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自由舞蹈和舞蹈疗法对接受乳腺癌手术的女性的自尊、焦虑、身体意象及抑郁症状有何影响?一项随机临床试验。

What are the effects of free dance and dance therapy on self-esteem, anxiety, body image and depressive symptoms of women undergoing breast cancer surgery? A randomized clinical trial.

作者信息

Barcelos de Souza Júlia Cristina, da Silveira Juliana, de Bem Fretta Tatiana, Gil Priscila Rodrigues, de Azevedo Guimarães Adriana Coutinho

机构信息

College of Health and Sport Science, Santa Catarina State University, Florianopolis, Brazil.

College of Health and Sport Science, Santa Catarina State University, Florianopolis, Brazil.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:1159-1167. doi: 10.1016/j.jbmt.2025.03.004. Epub 2025 Mar 21.

DOI:10.1016/j.jbmt.2025.03.004
PMID:40325652
Abstract

OBJECTIVE

To analyze the effect of two 12-week interventions with free dance and dance therapy compared to the control group on self-esteem, body image anxiety and depressive symptoms in women undergoing breast cancer surgery.

METHODS

Randomized clinical trial, with two different interventions (free dance and dance therapy) carried out at different periods, consisting of 23 female breast cancer survivors (58.7 ± 9.9 years), divided into two groups, the intervention group (IG - n = 11) who received different interventions at different times and the control group (CG -n = 12) who maintained their routine activities. The interventions lasted 12 weeks, with 60-min sessions, held twice a week and with a washout period of 35 days between them. The outcomes assessed were self-esteem (Self-Esteem Scale), anxiety (Beck Anxiety Inventory), body image (Body Image after Breast Cancer), and depressive symptoms (Beck Depression Inventory).

RESULTS

There was an improvement within the free dance group in depressive symptoms (p = 0.013) and within the dance therapy group in anxiety (p ≤ 0.001). Difference between the free dance group in the variable depressive symptoms (p ≤ 0.001) and difference between the dance therapy group in anxiety (p ≤ 0.001). In body image, the limitations domain showed an intragroup difference (p = 0.039) due to a worsening post-intervention in the CG compared to the dance therapy group.

CONCLUSION

Women survivors of breast cancer showed improvement in anxiety and depressive symptoms after performing 12 weeks of free dance and dance therapy.

REGISTRATION

Clinical registry: Brazilian Clinical Trials Registry (ReBEC) (nº 0RBR-772ktp).

摘要

目的

分析与对照组相比,为期12周的自由舞蹈干预和舞蹈治疗对接受乳腺癌手术女性的自尊、身体意象焦虑和抑郁症状的影响。

方法

随机临床试验,在不同时期进行两种不同干预(自由舞蹈和舞蹈治疗),研究对象为23名女性乳腺癌幸存者(58.7±9.9岁),分为两组,干预组(IG - n = 11)在不同时间接受不同干预,对照组(CG - n = 12)维持日常活动。干预持续12周,每周两次,每次60分钟,两次干预之间有35天的洗脱期。评估的结果包括自尊(自尊量表)、焦虑(贝克焦虑量表)、身体意象(乳腺癌后的身体意象)和抑郁症状(贝克抑郁量表)。

结果

自由舞蹈组的抑郁症状有所改善(p = 0.013),舞蹈治疗组的焦虑有所改善(p≤0.001)。自由舞蹈组在抑郁症状变量上存在差异(p≤0.001),舞蹈治疗组在焦虑上存在差异(p≤0.001)。在身体意象方面,由于与舞蹈治疗组相比,对照组干预后局限性领域恶化,因此该领域显示出组内差异(p = 0.039)。

结论

乳腺癌女性幸存者在进行12周的自由舞蹈和舞蹈治疗后,焦虑和抑郁症状有所改善。

注册情况

临床注册:巴西临床试验注册中心(ReBEC)(编号0RBR - 772ktp)。

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