舞蹈活动对老年人负性情绪康复效果的系统综述

doi:10.3969/j.issn.1006-9771.2021.06.007

Abstract

Abstract: Objective

To explore the rehabilitation effects of dance activity on negative emotion in older adults, and clarify the multiple factors that determine the dose-effect of emotional rehabilitation.

Methods

The electronic databases of PubMed, Web of Science, EBSCO, Cochrane Library, CNKI, VIP and Wanfang data were searched from inception to December 31, 2020. The authors, countries, years, samples, study designs, interventions, measurement instruments and outcomes were extracted. The PEDro scale was used to assess the methodological quality of included literatures.

Results

A total of 672 studies were retuned, out of which twelve were selected including 808 individuals. These studies were published in ten countries, and most in journals related to clinical medicine, exercise rehabilitation, psychotherapy and gerontology. Study designs included randomized controlled trial (RCT), quasi-experimental study and pre-post study. The mean PEDro score was 5.58. There were four types of dance activity, including social dance, dance movement therapy, leisure dance and folk dance. The latter two types were the main rehabilitation interventions. Dance was found to significantly reduce anxiety and depression levels, as well as distress and stress in older adults. Effect of dance activity on negative emotion in older adults was related to intensity, frequency and duration variables, and needed more researches with well-controlled designs, standardized assessments and longitudinal follow-ups. Community was the primary field for the elderly to participate in dance activities. Integrating dance activities into the community rehabilitation service system might contribute to their emotional adjustment and mental health.

Conclusion

Dance activity is feasible and effective to alleviate negative emotion, promote psychological healthy and improve quality of life for older adults.

Key words: dance activity, aged, negative emotion, psychologic rehabilitation, systematic review

CLC Number:

R592

Ting-ting CHEN,Ming-chao XU,Rou WEN. Effects of Dance Activity on Negative Emotion in Older Adults: A Systematic Review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 668-676.

Figures/Tables 6

作者	年份	国家	研究对象	年龄(岁)	研究设计	干预方式	干预地点	干预频率	干预效果	测量工具
Adam等^[8]	2016	马来西亚	轻度认知障碍老年人实验组n = 44 控制组n = 40	≥ 60	准实验设计	马来西亚民俗舞蹈vs.放松练习	社区	每次60 min，每周2次，共6周	改善焦虑、抑郁情绪	HADS
Blandy等^[9]	2015	澳大利亚	帕金森病患者 n = 6	(64±6.28)	前后测	社交舞	社区	每次60 min，每周2次，共4周	改善抑郁情绪	Beck抑郁量表、Euroqol-5D
Boing等^[10]	2017	巴西	乳腺癌患者实验组n = 8 控制组n = 11	(54.1±7.6)	准实验设计	肚皮舞vs. 无干预	肿瘤研究中心	每次60 min，每周2次，共12周	改善抑郁情绪	QoL评分、Piper疲劳量表、Beck抑郁量表
Br?uninger^[11]	2012	西班牙	健康中老年人实验组n = 97 控制组n = 65	-	RCT	舞动治疗vs.轮候等待	社区	每次90 min，每周1次，共3个月	缓解痛苦、抑郁、焦虑情绪，提升压力应对	BSI
Eyigor等^[12]	2009	土耳其	健康女性老年人实验组n = 19 控制组n = 18	≥ 65	RCT	土耳其民俗舞蹈vs.无干预	社区	每次60 min，每周3次，共8周	缓解痛苦、抑郁情绪	SF-36、GDS
Mavrovouniotis等^[13]	2010	希腊	健康老年人实验组n = 76 控制组n = 35	60~91	RCT	希腊民俗舞蹈vs.观看电视节目	社区	每次60 min，每周1次，共10周	缓解焦虑、紧张情绪	STAI
Overdorf等^[14]	2016	美国	健康女性老年人n = 11	≥ 70	前后测	排舞	社区	每次1 h，每周3次，共6周	改善抑郁情绪	Beck抑郁量表
Vaccaro等^[15]	2019	意大利	健康老年人 n = 25	(71.2±5.1)	前后测	社交舞和自由舞动	舞蹈学校	每次2 h，4次/周，共6个月	改善焦虑、抑郁情绪	GDS、STAI
Vankova等^[16]	2014	捷克	健康中老年人实验组n = 79 控制组n = 83	≥ 60	RCT	社交舞vs.无干预	疗养院	每次60 min，每周1次，共3个月	改善抑郁情绪	GDS
Wang等^[17]	2019	中国	轻度认知障碍老人实验组n = 33 控制组n = 33	≥ 80	准实验设计	广场舞vs.无干预	疗养院	每次40 min，每周3次，共12周	改善抑郁情绪，提升生活质量	GDS、SF-12
杨建全等^[18]	2014	中国	女性抑郁症患者实验组n = 33 控制组n = 32	45~70	RCT	广场舞vs.药物治疗	社区	至少每次60 min，每周5次，共6个月	改善抑郁、焦虑情绪	SCL-90、SAS、SDS
曾俊等^[19]	2019	中国	健康中老年女性实验组n = 30 控制组n = 30	≥ 55	准实验设计	广场舞vs.无干预	社区	每次60~90 min，每周5~7次，共3个月	改善紧张、愤怒、抑郁、焦虑情绪	SCL-90、POMS

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纳入研究	资格标准	随机分配	分配隐藏	基线相似	被试施盲	被试流失率<15%	ITT意向治疗分析	组间统计比较	报告点测量和变异量值	总分
Adam等^[8](2016)	√		√	√	√	√	√	√	√	7
Blandy等^[9](2015)	√					√	√		√	3
Boing等^[10](2017)	√			√		√	√	√	√	5
Br?uninger^[11](2012)		√	√	√	√	√	√	√	√	8
Eyigor等^[12](2009)	√	√		√		√	√	√	√	6
Mavrovouniotis等^[13](2010)	√	√	√		√	√	√	√	√	7
Overdorf等^[14](2016)						√	√		√	3
Vaccaro等^[15](2019)	√					√	√		√	3
Vankova等^[16](2014)	√	√		√		√	√	√	√	6
Wang等^[17](2019)	√			√	√	√	√	√	√	6
杨建全等^[18](2014)	√	√	√	√	√	√	√	√	√	8
曾俊等^[19](2019)	√			√		√	√	√	√	5

情绪类别	行为表现	舞蹈康复效果
焦虑	对未来事件潜在负性结果的过度担忧	缓解急性和慢性的焦虑情绪
抑郁	情绪低落、思维迟缓、丧失生活兴趣等	改善情绪低落、增强生活兴趣、提高情绪应对能力
痛苦	难过、极度的不平衡状态	减轻痛苦感受、调整矛盾状态
紧张	对外界事物的高度准备状态感受到威胁时的应激状态	缓解外界刺激引起的情绪激动和过度紧张

舞蹈活动类别	舞蹈活动方式
社交舞蹈	又称交谊舞，是一种舞步规范的男女双人互动舞蹈，包括探戈^[9]、恰恰^[15]、华尔兹^[16]等
休闲舞蹈	以强身健体和愉悦身心为主要目的，具有多元舞蹈内容和表演风格的集体性舞蹈活动，包括排舞^[14]、广场舞^[17-19]等
民俗舞蹈	在特定文化背景中发展的具有鲜明民族特征的群体性舞蹈，包括马来西亚民俗舞^[8]、阿拉伯风情肚皮舞^[10]、土耳其民俗舞^[12]、希腊民俗舞^[13]等
舞动治疗	在双人镜像或多人互动的过程中，利用肢体动作治愈生理、情感、认知等方面障碍，促进身心和谐的艺术治疗方式^[9]

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Effects of Dance Activity on Negative Emotion in Older Adults: A Systematic Review

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