“…There is an urgent need for adjunctive/alternative treatments for chronic depressive symptoms in pregnancy, particularly those which target prevention of relapse/ recurrence [36,37,42].Considerable literature supports PA as a therapeutic modality for depressive and related symptoms [43,44].Results from a Cochrane review and other meta-analyses suggest that PA has effects on depressive symptom management comparable to antidepressant medications and cognitive behavioral therapy [45,46]. However, individuals with depressive symptoms have reduced self-regulation and self-efficacy related to PA and report great difficulty following-through with PA behaviors [47,48].…”