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For adolescents and young people particularly, there is need for better and more readily available treatments for depression and low mood. Comparatively less work has been done to characterize and treat depression specifically in young people. Previous literature indicates that often the unaddressed or under-addressed mental health difficulties in youth perseverate into adulthood and contribute to a host of individual and communal difficulties throughout the lifespan. Specifically, if depression goes unaddressed in young adulthood, the likelihood of a chronic course and multiple relapses or recurrences is much higher.
In the present research, we seek to investigate the potential efficacy of a novel intervention for young people with low mood. Depression disrupts social functioning, and social connectedness is especially important during adolescence for healthy development. Within a growing body of literature, social dance has been linked to social and mental health benefits along the dimensions of those disrupted in depression. We hypothesize that social dance might preferentially and efficiently target the goals of addressing loneliness, closeness, and enjoyment in young people compared to other approaches to the treatment of low mood and depression in a way that could lead to mood improvements.
Specifically, we are interested in the impact of a social movement-based activity, salsa dancing, on young peoples' mood and social and emotional processing. Social and emotional processing (SEP) tasks, such as emotional facial recognition and memory for emotional words, have been demonstrated to correspond with early changes that can be predictive of mood changes and treatment efficacy downstream. Including SEP tasks in this research will help to elucidate the potential mechanisms underlying mood improvements, should social dance correspond to improved mood in participants.
The present research seeks to:
In this randomized controlled trial, participants in the experimental group will complete six to eight sessions of social movement (salsa dance) classes within an eight-week period, and complete psychological questionnaires and tasks before, during, and after these eight weeks. Their scores will be compared with those of a control group that will participate in an active waitlist condition.
If the present study suggests that social movement benefits young people with low mood, it could form the basis for investigating a potential new cost-effective, non-invasive, accessible intervention that could be made available to young people.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Salsa Dancing | Experimental | Participants will complete eight weeks of a salsa course in Oxford (of which they need to attend six classes to remain in the study), followed by a one-month follow-up time point. |
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| Waitlist Control | No Intervention | Participants will wait twelve weeks, completing the questionnaires and tasks at the same study time points as participants in the experimental condition.They will then be offered the opportunity to complete the eight-week salsa course. Should they choose to participate in the salsa course, they will additionally be offered the opportunity to complete questionnaires at two additional time points. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Salsa Dancing | Behavioral | Participants will complete salsa dancing classes in central Oxford with instructor(s) from the Oxford University Salsa Society |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in depressive symptoms from baseline at week four, eight, and twelve | Patient Health Questionnaire (PHQ-9) score. Higher scores indicate greater depressive symptoms. | Will be assessed at week 0, 4, 8, and 12 of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in anxiety symptoms from baseline at week four, eight, and twelve | Generalized Anxiety Disorder Scale (GAD-7) score. Higher scores indicate greater anxiety. | Will be assessed at week 0, 4, 8, and 12 of the intervention |
| Change in social anxiety symptoms from baseline at week four, eight, and twelve |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Oxford | Oxford | OX3 7JX | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34274792 | Background | Saunders R, Buckman JEJ, Stott J, Leibowitz J, Aguirre E, John A, Lewis G, Cape J, Pilling S; NCEL network. Older adults respond better to psychological therapy than working-age adults: evidence from a large sample of mental health service attendees. J Affect Disord. 2021 Nov 1;294:85-93. doi: 10.1016/j.jad.2021.06.084. Epub 2021 Jul 9. | |
| 30075313 |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D003244 | Consciousness Disorders |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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Participants will be randomly assigned to either the salsa dancing intervention (46 participants) or the passive waiting-list control group (46 participants). Randomization will be stratified by gender.
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Social Anxiety Scale - Adolescent (SAS-A) score. Higher scores indicate greater social anxiety. |
| Will be assessed at week 0, 4, 8, and 12 of the intervention |
| Change in loneliness from baseline at week four, eight, and twelve | UCLA Loneliness Scale (+ Loneliness Question) score. Higher scores indicate more loneliness. | Will be assessed at week 0, 4, 8, and 12 of the intervention |
| Change in daily mood questionnaire scores | Scoring one Likert scale mood questionnaire ("How happy do you feel?"), range 1-10. Higher values represent more happiness. | daily from baseline through week 12 of the intervention |
| Change in social anhedonia from baseline at week four, eight, and twelve | Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS) score. Higher scores indicate lower social anhedonia. | Will be assessed at week 0, 4, 8, and 12 of the intervention |
| Change in recognition of positive and negative facial expressions from baseline at week 8 | Hit rate for detecting positive versus negative faces in a facial expression recognition task (FERT) | Will be assessed at week 0 and week 8 of the intervention |
| Change in speed during recognition of positive and negative facial expressions | Reaction times for correctly recognised positive versus negative faces in facial expression recognition task (FERT) | Will be assessed at week 0 and week 8 of the intervention |
| Change in emotional categorisation (ECAT) | Reaction times for correctly classifying positive versus negative personality characteristic words | Will be assessed at week 0 and week 8 of the intervention |
| Change in recall in the emotional recall task (EREC) | Number of positive and negative words correctly (and incorrectly) recalled in the EREC task | Will be assessed at week 0 and week 8 of the intervention |
| Change in memory in the emotional memory task (EMEM) | Number of positive and negative words correctly (and incorrectly) recalled as familiar and novel | Will be assessed at week 0 and week 8 of the intervention |
| Change in trust behavior in the trust game (Trust Game) | Investment behavior and sensitivity to trustee's generosity when playing the role of the investor in a trust game | Will be assessed at week 0 and week 8 of the intervention |
| Buckman JEJ, Underwood A, Clarke K, Saunders R, Hollon SD, Fearon P, Pilling S. Risk factors for relapse and recurrence of depression in adults and how they operate: A four-phase systematic review and meta-synthesis. Clin Psychol Rev. 2018 Aug;64:13-38. doi: 10.1016/j.cpr.2018.07.005. Epub 2018 Jul 29. |
| 27261991 | Background | Lakes KD, Marvin S, Rowley J, Nicolas MS, Arastoo S, Viray L, Orozco A, Jurnak F. Dancer perceptions of the cognitive, social, emotional, and physical benefits of modern styles of partnered dancing. Complement Ther Med. 2016 Jun;26:117-22. doi: 10.1016/j.ctim.2016.03.007. Epub 2016 Mar 9. |
| 33679534 | Background | Shuper Engelhard E, Vulcan M. The Potential Benefits of Dance Movement Therapy in Improving Couple Relations of Individuals Diagnosed With Autism Spectrum Disorder-A Review. Front Psychol. 2021 Feb 18;12:619936. doi: 10.3389/fpsyg.2021.619936. eCollection 2021. |
| 32903394 | Background | Hyvonen K, Pylvanainen P, Muotka J, Lappalainen R. The Effects of Dance Movement Therapy in the Treatment of Depression: A Multicenter, Randomized Controlled Trial in Finland. Front Psychol. 2020 Aug 12;11:1687. doi: 10.3389/fpsyg.2020.01687. eCollection 2020. |
| 28153641 | Background | Harmer CJ, Duman RS, Cowen PJ. How do antidepressants work? New perspectives for refining future treatment approaches. Lancet Psychiatry. 2017 May;4(5):409-418. doi: 10.1016/S2215-0366(17)30015-9. Epub 2017 Jan 31. |
| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |