“Performing Emotions and Suffering.” Recovery of Depressive Symptoms Involving Adolescent Intervention in Art and Dance Schools

Authors

DOI:

https://doi.org/10.5708/EJMH.17.2022.3.5

Keywords:

mental health, prevention, suicide, adolescents, art schools

Abstract

Introduction: In previous studies, a large majority of dance students reported mental health issues, mainly eating disorders and depression.

Aims: This project aimed to promote mental health and well-being as well as prevent maladaptive and risky behaviors – namely suicidal behavior – among adolescents who attend art and dance schools. It was implemented in sequential stages, including six moments of classroom intervention for adolescents.

Methods: A quasi-experimental research design was applied, with two assessment moments (before and after the intervention) using questionnaires filled out by the adolescents.

Results: The project was implemented in three art schools (Center and South of Portugal), and the sample consisted of 122 adolescents. 72.9% of our sample were girls aged 12–18 years (M = 13.88; SD = 1.54). Boys showed significantly higher well-being scores (M = 16.53; SD = 4.24 vs M = 14.67, SD = 4.17), and girls showed higher coping scores (M = 153.3; SD = 13.53 vs M = 146.73; SD = 13.22). Concerning depressive symptoms, 34.8% of adolescents had moderate/severe depressive symptoms, which decreased by 10% after the intervention.

Conclusions: Adolescents attending art schools might be more vulnerable to developing mental distress, and this intervention proved to be an effective approach for promoting mental health and well-being as well as preventing suicidal behaviors.

References

Beck, A., & Steer, R. (1987). Manual for the beck depression inventory. Psychological Corporation.

Bidik, G., & Sisman, F. (2021) School-based mental health programs for improving psychosocial well-being in children and adolescents: Systematic review. Journal of Psychiatric Nursing, 12(4), 350–361.
http://doi.org/10.14744/phd.2021.14471

Centers for Disease Control and Prevention. (2017). WISQARS. Web-based injury statistics query and reporting system.
https://www.cdc.gov/injury/wisqars/fatal_injury_reports.html

Callahan, P., Liu, P., Purcell, R., Parker, A., & Hetrick, S. (2012). Evidence map of prevention and treatment interventions for depression in young people. Depression Research and Treatment, 2012, Article 820735.
https://doi.org/10.1155/2012/820735

Direção Geral da Saúde (2013). Programa nacional para a saúde mental - Plano nacional de prevenção do suicídio 2013/2017 [National program for mental health - National plan for suicide prevention 2013/2017].
https://www.dgs.pt/documentos-e-publicacoes/plano-nacional-de-prevencao-do-suicido-20132017-pdf.aspx

Direção Geral da Saúde (2015). Norma n.º 015/2015 de 12/08/2015, Programa nacional de saúde escolar 2015 [Regulation no. 015/2015 of 12/08/2015, National program for school health 2015].
https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas/norma-n-0152015-de-12082015-pdf.aspx

Erse, M., Simões, R., Façanha, J., Marques, L., Loureiro, C., Matos, M., & Santos, J. (2016). Adolescent depression in schools: +Contigo Project. Revista de Enfermagem Referência, 4(9), 37–44.
http://doi.org/10.12707/RIV15026

Esparbès, S., Sordes-Ader, F., & Tap, P. (1993). Présentation de l’échelle de coping [Presentation of the coping scale]. In Les stratégies de coping (pp. 89–107). Journées du Labo PCS, 93. St Criq (Actes).

Grove J., Main L., & Sharp L. (2013). Stressors, recovery processes, and manifestations of training distress in dance. Journal Dance Medicine and Science,17(2), 70–78.

Gil, I., Santos, J., & Loureiro, L. (2016). Estigma em estudantes de enfermagem: antes e depois do contacto com pessoas com transtornos mentais [Stigma in nursing students: Before and after contacting with people with mental disorders]. UERJ Nursing Journal, 24(1), Article e12309.
https://doi.org/10.12957/reuerj.2016.12309

Iosue, M., Carli, V., D’Aulerio, M., Basilico, F., Di Domenico, A., Recchia, L., Wasserman, C., Hoven, C., Sarchiapone, M., & Wasserman, D. (2012). Depression and suicidal ideation among Italian adolescents: Preliminary results from the SEYLE project. European Psychiatry, 27(1), 1–1.
https://doi.org/10.1016/S0924-9338(12)75593-1

Johansen, K. S. (1989). World Health Organization multicentre continuous subcutaneous infusion pump feasibility and acceptability study experience. WHO.

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174.
https://doi.org/10.2307/2529310

Mainwaring, M., Krasnow, D., & Kerr, G. (2001). And the dance goes on: Psychological impact of injury. Journal of Dance Medicine and Science 5(4), 105–115.
http://www.citraining.com/pdfs/Psychological-Impact-of-Injury.pdf

Mainwaring, L. M., & Finney, C. (2017). Psychological risk factors and outcomes of dance injury. A systematic review. Journal of Dance Medicine and Science, 21(3), 87–96.
https://doi.org/10.12678/1089-313x.21.3.87

Martins, A. (2000). As manifestações clínicas da depressão na adolescência [Clinical manifestations of depression in adolescence] [Master’s thesis, Universidade do Porto]. FMUP-Dissertacao.
https://hdl.handle.net/10216/10115

Mathisen, F., Sundgot-Borgen, C., Anstensrud, B., & Sundgot-Borgen, J. (2022). Mental health, eating behaviour and injuries in professional dance students. Research in Dance Education, 23(1), 108–125.
https://doi.org/10.1080/14647893.2021.1993171

Moksnes, U. K., Eilertsen, M. E. B., & Lazarewicz, M. (2016). The association between stress, self-esteem and depressive symptoms in adolescents. Scandinavian Journal of Psychology, 57(1), 22–29.
https://doi.org/10.1111/sjop.12269

Monthuy‑Blanc, J., Mariano C., & Therme P. (2010). Prevalence of eating disorders symptoms in no elite ballet dancers and basketball players: An exploratory and controlled study among French adolescent girls. Revue d’Épidémiologie et de Santé Publique, 58(6), 415–424. https://doi.org/10.1016/j.respe.2010.07.003

Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescents Psychiatry and Mental Health, 6, Article 10.
https://doi.org/10.1186/1753-2000-6-10

Murray, K., Rieger, E., & Byrne, D. (2013). A longitudinal investigation of the mediating role of self-esteem and body importance in the relationship between stress and body dissatisfaction in adolescent females and males. Body Image, 10(4), 544–551.
https://doi.org/10.1016/j.bodyim.2013.07.011

Nock, M., Green, J., Hwang, I., McLaughlin, K., Sampson, B., Zaslavsky, A. M., & Kessler, R.C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310.
https://doi.org/10.1001/2013.jamapsychiatry.55

Picazo-Zappino, J. (2014). Suicide among children and adolescents: a review. Actas Españolas de Psiquiatría, 42(3), 125–132.
https://www.actaspsiquiatria.es/repositorio//16/89/ENG/16-89-ENG-125-132-712041.pdf

Piers, E., & Herzberg, D. (2002). Piers-Harris 2: Piers-Harris Children’s Self-Concept Scale (2nd ed.). Western Psychological Services.

Polanczyk, G. V., Salum, G A., Sugaya, L. S., Caye, A., &. Rohde, L. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. The Journal of Child Psychology and Psychiatry, 56(3), 345–365.
https://doi.org/10.1111/jcpp.12381

Ricciardelli, L. A., & McCabe, M. P. (2002). Psychometric evaluation of the body change inventory: An assessment instrument for adolescent boys and girls. Eating Behaviours, 3(1), 45–59.
https://doi.org/10.1016/S1471-0153(01)00044-7

Santos, J. C. (Coord.), Erse, M. P. Q. A., Façanha, J. D. N., Marques, L. A. F., & Simões, R. M. P. (2014). +Contigo: Promoção de saúde mental e prevenção de comportamentos suicidários na comunidade educativa [+Contigo: Mental health promotion and prevention of suicide behaviors in the school community]. Série Monográfica, 9. Escola Superior de Enfermagem de Coimbra.

Scott, A., & Guo, B. (2012). For which strategies of suicide prevention is there evidence of effectiveness? HEN synthesis report. WHO Regional Office for Europe.
http://www.euro.who.int/__data/assets/pdf_file/0005/169466/E96630.pdf

Simões, R. M. P., Santos, J. C. S., Façanha, J, Erse, M., Loureiro, C., Marques, Quaresma, M., & Matos, E. (2018). Promoção do bem-estar em adolescentes: contributos do projeto +Contigo [Promoting well-being in adolescents: The +Contigo project]. Portuguese Journal of Public Health, 36(1), 41–49.
https://doi.org/10.1159/000486468

Stice, E., & Shaw, H. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53(5), 985–993.
https://doi.org/10.1016/s0022-3999(02)00488-9

Tap, P., Costa, E., & Alves, M. (2005). Escala Toulousiana de Coping (ETC) - Estudo de adaptação à população Portuguesa [Toulouse Coping Scale – Adaptation study to the Portuguese population]. Psicologia, Saúde e Doenças, 6(1), 47–56.

Tavares, G. M. (2013). Atlas do corpo e da imaginação: Teoria, fragmentos e imagens [Body and imagination atlas: Theory, fragments, and pictures]. Editorial Caminho.

Thomas, J., Keel, P., & Heatherton T. (2011). Disordered eating and injuries among adolescent ballet dancers. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 16(3), 216–222.
https://doi.org/10.1007/BF03325136

Veiga, F. (2006). Uma nova versão da escala de autoconceito Piers-Harris children’s selfconcept scale (PHCSCS-2) [A new version of the Piers-Harris children’s self-concept scale (PHCSCS-2)]. Psicologia e Educação, 5(1), 39–48.
http://hdl.handle.net/10451/4672

Venta, A., & Sharp, C. (2014). Attachment organization in suicide prevention research: Preliminary findings and future directions in a sample of inpatient adolescents. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 35(1), 60–66.
https://doi.org/10.1027/0227-5910/a000231

Vedana, K. G. G., dos Santos, J. C., Zanetti, A. C. G., Miasso, A. I., Ventura, C. A. A., Pillon, S. C., de Souza, J., & Silva, A. C. (2020). Attitudes of Portuguese nursing undergraduate students toward suicidal behaviour. British Journal of Mental Health Nursing, 9(1), 41–49.
http://dx.doi.org/10.12968/bjmh.2018.0031

Winden, D., Rijn, R., Savelsberg, G., Oudejand, R., & Stubbe, J. (2020). Characteristics and extent of mental health issues in contemporary dance students. Medical Problems of Performing Artists, 35(3), 121–129.
https://doi.org/10.21091/mppa.2020.3019

World Health Organization. (2008, June 12–13). European pact for mental health and well-being. EU High- Level Conference. Together For Mental Health and Well-Being, Brussels, Belgium.
https://ec.europa.eu/health/ph_determinants/life_style/mental/docs/pact_en.pdf

World Health Organization. (2010a). Global recommendations on physical activity for health.
https://www.who.int/publications/i/item/9789241599979

World Health Organization. (‎2010b)‎. Child and adolescent health and development: progress report 2009: highlights.
https://apps.who.int/iris/handle/10665/44314

World Health Organization. (2014a). Preventing suicide: A global imperative.
https://www.who.int/publications/i/item/9789241564779

World Health Organization. (2014, September 15–18). Investing in children: the European child and adolescent health strategy 2015–2020. Regional Comittee for Europe, 64th session, Copenhagen, Denmark.
http://www.euro.who.int/__data/assets/pdf_file/0010/253729/64wd12e_InvestCAHstrategy_140440.pdf

World Health Organization. (2017). Disease and injury country mortality estimates, 2000–2015 [Data set]. Global Health Observatory.
https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death

World Health Organization. (2019). Suicide in the world: global health estimates.
https://apps.who.int/iris/handle/10665/326948

World Health Organization. (2022). World mental health report: transforming mental health for all.
https://www.who.int/publications/i/item/9789240049338

Downloads

Published

2022-12-13

Issue

Section

Research Articles

How to Cite

“Performing Emotions and Suffering.” Recovery of Depressive Symptoms Involving Adolescent Intervention in Art and Dance Schools. (2022). European Journal of Mental Health, 17(3), 65-77. https://doi.org/10.5708/EJMH.17.2022.3.5