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Narrative Review of Dance-based Exercise and Its Specific Impact on Depressive Symptoms in Older Adults

Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY 10027, USA

Special Issues: Activity and Lifestyle factors in the elderly: Its relationship with Degenerative diseases and Depression

Background: Depression is a chronic condition that results in considerable disability, and particularly in later life, severely impacts the life quality of the individual with this condition. The first aim of this review article was to summarize, synthesize, and evaluate the research base concerning the use of dance-based exercises on health status, in general, and secondly, specifically for reducing depressive symptoms, in older adults. A third was to provide directives for professionals who work or are likely to work with this population in the future. Methods: All English language peer reviewed publications detailing the efficacy of dance therapy as an intervention strategy for older people in general, and specifically for minimizing depression and dependence among the elderly were analyzed. Key words: dance therapy and depression were included. Databases used were Academic Search Complete, Cinahl, PubMed, Scopus, PsycINFO, and Web of Science. Results: Collectively, this data reveal dance therapy may be useful as a rehabilitation strategy for older adults, in general, as well as for elders with varying degrees of depression, regardless of strategy employed. Conclusions: Although more research is needed, older individuals with or without chronic depression or depressive symptoms can benefit emotionally from dance based exercise participation. Geriatric clinicians can expect this form of exercise will also heighten the life quality of the older individual with depression or subclinical depression.
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Citation: Ray Marks. Narrative Review of Dance-based Exercise and Its Specific Impact on Depressive Symptoms in Older Adults. AIMS Medical Science, 2016, 3(1): 61-76. doi: 10.3934/medsci.2016.1.61


  • 1. Edwards RR, Cahalan C, Mensing G, et al. (2011) Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol 7: 216-224.    
  • 2. Alexopoulos GS (2005) Depression in the elderly. Lancet 365: 1961-1970.    
  • 3. López-López A, Montorio I, Izal M, et al. (2008) The role of psychological variables in explaining depression in older people with chronic pain. Aging Ment Health 12: 735-745.    
  • 4. Han K, Lee Y, Gu J, et al. (2015) Psychosocial factors for influencing healthy aging in adults in Korea. Health Qual Life Outcomes 13: 31.    
  • 5. Behrman S, Ebmeier KP (2014) Can exercise prevent cognitive decline? Practitioner 258: 17-21.
  • 6. Pilling S, Anderson I, Goldberg D, et al. (2009) Two guideline development groups. Depression in adults, including those with a chronic physical health problem: Summary of NICE guidance. BMJ 339: b4108.
  • 7. Andrews LW (2010) Encyclopedia of Depression, Volume 2. California, Greenwood, 285-289.
  • 8. Nestler EJ, Barrot M, DiLeone RJ, et al. (2002) Neurobiology of depression. Neuron 34: 13-25.    
  • 9. Rosemann T, Laux G, Szecsenyi J (2007) Osteoarthritis: Quality of life, comorbidities, medication and health service utilization assessed in a large sample of primary care patients. J Orthop Surg Res 2: 12.    
  • 10. Areán PA, Mackin S, Vargas-Dwyer E, et al. (2010) Treating depression in disabled, low-income elderly: A conceptual model and recommendations for care. Int J Geriatr Psychr 25: 765-769.
  • 11. Tas U, Verhagen AP, Bierma-Zeinstra SM, et al. (2007) Incidence and risk factors of disability: The Rotterdam study. Prev Med 44: 272-278.    
  • 12. Yarmo-Roberts D, Freak-Poli RL, Cooper B, et al. (2010) The heart of the matter: health status of aged care clients receiving home- and community-based care. J Aging Res 12: 275-303.
  • 13. Mallen CD, Peat G (2008) Screening older people with musculoskeletal pain for depressive symptoms in primary care. Br J Gen Pract 58: 688-693.    
  • 14. Howard KJ, Ellis HB, Khaleel MA, et al. (2011) Psychosocial profiles of indigent patients with severe osteoarthritis requiring arthroplasty. J Arthroplasty 26: 244-249.    
  • 15. Axford J, Butt A, Heron C, et al. (2010) Prevalence of anxiety and depression in osteoarthritis: use of the hospital anxiety and depression scale as a screening tool. Clin Rheumatol 29: 1277-1283.    
  • 16. Blain H, Vuillemin A, Blain A, et al. (2000) The preventive effects of physical activity in the elderly. Press Med 29: 1240-1248.
  • 17. Klein PJ, Adams WD (2004) Comprehensive therapeutic benefits of Taiji: A critical review. Am J Phys Med Rehabil 83: 735-745.    
  • 18. Koch S, Kunz T, Lykou S, et al. (2014) Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis. Arts in Psychother 41: 46-64.    
  • 19. Kattenstroth JC, Kalisch T, Tegenthoff M, et al. (2013) Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions. Front Aging Neurosci 26: 5.
  • 20. Koch SC, Morlinghaus K, Fuchs T (2000) The joy dance: specific effects of a single dance intervention on psychiatric patients with depression. The Arts in Psychother 34: 340-349.
  • 21. Kiepe MS, Stockigt B, Keil T (2012) Effects of dance therapy and ballroom dances on physical and mental illnesses: A systematic review. The Arts in Psychother 39: 404-411.    
  • 22. Eyigor S, Karapolat H, Durmaz B, et al. (2009) A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Arch Gerontol Geriatr 48: 84-88.    
  • 23. Lima MMS, Vieira AP (2007) Ballroom dance as therapy for the elderly in Brazil. Am J Dance Ther 29: 129-142.    
  • 24. Dietz J (1987) Art Therapy programs focus on elderly in housing projects: Third edition. Boston Globe, Boston, Massachusetts, p. 47.
  • 25. Cross K, Flores R, Butterfield J, et al. (2012) The effect of passive listening versus active observation of music and dance performances on memory recognition and mild to moderate depression in cognitively impaired older adults. Psychol Rep 111: 413-423.    
  • 26. Verghese J (2006) Cognitive and mobility profile of older social dancers. J Am Geriatr Soc 54: 1241-1244.    
  • 27. Chuang LY, Hung HY, Huang CJ, et al. (2015) A 3-month intervention of Dance Dance Revolution improves interference control in elderly females: a preliminary investigation. Exp Brain Res 233: 1181-1188.    
  • 28. Cruz-Ferreira A, Marmeleira J, Formigo A, et al. (2015) Creative dance improves physical fitness and life satisfaction in older women. Res Aging 29.
  • 29. Shigematsu R, Chang M, Yabushita N, et al. (2002) Dance-based aerobic exercise may improve indices of falling risk in older women. Age Ageing 31: 2661-2666.
  • 30. McKee KE, Hackney ME (2013) The effects of adapted tango on spatial cognition and disease severity in Parkinson's disease. J Motor Behav 45: 519-529.    
  • 31. Hui E, Tsan-keung CB, Woo J (2009) Effects of dance on physical and psychological well-being in older persons. Arch Gerontol Geriatric 49: e45-e50.    
  • 32. Alpert PT, Miller SK, Wallmann H, et al. (2009) The effect of modified jazz dance on balance, cognition, and mood in older aduts. J Am Acad Nurse Pract 21: 108-115.    
  • 33. Blandy LM, Beevers WA, Fitzmaurice K, et al. (2015) Therapeutic Argentine tango dancing for people with mild Parkinson's disease: a feasibility study. Front Neurol 6: 122.
  • 34. Zhang X, Ni X, Chen P (2014) Study about the effects of different fitness sports on cognitive function and emotion of the aged. Cell Biochem Biophys 70: 1591-1596.    
  • 35. Jeon MY, Bark ES, Lee EG, et al. (2005) The effects of a Korean traditional dance movement program in elderly women. Taehan Kanho Hakhoe Chi 35: 1268-1276.
  • 36. Lewis C, Annett LE, Davenport S, et al. (2014) Mood changes following social dance sessions in people with Parkinson's disease. J Health Psychol 21.
  • 37. Haboush A, Floyd M, Caron J, et al. (2006) Ballroom dance lessons for geriatric depression: an exploratory study. The Arts in Psychother 33: 89-97.    
  • 38. Pinniger R, Brown RF, Thorsteinsson EB, et al. (2012) Argentine tango dance compared to mindfulness meditation and a waiting-list control: A randomised trial for treating depression. Complement Ther Med 20: 377-384.    
  • 39. Vankova H, Holmerova I, Machacova K, et al. (2014) The effect of dance on depressive symptoms in nursing home residents. J Am Med Dir Assoc 15: 582-587.    
  • 40. Von Rossberg-Gempton IE (1998) “Creative dance": Potentiality for enhancing psychomotor, cognitive, and social-affective functioning in seniors and young children. Dissert Abs Int Sec A: Hum Soc Sci 59: 0008.
  • 41. Verhagen AP, Immink M, van der Meulen A, et al. (2004) The efficacy of Tai Chi Chuan in older adults: A systematic review. Family Prac 21: 107-113.    
  • 42. Han A, Robinson V, Hackney ME, et al. (2010) Social partnered dance for people with serious and persistent mental illness: A pilot study. J Nerv Ment Dis 198: 76-78.    
  • 43. Hackney ME, Earhart GM (2009) Effects of dance on movement control in Parkinson's disease: A comparison of Argentine tango and American ballroom. J Rehabil Med 41: 475-481.    
  • 44. Moffet H, Noreau L, Parent E, et al. (2000) Feasibility of an eight-week dance-based exercise program and its effects on locomotor ability of persons with functional class III rheumatoid arthritis. Arthritis Care Res 13: 100-111.
  • 45. Hackney ME, Earhart GM (2010) Social partnered dance for people with serious and persistent mental illness. J Nervous Mental Dis 198: 76-78.    
  • 46. Akandere M, Demir B (2011) The effect of dance over depression. Coll Antropol 35: 651-656.
  • 47. Lumsden DB, Baccala A, Mertire J (1998) T’ai chi for osteoarthritis: an introduction for primary care physicians. Geriatrics 53: 84-87.
  • 48. Kirsteins AE, Dietz F, Hwang SM (1991) Evaluating the safety and potential use of a weight-bearing exercise, Tai-Chi Chuan, for rheumatoid arthritis patients. Am J Phys Med Rehabil 70: 136-141.    
  • 49. Bajaj T, Vohra SS (2011) Therapeutic implications of dance. Amity J Appl Psychol 2: 54-68.
  • 50. Meekums B, Karkou V, Nelson EA (2015) Dance movement therapy for depression. Cochrane Database Syst Rev 2: CD009895.
  • 51. Murrock CJ, Graor CH (2014) Effects of dance on depression, physical function, and disability in underserved adults. J Aging Phys Act 22: 380-385.    
  • 52. Gayvoronskaya E, Shapovalov D (2010) Integrative dance/movement psychotherapy and the aging process Body. Move Dance Psychother 5: 185-196.
  • 53. Ritter M, Low KG (1996) Effects of dance/movement therapy: A meta-analysis. The Arts in Psychother 23: 249-260.    
  • 54. Pylvänäinen PM, Muotka JS, Lappalainen R (2015) A dance movement therapy group for depressed adult patients in a psychiatric outpatient clinic: effects of the treatment. Front Psychol 6: 980.
  • 55. Lee NY, Lee DK, Song HS (2015) Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson's disease patients. J Phys Ther Sci 27: 145-147.
  • 56. Bräuninger I (2012) The efficacy of dance movement therapy group on improvement of quality of life: A randomized controlled trial. Arts In Psychother 39: 296-303.    
  • 57. Bräuninger I (2012) Dance movement therapy group intervention in stress treatment: A randomized controlled trial (RCT). Arts In Psychother 39: 443-450.    
  • 58. Kluge M (2014) Music, movement, and mood: Health promotion classes boost well-being and create social bonds. Generations 38: 31-34.
  • 59. Mala A, Karkou V, Meekums B (2012) Dance/movement therapy (D/MT) for depression: A scoping review. Arts In Psychother 39: 287-295.    
  • 60. Sun J, Zhsng N, Buys N, et al. (2013) The role of Tai Chi, cultural dancing playing a musical instrument and singing in the prevention of chronic disease in Chinese older adults: a mind-body meditative approach. Intl J Mental Hlth Promot 15: 227-239.    
  • 61. Crumbie V, Olmos F, Watts C, et al. (2015) The impact of dance interventions on mood and depression in older adults. Ther Recreation J 49: 187-190.
  • 62. McNeely ME, Duncan RP, Earhart GM (2015) Impacts of dance on non-motor symptoms, participation, and quality of life in Parkinson disease and healthy older adults. Maturitas 82: 336-341.
  • 63. Bunch W (2004) Dancing through the pain. Physician executive launches new business to treat patients with chronic pain. Physician Exec 30: 30-33.
  • 64. Jeoung BJ (2014) Relationships of exercise with frailty, depression, and cognitive function in older women. J Exerc Rehabil 10: 291-294.
  • 65. Punkanen m, Saarikallio S, Luck G (2014) Emotions in motion: short-term group form Dance/Movement Therapy in the treatment of depression: A pilot study. The Arts in Psychother 41: 493-497.    
  • 66. Hashimoto H, Takabatake S, Miyaguchi H, et al. (2015) Effects of dance on motor functions, cognitive functions, and mental symptoms of Parkinson's disease: A quasi-randomized pilot trial. Complement Ther Med 23: 210-219.
  • 67. Pierce EF, Pate DW (1994) Mood alterations in older adults following acute exercise. Percept Mot Skills 79: 191-194.
  • 68. Tekin A, Kaldirimci M (2008) The effect of recreational physical exercise on physical condition and depression levels of elderly. Turk Geriatri Dergisi-Turkish J Geriatri 11: 18-25.
  • 69. Guzmán-García A, Mukaetova-Ladinska E, James I (2013) Introducing a Latin ballroom dance class to people with dementia living in care homes, benefits and concerns: A pilot study. Dementia (London) 12: 523-535.    
  • 70. Odermatt-Edelmann S (2000) Tailored therapy of depression. Ther Umsch 57: 100-102.    


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Copyright Info: 2016, Ray Marks, licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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