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New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
2004 (English)In: The Arts in Psychotherapy, no 31, 153-164 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2004. no 31, 153-164 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-92312OAI: oai:DiVA.org:uu-92312DiVA: diva2:165339
Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2015-11-26Bibliographically approved
In thesis
1. Dance/Movement Therapy in Fibromyalgia Patients: Aspects and Consequences of Verbal, Visual and Hormonal Analyses
Open this publication in new window or tab >>Dance/Movement Therapy in Fibromyalgia Patients: Aspects and Consequences of Verbal, Visual and Hormonal Analyses
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method).

The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides.

The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2004. 75 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1386
Keyword
Social medicine, fibromyalgia, dance/movement therapy, stress-hormones, video interpretation, self-perception, self-figure drawing, Socialmedicin
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-4639 (URN)91-554-6075-5 (ISBN)
Public defence
2004-12-03, Hörsalen, Ingång D1, Dag Hammarskjölds väg 17, Uppsala, 09:00
Opponent
Supervisors
Available from: 2004-11-04 Created: 2004-11-04Bibliographically approved

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