Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress

Abstract Background Approximately 13–19% of postpartum women experience postpartum depression and a majority report at least some stress during the postpartum phase. Traditional interventions such as psychotherapy and antidepressant medications are often not feasible or desirable. The purpose of thi...

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Autores principales:	Beth A. Lewis, Katie Schuver, Shira Dunsiger, Lauren Samson, Amanda L. Frayeh, Carrie A. Terrell, Joseph T. Ciccolo, John Fischer, Melissa D. Avery
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Depression Stress Exercise Postpartum depression Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/481dc4d40c0e4170bafb61264423f7e9
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spelling	oai:doaj.org-article:481dc4d40c0e4170bafb61264423f7e92021-11-28T12:29:49ZRandomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress10.1186/s12884-021-04257-81471-2393https://doaj.org/article/481dc4d40c0e4170bafb61264423f7e92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04257-8https://doaj.org/toc/1471-2393Abstract Background Approximately 13–19% of postpartum women experience postpartum depression and a majority report at least some stress during the postpartum phase. Traditional interventions such as psychotherapy and antidepressant medications are often not feasible or desirable. The purpose of this study was to examine two low cost, brief, accessible interventions designed to prevent postpartum depression and perceived stress among women at high risk. Methods Participants (n = 450) who were on average four weeks postpartum, had a history of depression before pregnancy, and exercised less than 60 min per week were randomly assigned to one of the following three conditions: (1) 6-month telephone-based exercise intervention; (2) 6-month telephone-based wellness/support intervention (e.g., healthy eating, sleep, and perceived stress); or (3) usual care. Results Overall, 2.4% of participants met criteria for depression at 6 months and 3.6% at 9 months with no differences between groups. At 6 months following randomization, median symptoms of depression were significantly lower among wellness participants compared to usual care participants (b = − 1.00, SE = 0.46, p = .03). Perceived stress at 6 months post-randomization was significantly lower among exercise vs. usual care participants (b = − 2.00, SE = .98, p = .04) and exercise vs. wellness participants (b = − 2.20, SE = 1.11, p = .04). Conclusions The wellness intervention was efficacious for preventing symptoms of depression; however, postpartum depression that met the diagnostic criteria was surprisingly low in all conditions among this at risk sample of postpartum women. Exercise interventions may have a protective effect on perceived stress among women at risk for postpartum depression. Practitioners should consider integrating exercise and wellness interventions into postpartum care. Trial registration Clinical Trials Number: NCT01883479 (06/21/2013).Beth A. LewisKatie SchuverShira DunsigerLauren SamsonAmanda L. FrayehCarrie A. TerrellJoseph T. CiccoloJohn FischerMelissa D. AveryBMCarticleDepressionStressExercisePostpartum depressionGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Depression Stress Exercise Postpartum depression Gynecology and obstetrics RG1-991
spellingShingle	Depression Stress Exercise Postpartum depression Gynecology and obstetrics RG1-991 Beth A. Lewis Katie Schuver Shira Dunsiger Lauren Samson Amanda L. Frayeh Carrie A. Terrell Joseph T. Ciccolo John Fischer Melissa D. Avery Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
description	Abstract Background Approximately 13–19% of postpartum women experience postpartum depression and a majority report at least some stress during the postpartum phase. Traditional interventions such as psychotherapy and antidepressant medications are often not feasible or desirable. The purpose of this study was to examine two low cost, brief, accessible interventions designed to prevent postpartum depression and perceived stress among women at high risk. Methods Participants (n = 450) who were on average four weeks postpartum, had a history of depression before pregnancy, and exercised less than 60 min per week were randomly assigned to one of the following three conditions: (1) 6-month telephone-based exercise intervention; (2) 6-month telephone-based wellness/support intervention (e.g., healthy eating, sleep, and perceived stress); or (3) usual care. Results Overall, 2.4% of participants met criteria for depression at 6 months and 3.6% at 9 months with no differences between groups. At 6 months following randomization, median symptoms of depression were significantly lower among wellness participants compared to usual care participants (b = − 1.00, SE = 0.46, p = .03). Perceived stress at 6 months post-randomization was significantly lower among exercise vs. usual care participants (b = − 2.00, SE = .98, p = .04) and exercise vs. wellness participants (b = − 2.20, SE = 1.11, p = .04). Conclusions The wellness intervention was efficacious for preventing symptoms of depression; however, postpartum depression that met the diagnostic criteria was surprisingly low in all conditions among this at risk sample of postpartum women. Exercise interventions may have a protective effect on perceived stress among women at risk for postpartum depression. Practitioners should consider integrating exercise and wellness interventions into postpartum care. Trial registration Clinical Trials Number: NCT01883479 (06/21/2013).
format	article
author	Beth A. Lewis Katie Schuver Shira Dunsiger Lauren Samson Amanda L. Frayeh Carrie A. Terrell Joseph T. Ciccolo John Fischer Melissa D. Avery
author_facet	Beth A. Lewis Katie Schuver Shira Dunsiger Lauren Samson Amanda L. Frayeh Carrie A. Terrell Joseph T. Ciccolo John Fischer Melissa D. Avery
author_sort	Beth A. Lewis
title	Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
title_short	Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
title_full	Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
title_fullStr	Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
title_full_unstemmed	Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
title_sort	randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress
publisher	BMC
publishDate	2021
url	https://doaj.org/article/481dc4d40c0e4170bafb61264423f7e9
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Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress

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