舞蹈治疗动作体验对抑郁患者心理状态的影响

程增艳; 张平; 王詠; 彭敏

doi:10.16766/j.cnki.issn.1674-4152.002788

舞蹈治疗动作体验对抑郁患者心理状态的影响

doi: 10.16766/j.cnki.issn.1674-4152.002788

程增艳^{1, 2, 3},
张平⁴,
王詠^4, ,,
彭敏⁵

1.
中国科学院心理研究所，北京 100101
2.
中国科学院大学心理学系，北京 100049
3.
深圳红树林心理咨询机构，广东深圳 518053
4.
国际关系学院心理研究服务中心，北京 100091
5.
华中科技大学协和深圳医院精神科，广东深圳 518052

基金项目:

国家自然科学基金面上项目 71672186

详细信息

通讯作者:
王詠，E-mail: wangy@uir.edu.cn

中图分类号: R749.41R493
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- 文章访问数: 203
- HTML全文浏览量: 103
- PDF下载量: 11
- 被引次数: 0
出版历程
- 收稿日期: 2022-08-11
- 网络出版日期: 2023-02-07

Effects of Dance/Movement therapy experience on the psychological state of patients with depression

CHENG Zeng-yan^{1, 2, 3},
ZHANG Ping⁴,
WANG Yong^{4
, ,},
PENG Min⁵

1.
Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China

摘要

摘要: 目的比较真实动作与规定动作体验对抑郁患者心理状态的不同影响并探究其作用机制。方法于2021年11—12月协和深圳医院精神科招募26名抑郁患者，按随机区组分别进入实验组与控制组，每组13例。实验组进行真实动作体验，控制组进行规定动作体验。体验前后采用压力感知量表、内感受性知觉多维评估量表、海德堡状态问卷、身体自我效能感量表分别测评。结果相较于前测，实验组后测的压力感知显著改善[(2.89±0.97)分vs.(3.84±0.94)分，P < 0.001]，幸福感显著提高[(3.51±1.04)分vs.(4.10±0.89)分，P < 0.001]，内感受性知觉显著增强[(3.70±0.59)分vs.(4.37±0.63)分，P < 0.001]；控制组压力感知显著改善[(3.17±0.72)分vs.(3.59±0.67)分，P=0.003]，幸福感显著提高[(3.50±0.82)分vs.(4.04±0.95)分，P=0.006]，实验组相较于控制组，压力感知(t=2.394, P=0.023)与内感受性知觉(t=2.400, P=0.025)的改善更显著。内感受性知觉完全中介了动作方式对压力感知的影响(中介效应值为0.243，P < 0.05，占总效应的46%)。结论基于舞蹈治疗的动作体验能有效改善抑郁患者的心理状态。内感受性知觉的中介作用可能是真实动作相较于规定动作更有利于抑郁患者减轻压力感知的重要作用机制。
- 舞蹈治疗 /
- 真实动作 /
- 抑郁 /
- 压力感知 /
- 内感受性知觉
Abstract: Objective To compare the impact of movement intervention informed by authentic movement and that of compulsory movement intervention on the psychological state of patients with depression, and investigate the underlying mechanisms. Methods Twenty-six outpatients with depression were recruited from the Psychiatry Department of Union Shenzhen Hospital, and randomly assigned into an experimental group and a control group, 13 cases in each group. The experimental group received a movement intervention informed by authentic movement, and the control group received a compulsory movement intervention. Before and after the intervention, the participants completed the Chinese version of perceived stress questionnaire, multidimensional assessment of interoceptive awareness, Heidelberg state inventory, and body self-efficacy scale. Results After the intervention, a significant improvement on perceived stress [(2.89±0.97) points vs. (3.84±0.94) points, P < 0.001], well-being [(3.51±1.04) points vs. (4.10±0.89) points, P < 0.001] and interoceptive awareness [(3.70±0.59) points vs. (4.37±0.63) points, P < 0.001] were observed in the experimental group, while a significant improvement on perceived stress [(3.17±0.72) points vs. (3.59±0.67) points, P=0.003] and well-being [(3.50±0.82) points vs. (4.04±0.95) points, P=0.006] were observed in the control group. The experimental group improved more significantly in perceived stress (t=2.394, P=0.023) and interoceptive awareness (t=2.400, P=0.025) compared to the control group. Interoceptive awareness had completely mediated the effects of different movement styles on the improvement of the participants' perceived stress. The mediating effect was 0.243 (P < 0.05) and its contribution to the total effect was 46%. Conclusion A single movement intervention informed by the discipline of Dance/Movement therapy significantly improves the psychological state of patients with depression. The mediation effect of interoceptive awareness might help explain the mechanism of why improvisational movement intervention informed by authentic movement is more effective than compulsory movement intervention in alleviating perceived stress of psychiatric patients with depression.
- Dance therapy /
- Authentic movement /
- Depression /
- Stress perception /
- Interoceptive awareness

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表 1 2组抑郁患者一般资料比较(x±s)

Table 1. Comparison of general data between two groups of depressed patients(x±s)

组别	例数	年龄(岁)	教育年限(年)	性别(例)
组别	例数	年龄(岁)	教育年限(年)	男性	女性
实验组	13	28.23±4.05	16.54±1.45	2	11
控制组	13	28.54±7.01	17.15±1.95	3	10
统计量		-0.137^a	-0.913^a
P值		0.892	0.370	0.999^b
注：^a为t值，^b为采用Fisher精确检验。

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表 2 2组抑郁患者干预前后压力感知得分比较(x±s，分)

Table 2. Comparison of the perceived stress scores of the two groups of depressed patients before and after the intervention(x±s, scores)

组别	例数	干预前	干预后	差值
实验组	13	2.89±0.97	3.84±0.94^a	0.95±0.68
控制组	13	3.17±0.72	3.59±0.67^a	0.42±0.40
t值		0.825	0.775	2.394
P值		0.417	0.446	0.023
注：与同组干预前比较，^aP < 0.01。

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表 3 2组抑郁患者干预前后幸福感得分比较(x±s，分)

Table 3. Comparison of the well-being scores of the two groups of depressed patients before and after the intervention (x±s, scores)

组别	例数	干预前	干预后	差值
实验组	13	3.51±1.04	4.10±0.89^a	0.58±0.43
控制组	13	3.50±0.82	4.04±0.95^a	0.55±0.59
t值		0.044	0.141	0.174
P值		0.966	0.889	0.863
注：与同组干预前比较，^aP < 0.01。

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表 4 2组抑郁患者干预前后身体自我效能感得分比较(x±s，分)

Table 4. Comparison of the body self-efficacy scores of the two groups of depressed patients before and after the intervention (x±s, scores)

组别	例数	干预前	干预后	差值
实验组	13	3.61±0.91	3.93±0.91	0.32±0.72
控制组	13	3.47±0.74	3.81±0.62	0.34±0.61
t值		0.426	0.402	0.059
P值		0.674	0.692	0.954

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表 5 2组抑郁患者干预前后内感受性知觉得分比较(x±s，分)

Table 5. Comparison of the interoceptive awareness scores of the two groups of depressed patients before and after the intervention(x±s, scores)

组别	例数	干预前	干预后	差值
实验组	13	3.70±0.59	4.37±0.63^a	0.68±0.42
控制组	13	3.49±0.42	3.75±0.58	0.25±0.47
t值		1.011	2.646	2.400
P值		0.322	0.014	0.025
注：与同组干预前比较，^aP < 0.001。

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表 6 2组抑郁患者干预前后内感受性知觉各分维度得分比较(x±s，分)

Table 6. Comparison of scores of the subdimensions of interoceptive awareness of the two groups of depressed patients before and after the intervention(x±s, scores)

组别	例数	注意分维度			注意调节分维度			信任分维度
组别	例数	干预前	干预后	差值	干预前	干预后	差值	干预前	干预后	差值
实验组	13	4.48±0.64	4.79±0.71	0.31±0.65	3.43±0.90	4.10±0.66^a	0.67±0.40	3.18±0.96	4.36±0.69^b	1.18±1.05
控制组	13	4.00±0.59	4.10±0.65	0.10±0.67	3.19±0.54	3.47±0.69	0.29±0.53	3.54±0.86	3.92±0.72	0.38±0.85
t值		1.995	2.587	0.822	0.834	2.353	2.090	-1.007	1.577	2.122
P值		0.057	0.016	0.419	0.413	0.027	0.047	0.324	0.128	0.044
注：与同组干预前比较，^aP < 0.001，^bP < 0.01。

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参考文献(20)

[1]	KARKOU V, AITHAL S, ZUBALA A, et al. Effectiveness of dance movement therapy in the treatment of adults with depression: A systematic review with meta-analyses[J]. Front Psychol, 2019, 10: 936. DOI: 10.3389/fpsyg.2019.00936
[2]	颜凤, 张慧珠, 陈艳雯, 等. 生育舞蹈对高龄经产妇产后抑郁的影响研究[J]. 中国护理管理, 2021, 21(10): 1504-1509. doi: 10.3969/j.issn.1672-1756.2021.10.015 YAN F, ZHANG H Z, CHEN Y W, et al. Effects of "Dancing for Birth" on postpartum depression in multiparous women with advanced maternal age[J]. Chin Nurs Mana, 2021, 21(10): 1504-1509. doi: 10.3969/j.issn.1672-1756.2021.10.015
[3]	赵禹, 李峥. 广场舞对社区老年轻度认知障碍合并抑郁症状患者的干预效果[J]. 中国老年学杂志, 2020, 40(9): 1896-1900. doi: 10.3969/j.issn.1005-9202.2020.09.034 ZHAO Y, LI Z. Intervention effect of square dance on elderly patients with mild cognitive impairment and depressive symptoms in community[J]. Chin J Gerontol, 2020, 40(9): 1896-1900. doi: 10.3969/j.issn.1005-9202.2020.09.034
[4]	KOCH S C, RIEGE R F F, TISBORN K, et al. Effects of dance movement therapy and dance on health-related psychological outcomes. A meta-analysis update[J]. Front Psychol, 2019, 10: 1806. DOI: 10.3389/fpsyg.2019.01806.
[5]	GARCÍA-DÍAZ S. The effect of the practice of Authentic Movement on the emotional state[J]. Arts Psychother, 2018, 58: 17-26. doi: 10.1016/j.aip.2018.03.004
[6]	FEDERMAN D, SHIMONI S, TURJEMAN N. 'Attentive movement' as a method for treating depression[J]. Body Mov Dance Psychother, 2019, 14(1): 14-25. doi: 10.1080/17432979.2019.1586773
[7]	WIEDENHOFER S, HOFINGER S, WAGNER K, et al. Active factors in dance/movement therapy: Health effects of Non-Goal-Orientation in movement[J]. Am J Dance Ther, 2016, 39(1): 113-125.
[8]	WIEDENHOFER S, KOCH S C. Active factors in dance/movement therapy: Specifying health effects of Non-Goal-Orientation in movement[J]. Arts Psychother, 2017, 52: 10-23. doi: 10.1016/j.aip.2016.09.004
[9]	MEHLING W E, ACREE M, STEWART A, et al. The multidimensional assessment of interoceptive awareness, version 2 (MAIA-2)[J]. PloS One, 2018, 13(12): e0208034. DOI: 10.1371/journal.pone.0208034
[10]	孟润堂. 压力感知量表的引进与评价[D]. 武汉: 武汉大学健康学院, 2017. MENG R T. Introduction and evaluation of the perceived stress questionnaire[D]. Wuhan: School of Health Sciences, Wuhan University, 2017.
[11]	KOCH S C, MERGHEIM K, RAEKE J, et al. The embodied self in Parkinson' s disease: Feasibility of a single tango intervention for assessing changes in psychological health outcomes and aesthetic experience[J]. Front Neurosci, 2016, 10: 287. DOI: 10.3389/fnins.2016.00287
[12]	FUCHS T, KOCH S C. Embodied affectivity: On moving and being moved[J]. Front Psychol, 2014, 5: 508. DOI: 10.3389/fpsyg.2014.00508
[13]	庞娇艳, 李惠. 内感受性知觉多维评估(第2版)[Z/OL]. (2020-11-05)[2022-05-05]. https://osher.ucsf.edu/sites/osher.ucsf.edu/files/inline-files/MAIA-2-Chinese%20%282020%29.pdf. PANG J Y, LI H. Multidimensional Assessment of Interoceptive Awareness Version 2- Chinese (MAIA-2)[Z/OL]. (2020-11-05)[2022-05-05]. https://osher.ucsf.edu/sites/osher.ucsf.edu/files/inline-files/MAIA-2-Chinese%20%282020%29.pdf.
[14]	DIETERICH-HARTWELL R. Dance/movement therapy in the treatment of post traumatic stress: A reference model[J]. Arts Psychother, 2017, 54: 38-46. doi: 10.1016/j.aip.2017.02.010
[15]	ROGERS N. Facilitating creativity[M]. Palo Alto: Science and Behavior Books, 1993: 11-25.
[16]	叶浩生, 曾红, 杨文登. 生成认知: 理论基础与实践走向[J]. 心理学报, 2019, 51(11): 1270-1280. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201911008.htm YE H S, ZENG H, YANG W D. Enactive cognition: Theoretical rationale and practical approach[J]. Acta Psychologica Sinica, 2019, 51(11): 1270-1280. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201911008.htm
[17]	DEVEREAUX C. An Interview with Dr. Stephen W. Porges[J]. Am J Dance Ther, 2017, 39(1): 27-35. doi: 10.1007/s10465-017-9252-6
[18]	ROBERTS R L, LEDERMANN K, GARLAND E L. Mindfulness-oriented recovery enhancement improves negative emotion regulation among opioid-treated chronic pain patients by increasing interoceptive awareness[J]. J Psychosom Res, 2022, 152: 110677. DOI: 10.1016/j.jpsychores.2021.110677.
[19]	MILLMAN L S M, TERHUNE D B, HUNTER E C M, et al. Towards a neurocognitive approach to dance movement therapy for mental health: A systematic review[J]. Clin Psychol Psychother, 2021, 28(1): 24-38. doi: 10.1002/cpp.2490
[20]	石建伟, 王朝昕, 金花, 等. 体医结合视角下社区人群健康管理突破点解析[J]. 中华全科医学, 2021, 19(1): 1-3, 9. doi: 10.16766/j.cnki.issn.1674-4152.001714 SHI J W, WANG Z X, JIN H, et al. Analysis of breakthrough point of community population health management from the perspective of physical medicine integration[J]. Chin J Gen Pract, 2021, 19(1): 1-3, 9. doi: 10.16766/j.cnki.issn.1674-4152.001714