title: The effect of dance on depressive symptoms in nursing home residents.
abstract: OBJECTIVE
  To evaluate the effect of a dance-based therapy on depressive symptoms among institutionalized older adults.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Nursing homes.
  
  
  METHODS
  Older adults (60 years or older) permanently living in a nursing home.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic; Centre of Expertise in Longevity and Long-term Care, Faculty of Humanities, Charles University in Prague, Prague, Czech Republic. Electronic address: h.van@seznam.cz.
authors.forename: Hana
authors.initials: H
authors.lastname: Vankova
authors.affiliation: Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic; Centre of Expertise in Longevity and Long-term Care, Faculty of Humanities, Charles University in Prague, Prague, Czech Republic.
authors.forename: Iva
authors.initials: I
authors.lastname: Holmerova
authors.affiliation: Centre of Expertise in Longevity and Long-term Care, Faculty of Humanities, Charles University in Prague, Prague, Czech Republic.
authors.forename: Katerina
authors.initials: K
authors.lastname: Machacova
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Ladislav
authors.initials: L
authors.lastname: Volicer
authors.affiliation: Centre of Expertise in Longevity and Long-term Care, Faculty of Humanities, Charles University in Prague, Prague, Czech Republic.
authors.forename: Petr
authors.initials: P
authors.lastname: Veleta
authors.affiliation: Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic.
authors.forename: Alexander Martin
authors.initials: AM
authors.lastname: Celko
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D018153:Czech Republic; D003615:Dancing; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D012959:Socioeconomic Factors; D016896:Treatment Outcome
keywords: Dance therapy; depressive symptoms; nursing home