the effectiveness of exercise as a treatment for postnatal depression study protocol锻炼作为一种治疗产后抑郁症的有效性研究协议.pdfVIP

Daley et al. BMC Pregnancy and Childbirth 2012, 12:45 /1471-2393/12/45 STUDY PROTOCOL Open Access The effectiveness of exercise as a treatment for postnatal depression: study protocol 1,6* 2 3 3 1 1 Amanda J Daley , Kate Jolly , Debbie J Sharp , Katrina M Turner , Ruth V Blamey , Sarah Coleman , 4 1 5 2 Mary McGuinness , Andrea K Roalfe , Ian Jones and Christine MacArthur Abstract Background: Postnatal depression can have a substantial impact on the woman, the child and family as a whole. Thus, there is a need to examine different ways of helping women experiencing postnatal depression; encouraging them to exercise may be one way. A meta analysis found some support for exercise as an adjunctive treatment for postnatal depression but the methodological inadequacy of the few small studies included means that it is uncertain whether exercise reduces symptoms of postnatal depression. We aim to determine whether a pragmatic exercise intervention that involves one-to-one personalised exercise consultations and telephone support plus usual care in women with postnatal depression, is superior to usual care only, in reducing symptoms of postnatal depression. Methods: We aim to recruit 208 women with postnatal depression in the West Midlands. Recently delivered women who meet the ICD-10 diagnosis for depression will be randomised to usual care plus exercise or usual care only. The exercise intervention will be delivered over 6 months. The primary outcome measure is difference in mean Edinburgh Postnatal Depression Scale score between the groups at six month follow-up. Outcome measures will be assessed a