Effects of dance movement therapy and dance on health-related psychological outcomes. a meta-analysis update
Open accessAbstract
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=2374; from 01/2012 to 03/2018), 21 from DMT, 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 =.60), with high heterogeneity of results (I²=72.62%). Sorted by outcome clusters, the effects were medium to large (d=.53 to d=.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 homogenous/consistent (d=.30, p<.001, I²=3.47). In the dance intervention cluster, the overall medium effect was large, significant, yet heterogeneous/non-consistent (d=.81, p<.001, I²=77.96). Results suggest that DMT decreases depression and anxiety and increases quality of life, 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, most DMT studies from institutional health-care 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.
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The results from the current study suggest that DMT can improve psychological conditions by decreasing depression and anxiety levels for patients with somatic concerns, as argued by Koch et al. (2019).
“The latter study argues that DMT can improve psychological conditions by decreasing depression and anxiety levels for patients with somatic concerns. The results from the current study suggest that this was also true for the participants of the MBDMT group.”
From The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients (2021) · cites this paper as Koch et al., 2019
The Discussion (Summary of Results; page unavailable) reports significant effects of DMT on affect, and the Results (Explorative Analyses; page unavailable) identifies depression and anxiety as the main affect outcomes. These passages support the general claim that DMT may reduce depression and anxiety, but they do not establish that finding specifically for patients with somatic concerns. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrevious systematic reviews have mainly focused on the impact of the effects of CATs interventions on certain outcomes.
“Since previous systematic reviews have mainly focused on the impact of the effects of CATs interventions on certain outcomes (e.g., Van Lith, 2016; Koch et al., 2019; Orkibi and Feniger-Schaal, 2019; De Witte et al., 2020b; Feniger-Schaal and Orkibi, 2020), it is worthwhile gaining more insights into how, why, and when CATs interventions lead to certain outcomes.”
From From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review (2021) · cites this paper as Koch et al., 2019
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- Authors
- Koch, S. C., Riege, R. F. F., Tisborn, K., Biondo, J., Martin, L., & Beelmann, A.
- Affiliations
- Alanus University of Arts and Social Sciences (DE)
- Friedrich Schiller University Jena (DE)
- Ruhr University Bochum (DE)
- Drexel University (US)
- Corresponding author
- Koch, Sabine C.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2019-08-20
- Volume
- 10
- Pages
- 1806-1806
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6710484
- OpenAlex
- W2963209888
- Cited by
- 418
- References
- 152
- Citations by year
- 2026: 108 · 2025: 81 · 2024: 62 · 2023: 51 · 2022: 39 · 2021: 40 · 2020: 26 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 3
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Drexel University
- Friedrich-Schiller-Universität Jena
- Software AG – Stiftung
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Diversity and Impact of Dance
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Keywords
- dance therapy, dance intervention, mental health outcomes, depression, anxiety, quality of life, social skills, cognitive skills, motor skills, schizophrenia, autism spectrum disorder, elderly patients, neurology, chronic heart failure, cardiovascular disease, follow-up outcomes, methodological quality, heterogeneity of results, embodied activity, preventive medicine
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