https://www.healio.com/psychiatry/journals/psycann/1976-12-6-12/{806b8887-c02e-40c8-a228-57f1cdb2bdba}/the-stress-of-life.pdf

The stress of life

The short-term stress response – Mother nature’s mechanism for enhancing protection and performance under conditions of threat, challenge, and opportunity

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 (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=2374; from 01/2012 to 03/2018), 21 from DMT, 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 =.60), with high heterogeneity of results (I²=72.62%). Sorted by outcome clusters, the effects were medium to large (d=.53 to d=.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 homogenous/consistent (d=.30, p<.001, I²=3.47). In the dance intervention cluster, the overall medium effect was large, significant, yet heterogeneous/non-consistent (d=.81, p<.001, I²=77.96). Results suggest that DMT decreases depression and anxiety and increases quality of life, 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, most DMT studies from institutional health-care 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.

/pdf/effects-of-dance-movement-therapy-and-dance-on-health-2xuwr2y5qe.pdf

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

Music therapy is increasingly being used as an intervention for stress reduction in both medical and mental healthcare settings. Music therapy is characterized by personally tailored music interven...

https://www.tandfonline.com/doi/pdf/10.1080/17437199.2020.1846580

Music therapy for stress reduction: a systematic review and meta-analysis.

Stress is one of the world’s largest health problems, leading to exhaustion, burnout, anxiety, a weak immune system, or even organ damage. In Germany, stress-induced work absenteeism costs about 20 billion Euros per year. Therefore, it is not surprising that the Central Federal Association of the public Health Insurance Funds in Germany ascribes particular importance to stress prevention and stress management as well as health enhancing measures. Building on current integrative and embodied stress theories, Creative Arts Therapies (CATs) or arts interventions are an innovative way to prevent stress and improve stress management. CATs encompass art, music, dance/movement, and drama therapy as their four major modalities. In order to obtain an overview of CATs and arts interventions’ efficacy in the context of stress reduction and management, we conducted a systematic review with a search in the following data bases: Academic Search Complete, ERIC, Medline, Psyndex, PsycINFO and SocINDEX. Studies were included employing the PICOS principle and rated according to their evidence level. We included 37 studies, 73% of which were randomized controlled trials. 81.1% of the included studies reported a significant reduction of stress in the participants due to interventions of one of the four arts modalities.

https://www.mdpi.com/2076-328X/8/2/28/pdf

Creative Arts Interventions for Stress Management and Prevention-A Systematic Review.

Questions concerning the regulation or dysregulation of emotions in mental distress states are not only of fundamental concern in psychotherapy research but also a key issue in the art therapy field. Nevertheless, few studies have investigated the effectiveness of artistic activities in emotion regulation. This review aims to identify and analyze studies that investigate art-making to regulate emotions. Most studies to date have examined the effects of short-term mood repair, but some did investigate emotion regulation models in a psychotherapy setting. They revealed that in positive mood enhancement resulted from art-making. A few comparative studies suggested that art-making was more effective than other therapies, with distraction strategy demonstrating special success in regulating emotion. Future research on emotion regulation in art therapy should also address psychological models and take specific active factors of art into consideration.

Emotion regulation strategies and effects in art-making: A narrative synthesis

Die vorliegende explorative Studie pruft, ob ein indikationsorientiertes, kunsttherapeutisches Interventionskonzept das Wohlbefinden von Probandinnen aus Burnout-Selbsthilfegruppen aktuell und habituell steigern kann. quantitativ: pra-post: Aktuelles Wohlbefinden: Beschwerdenliste (B-L), Aktuelle Stimmungsskala (ASTS); Habituelles Wohlbefinden: Gesundheitsbezogene Lebensqualitat (SF-36); qualitativ: post: halbstandardisierte Interviews mit offenen Leitfragen; Auswertung: strukturierende Inhaltsanalyse nach Mayring. quantitativ: signifikante Steigerung des aktuellen und habituellen Wohlbefindens; qualitativ: Generierung von 3 allgemeinen und 8 spezifischen kunsttherapeutischen Wirkfaktoren. Indikationsorientierte, ressourcenaktivierende, kunsttherapeutische Interventionskonzepte konnen bestehende Programme zur Burnoutpravention und Gesundheitsforderung wirkungsvoll erganzen.

Ein kunsttherapeutischer Projekttag zur Gesundheitsförderung bei Klienten aus Burnout-Selbsthilfegruppen – eine explorative Studie

Die Wirkung kunsttherapeutischer Interventionen, insbesondere im Hinblick auf die gesellschaftlich aktuell hoch relevante Burnout-Problematik, ist derzeit noch sehr wenig erforscht. Die vorliegende explorative Einzelfallstudie beschaftigt sich mit der Fragestellung, ob kunsttherapeutische Interventionen das aktuelle und habituelle Wohlbefinden als Determinanten von Gesundheit bei Burnout-Betroffenen in einem praventiven Setting steigern konnen, und welche kunsttherapeutischen Wirkfaktoren fur die Veranderung des Wohlbefindens ursachlich sind. Durchgefuhrt wurde ein indikationsspezifisches, kunsttherapeutisches Interventionskonzept an einem Projekttag mit sieben Klientinnen aus Burnout-Selbsthilfegruppen, das mit quantitativen und qualitativen Methoden evaluiert wurde. Die quantitative Analyse ergab eine signifikante Steigerung des aktuellen und habituellen Wohlbefindens, habituell in wesentlichen Skalen des SF-36 Health Survey, aktuell in der Beschwerdenliste (B-L) und der Aktuellen Stimmungsskala (ASTS)....

Kunsttherapeutische Interventionen bei Burnout in Prävention und Gesundheitsförderung

▼ The present exploratory study dealt with the question whether a specialized concept of art therapy interventions could increase the current and habitual well-being for participants of burnout self-help groups. Method: quantitative: pre-post: Current wellbeing: list of discomforts (Beschwerdenliste: B-L); current mood scale (Aktuelle Stimmungsskala: ASTS); Habitual well-being: quality of life (SF-36); qualitative: post: semi-structured interviews with open key questions; evaluation: structured content analysis of Mayring. Results: quantitative: signifi cant increase of current and habitual well-being; qualitative: generation of 3 general and 8 specifi c art therapy work factors. Conclusion: Specialized resource-activating concepts of art therapy interventions can eff ectively complement existing programs for burnout prevention and health promotion.

Ein kunsttherapeutischer Projekttag zur Gesundheitsförderung bei Klienten aus Burnout- Selbsthilfegruppen - eine explorative Studie An Art Therapy Project Day to Promote Health for Clients from Burnout Self-Help Groups - an Exploratory Study

Renate Oepen

Papers

Creative Arts Interventions for Stress Management and Prevention-A Systematic Review.

Emotion regulation strategies and effects in art-making: A narrative synthesis

Ein kunsttherapeutischer Projekttag zur Gesundheitsförderung bei Klienten aus Burnout-Selbsthilfegruppen – eine explorative Studie

Kunsttherapeutische Interventionen bei Burnout in Prävention und Gesundheitsförderung

Ein kunsttherapeutischer Projekttag zur Gesundheitsförderung bei Klienten aus Burnout- Selbsthilfegruppen - eine explorative Studie An Art Therapy Project Day to Promote Health for Clients from Burnout Self-Help Groups - an Exploratory Study