Changes in well-being of schizophrenic patients after movement therapy

Pohlmann, Valerie; Koch, Sabine C.; Fuchs, Thomas J.

doi:10.4324/9781315616636-7

Cited by 1 publication

(5 citation statements)

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“…On the other side of the distribution, we could observe large effect sizes ( d = 1.8 up to d = 2.96) in the studies of Cruz-Ferreira et al (2015), Biber (2016), Teixeira-Machado et al (2017), and Aithal and Karkou (2018). If we had not recoded the effect sizes from Chiang et al (2016), Pohlmann et al (2017), Teixeira-Machado et al (2017), and Aithal and Karkou (2018) at Level IV, they would have been even larger (up to d = 5.07). Possible reasons for the effect size distribution across studies are detailed in the next paragraphs.…”

Section: Resultsmentioning

confidence: 94%

“…The remaining studies stemmed from Malaysia, India, and Nigeria. We found seven studies that had not been published yet (Aweto et al, 2012; Ventura et al, 2016; De Natale et al, 2017; Koch, 2017; Pohlmann et al, 2017; Abraham et al, 2018; Aithal and Karkou, 2018). Figure 3 displays the number of studies that met the inclusion criteria found per year.…”

Section: Resultsmentioning

confidence: 95%

“…Thirty-one of the 41 studies reported dropout rates (Mean = 13.55%, SD = 15.18, Min = 0%, Max = 57.38%). Analysis of dropout rates revealed that 7 of the 31 studies reported a dropout that is higher than 30% (Pinniger et al, 2012, 2013; Röhricht et al, 2013; and Rios Romenets et al, 2015; Hildebrandt et al, 2016; Martin et al, 2016; Pohlmann et al, 2017). This was in many cases due to the fact that severely impaired patients with schizophrenia or depression had to actively travel to outpatient treatment, requiring a strong motivational state, which is precisely one of the problems in these disorders.…”

Section: Resultsmentioning

confidence: 99%

“…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). While positive symptoms can be successfully addressed by anti-psychotic medication, DMT seems to be particularly useful for addressing negative symptoms (Röhricht and Priebe, 2006; Lee et al, 2015; Martin et al, 2016; Pohlmann et al, 2017). We allocated the negative symptoms to the clinical outcomes cluster.…”

Section: Introductionmentioning

confidence: 99%

“…We allocated the negative symptoms to the clinical outcomes cluster. Pohlmann et al (2017) postulated a concept of “disembodiment” in schizophrenia stressing that schizophrenia is a self-disorder and is characterized by disturbances of ipseity (selfhood). They state that mechanisms of body–mind integration improve self-awareness.…”

Section: Introductionmentioning

confidence: 99%

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

Koch

Riege

Tisborn³

et al. 2019

Front. Psychol.

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193

159

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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 1 (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 2 = 0.60), with high heterogeneity of results ( I 2 = 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, I 2 = 3.47). In the dance intervention cluster , the overall medium effect was large, significant, yet heterogeneous/non-consistent ( d = 0.81, p < 0.001, I 2 = 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.

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