Abstract：
BACKGROUND: Physical activity is recommended as a self-help strategy for some mild to moderate perinatal mental illnesses. Despite this, we know very little about how women remain active, or take up physical activity, in the context of changing family life and perinatal mental illness. We seek to explore: a) how women negotiate physical activity for their mental health during transitions into parenthood and the early years; and b) the experiences of women with perinatal mental illness in relation to physical activity.
METHODS: An anonymous UK-wide qualitative online survey was used to better understand how physical activity may be used for perinatal mental health, barriers to activity and changes over time. 186 women with babies and children up to four years completed the survey. Reflexive thematic analysis was used to analyse the qualitative data and generate themes.
RESULTS: Themes generated from this data were: 1) negotiating being active for perinatal mental health (the benefits and how these women remained active); 2) barriers to PA associated with mental illness (some women were active but still experienced general barriers to further PA, and there were several emotional barriers from mental illness); and 3) PA, guilt and the importance of valuing walking (guilt about not being active enough, guilt and feelings of failure exacerbated by questions about PA levels without support offered; regular walking not valued as PA exacerbating feelings of guilt).
CONCLUSIONS: This study provides new empirical data on the experiences of new mothers\', physical activity and mental health with important implications for physical activity messaging and support for women during this time through maternity care. Individualised conversations are important and the value of walking and incidental activity from activities that mothers and families find enjoyable should be promoted.
METHODS: An anonymous UK-wide qualitative online survey was used to better understand how physical activity may be used for perinatal mental health, barriers to activity and changes over time. 186 women with babies and children up to four years completed the survey. Reflexive thematic analysis was used to analyse the qualitative data and generate themes.
RESULTS: Themes generated from this data were: 1) negotiating being active for perinatal mental health (the benefits and how these women remained active); 2) barriers to PA associated with mental illness (some women were active but still experienced general barriers to further PA, and there were several emotional barriers from mental illness); and 3) PA, guilt and the importance of valuing walking (guilt about not being active enough, guilt and feelings of failure exacerbated by questions about PA levels without support offered; regular walking not valued as PA exacerbating feelings of guilt).
CONCLUSIONS: This study provides new empirical data on the experiences of new mothers\', physical activity and mental health with important implications for physical activity messaging and support for women during this time through maternity care. Individualised conversations are important and the value of walking and incidental activity from activities that mothers and families find enjoyable should be promoted.
摘要：
背景：建议将体力活动作为一些轻度至中度围产期精神疾病的自助策略。尽管如此,我们对女性如何保持活跃知之甚少，或者进行体力活动，在不断变化的家庭生活和围产期精神疾病的背景下。我们寻求探索：a）妇女在过渡到父母身份和早年期间如何为自己的心理健康协商体育活动；b）患有围产期精神疾病的妇女与体育活动有关的经验。
方法：在英国范围内进行了一项匿名的定性在线调查，以更好地了解体育锻炼如何用于围产期心理健康，活动的障碍和随时间的变化。186名有婴儿和4岁以下儿童的妇女完成了调查。使用自反性主题分析来分析定性数据并生成主题。
结果：从这些数据中产生的主题是：1）谈判为围产期心理健康而活跃（益处以及这些妇女如何保持活跃）；2）与精神疾病相关的PA障碍（一些妇女活跃，但仍然经历了进一步PA的一般障碍，并且有一些来自精神疾病的情感障碍)；和3)PA，内疚和重视走路的重要性(内疚是因为不够活跃，在没有提供支持的情况下，有关PA水平的问题加剧了内and和失败感；定期行走不被重视为PA会加剧内and感）。
结论：这项研究提供了有关新妈妈经历的新经验数据，身体活动和心理健康，这段时间通过产妇护理对身体活动信息和对妇女的支持具有重要意义。个性化对话很重要，应该促进母亲和家庭感到愉快的活动中步行和偶然活动的价值。
方法：在英国范围内进行了一项匿名的定性在线调查，以更好地了解体育锻炼如何用于围产期心理健康，活动的障碍和随时间的变化。186名有婴儿和4岁以下儿童的妇女完成了调查。使用自反性主题分析来分析定性数据并生成主题。
结果：从这些数据中产生的主题是：1）谈判为围产期心理健康而活跃（益处以及这些妇女如何保持活跃）；2）与精神疾病相关的PA障碍（一些妇女活跃，但仍然经历了进一步PA的一般障碍，并且有一些来自精神疾病的情感障碍)；和3)PA，内疚和重视走路的重要性(内疚是因为不够活跃，在没有提供支持的情况下，有关PA水平的问题加剧了内and和失败感；定期行走不被重视为PA会加剧内and感）。
结论：这项研究提供了有关新妈妈经历的新经验数据，身体活动和心理健康，这段时间通过产妇护理对身体活动信息和对妇女的支持具有重要意义。个性化对话很重要，应该促进母亲和家庭感到愉快的活动中步行和偶然活动的价值。
