The Effect of an Exercise Program in Reducing the Severity of Postpartum Depression in Women

NCT04043533 | Completed

• 1 other identifier: AdıyamanUniversty
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: This study aims to identify the effectiveness of an exercise program in reducing the severity of postnatal depression in women who had a spontaneous vaginal delivery. Methods: This randomized control trial was conducted with 65 postpartum women residing in a city located in the south-eastern Turkey. In the first postpartum month, following random assignment of subjects, the experimental group (n=40) performed exercises for four weeks, and the control group (n=40) received standard cares. The participating women were administered the Edinburgh Postpartum Depression Scale.

Conditions

Depression, Postpartum

Outcome Measures

Primary Outcomes (1)

• Effect of exercise

  questionnaire and scale, Edinburgh Postpartum Depression Scale (EPDS) The screening scale, developed by Cox et al. (1987), aimed to identify depression risk in women in the postpartum period. It's a self-report scale that is composed of 10 items aiming to measure the individual's psychological state within the past 7 days. Each item is rated on a four-point Likert scale between 0 and 3 ("Yes, all the time", "Yes, most of the time", "No, not very often", and "No, not at all". Total score ranges between 0 and 30. Higher scores indicate the severity of depression. Aydin et al. (2004) performed the reliability and validity of the scale and identified the cut-off point for Turkish women as 12.5

  4 week

Study Arms (2)

Exercises Group

EXPERIMENTAL

Behavioral: Exercises

Control Group

NO INTERVENTION

Interventions

Exercises BEHAVIORAL

The women in the experimental group were given information about the benefits of exercises done in the postpartum period, the time to start these exercises, and the exercises to be conducted in three different phases (mild, medium, severe). The first physical exercise practice was done in the FHC together. In line with the recommendations by ACOG (2015), the women were told to do mild and medium level exercises in the first two weeks, at least five days in a week and at least half an hour daily (ACOG, 2015). They were also told that they should do medium and severe level exercises in the following two weeks. They were asked to mark on the form what time, how long, and at what level they did the exercises every day. The education booklet that included this information and the visuals of the exercises were given to the women in the experimental group. In addition, the women were called once a week in order to check whether the training was applied.

Exercises Group

Eligibility Criteria

• Age: 19 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• must be score of 13 and over in the Edinburgh Postpartum Depression Scale (EPDS),
• must being between 19 and 40 years old,
• must had a spontaneous vaginal delivery between the 38th and 42nd weeks of pregnancy,
• must had a healthy newborn baby with 2500 gr and over

You may not qualify if:

• postpartum obstetric complications
• psychiatric disease history before or during pregnancy

Sponsors & Collaborators

• Didem Kucukkelepce: lead

Study Sites (1)

Didem Şimşek Küçükkelepçe

Adi̇yaman, 02100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Depression, Postpartum

Interventions

Exercise

Condition Hierarchy (Ancestors)

Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Didem Kucukkelepce

Model Details: Randomized controlled trial with a prospective pretest-posttest experimental design.

Study Record Dates

• First Submitted: July 29, 2019
• First Posted: August 2, 2019
• Study Start: September 1, 2017
• Primary Completion: February 15, 2018
• Study Completion: June 15, 2018
• Last Updated: August 2, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)