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舞蹈动作治疗组参与者中与抑郁变化相关的身体意象概况

The Profiles of Body Image Associate With Changes in Depression Among Participants in Dance Movement Therapy Group.

作者信息

Pylvänäinen Päivi, Hyvönen Katriina, Muotka Joona

机构信息

Tampere Psychiatric Unit, Tampere City Mental Health Services, Tampere, Finland.

Faculty of Social Sciences/Psychology, Tampere University, Tampere, Finland.

出版信息

Front Psychol. 2020 Oct 6;11:564788. doi: 10.3389/fpsyg.2020.564788. eCollection 2020.

Abstract

This mixed-methods study analyzed the body image quality of 143 patients with depression. The participants received a 20 × 75 min dance movement therapy (DMT) group treatment, sessions twice a week. Body Image Assessment (BIA) was the data collection tool, with pre-, post-, and 3-mos follow-up assessments. Pre-intervention body image quality characteristics were low energy and activity levels, discomfort, shame and disgust toward the body, tension in social interactions. On the BIA scores, a statistical method of Latent Profile Analysis was utilized to identify participant profiles in the data. The two identified profiles were participant with initial negative body image and participant with initial neutral body image. Depression symptoms were measured with BDI, and symptoms decreased for both participant profiles following the DMT intervention. The neutral profile participants had a significantly lower depression level, better energy level, and more frequently used mindfulness factors of acting aware, non-judgmentality and non-reactivity (measured with FFMQ). Findings suggest a systemic interaction between depression symptoms, body image, attachment style, activity level, and mindfulness skills. In an interactive DMT setting it is possible to address all of these factors simultaneously.

摘要

这项混合方法研究分析了143名抑郁症患者的身体意象质量。参与者接受了为期20周、每周两次、每次75分钟的舞蹈动作治疗(DMT)小组治疗。身体意象评估(BIA)是数据收集工具,进行了干预前、干预后和3个月随访评估。干预前身体意象质量特征包括低能量和活动水平、不适、对身体的羞耻感和厌恶感、社交互动中的紧张感。在BIA分数方面,采用潜在剖面分析的统计方法来识别数据中的参与者剖面。识别出的两个剖面是初始身体意象为负面的参与者和初始身体意象为中性的参与者。用贝克抑郁量表(BDI)测量抑郁症状,DMT干预后两个参与者剖面的症状均有所减轻。中性剖面的参与者抑郁水平显著更低,能量水平更好,并且更频繁地使用正念因素,即有意识行动、不评判和无反应性(用五因素正念问卷(FFMQ)测量)。研究结果表明抑郁症状、身体意象、依恋风格、活动水平和正念技能之间存在系统性相互作用。在互动性的DMT环境中,可以同时解决所有这些因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fe/7573211/1f7b8fe875dc/fpsyg-11-564788-g001.jpg

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