Health, Functional Capacity and Welfare in Finland – FinHealth 2017 study. Exerc. doi: 10.3969/j.issn.1009-6493.2009.34.015. *Correspondence: katriina.i.hyvonen@jyu.fi, Front. The means and SD of the outcome measures, as well as the corrected between-group ES and the results from the Wald tests, are shown in Table 3 for the three measurement points. However, since type of intervention was a significant source of heterogeneity, we explored trials on DMT and trials on dance interventions in two separate groups. Figure 2. The mechanisms of change have been suggested to relate to participating in dance, which can be an art form as well as exercise, emphasizing one’s experience, sensation, presence, and expression through movement (Pylvänäinen et al., 2015; Karkou et al., 2019). DMT focuses on embodied experiences emerging through body movements, expressions, and interactions with the environment (Koch and Fischman, 2011). Efficacy of caregiver-mediated joint engagement intervention for young children with autism spectrum disorders. Researchers ought to employ assessment tools that are least sensitive to expectation effects (e.g., standardized tests, psychophysiological measurement). Furthermore, there are also specific group mechanisms of change. Fourteen studies had been excluded due to missing data or other reasons outlined in the Methods section, some of which may be possibly recovered for future analyses. And within-group ES of 0.5 was considered small, 0.8 medium, and 1.1 large (Roth and Fonagy, 1996). 10:936. doi: 10.3389/fpsyg.2019.00936, Koch, S. C., and Fischman, D. (2011). Dance movement therapy (DMT) is predicated on the belief that body movement reflects and affects psychological states. The present study examined the psychophysiological effects of dance movement therapy (DMT) and physical exercise for older adults with dementia. We grouped the dependent variables into six outcome clusters: quality of life (k = 20 trials), clinical outcomes (23 trials; sub-analysis: depression, anxiety), interpersonal skills (k = 9 trials), cognitive skills (k = 10 trials), (psycho-)motor skills (k = 10 trials), and residuals (k = 6 trials; physiological data, positive symptoms schizophrenia). doi: 10.1080/00207450590958574, Karkou, V., Aithal, S., Zubala, A., and Meekums, B. 11:1687. doi: 10.3389/fpsyg.2020.01687. Psychotherapy 50, 33–41. For this reason, we employed a random-effect model, which considers that not all studies measure the same effect. Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions. These findings for the ESs and RCI classifications suggest that the favorable changes observed in depression when the DMT was added to the TAU have clinical significance. Clin. ed L. Erlbaum (New York, NY: Taylor and Francis Inc, 79–80. Ther. (2015a,b) and Aithal and Karkou (2018), all outliers we mentioned in the “Analysis of outliers and publication bias” section were part of the dance intervention group. 6:24. doi: 10.3390/bs6040024, *Ho, R. T. H., Fong, T. C. T., Cheung, I. K. M., Yip, P. S. F., and Luk, M. Y. Hedges, L. V., and Olkin, I. doi: 10.1080/00207450590958574. Dance and Find Each Other:’ Effects of Dance/Movement Therapy on Negative Symptoms in Autism Spectrum Disorder,” Malin K. Hildebrandt, Sabine C. Koch, and Thomas Fuchs analyze the treatment of people with autism and schizophrenia in social interactions. The meta-analysis on DMT and dementia by Karkou and Meekums (2017) did not include any studies, because no trials met the inclusion criteria (i.e., randomized controlled trial led by dance movement therapist). Cohen, J. However, we should be aware that we lose specific information about discrete sorts of fruits and mostly create a starting point to generate useful hypotheses for future, more specific secondary analyses and primary trials. Because we wanted to get a broad picture, we also included studies with interventions named “body psychotherapy” or “movement integration.” We decided to classify an intervention as “DMT intervention” if a dance movement therapist conducted the session. The largest decline was observed in the study by Bräuninger (2012a,b). Dance Ther. 16, 47–53. We also analyzed weighted mean effect sizes according to outcome clusters separately for the two groups. All included trials are displayed in Table 1 in the results section and are marked with an “*” in the reference section. The assessment of (psycho-)motor skills was conducted in (mostly elderly) patients that were diagnosed with Parkinson's disease. Because mechanisms of DMT/BPT are not well-researched, and even less so mechanisms of Pilates, both the experimental group and the control group may have experienced similar working mechanisms, which may have caused the inconclusive results. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Effects of dance movement therapy and dance on health-related psychological outcomes: a meta-analysis. It is notable that there are participants who are particularly motivated to work through difficult personal issues in therapy groups that include the opportunity to engage in creative movement and reflection on embodied experiences. (2016) thus tried to implement a suitable active control group. Dance movement therapy for dementia. Finally, there is a general discussion on the issue of whether quantitative analyses are the appropriate means to evaluate the therapeutic use of dance. Complement. J. Psychiatry. Price, C., and Smith-DiJulio, K. (2016). We decided to include group as well as individual therapy sessions. A growing body of research suggests that DMT is an effective treatment for participants with depression. In their study, the reduction of the BDI-tested symptoms from the baseline to the post-treatment measurement was 11.17 points. We approached the methodological variety of primary trials with sensitivity analysis. The coordinating researchers responsible of the data collection used the SPSS program to randomly select 59 participants in the treatment and 59 participants in the control groups. Argentine tango dance compared to mindfulness meditation and a waiting-list control: a randomised trial for treating depression. The main finding of this study shows that for participants with depression, attending a DMT group, in addition to TAU, can reduce their depression symptoms, as well as other psychological and physical symptoms, more so than by receiving TAU only. The higher the GSI, the more symptoms the participant has. Does 12-week Latin dance training affect the self-confidence of the university students? 220, 553–557. Only one of these publications was a more general overview on the effects of DMT on depression, anxiety, and well-being. From the perspective of DMT though, with its present pronounced research on therapeutic mechanisms, Pilates is not a suited control group to DMT. Psychometric properties of the beck depression inventory: twenty-five years of evaluation. We would like to thank Simea Schönenberger, Friederike Klodwig, and Katrin Sachau for helping to extract data from the primary studies as part of their DMT student elective hours. All effects, except the one for (psycho-)motor skills, showed high inconsistency of results. The results indicate that DMT (in this context termed “medical DMT”; Goodill, 2005) and dance might improve physiological conditions (e.g., systolic and diastolic blood pressure, V02-peak, exercise capacity) and quality of life, but not beyond the effects of other exercise interventions. Cohen, J. This research now presents the detailed findings that have been referred to in the published meta-analysis. In this type of multicenter research, we cannot conclude to what extent the results reflect the structured group process and what changes can be attributed to the responsiveness of the therapists running the group (see Stiles, 2013). Observation rating scales yielded the largest effect sizes (d = 1.34, p < 0.001, I2 = 76.01%). By means of HLM with the full information maximum likelihood estimation method, we can use all of the available information and include all the participants who started the study in our analyses. 247, 73–78. Arts Psychother. Cochrane Database Syst. 8. ed J. D. Wright (Oxford: Elsevier, 344–350. 22, 192–204. Med. It is therefore possible that some non-respondents’ health may have deteriorated and they felt too burdened to participate. J. Cardiol. Dance movement therapy (DMT), a movement-based psychotherapy that incorporates exercise and artistic components, has demonstrated stress reduction effects. It is the assignment of secondary analyses with more narrow research questions (such as provided in Cochrane Reviews for single clinical populations) to gain sharp and more detailed knowledge about the effectiveness of DMT and dance interventions and the interdependency with contributing contextual factors. (2014). Effects of dance interventions on cardiovascular risk with ageing: systematic review and meta-analysis. Higgins, J. P., and Green, S. (2008). and its authentic expression, (c) non-verbal meaning-making (communication, emotion expression and regulation, social interaction), (d) enactive transitional space (experiencing activity, agency, self-efficacy, constructive resources, test-acting, enactment, rituals, and transformation), and (e) creation (generativity, productivity; see Koch, 2017). J. Psychol. Persons interested in taking part in the study contacted the researchers by phone or email to book a time for a screening interview conducted over the phone during the spring and summer of 2017. By guessing the goal of the research, participants try to comply with its assumed goal (Rosenthal, 1966). One important source of bias might be the “Rosenthal effect” or expectancy effect, which means that the expectations of the researcher are subtly communicated to the participants. Measuring inconsistency in meta-analyses. doi: 10.1016/S0197-4556(01)00098-3, Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J., et al. Grainge, M. (2015). It is also vitally relevant that, in DMT, it is possible to create involvement through moving in ways that are on the level of the participants’ physical capacity, current energy level, and motivation. doi: 10.1016/j.aip.2013.09.004, °Meyer DeMott, M. A., Jakobsen, M., Wentzel-Larsen, T., and Heir, T. (2017). Dance therapy in patients with chronic heart failure: a systematic review and a meta-analysis. Dance therapy and the public school: the development of social and emotional skills of high school students in Greece. (2019). If the interaction between group × time was statistically significant, the group differences were tested for the intervention period (pretreatment to posttreatment measurement) and follow-up period (posttreatment to follow-up measurement) separately. In our sample, only eight of the included trials reported follow-up data (mean period: 22 weeks). An Introduction to Dance Movement Therapy in Psychiatry. Effect sizes only in dance intervention studies. Ment. Nevertheless, it is assumed that (apart from publication bias) studies with a small sample size would not significantly bias the results of meta-analyses but contribute important information, for example, about heterogeneity and the effects in sub-groups (Higgins et al., 2003; Grainge, 2015). Front. They also found a positive effect for interpersonal competence (SMD = 0.45, CI = 0.07–0.83), but this effect was inconsistent across studies (I2 = 52%). More specifically, 69% (n = 75) of participants responded at three measurements, whereas 31% (n = 34) responded at one or two measurements. The randomized controlled trial at hand investigated the effects of a 10-week manualized dance and movement therapy intervention on negative symptoms in participants with autism spectrum disorder. Trials 51, 50–55. Embodied self in trauma and self-harm: effects of flamenco therapy on traumatized in-patients. The effect for physiological variables was large but heterogeneous; the effect for positive symptoms in schizophrenia reached significance on the p < 0.1 level and was also heterogeneous (see Table 3). Because of the scarcity or low quality of evidence-based research in the field of DMT, most secondary studies (particularly the high quality Cochrane reviews) included only a few studies (between one and three studies). Further details about the distribution of effect sizes across studies are described in the paragraphs below. Then, in a later meta-analysis (Cuijpers et al., 2010), group therapies were found to have an ES of 0.31. 26, 499–510. Assessment of Psychiatric Symptoms Using the SCL-90. Having conducted 78 tests, it is important to note that four results may have been randomly significant (expecting five randomly significant results out of 100 tests). doi: 10.1023/A:1022845708143, *Serrano-Guzmán, M., Valenza-Peña, C. M., Serrano-Guzmán, C., Aguilar-Ferrándiz, E., Valenza-Demet, G., and Villaverde-Gutiérrez, C. (2016). Dance/Movement Therapy. 2014:103297. doi: 10.1155/2014/103297, Bohlmeijer, E., Prenger, R., Taal, E., and Cuijpers, P. (2010). The CORE-OM is sensitive to change in symptoms and can therefore be used to assess the clinical effectiveness of therapy (Evans et al., 2002). Furthermore, it is possible that researchers tend to analyze, interpret, and report results in favor of positive effects, because of their own expectancies or potential conflicts of interest. Impact Factor 2.067 | CiteScore 3.2More on impact ›, The State of the Art in Creative Arts Therapies In this meta-analysis, we evaluated the effectiveness of dance movement therapy 1 (DMT) and the therapeutic use of dance for the treatment of health-related psychological problems. doi: 10.1016/0197-4556(96)00027-5, Rodrigues-Krause, J., Farinha, J. Meta-analyses have shown that DMT and the therapeutic use of dance can be effective with a range of disorders, including psychiatric symptoms, autism, eating disorders, and stress (Ritter and Low, 1996; Cruz and Sabers, 1998; Koch et al., 2014, 2019). °Burzynska, A. 37 To synthesize data, we decided to use calculations of effect sizes. The European Association Dance Movement Therapy5 has defined DMT as “the therapeutic use of movement to further the emotional, cognitive, physical, spiritual, and social integration of the individual.” Dancing is considered central to DMT and is seen as body movement, creative expression, and communication. These previous reviews and studies confirm the benefits of DMT in relation to psychiatric symptoms as well as positive indicators of well-being, such as quality of life (Bräuninger, 2012) and vitality (Koch et al., 2007). The core of dance movement psychotherapy experience,” in Essentials of Dance Movement Psychotherapy. Loss Trauma 24, 441–459. doi: 10.1177/1049732315589920. Differences between these groups in age, use of antidepressant medication, and previous depression episodes as well as outcome measures (BDI, CORE-OM, and SCL-90) at pretreatment measurement were analyzed with independent t-tests and chi-square tests. *Lee, H.-J., Jang, S.-H., Lee, S.-Y., and Hwang, K.-S. (2015). Social dancing: a way to support intellectual, emotional and motor functions in persons with dementia. View all 3rd Edn. This article is based on a research project funded by the Social Insurance Institution of Finland. Beelmann, A., and Heinrichs, N. (2015). Arts Psychother. Sackett, D. L., Straus, S. E., Richardson, S. W., Rosenberg, W., and Haynes, B. R. (2000). (2013), and Cruz-Ferreira et al. At the present state of professionalization, next to the development of knowledge on mechanisms of DMT (Koch, 2017), and of arts-based research methods (Hervey, 2000; Leavy, 2017), the implementation of evidence-based research is crucial for the survival, recognition, and thriving of the clinical field of DMT (see, e.g., Wengrower and Chaiklin, 2008; Bräuninger, 2012a,b; Dunphy et al., 2019) in the worldwide healthcare systems. Am. Treatment programs in hospital units, day hospitals, and outpatient psychiatric clinics may provide some physical activity options and, sometimes, also creative arts therapies, such as art therapy, music therapy, and DMT. Because a decrease of these mental abilities is a typical issue in elderly persons, most primary studies focus on this population. 90028-Z, Meekums, B. R. ( 2018 ) to in the treatment control... 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