J Phys Act Health. 2021 May 12;18(7):801-810. doi: 10.1123/jpah.2020-0743. Print 2021 Jul 1.
Physical activity (PA) can help reduce depression symptom severity in women with perinatal depression. However, PA is low, and barriers and motivators for PA among women with perinatal depression are not well understood.
An ethnically diverse sample of women with perinatal depression was identified using a universal perinatal depression screening program. The authors conducted 8 focus groups (4 in pregnant women [n = 15] and 4 in postpartum women [n = 20]). Depression symptoms were measured using the Patient Health Questionnaire-8 at recruitment. Focus groups were analyzed using an inductive approach.
Pregnant participants were 27 weeks gestation, and postpartum participants were 11.5 months postpartum, on average. Depression symptoms were moderately severe (mean Patient Health Questionnaire-8 score: 16). Women identified practical barriers and motivators for PA common to perinatal women (physical health, parental responsibilities, PA tracking tools, and environmental factors) and described emotional and social factors influencing PA. Motivators included using PA to improve mood, relieve stress, boost self-image, and spend time with others. Bad mood, fear of social judgment, and feeling discouraged made it difficult to be active.
PA interventions in women with perinatal depression should include components addressing emotional and social barriers to PA in addition to addressing additional common practical barriers to PA.
身体活动（PA）可以帮助减轻围产期抑郁症女性的抑郁症状严重程度。然而，PA 水平较低，并且围产期抑郁症女性 PA 的障碍和促进因素尚不清楚。
通过普遍的围产期抑郁症筛查计划，确定了患有围产期抑郁症的不同种族的女性样本。作者进行了 8 个焦点小组（4 个孕妇[ n = 15]和 4 个产后妇女[ n = 20]）。在招募时使用患者健康问卷-8 来衡量抑郁症状。使用归纳法分析焦点小组。
孕妇平均妊娠 27 周，产后妇女平均产后 11.5 个月。抑郁症状中度严重（平均患者健康问卷-8 评分：16）。女性确定了围产期女性普遍存在的身体活动的实际障碍和促进因素（身体健康、父母责任、身体活动追踪工具和环境因素），并描述了影响身体活动的情感和社会因素。促进因素包括使用身体活动来改善情绪、缓解压力、增强自我形象和与他人共度时光。心情不好、害怕社会评判和感到气馁使他们难以积极参与。
围产期抑郁症女性的 PA 干预措施应包括解决 PA 的情感和社会障碍的组成部分，除了解决 PA 的其他常见实际障碍。
