Embodied Self in Trauma and Self-Harm: A Pilot Study of Effects of Flamenco Therapy on Traumatized Inpatients

Koch, Sabine C.; Wirtz, Gustav; Harter, Christian; Weisbrod, Matthias; Winkler, Franziska; Pröger, Annett; Herpertz, Sabine C.

doi:10.1080/15325024.2018.1507472

Cited by 13 publications

(21 citation statements)

References 25 publications

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“…The advantage of a bigger sample per outcome would be that more homogeneous clusters could be considered and addressed with sensitivity analysis. In addition, several included trials were conducted by the same research group (total: 7 of 41 trials by Koch et al, 2019), which is a threat to external validity. This is particularly relevant, when it comes to analysis of clusters (DMT group: 7 of 21 trials, clinical outcome cluster: 4 of 12 trials, interpersonal skills trials: 2 of 6 studies by the research group of Koch et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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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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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Section: Discussionmentioning

confidence: 99%

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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“…The score for the negative dimension of wellbeing was significantly lower after dance therapy (F = 4.97, p = 0.33, eta² = 0.14). In addition, this study 40 clearly shows an improvement in perceived health (F = 18.71, p = .000, eta² = 0.38).…”

Section: General Healthmentioning

confidence: 50%

“…are not confirmed by the experimental quantitative study, 40 which measures the evolution of the feeling of self-efficacy related to the body and the perceived level of fitness in participants in a Flamenco session, compared to a control group. The differences between the two groups were not significant (fitness: F=0.37, p=.549, eta²=0.01 and body-related self-efficacy: F=0.71, p=.405, eta²=0.02).…”

Section: Body and Spacementioning

confidence: 81%

“…Those who reported being helped by dance in the management of their chronic pain had a better flow state compared to those who reported not being helped (t (237) = 4.08, d = 0.91, p < 1 Stagnation is a concept in Eastern medicine that resembles depression in Western medicine 48 0.0001). Similarly, the quantitative experimental study 40 measures perceived physical pain before and after a flamenco workshop. After the workshop, and compared to those who did not participate, participants present less physical pain (F = 4.25, p = .048, eta² = 0.12).…”

Section: Physical Painmentioning

confidence: 99%

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Therapeutic impact of dance therapy on adult individuals with psychological trauma: a systematic review

Tomaszewski

Belot

Essadek

et al. 2022

Preprint

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Context: Dance therapy is well suited to clinical settings in which people have difficulty with classical language-based therapeutic devices. Psychological trauma has significant mental, physiological, and somatic consequences, and dance therapy incorporates the adjusted components for its management. Objectives: To identify (i) the potential therapeutic effects of dance therapy in adults with psychological trauma, and (ii) the barriers and facilitators associated with the impact of dance therapy in adults suffering from psychological trauma. Method: Five relevant keyword combinations were used on seven databases. The inclusion criteria are: adults with psychological trauma, dance therapy, and articles published between 2000 and 2022. The exclusion criteria are: children, adolescents, and publications that are not scientific articles. A bias analysis has been conducted on 20 articles using the tools of the NIH and JBI. Results: Thirteen articles have been included, and a thematic analysis has been conducted on the extracted data. The results indicates that dance therapy helps people suffering from psychological traumas to reconnect with their body, express their emotions, improve the management of the psychopathological symptoms, and sometimes even reducing them. The dance group encourages self-expression and establishment of new relationship with others. The feeling of security and the flow state of participants facilitate the emergence of these beneficial effects. These depend on the skill sets of the therapists and the regularity, constancy, and stability of the sessions. Conclusion: Dance therapy is effective in the treatment of psychological trauma, especially for women and people facing migration.

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“…Agreement between the two reviewers regarding the inclusion and exclusion of articles was good with a Kappa value of 0.60, indicating that the observed agreement was 60% of the way between chance agreement and perfect agreement. Seventeen articles were excluded with the following reasons: two articles (Kluft et al, 1986;Baum, 1991) addressed multiple PD which does not meet the primary diagnostic criteria of PD anymore in the DSM-5 (American Psychiatric Association, 2013), fourteen articles (Ammon, 2003;Netz and Lidor, 2003;Karterud and Urnes, 2004;Mörtl and Von Wietersheim, 2008;Cruz, 2009;Van den Broek et al, 2011;Potik and Schreiber, 2013;Jorba-Galdos, 2014;Benjamin, 2015;Pylvänäinen et al, 2015;Cobbett, 2016;Bellemans et al, 2018;Samuelsson and Rosberg, 2018;Koch et al, 2019b) did not specifically address PD and/or DMT as the main intervention. One article was excluded (Havsteen-Franklin et al, 2019) as it appeared that the study used sources (Manford, 2014;Röhricht, 2015) that were already included in the results from this study.…”

Section: Article Selectionmentioning

confidence: 99%

Dance Movement Therapy for Clients With a Personality Disorder: A Systematic Review and Thematic Synthesis

et al. 2021

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Background: People with a personality disorder (PD) suffer from enduring inflexible patterns in cognitions and emotions, leading to significant subjective distress, affecting both self and interpersonal functioning. In clinical practice, Dance Movement Therapy (DMT) is provided to clients with a PD, and although research continuously confirms the value of DMT for many populations, to date, there is very limited information available on DMT and PD. For this study, a systematic literature review on DMT and PD was conducted to identify the content of the described DMT interventions and the main treatment themes to focus upon in DMT for PD.Methods: A systematic search was conducted across the following databases: EMBASE, MEDLINE, PubMed, WEB OF SCIENCE, PsycINFO/OVID, and SCOPUS following the PRISMA guidelines. The Critical Appraisal Skills Programme for qualitative studies was used to rank the quality of the articles. The Oxford Center for Evidence-based Medicine standards were applied to determine the hierarchical level of best evidence. Quantitative content analysis was used to identify the intervention components: intended therapeutic goals, therapeutic activities leading to these goals, and suggested therapeutic effects following from these activities. A thematic synthesis approach was applied to analyze and formulate overarching themes.Results: Among 421 extracted articles, four expert opinions met the inclusion criteria. Six overarching themes were found for DMT interventions for PD: self-regulation, interpersonal relationships, integration of self, processing experiences, cognition, and expression and symbolization in movement/dance. No systematic descriptions of DMT interventions for PD were identified. A full series of intervention components could be synthesized for the themes of self-regulation, interpersonal relationships, and cognition. The use of body-oriented approaches and cognitive strategies was in favor of dance-informed approaches.Conclusions: Dance movement therapists working with PD clients focus in their interventions on body-related experiences, non-verbal interpersonal relationships, and to a lesser extent, cognitive functioning. A methodological line for all intervention components was synthesized for the themes of self-regulation, interpersonal relationships, and cognition, of importance for developing systematic intervention descriptions. Future research could focus on practitioners' expertise in applying DMT interventions for PD to develop systematic intervention descriptions and explore the suitability of the identified themes for clinical application. Clients' experiences could offer essential insights on how DMT interventions could address PD pathology and specific PD categories.

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Embodied Self in Trauma and Self-Harm: A Pilot Study of Effects of Flamenco Therapy on Traumatized Inpatients

Cited by 13 publications

References 25 publications

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

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

Therapeutic impact of dance therapy on adult individuals with psychological trauma: a systematic review

Dance Movement Therapy for Clients With a Personality Disorder: A Systematic Review and Thematic Synthesis

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