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Argentine tango dance compared to mindfulness meditation and a waiting-list control: a randomised trial for treating depression |
Pinniger R, Brown RF, Thorsteinssona EB, McKinley P |
Complementary Therapies in Medicine 2012 Dec;20(6):377-384 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVES: To determine whether tango dancing is as effective as mindfulness meditation in reducing symptoms of psychological stress, anxiety and depression, and in promoting well-being. DESIGN: This study employed analysis of covariance (ANCOVA) and multiple regression analysis. PARTICIPANTS: Ninety-seven people with self-declared depression were randomised into tango dance or mindfulness meditation classes, or to control/waiting-list. SETTING: Classes were conducted in a venue suitable for both activities in the metropolitan area of Sydney, Australia. INTERVENTIONS: Participants completed six-week programmes (1.5h/week of tango or meditation). The outcome measures were assessed at pre-test and post-test. MAIN OUTCOME MEASURES: Depression, Anxiety and Stress Scale; The Self Esteem Scale; Satisfaction with Life Scale, and Mindful Attention Awareness Scale. RESULTS: Sixty-six participants completed the program and were included in the statistical analysis. Depression levels were significantly reduced in the tango (effect size d = 0.50, p = 0.010), and meditation groups (effect size d = 0.54, p = 0.025), relative to waiting-list controls. Stress levels were significantly reduced only in the tango group (effect size d = 0.45, p = 0.022). Attending tango classes was a significant predictor for the increased levels of mindfulness R2 = 0.10, adjusted R2 = 0.07, F[2,59] = 3.42, p = 0.039. CONCLUSION: Mindfulness-meditation and tango dance could be effective complementary adjuncts for the treatment of depression and/or inclusion in stress management programmes. Subsequent trials are called to explore the therapeutic mechanisms involved.
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