A randomized clinical trial of exercise to alleviate postpartum depressed mood
Objective. To evaluate whether a 12-week home-based exercise program is more effective than usual care for alleviating depressive symptomology in the postpartum. Methods. Eighty-eight women experiencing postpartum depressed mood were randomly assigned to a 12-week home-based exercise program or usua...
Gespeichert in:
Veröffentlicht in: | Journal of psychosomatic obstetrics and gynaecology 2009-01, Vol.30 (3), p.191-200 |
---|---|
Hauptverfasser: | , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 200 |
---|---|
container_issue | 3 |
container_start_page | 191 |
container_title | Journal of psychosomatic obstetrics and gynaecology |
container_volume | 30 |
creator | Da Costa, Deborah Lowensteyn, Ilka Abrahamowicz, Michal Ionescu-Ittu, Raluca Dritsa, Maria Rippen, Natalie Cervantes, Pablo Khalifé, Samir |
description | Objective. To evaluate whether a 12-week home-based exercise program is more effective than usual care for alleviating depressive symptomology in the postpartum.
Methods. Eighty-eight women experiencing postpartum depressed mood were randomly assigned to a 12-week home-based exercise program or usual care. Outcomes assessed immediately post-treatment and 3-months post-treatment were the Hamilton Rating Scale for Depression (HAM-D) and Edinburgh Postnatal Depression Scale (EPDS).
Results. In the intention-to-treat analysis, the effect of the intervention on EPDS did not change from 3 to 6 months evaluations, but was modified by the baseline EPDS score, with subjects with greater depression at baseline (EPDS > 13) in the intervention group having a significantly lower postbaseline EPDS score compared with the usual care group (mean difference 4.06 points, 95%CI 1.51-6.61, p < 0.001). After adjusting for baseline HAM-D, subjects in the intervention group had a significantly lower HAM-D score at post-treatment compared with subjects in the usual care group (mean difference 1.83 points, 95%CI 0.24-3.41, p = 0.02). The difference in HAM-D became non-significant at 3-months post-treatment.
Conclusions. Home-based exercise is a feasible nonpharmacological intervention with the potential to alleviate postpartum depressive symptoms, especially in women with higher initial depressed mood scores as measured by the EPDS. These findings may guide the design of future exercise clinical trials with postpartum depressed women. |
doi_str_mv | 10.1080/01674820903212136 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pasca</sourceid><recordid>TN_cdi_pascalfrancis_primary_21986565</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67633009</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-923bdc2ff39889cef6432e66e7c53ab80f47a61fa90c252ae62667cd9b549cf93</originalsourceid><addsrcrecordid>eNp9kMtO3DAUQK2KqgzQD2CDsqG7tH4kTqx2M0IFKqGyAam76I5zLYycONgOr6_Ho5kWoUps7IXPufI9hBwy-pXRln6jTDZVy6migjPOhPxAFqypRNmqiu-Qxfq9zMCfXbIX4y2lXGToE9llquEt53RBfi-LAGPvB_uMfaGdHa0GV6Rg8-lNgY8YtI1YJF-Ac3hvIWEx-ZgmCGkeih6ngDFmefC-PyAfDbiIn7f3Prk-_Xl1cl5eXJ79OllelLoSVSoVF6tec2OEalul0chKcJQSG10LWLXUVA1IZkBRzWsOKLmUje7Vqq6UNkrsky-buVPwdzPG1A02anQORvRz7GQjhaB0DbINqIOPMaDppmAHCE8do906YvdfxOwcbYfPqwH7V2NbLQPHWwBirmVywdzoH8eZamUt68z92HB2ND4M8OCD67sET86Hv5J47x_f3-g3CC7daAjY3fo5jDnwO1u8AL_unxY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67633009</pqid></control><display><type>article</type><title>A randomized clinical trial of exercise to alleviate postpartum depressed mood</title><source>MEDLINE</source><source>Access via Taylor & Francis</source><creator>Da Costa, Deborah ; Lowensteyn, Ilka ; Abrahamowicz, Michal ; Ionescu-Ittu, Raluca ; Dritsa, Maria ; Rippen, Natalie ; Cervantes, Pablo ; Khalifé, Samir</creator><creatorcontrib>Da Costa, Deborah ; Lowensteyn, Ilka ; Abrahamowicz, Michal ; Ionescu-Ittu, Raluca ; Dritsa, Maria ; Rippen, Natalie ; Cervantes, Pablo ; Khalifé, Samir</creatorcontrib><description>Objective. To evaluate whether a 12-week home-based exercise program is more effective than usual care for alleviating depressive symptomology in the postpartum.
Methods. Eighty-eight women experiencing postpartum depressed mood were randomly assigned to a 12-week home-based exercise program or usual care. Outcomes assessed immediately post-treatment and 3-months post-treatment were the Hamilton Rating Scale for Depression (HAM-D) and Edinburgh Postnatal Depression Scale (EPDS).
Results. In the intention-to-treat analysis, the effect of the intervention on EPDS did not change from 3 to 6 months evaluations, but was modified by the baseline EPDS score, with subjects with greater depression at baseline (EPDS > 13) in the intervention group having a significantly lower postbaseline EPDS score compared with the usual care group (mean difference 4.06 points, 95%CI 1.51-6.61, p < 0.001). After adjusting for baseline HAM-D, subjects in the intervention group had a significantly lower HAM-D score at post-treatment compared with subjects in the usual care group (mean difference 1.83 points, 95%CI 0.24-3.41, p = 0.02). The difference in HAM-D became non-significant at 3-months post-treatment.
Conclusions. Home-based exercise is a feasible nonpharmacological intervention with the potential to alleviate postpartum depressive symptoms, especially in women with higher initial depressed mood scores as measured by the EPDS. These findings may guide the design of future exercise clinical trials with postpartum depressed women.</description><identifier>ISSN: 0167-482X</identifier><identifier>EISSN: 1743-8942</identifier><identifier>DOI: 10.1080/01674820903212136</identifier><identifier>PMID: 19728220</identifier><identifier>CODEN: JPOGDP</identifier><language>eng</language><publisher>New York, NY: Informa UK Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Depression ; Depression, Postpartum - diagnosis ; Depression, Postpartum - psychology ; Depression, Postpartum - therapy ; Exercise - psychology ; Feasibility Studies ; Female ; home-based exercise ; Humans ; Medical sciences ; Miscellaneous ; Mood disorders ; Personality Inventory ; Physical Fitness - psychology ; Postpartum depressed mood ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quebec ; randomized controlled trial ; Treatment Outcome ; Treatments</subject><ispartof>Journal of psychosomatic obstetrics and gynaecology, 2009-01, Vol.30 (3), p.191-200</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-923bdc2ff39889cef6432e66e7c53ab80f47a61fa90c252ae62667cd9b549cf93</citedby><cites>FETCH-LOGICAL-c434t-923bdc2ff39889cef6432e66e7c53ab80f47a61fa90c252ae62667cd9b549cf93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/01674820903212136$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/01674820903212136$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,59652,60441,61226,61407</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21986565$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19728220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Da Costa, Deborah</creatorcontrib><creatorcontrib>Lowensteyn, Ilka</creatorcontrib><creatorcontrib>Abrahamowicz, Michal</creatorcontrib><creatorcontrib>Ionescu-Ittu, Raluca</creatorcontrib><creatorcontrib>Dritsa, Maria</creatorcontrib><creatorcontrib>Rippen, Natalie</creatorcontrib><creatorcontrib>Cervantes, Pablo</creatorcontrib><creatorcontrib>Khalifé, Samir</creatorcontrib><title>A randomized clinical trial of exercise to alleviate postpartum depressed mood</title><title>Journal of psychosomatic obstetrics and gynaecology</title><addtitle>J Psychosom Obstet Gynaecol</addtitle><description>Objective. To evaluate whether a 12-week home-based exercise program is more effective than usual care for alleviating depressive symptomology in the postpartum.
Methods. Eighty-eight women experiencing postpartum depressed mood were randomly assigned to a 12-week home-based exercise program or usual care. Outcomes assessed immediately post-treatment and 3-months post-treatment were the Hamilton Rating Scale for Depression (HAM-D) and Edinburgh Postnatal Depression Scale (EPDS).
Results. In the intention-to-treat analysis, the effect of the intervention on EPDS did not change from 3 to 6 months evaluations, but was modified by the baseline EPDS score, with subjects with greater depression at baseline (EPDS > 13) in the intervention group having a significantly lower postbaseline EPDS score compared with the usual care group (mean difference 4.06 points, 95%CI 1.51-6.61, p < 0.001). After adjusting for baseline HAM-D, subjects in the intervention group had a significantly lower HAM-D score at post-treatment compared with subjects in the usual care group (mean difference 1.83 points, 95%CI 0.24-3.41, p = 0.02). The difference in HAM-D became non-significant at 3-months post-treatment.
Conclusions. Home-based exercise is a feasible nonpharmacological intervention with the potential to alleviate postpartum depressive symptoms, especially in women with higher initial depressed mood scores as measured by the EPDS. These findings may guide the design of future exercise clinical trials with postpartum depressed women.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Depression, Postpartum - psychology</subject><subject>Depression, Postpartum - therapy</subject><subject>Exercise - psychology</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>home-based exercise</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Personality Inventory</subject><subject>Physical Fitness - psychology</subject><subject>Postpartum depressed mood</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quebec</subject><subject>randomized controlled trial</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0167-482X</issn><issn>1743-8942</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtO3DAUQK2KqgzQD2CDsqG7tH4kTqx2M0IFKqGyAam76I5zLYycONgOr6_Ho5kWoUps7IXPufI9hBwy-pXRln6jTDZVy6migjPOhPxAFqypRNmqiu-Qxfq9zMCfXbIX4y2lXGToE9llquEt53RBfi-LAGPvB_uMfaGdHa0GV6Rg8-lNgY8YtI1YJF-Ac3hvIWEx-ZgmCGkeih6ngDFmefC-PyAfDbiIn7f3Prk-_Xl1cl5eXJ79OllelLoSVSoVF6tec2OEalul0chKcJQSG10LWLXUVA1IZkBRzWsOKLmUje7Vqq6UNkrsky-buVPwdzPG1A02anQORvRz7GQjhaB0DbINqIOPMaDppmAHCE8do906YvdfxOwcbYfPqwH7V2NbLQPHWwBirmVywdzoH8eZamUt68z92HB2ND4M8OCD67sET86Hv5J47x_f3-g3CC7daAjY3fo5jDnwO1u8AL_unxY</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Da Costa, Deborah</creator><creator>Lowensteyn, Ilka</creator><creator>Abrahamowicz, Michal</creator><creator>Ionescu-Ittu, Raluca</creator><creator>Dritsa, Maria</creator><creator>Rippen, Natalie</creator><creator>Cervantes, Pablo</creator><creator>Khalifé, Samir</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Informa Healthcare</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>A randomized clinical trial of exercise to alleviate postpartum depressed mood</title><author>Da Costa, Deborah ; Lowensteyn, Ilka ; Abrahamowicz, Michal ; Ionescu-Ittu, Raluca ; Dritsa, Maria ; Rippen, Natalie ; Cervantes, Pablo ; Khalifé, Samir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-923bdc2ff39889cef6432e66e7c53ab80f47a61fa90c252ae62667cd9b549cf93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depression, Postpartum - diagnosis</topic><topic>Depression, Postpartum - psychology</topic><topic>Depression, Postpartum - therapy</topic><topic>Exercise - psychology</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>home-based exercise</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Personality Inventory</topic><topic>Physical Fitness - psychology</topic><topic>Postpartum depressed mood</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quebec</topic><topic>randomized controlled trial</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Da Costa, Deborah</creatorcontrib><creatorcontrib>Lowensteyn, Ilka</creatorcontrib><creatorcontrib>Abrahamowicz, Michal</creatorcontrib><creatorcontrib>Ionescu-Ittu, Raluca</creatorcontrib><creatorcontrib>Dritsa, Maria</creatorcontrib><creatorcontrib>Rippen, Natalie</creatorcontrib><creatorcontrib>Cervantes, Pablo</creatorcontrib><creatorcontrib>Khalifé, Samir</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Da Costa, Deborah</au><au>Lowensteyn, Ilka</au><au>Abrahamowicz, Michal</au><au>Ionescu-Ittu, Raluca</au><au>Dritsa, Maria</au><au>Rippen, Natalie</au><au>Cervantes, Pablo</au><au>Khalifé, Samir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized clinical trial of exercise to alleviate postpartum depressed mood</atitle><jtitle>Journal of psychosomatic obstetrics and gynaecology</jtitle><addtitle>J Psychosom Obstet Gynaecol</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>30</volume><issue>3</issue><spage>191</spage><epage>200</epage><pages>191-200</pages><issn>0167-482X</issn><eissn>1743-8942</eissn><coden>JPOGDP</coden><abstract>Objective. To evaluate whether a 12-week home-based exercise program is more effective than usual care for alleviating depressive symptomology in the postpartum.
Methods. Eighty-eight women experiencing postpartum depressed mood were randomly assigned to a 12-week home-based exercise program or usual care. Outcomes assessed immediately post-treatment and 3-months post-treatment were the Hamilton Rating Scale for Depression (HAM-D) and Edinburgh Postnatal Depression Scale (EPDS).
Results. In the intention-to-treat analysis, the effect of the intervention on EPDS did not change from 3 to 6 months evaluations, but was modified by the baseline EPDS score, with subjects with greater depression at baseline (EPDS > 13) in the intervention group having a significantly lower postbaseline EPDS score compared with the usual care group (mean difference 4.06 points, 95%CI 1.51-6.61, p < 0.001). After adjusting for baseline HAM-D, subjects in the intervention group had a significantly lower HAM-D score at post-treatment compared with subjects in the usual care group (mean difference 1.83 points, 95%CI 0.24-3.41, p = 0.02). The difference in HAM-D became non-significant at 3-months post-treatment.
Conclusions. Home-based exercise is a feasible nonpharmacological intervention with the potential to alleviate postpartum depressive symptoms, especially in women with higher initial depressed mood scores as measured by the EPDS. These findings may guide the design of future exercise clinical trials with postpartum depressed women.</abstract><cop>New York, NY</cop><pub>Informa UK Ltd</pub><pmid>19728220</pmid><doi>10.1080/01674820903212136</doi><tpages>10</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0167-482X |
ispartof | Journal of psychosomatic obstetrics and gynaecology, 2009-01, Vol.30 (3), p.191-200 |
issn | 0167-482X 1743-8942 |
language | eng |
recordid | cdi_pascalfrancis_primary_21986565 |
source | MEDLINE; Access via Taylor & Francis |
subjects | Adult Adult and adolescent clinical studies Biological and medical sciences Depression Depression, Postpartum - diagnosis Depression, Postpartum - psychology Depression, Postpartum - therapy Exercise - psychology Feasibility Studies Female home-based exercise Humans Medical sciences Miscellaneous Mood disorders Personality Inventory Physical Fitness - psychology Postpartum depressed mood Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quebec randomized controlled trial Treatment Outcome Treatments |
title | A randomized clinical trial of exercise to alleviate postpartum depressed mood |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T18%3A43%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pasca&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20randomized%20clinical%20trial%20of%20exercise%20to%20alleviate%20postpartum%20depressed%20mood&rft.jtitle=Journal%20of%20psychosomatic%20obstetrics%20and%20gynaecology&rft.au=Da%20Costa,%20Deborah&rft.date=2009-01-01&rft.volume=30&rft.issue=3&rft.spage=191&rft.epage=200&rft.pages=191-200&rft.issn=0167-482X&rft.eissn=1743-8942&rft.coden=JPOGDP&rft_id=info:doi/10.1080/01674820903212136&rft_dat=%3Cproquest_pasca%3E67633009%3C/proquest_pasca%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67633009&rft_id=info:pmid/19728220&rfr_iscdi=true |