Abstract
Objective
To evaluate the effect of a dance-based therapy on depressive symptoms among institutionalized
older adults.
Design
Randomized controlled trial.
Setting
Nursing homes.
Participants
Older adults (60 years or older) permanently living in a nursing home.
Intervention
Exercise Dance for Seniors (EXDASE) Program designed for the use in long-term care
settings performed once a week for 60 minutes for 3 months.
Measurements
Baseline measures included sociodemographic characteristics, ability to perform basic
as well as instrumental activities of daily living, basic mobility, self-rated health,
and cognitive status. Outcome measures were collected before and after the intervention
and included assessment of depressive symptoms using the geriatric depression scale
(GDS).
Results
Comparison of participants with MMSE of 15 or higher showed that GDS scores in the
intervention group significantly improved (P = .005), whereas the control group had a trend of further worsening of depressive
symptoms (P = .081). GLM analysis documented highly statistically significant effect of dance
therapy (P = .001) that was not influenced by controlling for intake of antidepressants and
nursing home location. Dance therapy may have decreased depressive symptoms even in
participants with MMSE lower than 15 and resulted in more discontinuations and fewer
prescriptions of antidepressants in the intervention group than in the control group.
Conclusion
This study provides evidence that dance-based exercise can reduce the amount of depressive
symptoms in nursing home residents. In general, this form of exercise seems to be
very suitable and beneficial for this population.
Keywords
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Article info
Publication history
Published online: June 07, 2014
Footnotes
This publication was supported by the grant NT11325 of the Internal Grant Agency of the Ministry of Health of the Czech Republic.
The authors declare no conflicts of interest.
Identification
Copyright
© 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
