The effect of a remote physical activity intervention on postpartum depressive symptoms and stress among low income women: The healthy mom III randomized trial

被引:0
作者
Lewis, Beth A. [1 ]
Schuver, Katie [1 ]
Dregney, Tyler [1 ]
Terrell, Carrie [2 ]
Stang, Jamie [3 ]
机构
[1] Univ Minnesota, Sch Kinesiol, 1900 Univ Ave SE, Minneapolis, MN 55104 USA
[2] Univ Minnesota, Womens Hlth Specialists, MHlth Womens Clin Minneapolis, 606 24th Ave South Suite 300, Minneapolis, MN 55454 USA
[3] Univ Minnesota, Sch Publ Hlth, 420 Delaware St SE, Minneapolis, MN 55455 USA
关键词
Physical activity; Exercise; Depressive symptoms; Postpartum depression; PERINATAL DEPRESSION; ASSOCIATION;
D O I
10.1016/j.mhpa.2024.100623
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background and aims: Physical activity interventions have been shown to prevent postpartum depression. However, few studies have targeted low income women who are at high risk for postpartum depression. Methods: This study examined the efficacy of a novel remote physical activity intervention designed to prevent perinatal depression (assessed at 36 weeks gestation and 12 week postpartum). Participants (n = 111) who were low income and pregnant (less than 20 weeks) were randomly assigned to either a six month intervention focusing on increasing physical activity and decreasing sedentary behavior (remote counseling sessions based on Self-Determination Theory) or usual care. All participants wore a Fitbit throughout the study to monitor their activity levels. The Edinburgh Postnatal Depression Scale and Perceived Stress Scale were administered at baseline, 36 weeks gestation, and 12 weeks postpartum. Results: There was no effect of the intervention on depressive symptoms or perceived stress at either of the timepoints. Secondary analysis indicated that lower levels of sedentary behavior, (1 = 0.256, p < 0.05, and higher levels of light activity at 8-12 weeks postpartum was related to lower perceived stress at 12 weeks postpartum, (1 = -0.284, p < 0.05. Conclusion: Even though there was no effect of the intervention on preventing depression and stress, it continues to be important for clinicians to discuss the importance of activity during the perinatal phase due to the many health benefits. There is some evidence that sedentary and physical activity behavior may be important for reducing stress levels, however, additional research is needed.
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页数:9
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共 39 条
  • [1] Prevalence and correlates of perinatal depression
    Al-abri, Khalood
    Edge, Dawn
    Armitage, Christopher J.
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2023, 58 (11) : 1581 - 1590
  • [2] SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE
    BANDURA, A
    [J]. PSYCHOLOGICAL REVIEW, 1977, 84 (02) : 191 - 215
  • [3] Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression - United States, 2018
    Bauman, Brenda L.
    Ko, Jean Y.
    Cox, Shanna
    D'Angelo, Denise, V
    Warner, Lee
    Folger, Suzanne
    Tevendale, Heather D.
    Coy, Kelsey C.
    Harrison, Leslie
    Barfield, Wanda D.
    [J]. MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2020, 69 (19): : 575 - 581
  • [4] Risk factors associated with postpartum depressive symptoms: A multinational study
    Bradshaw, Helen
    Riddle, Julia N.
    Salimgaraev, Rodion
    Zhaunova, Liudmila
    Payne, Jennifer L.
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2022, 301 : 345 - 351
  • [5] Interventions to Promote Healthy Eating, Physical Activity and Smoking in Low-Income Groups: a Systematic Review with Meta-Analysis of Behavior Change Techniques and Delivery/Context
    Bull, Eleanor R.
    McCleary, Nicola
    Li, Xinru
    Dombrowski, Stephan U.
    Dusseldorp, Elise
    Johnston, Marie
    [J]. INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 2018, 25 (06) : 605 - 616
  • [6] Evaluation of the revised physical activity readiness questionnaire in older adults
    Cardinal, BJ
    Esters, J
    Cardinal, MK
    [J]. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1996, 28 (04) : 468 - 472
  • [7] Trends of Perinatal Stress, Anxiety, and Depression and Their Prediction on Postpartum Depression
    Cheng, Ching-Yu
    Chou, Yu-Hua
    Chang, Chia-Hao
    Liou, Shwu-Ru
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (17)
  • [8] A GLOBAL MEASURE OF PERCEIVED STRESS
    COHEN, S
    KAMARCK, T
    MERMELSTEIN, R
    [J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1983, 24 (04) : 385 - 396
  • [9] DETECTION OF POSTNATAL DEPRESSION - DEVELOPMENT OF THE 10-ITEM EDINBURGH POSTNATAL DEPRESSION SCALE
    COX, JL
    HOLDEN, JM
    SAGOVSKY, R
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 1987, 150 : 782 - 786
  • [10] Associations Between Neighborhood Crime and Physical Activity Among Pregnant Women in South Carolina
    Day, Kelsey R.
    Wilcox, Sara
    Liu, Jihong
    Zahnd, Whitney E.
    [J]. PREVENTING CHRONIC DISEASE, 2023, 20