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Effects of Dance Movement Therapy and Dance on Health-Related Psychological Outcomes. A Meta-Analysis Update

机译:舞蹈运动疗法和舞蹈对健康相关心理结果的影响。荟萃分析更新

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摘要

Background: Dance is an embodied activity and, when applied therapeutically, can have several specific and unspecific health benefits. In this meta-analysis, we evaluated the effectiveness of dance movement therapy(DMT) and dance interventions for psychological health outcomes. Research in this area grew considerably from 1.3 detected studies/year in 1996–2012 to 6.8 detected studies/year in 2012–2018.Method: We synthesized 41 controlled intervention studies (N = 2,374; from 01/2012 to 03/2018), 21 from DMT, and 20 from dance, investigating the outcome clusters of quality of life, clinical outcomes (with sub-analyses of depression and anxiety), interpersonal skills, cognitive skills, and (psycho-)motor skills. We included recent randomized controlled trials (RCTs) in areas such as depression, anxiety, schizophrenia, autism, elderly patients, oncology, neurology, chronic heart failure, and cardiovascular disease, including follow-up data in eight studies.Results: Analyses yielded a medium overall effect (d = 0.60), with high heterogeneity of results (I2 = 72.62%). Sorted by outcome clusters, the effects were medium to large (d = 0.53 to d = 0.85). All effects, except the one for (psycho-)motor skills, showed high inconsistency of results. Sensitivity analyses revealed that type of intervention (DMT or dance) was a significant moderator of results. In the DMT cluster, the overall medium effect was small, significant, and homogeneous/consistent (d = 0.30, p < 0.001, I2 = 3.47). In the dance intervention cluster, the overall medium effect was large, significant, yet heterogeneous/non-consistent (d = 0.81, p < 0.001, I2 = 77.96). Results suggest that DMT decreases depression and anxiety and increases quality of life and interpersonal and cognitive skills, whereas dance interventions increase (psycho-)motor skills. Larger effect sizes resulted from observational measures, possibly indicating bias. Follow-up data showed that on 22 weeks after the intervention, most effects remained stable or slightly increased.Discussion: Consistent effects of DMT coincide with findings from former meta-analyses. Most dance intervention studies came from preventive contexts and most DMT studies came from institutional healthcare contexts with more severely impaired clinical patients, where we found smaller effects, yet with higher clinical relevance. Methodological shortcomings of many included studies and heterogeneity of outcome measures limit results. Initial findings on long-term effects are promising.
机译:背景:舞蹈是一种具体的活动,当用于治疗时,可以带来一些特定的和非特定的健康益处。在这项荟萃分析中,我们评估了舞蹈运动疗法 (DMT)和舞蹈干预对心理健康结局的有效性。该领域的研究从1996-2012年的每年1.3个检测到的研究到2012-2018年的6.8个检测到的增长。方法:我们合成了41项对照干预研究(N = 2,374;从01 / 2012年至03/2018),DMT的21名,舞蹈的20名,研究了生活质量,临床结果(包括抑郁和焦虑症的子分析),人际交往能力,认知能力和(心理)运动的结果簇技能。我们在八项研究中纳入了近期的随机对照试验(RCT),包括抑郁症,焦虑症,精神分裂症,自闭症,老年患者,肿瘤学,神经病学,慢性心力衰竭和心血管疾病等领域。结果: 分析得出中等的总体效果(d = 0.60),结果的异质性很高(I 2 = 72.62%)。按结果簇分类,影响为中到大(d = 0.53至d = 0.85)。除了(心理)运动技能方面的效果外,所有效果均显示出高度的不一致。敏感性分析表明,干预类型(DMT或舞蹈)是结果的重要调节剂。在DMT集群中,总体媒介效应较小,显着且均匀/一致(d = 0.30,p <0.001,I 2 = 3.47)。在舞蹈干预集群中,总体媒介效果是大的,显着的,但异质性/不一致(d = 0.81,p <0.001,I 2 = 77.96)。结果表明,DMT可以减少抑郁和焦虑,并提高生活质量以及人际关系和认知技能,而舞蹈干预则可以提高(心理)运动技能。较大的效应量来自观察措施,可能表明存在偏差。随访数据显示,干预后22周,大多数效果保持稳定或略有增加。讨论:DMT的一致效果与以前的荟萃分析结果一致。大多数舞蹈干预研究来自预防性背景,而大多数DMT研究来自机构医疗背景,其中临床患者的病情更为严重,我们发现效果较小,但具有较高的临床相关性。许多纳入研究的方法学缺陷以及结局指标的异质性限制了结局。关于长期影响的初步发现很有希望。

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