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Cited by 35Diversity and Impact of DancePsychosomatic Disorders and Their TreatmentsArt Therapy and Mental Health

Pilot study to evaluate Dance Movement Psychotherapy (the BodyMind Approach) in patients with medically unexplained symptoms: Participant and facilitator perceptions and a summary discussion

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Payne, Helen·2009·Body, Movement and Dance in Psychotherapy
DOI 10.1080/17432970902918008
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Abstract

The principle objective of the study was to explore and systematically analyse whether participants with medically unexplained symptoms (MUS) changed their perception of their bodily symptoms, and received any other benefits from their perspective, following a 12-week group using the BodyMind Approach (BMA) derived from Dance Movement Psychotherapy (DMP) (Payne, 1992 Payne, H. 1992. “Introduction to dance movement therapy”. In Dance movement therapy: theory and practice, Edited by: Payne, H. London and New York: Routledge. [Google Scholar], 2006a). The study recruited patients with chronic (over 2 years) MUS accompanied by moderate anxiety/depression. This was a cross-over study design in which participants acted as their own control. Quantitative data from standardised instruments, self reports on GP visits and medication, as well as qualitative data through semi-structured interviews with participants, were collected pre, post and at 3-month follow-up. Facilitator's process recordings were also examined in a comparative analysis to elicit similarities and differences in perceptions of the process. Participants were recruited from primary care and the intervention was undertaken in a community setting at the primary-community care interface. Findings demonstrated that this intervention, particularly due to its supportive nature in a group facilitated by a qualified movement psychotherapist, enabled participants to increase their activity levels, reduce bodily symptom distress, increase self-management of health, improve overall well-being and make positive changes in their lives (Payne, 2009a Payne, HL. (2009a, in press). A Bodymind Approach to psychotherapeutic groupwork with patients with medically unexplained symptoms: A review of the literature, description of approach and methodology selected for a pilot study.. European Journal for Counselling and Psychotherapy, [Google Scholar]; Payne & Stott, 2009). In addition, medication was reduced or stabilised and further GP visits were rare. All outcomes were sustained at the 3-month follow-up. This study has demonstrated that patients with MUS can benefit significantly from an approach which intentionally uses the body-mind inter-relationship to promote change in perceptions and behaviour in self managed health care. The BMA approach is seen as successful when both participants’ responses and clinical process recordings are analysed. Recommendations revolve around the need for further research in a phase two type study with an additional control ‘treatment as usual’ arm.

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  • In this service delivery, treatment integrity has been ensured by a triangulation between what patients said about their experience of the approach, what the facilitator said she did in the pilot study, and the manual.

    “In this service delivery treatment integrity has been ensured by a triangulation (a three-way comparative analysis) between what patients have said about their experience of the approach what the facilitator says she did in the pilot study (Payne 2009), and the manual which will continue to be evaluated by the facilitators and by expert opinion evaluators external to the delivery.”

    From Clinical outcomes from The BodyMind Approach™ in the treatment of patients with medically unexplained symptoms in primary health care in England: Practice-based evidence (2016) · cites this paper as Payne 2009

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Authors
Payne, H.
Affiliations
University of Hertfordshire (GB)
Corresponding author
Payne, Helen
ORCID
Payne, Helen
Venue
Body, Movement and Dance in Psychotherapy
Publisher
Informa UK Limited
Published
2009-07-14
Volume
4
Issue
2
Pages
77-94
ISSN
  • 1743-2979 (ISSN-L)
  • 1743-2987
DOI
10.1080/17432970902918008
OpenAlex
W2060192452
Cited by
35
References
60
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 4 · 2012: 6
FWCI
4.66
Type
journal article
Language
en
Open access
Locations
  • Body Movement and Dance in Psychotherapy (publishedVersion)
  • University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
Funders
University of Hertfordshire
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Diversity and Impact of Dance
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
Keywords
dance therapy, medically unexplained symptoms, somatic symptoms, group therapy, health self-management, mind-body problem, participant perceptions, anxiety and depression, primary care, medication reduction, well-being

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