소마틱스 기반 무용?동작치료의 정신?신체 건강효과 : 무작위대조 및 준실험 연구의 체계적 고찰과 메타분석

다국어 초록 (Multilingual Abstract)

Somatic-based dance and movement therapy (SDMIs), encompassing dance movement therapy, creative movement, and body awareness practices, have been increasingly applied across clinical, educational, and community contexts as promising approaches for enhancing both psychological and physiological health. Despite the growing body of research, findings have remained fragmented due to heterogeneity in study designs, participant populations, outcome measures, and therapy characteristics. To provide a comprehensive and quantitative synthesis of the current evidence, the present study conducted a systematic review and meta-analysis in accordance with the PRISMA 2020 guidelines.
A systematic search of international and domestic databases(RISS, and KISS etc) was performed to identify eligible randomized controlled trials (RCTs) and quasi-experimental studies published between January 2000 and March 2025. Inclusion criteria required that studies implement SDMIs with adult, adolescent, or elderly participants; report primary outcomes on mental health indicators (depression, anxiety, stress, quality of life) and secondary outcomes on physical or physiological indicators (body mass index [BMI], bone mineral density [BMD], balance, cortisol, interoceptive awareness); and provide sufficient statistical information to calculate standardized effect sizes. After removing duplicates and applying eligibility screening, 32 studies met the criteria and were included in the final synthesis.
Effect sizes were calculated using Hedges’ g with small-sample bias correction. Variances were estimated and integrated using a random-effects model with restricted maximum likelihood (REML). Heterogeneity was assessed with Cochran’s Q, Higgins’ I², and τ² statistics, while sensitivity was examined through leave-one-out (LOO) analyses. Publication bias was evaluated using funnel plots, Egger’s regression test, Begg’s test, and the Trim-and-Fill method. Forest plots were constructed to visualize study-level and pooled effects.
The meta-analysis demonstrated significant overall effects of SDMIs on mental health outcomes. Pooled results indicated a moderate-to-large reduction in depressive symptoms (g≈-0.55, p<.001), a small-to-moderate reduction in anxiety (g≈-0.38, p<.01), and consistent improvements in stress reduction and quality of life (g≈0.45, p<.001). These findings suggest that SDMIs provide robust benefits for psychological well-being across diverse populations. In contrast, evidence for physical and physiological outcomes was mixed. While some studies reported improvements in balance and interoceptive awareness, results for BMI, BMD, and cortisol showed non-significant or inconsistent patterns, indicating that somatic dance therapy may exert stronger and more reliable effects on mental rather than physical health domains.
Heterogeneity analyses revealed substantial variability across included studies(I² values ranging from 45% to 70%), reflecting differences in participant demographics, therapy duration(6–16 weeks in most cases), frequency and intensity, facilitator qualifications, and contextual application(clinical, community, educational, or rehabilitative settings). Moderator analyses were limited by reporting inconsistencies, but narrative synthesis suggested that therapy delivered in clinical populations tended to yield larger effect sizes than those in non-clinical groups.
Publication bias tests showed partial asymmetry in the funnel plot. Egger’s regression intercept indicated potential bias(p<.05), although Begg’s test results were non-significant. Trim-and-Fill analyses imputed a small number of potentially missing studies, resulting in slightly attenuated but still significant pooled effects for depression and quality of life outcomes. Sensitivity analyses confirmed the stability of the main results, as the exclusion of individual studies did not substantially alter effect sizes or significance levels.
This study has several limitations. The overall heterogeneity across studies, coupled with methodological diversity, challenges the precision of pooled estimates. The limited number of long-term follow-up studies prevents firm conclusions regarding sustained effects beyond 16 weeks. Small sample sizes in several included studies may reduce statistical power, and cultural/geographic bias is evident given the dominance of Western and East Asian research while studies from Africa and Latin America remain scarce. Moreover, the influence of multi-component therapy (e.g., programs combining dance with music, meditation, or counseling) complicates efforts to isolate the “pure” effects of somatic dance.
Despite these limitations, the findings highlight the substantial mental health benefits of SDMIs and their potential as complementary therapy in clinical, educational, and community-based practice. By integrating creative, embodied, and relational dimensions of movement, somatic dance provides unique pathways for emotional regulation, stress reduction, and psychosocial well-being. Future research should prioritize larger RCTs, cross-cultural investigations, and long-term follow-ups, as well as more refined subgroup and moderator analyses to identify optimal therapy components.
In conclusion, this systematic review and meta-analysis synthesizes the most recent empirical evidence to demonstrate that somatic dance and movement therapy significantly enhance mental health outcomes while showing partial but less consistent effects on physical and physiological indicators. These results provide a robust evidence base to support the integration of somatic dance into multidisciplinary mental health care, rehabilitation programs, and community wellness initiatives.

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅵ
• 그림목차 ⅷ
• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 5
• 3. 연구의 가설 6
• 4. 연구의 제한점 7
• Ⅱ. 이론적 배경 9
• 1. 소마틱스 기반 무용·동작치료의 적용 방식 9
• 2. 무용·동작치료(DMT)와 소마틱스 무용의 접점 12
• 3. 체현(Embodiment)·신체자각(Body Awareness)·내감각(Interoception) 16
• 4. 신경생물학적 기전: 자율신경계(ANS)·HPA 축·감정조절 네트워크 19
• 5. 운동학적·감각운동 기전: 호흡–자세–리듬–가변 강도 22
• 6. 측정과 평가: 정신건강(우울·불안·스트레스·삶의 질) 및 신체·생리(BMI·BMD·균형·코르티솔·MAIA) 25
• 7. 중재 설계·안전성·충실도: 용량(빈도·기간·세션), 치료자 자격, 윤리·금기, 맥락 적응 28
• Ⅲ. 연구 방법 31
• 1. 연구 모형 31
• 2. 연구 절차 및 단계 32
• 3. 연구대상 수집 및 방법 34
• 4. 자료 처리 및 분석 방법 36
• 1) 데이터 코딩 및 변수 정리 36
• 2) 효과 크기 산출 방식 37
• 3) 통계 모델 및 이질성 검정 38
• 4) 출판편향 점검 및 보정 39
• 5) 민감도 분석 39
• 6) 신뢰구간 및 결과 시각화 40
• Ⅳ. 연구 결과 44
• 1. 정신건강 지표에 대한 메타분석 결과 44
• 1) 종합 효과크기 분석 44
• 2) 개별 연구 효과 및 Forest Plot 45
• 3) Leave-one-out 민감도 분석 46
• 4) 출판편향 검증 47
• 1-1. 정신건강 지표 중 불안 및 스트레스 하위 메타분석 결과 47
• 1) 종합 효과크기 분석 47
• 2) 개별 연구 효과 및 Forest Plot 48
• 3) Leave-one-out 민감도 분석 49
• 4) 출판편향 검증 50
• 1-2. 정신건강 지표 중 삶의 질 및 주관적 안녕감 하위 메타분석 결과 50
• 1) 종합 효과크기 분석 50
• 2) 개별 연구 효과 및 Forest Plot 51
• 3) Leave-one-out 민감도 분석 52
• 4) 출판편향 검증 53
• 1-3. 정신건강 지표 중 신체자각 및 자기개념 하위 메타분석 결과 53
• 1) 종합 효과크기 분석 53
• 2) 개별 연구 효과 및 Forest Plot 54
• 3) Leave-one-out 민감도 분석 55
• 4) 출판편향 검증 56
• 1-4. 정신건강 지표 중 우울 하위 메타분석 결과 57
• 1) 종합 효과크기 분석 57
• 2) 개별 연구 효과 및 Forest Plot 57
• 3) Leave-one-out 민감도 분석 58
• 4) 출판편향 검증 59
• 1-5. 정신건강 지표 중 인지기능 하위 메타분석 결과 60
• 1) 종합 효과크기 분석 60
• 2) 개별 연구 효과 및 Forest Plot 60
• 3) Leave-one-out 민감도 분석 61
• 4) 출판편향 검증 62
• 2. 신체건강 지표에 대한 메타분석 결과 63
• 1) 종합 효과크기 분석 63
• 2) 개별 연구 효과 및 Forest Plot 64
• 3) Leave-one-out 민감도 분석 65
• 4) 출판편향 검증 66
• 2-1. 신체건강 지표 중 감각 및 운동 기능 하위 메타분석 결과 67
• 1) 종합 효과크기 분석 67
• 2) 개별 연구 효과 및 Forest Plot 68
• 3) Leave-one-out 민감도 분석 69
• 4) 출판편향 검증 69
• 2-2. 신체건강 지표 중 신체 증상 및 통증 하위 메타분석 결과 70
• 1) 종합 효과크기 분석 70
• 2) 개별 연구 효과 및 Forest Plot 71
• 3) Leave-one-out 민감도 분석 72
• 4) 출판편향 검증 73
• 2-3. 신체건강 지표 중 체력 및 신체능력 하위 메타분석 결과 73
• 1) 종합 효과크기 분석 73
• 2) 개별 연구 효과 및 Forest Plot 74
• 3) Leave-one-out 민감도 분석 75
• 4) 출판편향 검증 76
• Ⅴ. 고 찰 77
• 1. 정신 건강 지표 종합 효과에 대한 논의 78
• 1-1. 불안 및 스트레스 78
• 1-2. 삶의 질 및 주관적 안녕감 79
• 1-3. 신체자각 및 자기개념 79
• 1-4. 우울 80
• 1-5. 인지기능 80
• 2. 신체 건강 지표 종합 효과에 대한 논의 81
• 2-1. 감각 및 운동 기능 82
• 2-2. 신체 증상 및 통증 82
• 2-3. 체력 및 신체능력 83
• 3. 종합 논의 83
• Ⅵ. 결론 및 제언 85
• 1. 결 론 85
• 2. 제 언 86
• 참 고 문 헌 89
• 영 문 초 록 97
• 감 사 의 글 101
• List of Table
• Table 1. Meta-Analysis of Somatic-Based Dance/Movement Therapy: Mental Health 41
• Table 2. Meta-Analysis of Somatic-Based Dance/Movement Therapy: Physical Health 43
• Table 3. Summary of Meta-Analysis on Mental Health 44
• Table 4. Leave-One-Out Sensitivity Analysis of Mental Health Outcomes 46
• Table 5. Summary of Meta-Analysis on Anxiety and Stress Outcomes 48
• Table 6. Leave-One-Out Sensitivity Analysis of Anxiety and Stress Outcomes 49
• Table 7. Summary of Meta-Analysis on Quality of Life and Well-being Outcomes 51
• Table 8. Leave-One-Out Sensitivity Analysis of Quality of Life and Well-being Outcomes 52
• Table 9. Summary of Meta-Analysis on Body Awareness and Self-Concept Outcomes 54
• Table 10. Leave-One-Out Sensitivity Analysis of Body Awareness and Self-Concept Outcomes 55
• Table 11. Summary of Meta-Analysis on Depression Outcomes 57
• Table 12. Leave-One-Out Sensitivity Analysis of Depression Outcomes 59
• Table 13. Summary of Meta-Analysis on Cognitive Function Outcomes 60
• Table 14. Leave-One-Out Sensitivity Analysis of Cognitive Function Outcomes 62
• Table 15. Summary of Meta-Analysis on Physical Health 64
• Table 16. Leave-One-Out Sensitivity Analysis of Physical Health Outcomes 66
• Table 17. Summary of Meta-Analysis on Physical Health 68
• Table 18. Leave-One-Out Sensitivity Analysis of Sensory and Motor Function Outcomes 69
• Table 19. Summary of Meta-Analysis on Physical Symptoms and Pain Outcomes 71
• Table 20. Leave-One-Out Sensitivity Analysis of Physical Symptoms and Pain Outcomes 72
• Table 21. Summary of Meta-Analysis on Physical Fitness and Ability Outcomes 74
• Table 22. Leave-One-Out Sensitivity Analysis of Physical Fitness and Physical Ability Outcomes 75