to treat depression during pregnancy.

机构信息

Alpert Medical School of Brown University, Department of Psychiatry & Human Behavior, Providence, Rhode Island; Butler Hospital, Psychosocial Research Program, Providence, Rhode Island; Women & Infants' Hospital of Rhode Island, Center for Women's Behavioral Health, Providence, Rhode Island.

Alpert Medical School of Brown University, Department of Psychiatry & Human Behavior, Providence, Rhode Island; Butler Hospital, Psychosocial Research Program, Providence, Rhode Island; Memorial Hospital of Rhode Island, Department of Family Medicine, Pawtucket, Rhode Island.

出版信息

Womens Health Issues. 2015 Mar-Apr;25(2):134-41. doi: 10.1016/j.whi.2014.12.003.

Abstract

BACKGROUND

When left untreated, antenatal depression can have a serious negative impact on maternal, and infant outcomes. Many affected women do not obtain treatment for depression owing to difficulties accessing care or because they do not find standard antidepressant treatments to be acceptable during pregnancy. This study examined the acceptability and feasibility of a gentle prenatal yoga intervention, as a strategy for treating depression during pregnancy.

METHODS

We developed a 10-week prenatal yoga program for antenatal depression and an accompanying yoga instructors' manual, and enrolled 34 depressed pregnant women from the community into an open pilot trial. We measured change in maternal depression severity from before to after the intervention.

RESULTS

Results suggested that the prenatal yoga intervention was feasible to administer and acceptable to the women enrolled. No study-related injuries or other safety issues were observed during the trial. On average, participants' depression severity decreased significantly by the end of the intervention based on both observed-rated and self-report depression assessment measures.

CONCLUSION

The current study suggests that prenatal yoga may be a viable approach to addressing antenatal depression, one that may have advantages in terms of greater acceptability than standard depression treatments. Research and policy implications are discussed.

摘要

背景

未经治疗,产前抑郁症可能会对母婴结局产生严重的负面影响。许多受影响的女性由于难以获得护理或因为她们发现标准的抗抑郁治疗在怀孕期间不可接受,而没有接受抑郁治疗。本研究探讨了温和的产前瑜伽干预作为治疗怀孕期间抑郁症的一种策略的可接受性和可行性。

方法

我们为产前抑郁症开发了一个为期 10 周的产前瑜伽项目和配套的瑜伽指导员手册,并从社区招募了 34 名抑郁的孕妇参加开放试点试验。我们测量了干预前后产妇抑郁严重程度的变化。

结果

结果表明,产前瑜伽干预措施易于实施,且被纳入的女性也能接受。在试验过程中未观察到与研究相关的伤害或其他安全问题。平均而言,根据观察评分和自我报告的抑郁评估措施,参与者的抑郁严重程度在干预结束时显著下降。

结论

目前的研究表明,产前瑜伽可能是一种可行的方法来解决产前抑郁症,它在可接受性方面可能比标准的抑郁治疗具有优势。讨论了研究和政策的影响。

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