Abstract

We were interested in investigating the effects of dance movement therapy (DMT) in a psychiatric outpatient clinic with patients diagnosed with depression. DMT aims to engage the patients in physical and verbal exploration of their experiences generated in movement based interaction. The assumption was that DMT, which includes both physical engagement as well as emotional and social exploration, would alleviate the mood and psychiatric symptoms. All adult patients (n = 33) included in the study received treatment as usual (TAU). Twenty-one patients participated in a 12-session DMT group intervention, and the remaining 12 patients chose to take TAU only. The majority of the patients suffered from moderate or severe depression, recurrent and/or chronic type. The effects of the interventions were investigated after the intervention, and at 3-month follow-up. Compared to the TAU, adding DMT seemed to improve the effect of the treatment. The effect of the DMT was observable whether the patient was taking antidepressant medication or not. At follow-up, between group effect sizes (ES) were medium in favor for the DMT group (d = 0.60–0.79). In the DMT group, the within ES at the 3 months follow-up varied from 0.62 to 0.82 as compared to TAU 0.15–0.37. The results indicated that DMT is beneficial in the treatment of depressed patients.

Highlights

  • The global burden of disease studies show unipolar depression as the leading cause of years lived with disability (YLD) in adult population throughout the world (WHO, 20131)

  • BDI and CORE described the depression symptoms and psychiatric condition to be more severe in the treatment as usual (TAU) group than in the dance movement therapy (DMT) group at the pre-measurement

  • In the BDI-II- and CORE-scores there was a greater reduction in the DMT group than in the TAU group, but over time, the groups did not change statistically significantly differently (Table 4)

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Summary

Introduction

The global burden of disease studies show unipolar depression as the leading cause of years lived with disability (YLD) in adult population throughout the world (WHO, 20131). In Finland in 2013, mental health problems were the reason for 40% of work disability retirement, and in this group, depression was the most common problem. Mental health problems have been the main reason for the early retirement since the year 20002. In Finland, the Current Care Guidelines base the treatment of depression on comprehensive diagnostic, clinical, and psychosocial evaluation. Medication is often the main intervention to treat depression. It is acknowledged that physical exercise can be beneficial in the treatment of depression, but it cannot replace medication and therapy. Treatment programs in hospital units, day hospitals and outpatient psychiatric clinics may provide some physical activity, and sometimes dance movement therapy (DMT) is used

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