Bastoni Ilaria, Guerrini Usubini Anna, Gobetti Maria, Sanna Mila, Pagnoncelli Glenda, Uboldi Laura, Villa Valentina, Castelnuovo Gianluca, Sartorio Alessandro, Mendolicchio Leonardo
Psychology Research Laboratory, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20145 Milan, Italy.
Centro Arti Terapie, 20122 Milan, Italy.
J Clin Med. 2023 Dec 19;13(1):5. doi: 10.3390/jcm13010005.
There is growing support for considering Dance Movement Therapy (DMT) as an effective approach to improving physical and psychological symptoms in eating disorders (ED), but additional evidence is needed. The current study aims to investigate the effectiveness of a DMT intervention for inpatients with ED during an in-hospital rehabilitation program for ED in reducing emotion dysregulation and alexithymia and improving interoceptive awareness.
Forty-nine consecutive inpatient young women with ED (aged between 18 and 34 years) recruited from a clinical center for the rehabilitation of obesity and ED received four group sessions of DMT intervention. All participants completed the Difficulties in Emotion Regulation Scale (DERS), the Toronto Alexithymia Scale (TAS), and the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA) before (Time 0) and after the intervention (Time 1). Paired-sample t-tests were run to assess differences between Time 0 to Time 1.
From pre-to-post interventions, there was a significant reduction in the means of all of the subscales of DERS, suggesting an improvement in emotion regulation competencies, with the only exception for difficulties in awareness that increased ( = 0.016). We also found a significant reduction in alexithymia, as proved by significant differences in all of the subscales and the total score of TAS ( < 0.001), and significant improvements in interoceptive awareness as suggested by increased scores of the noticing ( = 0.043), emotional awareness ( < 0.001), body listening ( < 0.001), and trusting ( < 0.001) subscales of MAIA.
Overall, our results point towards the efficacy of dance/movement in reducing symptoms of eating disorders. Our findings also suggest that dancing can be considered a useful intervention to increase emotional regulation, reduce alexithymia, and enhance interoceptive awareness.
越来越多的人支持将舞蹈动作疗法（DMT）视为改善饮食失调（ED）患者身体和心理症状的有效方法，但仍需更多证据。本研究旨在调查在住院期间针对ED患者开展的康复项目中，DMT干预对减少情绪失调和述情障碍以及提高内感受性觉知的有效性。
从一家肥胖症和ED康复临床中心招募了49名连续住院的年轻ED女性患者（年龄在18至34岁之间），她们接受了四节DMT干预小组课程。所有参与者在干预前（时间0）和干预后（时间1）完成了情绪调节困难量表（DERS）、多伦多述情障碍量表（TAS）和内感受性觉知多维评估量表（MAIA）。采用配对样本t检验来评估时间0到时间1之间的差异。
从干预前到干预后，DERS所有子量表的均值显著降低，表明情绪调节能力有所改善，唯一例外的是觉察困难增加了（P = 0.016）。我们还发现述情障碍显著减少，这在TAS的所有子量表和总分中都有显著差异证明（P < 0.001），并且内感受性觉知有显著改善，这由MAIA的觉察（P = 0.043）、情绪觉知（P < 0.001）、身体倾听（P < 0.001）和信任（P < 0.001）子量表得分增加所表明。
总体而言，我们的结果表明舞蹈/动作疗法在减轻饮食失调症状方面具有疗效。我们的研究结果还表明，舞蹈可被视为一种有用的干预措施，以增强情绪调节、减少述情障碍并提高内感受性觉知。
