Dance therapy group effects on stress management & stress reduction

Dance movement therapy group intervention in stress treatment: A randomized controlled trial (RCT). 2012. Iris Bräuninger. The Arts in Psychotherapy Volume 39, Issue 5, November 2012, Pages 443–450.

Abstract
“This randomized controlled trial compares the effect of a dance movement therapy (DMT) group intervention on stress management improvement and stress reduction with a wait-listed control group (WG). 162 self-selected clients suffering from stress were randomly assigned to a WG or a DMT intervention that received 10 group therapy sessions. Stress management [Stressverarbeitungsfragebogen/SVF 120], psychopathology and overall distress (Brief Symptom Inventory/BSI) were evaluated at baseline (t1: pre-test), immediately after completion of the ten sessions DMT group intervention (t2: post-test), and 6 months after the DMT treatment (t3: follow-up test). Analysis of variance was calculated to evaluate the between-group (time × condition) and within-group (time) effect of the DMT intervention. Negative stress management strategies decreased significantly in the short-term at t2 (p < .005) and long-term at t3 (p < .05), Positive Strategy Distraction improved significantly in the short-term (p < .10), as well as Relaxation (p < .10). Significant short-term improvements were observed in the BSI psychological distress scales Obsessive-Compulsive (p < .05), Interpersonal Sensitivity (p < .10), Depression (p < .05), Anxiety (p < .005), Phobic Anxiety (p < .01), Psychoticism (p < .05), and in Positive Symptom Distress (p < .02). Significant long-term improvement in psychological distress through DMT existed in Interpersonal Sensitivity (p < .05), Depression (p < .000), Phobic Anxiety (p < .05), Paranoid Thinking (p < .005), Psychoticism (p < .05), and Global Severity Index (p < .01). Results indicate that DMT group treatment is more effective to improve stress management and reduce psychological distress than non-treatment. DMT effects last over time.”

“Keywords: Dance movement therapy (DMT) research; Stress management and stress reduction; Randomized controlled trial (RCT); Treatment effectiveness; Group therapy”

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Meta-analysis: Effects of dance movement therapy & dance on health-related psychological outcomes

Effects of Dance Movement Therapy and Dance on Health-Related Psychological Outcomes: A Meta-Analysis. 2014. Sabine Koch, Teresa Kunz, Sissy Lykou, & Robyn Cruz. The Arts in Psychotherapy Volume 41, Issue 1, February 2014, Pages 46-64. *Article does not have free open access.

 

Abstract: “In this meta-analysis, we evaluated the effectiveness of dance movement therapy1 (DMT) and the therapeutic use of dance for the treatment of health-related psychological problems. Research in the field of DMT is growing, and 17 years have passed since the last and only general meta-analysis on DMT (Ritter & Low, 1996) was conducted. This study examines the current state of knowledge regarding the effectiveness of DMT and dance from 23 primary trials (N = 1078) on the variables of quality of life, body image, well-being, and clinical outcomes, with sub-analysis of depression, anxiety, and interpersonal competence. Results suggest that DMT and dance are effective for increasing quality of life and decreasing clinical symptoms such as depression and anxiety. Positive effects were also found on the increase of subjective well-being, positive mood, affect, and body image. Effects for interpersonal competence were encouraging, but due to the heterogenity of the data remained inconclusive. Methodological shortcomings of many primary studies limit these encouraging results and, therefore, further investigations to strengthen and expand upon evidence-based research in DMT are necessary. Implications of the findings for health care, research, and practice are discussed.”

“1: This term includes the practice of dance movement psychotherapy (UK) and dance/movement therapy (USA).”

 

“Keywords: Dance movement therapy; Therapeutic use of dance; Meta-analysis; Review of evidence-based research; Randomized controlled trials; Integrative medicine.”

Physical and psychological benefits of dance

The Value of Arts and Culture to People and Society: an evidence review. Arts Council England. (2014).

The report references other reports, including:

• Keep Dancing: The health and well-being benefits of dance for older people, BUPA, 2011.
• What do we know about the role of arts in the delivery of social care?, Consilium, 2013, Skills for Care.
• Dancing toward well-being in the Third Age: Literature review on the impacts of dance on health and well-being among older adults, Trinity Laban Conservatoire of Music and Dance, 2011.

“The [Consilium] report (2013) concluded that the use of art, when delivered effectively, has the power to both facilitate social interaction and enable those in receipt of social care to pursue creative interests. The review highlights the benefits of dance for reducing loneliness and alleviating depression and anxiety among people in social care environments. Dance has the ability to promote creativity and social integration and allow nonverbal stimulation and communication. The review evidence demonstrates the considerable physical and psychological benefits of using arts with people in receipt of social care.” (page 26)

“In 2011 BUPA published the Keep Dancing report which highlighted a number of issues relating to old people and exercise, and identified the key benefits of dance. Trinity Laban Conservatoire of Music and Dance (TLCMD) published a literature review on the impact of dance on health and wellbeing in older people, also in 2011, called Dancing towards wellbeing in the Third Age.

“TLCMD’s literature review (2011) makes a distinction between dance therapy (a psychotherapeutic activity focusing more on therapeutic than artistic outcomes) and dance interventions and focuses on studies looking at dance interventions. They acknowledge that this boundary is sometimes blurred and included some therapy-weighted studies that are relevant to a dance and health research context.

“The reports from BUPA and TLCMD shared key findings relating to the physical and psychological benefits of dance. Many featured studies focused on activities that were specific to particular conditions such as arthritis, Parkinson’s, dementia and depression. The benefits of dance in relation to the prevention of falls were also evidenced (BUPA, 2011). Alongside evidenced benefits related to particular conditions, overall physical improvements include increased cardio vascular, strength and flexibility and improved balance and gait. These physical benefits vary depending on the individual participant and style of dance undertaken.

“Evidenced psychological benefits include quicker reaction times and cognitive performance”… “The physical benefits when contrasted with sports or other exercises are bolstered by the social and creative aspects which can enhance overall wellbeing. Dance activities create a sense of community and can help counter feelings of isolation. ” (page 29)

“Dance is a key component of many cultures and traditional dance activities can present a more relevant choice of activity for individuals in particular communities. Both reports reference pieces of research that highlight the value of culturally specific dance.” (page 30)

Effects of dance-movement therapy: meta-analysis

Effects of Dance/Movement Therapy: A Meta-Analysis. Meredith Ritter, BA, Kathryn Graff Low, PhD. (1996). The Arts in Psychotherapy Volume 23, Issue 3, 1996, Pages 249–260. *There is not free public access.

“The present study addresses methodological problems that have affected the DMT [dance/movement therapy] literature and evaluates quantitative studies of DMT using meta-analytic techniques. […] The purpose of the present study was to calculate standardized effect sizes for case-control studies of dance/movement therapy and to produce summary statistics reflecting the average change associated with DMT compared to controls. The study also examined the effectiveness of DMT in different samples (e.g. children, psychiatric patients, elderly) and for varying diagnoses (anxiety disorders, schizophrenia, developmental disabilities) using meta-analysis.”