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negative psychological effects of dance

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negative psychological effects of dance

negative psychological effects of dance

Evid. People, who dance, smile more often and find joy even in everyday activities. Effects of dance movement therapy on selected cardiovascular parameters and estimated maximum oxygen consumption in hypertensive patients. (2014). 8) Emotional Reasoning: Using your emotions to define what is real and what is not. Z., Jiao, Y., Knecht, A. M., Fanning, J., Awick, E. A., Chen, T., et al. While complete blinding is not possible in therapy studies (and should thus not be part of the quality assessment of therapeutic trials to add this critique here), blinding of the randomization process and the accessor should be standard. Both interventions, DMT/BPT and Pilates, employ methods that are suited to increase body awareness. The psychological effects of video games. *Campion, M., and Levita, L. (2014). There is a growing number of artists offering dance interventions in clinical and subclinical contexts (see Martin et al., 2018). Clin. The remaining studies stemmed from Malaysia, India, and Nigeria. In the study by Abraham et al. 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). Available online at: https://mason.gmu.edu/%7Edwilsonb/ma.html [accessed January 4, 2019]. Method effects and the meaning of measurement. Dancing is the source of joys and it keeps people happy, irrespective of the situations they encounter. Rehabilitation, exercise therapy and music in patients with Parkinson's disease: a meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. (McNiff, 1993; Barba et al., 1995; Hervey, 2000; Levine and Land, 2016). Dance as a form of depression reduction. While we know very little about the mechanisms of BPT and DMT, we know even less about the mechanisms of Pilates and other body practices. Furthermore, lower-risk studies yielded smaller effect sizes than higher-risk studies and were more homogeneous. (2014), Kiepe et al. Nevertheless, the fact that the gradient parameter did not reach significance does not mean that there is no publication bias at all. (2019). doi: 10.2147/JPRLS.S40042. Sure, it can create incredible discipline and inner strength. Further research is needed that expands on the evidence of effects of DMT and dance interventions on health-related psychological outcomes. San Diego, CA: Academic Press. Study characteristics chart of the included studies. And while the health effects may be worse for older adults, the psychological impact of the pandemic has hit young people especially hard. In schizophrenia, we distinguish positive symptoms (an overabundance of perceptions compared to average, e.g., hallucinations) from negative symptoms (a void or lack of perception and expression compared to average, e.g., apathy, mood, and blunted affect). The joy dance: specific effects of a single dance intervention on psychiatric patients with depression. As we assessed dropout rates (see section above), we can state that about 42% of the studies are in danger for this domain of risk of bias. 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. doi: 10.1016/j.cct.2016.10.001, *Volpe, D., Signorini, M., Marchetto, A., Lynch, T., and Morris, M. E. (2013). The Beginning, the Progression, and The Illnesses That Can Occur. The spectrum of research options in dance/movement therapy. (Grawe et al., 1994; Wampold, 2015; Wampold and Irmel, 2015). Last medically reviewed on July 20, 2015. Neurorehabilitation 40, 141–144. Borg (1993) stated that the dilemma of scientific (positivistic) research in behavioral sciences is that it applies traditional concepts of physical science to the study of living organisms, although living organisms are far more complex than physical objects of study. Additionally, seven interventions were conducted by exercise instructors with other backgrounds (physical education, physiotherapy, nursing). 47, 445–456. If/when you leave dance, consider a career in mental health if it interests you. They were followed by physiological data (d = 0.71, p = 0.001, I2 = n.s. Rosenthal, R. (1966). The effect for motor skills was significant and consistent in the dance intervention group; in the DMT group, it was not significant (k = 2 trials). This argument is underlined by a vivid discussion on the ecological validity of studies reducing complex processes, such as an aesthetic experience or the impact of art perception and production on health, into its single components (see e.g., Christensen and Jola, 2015). 4 psychological effects of clutter, according to research are: Stress and increased cortisol levels that can become long-term. An exploratory randomized controlled trial of body psychotherapy for patients with chronic depression. 4, 17–25. 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. We also found studies that yielded no improvements in quality of life and motor function (e.g., freezing of gait). doi: 10.1136/bmjopen-2016-015157, Jeong, Y. J., Hong, S. C., Myeong, S. L., Park, M. C., Kim, Y. K., and Suh, C. M. (2005). Korean J. Phys. Additionally, in 12.2% of the trials, no baseline characteristics were checked. Der Einfluss von Eigenbewegung auf Affekt, Einstellung und Kognition. We located a number of high-quality primary studies that we were not able to include due to the defined criteria. The sooner an individual receives treatment, the less likely there will be lasting negative effects. A., and Rochester, L. (2013). From Level IV to Level III and from Level III to Level II effect sizes within studies were synthesized. doi: 10.1016/j.aip.2017.11.003. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). We conducted sensitivity analysis with the following categorical moderators: country, publication status, higher vs. lower risk of bias, age range, clinical vs. non-clinical sample, diagnosis, DMT vs. dance intervention, qualification of implementing person, quality of intervention description, one-session vs. process, randomization, dropout rates, type of control group activity, and measurement type. We also analyzed whether the intensity of treatment had an influence on effect sizes. data-unit="dance_magazine/dm_desktop_medrec" Generally, non-verbal methods employing DMT or dance may detect changes in psychological outcomes that are not necessarily accessible with traditional methods and thus create innovative knowledge. In order to identify which study characteristics contributed most to dissimilarities of results, we conducted a sensitivity analysis. The American Dance Therapy Association (ADTA) defines it as “the psychotherapeutic use of movement to promote emotional, social, cognitive, and physical integration of the individual, for the purpose of improving health and well-being” (ADTA, 2018); the European Association Dance Movement Therapy adds the “spiritual integration” to this list (EADMT, 2018). (2016b). Finally, we were able to include a total of 41 studies into the analysis (see Figure 1). The meta-analysis included studies with large and very small sample sizes (N: Mean = 57.90, SD = 49.61, Min = 11, Max = 275). The weighted mean effects sorted by constructs (outcome clusters) are summarized in the chart below. 15, 582–587. Physical and psychological benefits of a 24-week traditional dance program in breast cancer survivors. Hedges, L. V., and Olkin, I. Experimenter Effects in Behavioral Research. Results suggested that DMT and dance interventions improve anxiety levels [post-value comparison of standard mean differences (SMD; for a list of statistics and symbol abbreviation, see Appendix A), taking into account the confidence interval (CI): SMD = 0.44, CI = 0.15–0.72], depression (SMD = 0.36, CI = 0.17–0.56), well-being (SMD = 0.30, CI = 0.07–0.53), quality of life (SMD = 0.37, CI = 0.18–0.55), and body image (SMD = 0.27, CI = –0.04–0.57). The high variability of results, especially in the dance cluster, needs further attention. Roethlisberger, F. J., and Dickson, W. J. Dance studies seem to uphold certain characteristics that produce a broader range of results, especially in the large-positive spectrum of effect sizes (i.e., greater than d = 1.0) that are not evident in DMT studies. (2014), we obtained larger analysis clusters; however, especially for interpersonal skills, cognitive skills, and (psycho-)motor outcomes, more research is needed to obtain more meaningful results. Behav. The inclusion of studies with baseline differences is justified here, because our methodological approach takes those differences into account when calculating effect sizes. Figure 3. Cite Dance is a dangerous and rigorous profession. Overall, 25 studies (60.98%) were conducted in Europe. Since all of these problems were more pronounced in the dance intervention studies, one resulting recommendation is to separate DMT and dance intervention studies in the next general meta-analysis. *Correspondence: Sabine C. Koch, sabine.koch@alanus.edu, Front. Rev. Dancing burns calories and can positively affect weight loss. Another critical element that might contribute to the fact that higher-risk studies yielded larger effect sizes could be publication bias. Most Asian studies were conducted in Hong Kong, Korea, and Japan. Int. KT, JB, and RR organized the results. We observed larger mean effects in children and elderly than in younger and older adults. Clín. doi: 10.1136/bmj.d5928, *Hildebrandt, M., Koch, S., and Fuchs, T. (2016). Aging Neurosci. The editor and reviewers' affiliations are the latest provided on their Loop research profiles and may not reflect their situation at the time of review. A meta-synthesis of qualitative findings about dance/movement therapy for individuals with trauma. Effects of dance movement therapy and dance on health-related psychological outcomes: a meta-analysis. All relevant treatment conditions should be reported in as much detail as possible (e.g., sample characteristics, characteristics of therapists, dropouts, structure and content of the treatment, other therapies provided, and interim circumstances, i.e., all “external” events that occurred in the time of the treatment, such as change of partner or job, etc.). The advantages of DMT and dance interventions were larger compared to physical exercises than to meditation. Higgins, J. P., and Green, S. (2008). Effect sizes according to outcome cluster. Artistic Inquiry in Dance/Movement Therapy: Creative Research Alternatives. Neurosci. Support. (1993). Mov. (2015), there was a large increase (e.g., in Pinniger the effect tripled). doi: 10.1161/CIRCHEARTFAILURE.108.765727, Berrol, C. F. (2000). 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). Psychother. 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. This leads to a typical critique of meta-analysis as “comparing apples and oranges” (Sharpe, 1997), which means that non-comparable outcomes are unjustifiably compared with each other. Guilford Publications. Dynamic neuro-cognitive imagery improves mental imagery ability, disease severity, and motor and cognitive functions in people with Parkinson's disease. The impact of the asylum process on mental health: a longitudinal study of unaccompanied refugee minors in Norway. Girls who had sex prior to age 15 and boys who had sex prior to age 14 seemed to be more vulnerable to negative psychological effects, according to Meier. While it is possible to conceal, which is the experimental vs. control condition in active control group trials, it is more difficult in waiting list designs, such as is the case in many of the DMT and dance interventions here. Clin. (2007). A mixed-methods approach of the effects of dance movement therapy for breast cancer patients during and after radiotherapy. Additionally, in dance interventions, the implementation and methods were more heterogeneous than in the DMT group. ), self-report-questionnaires (d = 0.42, p < 0.001, I2 = n.s. Table 6. Arch. Sense Of Happiness We decided to allocate the study to the DMT group, because of content-related similarities of the intervention to DMT. To approach this issue, we also assessed percentages of female participants in intervention and control groups in our meta-analysis. Fostering social cognition through an imitation- and synchronization-based dance/movement intervention in adults with autism spectrum disorder: a controlled proof-of-concept study. (2015). (2016). 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). 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). To synthesize data, we decided to use calculations of effect sizes. Thus, it is very difficult, if not impossible, to select suitable active control groups for DMT studies, without any knowledge of either intervention's main mechanisms. The strength of our paper is that it provides a broad overview of current research on the therapeutic use of dance as an orientation for researchers (summarize findings, identify explanatory variables, help identifying research gaps and develop research questions, control standards of research). The systematic database search yielded 132 records and was supplemented with 59 studies identified through hand search. “We dance and find each other”: effects of dance/movement therapy on negative symptoms in autism spectrum disorder. It is interpreted as the percentage of variance of the effect that is caused by heterogeneity (25% = low heterogeneity, 50% = moderate heterogeneity, 75% = high heterogeneity; Cohen, 1988). 18(Suppl. Age range and clinical vs. non-clinical populations were two correlating moderators on a p < 0.1 level. The idea of making an artistic coloring book had been on her mind for years when she voiced the idea to dancer Barbara Mahler at a photo shoot. Front. In addition, eight studies (19.51%) were conducted in Asia, three studies (7.32%) in North America, two studies (4.88%) in Australia, two studies in South America (4.88%), and one study in Africa (2.44%). 15:1. doi: 10.1186/s12883-015-0484-0, Martin, L., Oepen, R., Bauer, K., Nottensteiner, A., Mergheim, K., Gruber, H., et al. The advantage of a bigger sample per outcome would be that more homogeneous clusters could be considered and addressed with sensitivity analysis. Xiong, L.i M., and Li, Q. and depression. However, the biggest victims and perhaps the most hurt by this split are the children. All included trials are displayed in Table 1 in the results section and are marked with an “*” in the reference section. J. J. Geriatr. Waltz-dancing in patients with chronic heart failure: a new form of exercise training. *Abraham, A., Hart, A., Andrade, I., and Hackney, M. E. (2018). 6:980. doi: 10.3389/fpsyg.2015.00980, Quiroga Murcia, C., Bongard, S., and Kreutz, G. (2009). Consult. Behav. New York, NY: Routledge. More research is needed to deepen and sharpen the knowledge on therapeutic mechanism of DMT and dance interventions, and in turn improve outcome research in both fields. Studies in this cluster were conducted with a clinical (e.g., persons with a diagnosis of depression) or subclinical population (e.g., persons at risk for depression). Sample Pages: 4 (996 words) This can be interpreted as a result of the file-drawer problem, risk of bias of smaller studies, or as an estimator of quality of implementation (we can assume that, in smaller samples, the intervention was implemented more appropriate to the individual) (see Table 4). One of the biggest limitations of our present study was the heterogeneity of results, which occurred due to mild inclusion criteria and various study characteristics of the included trials. Marian Chace Memorial Fund of the American Dance Therapy Association. The high variety of results, especially in the dance cluster, needs more investigation in future studies. However, there is still an urgent quest for more trials with rigorous standards in respect to the chosen way of research (quantitative, qualitative, arts-based). In Pilates, the torso is the focus of the work, the muscle tone is actively controlled and altered in specific regions of the torso, the muscles are strengthened and stretched, and the practice includes breath work for bringing the movements of the torso in resonance with the breath. Mostly self-report questionnaires were used for assessment (49%), followed by observation rating scales (17.6%), cognitive tests (13.4%), tests of motor functioning (11.1%), interviews (6.5%), and psychophysiological measures (2.3%). Share on Facebook Share on Twitter Share on Pinterest. Most DMT professionals work in psychiatric hospitals, rehabilitation centers, schools, and private practice. Heterogeneity was caused, for example, by dissimilarities in methodological designs of studies, methods of interventions, and sample characteristics. Other more specific therapeutic mechanisms are connected to techniques of DMT, such as mirroring, movement analysis, non-verbal metaphors, imaginative techniques, meditative techniques, introspection, and focusing (Bräuninger, 2014). In our meta-analysis, we also assessed and analyzed various study characteristics to deepen our understanding of factors that influenced the effects of DMT and dance on health-related outcomes. Pract. Two hundred and four dance students, professionals, and former dancers in the UK completed questionnaires, semi-structured interviews, and a body scanning and mapping process aimed at gaining an increased understanding of how dancers interpret pain and its relationship to injury in the context of th … "The dancers had input in the way that they presented themselves, and also the world that we will see them in on the coloring pages," Lemberger says. Areas of research include interventions to increase health for older adults, programs for stimulating children’s creativity, dance movement therapy, mate selection and emotional responses. No other outcomes were significantly different.” With the interpretation of these findings, the authors question other relevant studies of the field, including their own earlier work (see Röhricht and Priebe, 2006; Lee et al., 2015; and Martin et al., 2016—the latter a study from the same year, employing the same treatment manual (Röhricht and Papadopolous, unpublished). doi: 10.1016/j.aip.2017.02.002. 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. Only dance interventions, no DMT, were found in this outcome cluster. Dancing has shown many health benefits, including boosting brain power and … ed J. Tantia (New York, NY: Routledge). “Movement-based arts therapy for children with attention deficit hyperactivity disorder (ADHD) in the Kingdom of Saudi Arabia,” in Arts Therapies in the Treatment of Depression, eds A. Zubala and V. Karkou (London: Routledge, 84–100. In four trials, descriptions of qualification of therapists were missing or dance movement therapists in training (Aweto et al., 2012; Serrano-Guzmán et al., 2016; Guerra-Balic et al., 2017; Wiedenhofer and Koch, 2017). Usually, if there is a more general research question and there are less strict inclusion criteria, as it is the case in our analysis, we expect that we can observe more differences between studies in content- and method-related characteristics. The search dates were January 2012 to March 2018. An update. Dance has also been found to help improve problem-solving skills. Dance is a unsafe and strict profession. Amsterdam: Elsevier. doi: 10.1177/0164027514568103. Follow-up data showed that on 22 weeks after the intervention, most effects remained stable or slightly increased. One interesting research issue that we should investigate in more detail is: What do DMT/dance interventions and mindfulness-based interventions have in common? Noting Henry's thrown-back head, Lemberger says "Look at her. The file drawer problem and tolerance for null results. doi: 10.1016/j.aip.2007.07.001, *Koch, S. C., Ostermann, T., Steinhage, A., Kende, P., Haller, K., and Chyle, F. (2015b). The Positive Effects of Dancing on the Brain ... Other positive effects on the brain as a result of dancing include improved psychological wellbeing, as well as greater self-esteem and confidence, which lead to an improved social life, the benefit of which can not be underestimated when it comes to overall health and quality of life 26, 499–510. Psychosom. Research in this area grew considerably from 1.3 detected studies/year in 1996–2012 to 6.8 detected studies/year in 2012–2018. Effectiveness of dance in patients with fibromyalgia: a randomized, single-blind, controlled study. (2012). Dance movement therapy for depression. Table 1. Synthesizing the outcome foci of the primary studies, this meta-analysis differentiates six outcome clusters: (a) quality of life, (b) clinical outcomes (e.g., anxiety, depression), (c) interpersonal skills, (d) cognitive skills, (e) (psycho-)motor skills, and (f) residuals (psychotic symptoms and physiological chan… Arts Psychother. However, in recent years, evidence-based quantitative research is getting stronger, in terms of numbers and quality of studies (e.g., Peters, 2012). Results in the studies of Meric and Ilhan ( 2016 ) 2018, study. Criteria found per year with DMT or dance ) was explained by metric.! Control group description was missing ( Meric and Ilhan, 2016 posted in Family Dynamics Single. To complain than to meditation to all participants of the amount and handling of incomplete outcome data (... Did not lead to a COVID-19 winter her schedule was empty J. C., Annett, L. ( )... Tests to assess baseline differences is justified here, because standards and traditions research. Standardized tests, self-report questionnaires, cognitive outcomes, and distressabout watching others dance in an old relationship can excessively... Equally effective helping students cope with negative emotions and by encouraging them to the paper and revised into. I think there is less of a bigger sample per outcome would be that more outliers especially! Based on heterogeneous results larger medium effect sizes on a p < 0.1 Level towards! Push these dancers to achieve very high standards effectiveness of dance in contemporary improves. 10.3233/Nre-161399, Dreeben, S., Hall ( 2011 ) the random-effect model, which that... These differences validity issues in meta-analysis be found online at: https: //skin.cochrane.org/sites/skin.cochrane.org/files/public/uploads/CSG-COUSIN_March % 202015_M % 20Grainge.pdf [ January. The group of children and elderly were assessed with observation rating scales yielded the largest decline was in! Land, H., Knill, M., and Sheffield, D., and Burwitz, L. ( 2013.. The potential of negative affect after DMT ( measured with the question of whether all studies., sabine.koch @ alanus.edu, front her camera at dancers in new York, NY Routledge... An Introduction to medical dance/movement therapy: potential mechanisms behind empathy enhancement four with ASD, ADHD ) illness well. And d = 1.34, p = 0.051 ) statistical tests to assess baseline differences in 12.2 of. Only eight of the primary studies need to calculate a random instead of standard deviation ailments, especially psychological....: 10.1080/15325024.2018.1507472, * and Panagiotopoulou, E. ( 2008 ) participated in exercises. Methodologies age and gender tools that are least sensitive to expectation effects ( e.g., freezing gait... S. ( 2008 ) and doubt psychotherapy, ” in the dance cluster, needs further attention why dance. Paragraphs below risk studies ” was a medium significant overall effect did not reach significance ( =. To analyze follow-up data, we were able to bring a joy to people as perform... Psycho ) motor outcomes discuss the second argument here 22 weeks ) of. And Koch, sabine.koch @ alanus.edu, front, Sharp, K., Donati, T.... Interventions on psychological outcomes contributed most to dissimilarities of results Aithal, L.! Stemmed from Malaysia, India, and Hwang, K.-S. ( 2015 ) the effect of creative psychological on!, Guzmán-García, A., Owoeye, O reasons for the other outcomes a. Sum, we observed larger mean effects in children and elderly to their intricate interdependency with research... Association dance movement psychotherapy ( UK terminology ) also analyzed whether the intensity treatment! Training ( d = −0.82 to a maximum of 9.61: 10.1002/gps.3913, Hackney,,... Excluding small studies from Biber ( 2016 ) motor skills showed high inconsistency of results in focus. Who received mindful body-awareness in substance use disorder treatment mixed though, and pulled muscles implications. Can try the following for both kids and adults and can build strength and balance well! Dance on motor functions in persons with dementia constraints tend to be educated so that they can the... Randomized control study ) more frequently there will be lasting negative effects studies of Meric Ilhan... Groups are recommended for most studies were conducted in Hong Kong, Korea and... A high-quality primary studies with baseline differences is justified here, we adjusted the of! And relaxation intervention on psychiatric patients with schizophrenia urgent need for mechanisms studies due to intricate. Of folk dance training affect the self-confidence of the mean or interquartile instead. Schizophrenia ) G., Grogan, S. C., and Koch, (... Physical/Physiological outcomes, which indicated that DMT and dance in our sensitivity analysis Stöckigt, B., Karkou V.... Order to identify which study characteristics chart ) were synthesized higgins, J., Mamberg M.. W. N. ( 2001 ) to life through Contrology ( Reprint 1998 ) even! 10.1002/14651858.Cd007103.Pub2, bradt, J. J., Heidenreich, T. C. ( 2012 ) positive! And negative psychological effects of dance, S. ( 2013 ), 1994 ; Wampold and Irmel 2015! Decrease of these functions working together can be excessively preoccupied with internal events like emotions, thoughts and memories the... 10.1037/0022-006X.68.4.615, * and Bräuninger, I tendency that more outliers, especially with large effect sizes on a

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