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Dance/Movement Therapy in Fibromyalgia Patients: Aspects and Consequences of Verbal, Visual and Hormonal Analyses
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences.
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. , p. 75
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1386
Keywords [en]
Social medicine, fibromyalgia, dance/movement therapy, stress-hormones, video interpretation, self-perception, self-figure drawing
Keywords [sv]
Socialmedicin
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-4639ISBN: 91-554-6075-5 (print)OAI: oai:DiVA.org:uu-4639DiVA, id: diva2:165340
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
List of papers
1. Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation
Open this publication in new window or tab >>Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation
2003 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 30, no 5, p. 255-264Article in journal (Refereed) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-92309 (URN)10.1016/j.aip.2003.07.001 (DOI)
Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2017-12-14Bibliographically approved
2. Dance/movement therapy in fibromyalgia patients: Changes in self-figure drawings and their relation to verbal self-rating scales
Open this publication in new window or tab >>Dance/movement therapy in fibromyalgia patients: Changes in self-figure drawings and their relation to verbal self-rating scales
2006 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 33, no 1, p. 11-25Article in journal (Refereed) Published
Abstract [en]

This study evaluates if verbally oriented scales are as effective as the visual instruments of self-figure drawing and video interpretation in detecting treatment responses after 6 months of dance/movement therapy in fibromyalgia patients.

The self-figure drawing and video interpretation technique captured treatment effects that were not seen on verbal scales. In the self-figure drawings, significant differences were seen in the variables “amount of body details” and “amount of paper use in percent” between the treatment group and controls after dance/movement therapy. The treatment group showed a significant increase in the “amount of body details” and “amount of paper use in percent” compared to controls. Specific parts of the verbally oriented ratings in CPRS, “bodily discomfort” and “compulsive act,” were positively correlated to “number of different colours.” The variable “pain and ache” in the CPRS indicated a negative correlation to the “amount of paper use in percent,” i.e. the more pain, the less paper used.

The use of different assessment techniques may affect the treatment outcome and verbal instrumentation may not be the most appropriate in this patient group. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors that are discussed.

Keywords
Dance/movement therapy, Fibromyalgia, Self-figure drawing, Video interpretation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-92310 (URN)10.1016/j.aip.2005.05.004 (DOI)
Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2017-12-14Bibliographically approved
3. Fibromyalgia patients own experiences of video self-interpretation: a phenomenological hermeneutic study
Open this publication in new window or tab >>Fibromyalgia patients own experiences of video self-interpretation: a phenomenological hermeneutic study
2003 (English)In: Scand J of Caring Sciences, no 17, p. 257-264Article in journal (Refereed) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-92311 (URN)
Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2015-11-26Bibliographically approved
4. New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation
Open this publication in new window or tab >>New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation
2004 (English)In: The Arts in Psychotherapy, no 31, p. 153-164Article in journal (Refereed) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-92312 (URN)
Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2015-11-26Bibliographically approved

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