A pilot randomized controlled trial comparing prenatal yoga to perinatal health education for antenatal depression

Abstract

We conducted a pilot randomized controlled trial (RCT) comparing a prenatal yoga intervention to perinatal-focused health education in pregnant women with depression. Findings document acceptability and feasibility of the yoga intervention: no yoga-related injuries were observed, instructors showed fidelity to the yoga manual, and women rated interventions as acceptable. Although improvements in depression were not statistically different between groups, they favored yoga. This study provides support for a larger scale RCT examining prenatal yoga to improve mood during pregnancy.

This is a preview of subscription content, access via your institution.

References

  1. Battle CL, Uebelacker LA, Howard M, Castaneda M (2010) Prenatal yoga and depression during pregnancy. Birth 37(4):353–354. doi:10.1111/j.1523-536X.2010.00435_1.x

    Article  PubMed  Google Scholar 

  2. Battle CL, Uebelacker LA, Magee SR, Sutton KA, Miller IW (2015) Potential for prenatal yoga to serve as an intervention to treat depression during pregnancy. Womens Health Issues 25(2):134–141. doi:10.1016/j.whi.2014.12.003

    Article  PubMed  PubMed Central  Google Scholar 

  3. Byatt N, Moore-Simas T, Lundquist RS, Johnson JV, Ziedonis DM (2012) Strategies for improving perinatal depression treatment in North American outpatient obstetric settings. J Psychosom Obstet Gynecol 33(4):143–161

    Article  Google Scholar 

  4. Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale, NJ

    Google Scholar 

  5. Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786

    CAS  Article  PubMed  Google Scholar 

  6. Devilly GJ, Borkovec TD (2000) Psychometric properties of the Credibility/Expectancy Questionnaire. J Behav Ther Exp Psychiatry 31:73–86

    CAS  Article  PubMed  Google Scholar 

  7. Larsen DL, Attkisson CC, Hargreaves WA et al (1979) Assessment of client/patient satisfaction: development of a general scale. Eval Program Plan 2:197–207

    CAS  Article  Google Scholar 

  8. Leon AC, Davis LL, Kraemer HC (2011) The role and interpretation of pilot studies in clinical research. J Psychiatr Res 45(5):626–629. doi:10.1016/j.jpsychires.2010.10.008

    Article  PubMed  PubMed Central  Google Scholar 

  9. Rakhshani A, Nagarathna R, Mhaskar R, Mhaskar A, Thomas A, Gunasheela S (2012) The effects of yoga in prevention of pregnancy complications in high-risk pregnancies: a randomized controlled trial. Prev Med 55(4):333–340. doi:10.1016/j.ypmed.2012.07.020

    CAS  Article  PubMed  Google Scholar 

  10. Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, . . . Keller M (2003) The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): a psychometric evaluation in patients with chronic major depression. Biol Psychiatry. 54: 573–583

  11. Sheffield KM, Woods-Giscombe CL (2015) Efficacy, feasibility, and acceptability of perinatal yoga on women’s mental health and well-being: a systematic literature review. J Holistic Nursing, Advance online publication. doi 10.1177/0898010115577976

  12. Uebelacker LA, Epstein-Lubow G, Gaudiano BA, Tremont G, Battle CL, Miller IW (2010) Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and future directions for research. J Psychiatric Practice 16:22–33

    Article  PubMed  Google Scholar 

Download references

Funding

This study was supported by NIH/NIMH grant no. R34 MH085053.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Cynthia L. Battle.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Uebelacker, L.A., Battle, C.L., Sutton, K.A. et al. A pilot randomized controlled trial comparing prenatal yoga to perinatal health education for antenatal depression. Arch Womens Ment Health 19, 543–547 (2016). https://doi.org/10.1007/s00737-015-0571-7

Download citation

Keywords

  • Depression
  • Pregnancy
  • Yoga
  • Treatment
  • Clinical trial