Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations
Abstract
1. Introduction
Background
- (a)
- To identify published dance-based mindfulness programs targeting non-professional, non-clinical or recreational participants.
- (b)
- To summarize reported outcomes (psychological, emotional, social, etc.) associated with these programs.
- (c)
- To describe the key characteristics of such interventions (such as country, duration, format, delivery mode, theoretical grounding).
- (d)
- To highlight gaps in the current literature that future research and practice should address.
2. Materials and Methods
2.1. Study Design
- Identifying the research question, focusing on the characteristics, outcomes, and frameworks of existing dance-based mindfulness interventions for non-professional and non-clinical populations.
- Identifying relevant studies, through a structured database search across PubMed, PsycINFO, ERIC, Web of Science and Scopus using a combination of terms related to mindfulness, dance, and non-professional or recreational participants. In addition, Google Scholar was used as a supplementary search tool to capture grey literature and studies not indexed in the major databases.
- Study selection, based on predetermined inclusion and exclusion criteria, focusing on empirical studies describing or evaluating dance practices clearly informed by mindfulness interventions for non-professional populations.
- Charting the data, using a standardized form capturing details about study design, intervention characteristics, population, outcomes, and theoretical basis.
- Collating, summarizing, and reporting the results, via a narrative synthesis of key themes, trends, and gaps in the literature.
2.2. Inclusion and Exclusion Criteria
2.3. Search Strategy
2.4. Study Selection Process
3. Results
- Psychological and Emotional Outcomes: Across age groups and contexts, dance-based mindfulness interventions were linked with improvements in psychological well-being, emotional regulation, and stress management. For adolescents, participation reported reductions in stress, psychosomatic symptoms, and tiredness, as well as improvements in self-rated health, emotional regulation, and overall vitality [41,60,64]. In university students and young adults, interventions fostered significant decreases in perceived stress and depression, alongside enhanced mindfulness, compassion, and life satisfaction [36,61,62]. Among older adults with mild cognitive decline, online mindfulness-based dance/movement therapy (M-DMT) resulted in reductions in loneliness and depressive symptoms, coupled with gains in positive affect and overall well-being [63]. These findings highlight the potential of such interventions to promote emotional resilience and psychological health across the lifespan.
- Embodiment and Self-Compassion: A central mechanism emerging from the studies was embodied awareness, the integration of body and mind through mindful movement practices. Techniques such as breathwork, body scans, improvisational dance, and reflective exercises consistently enhanced interoceptive awareness, self-compassion, and trauma processing. For example, Dancing Mindfulness facilitated improvements in body awareness and emotional expression among trauma-exposed participants, promoting safety and empowerment [32]. Similarly, Rodríguez-Jiménez et al. [36] demonstrated that DMT-based interventions significantly increased body awareness, decreased bodily dissociation, and improved life satisfaction and well-being in university students. Mindful ballet-yoga combinations further reduced performance anxiety and enhanced attentional focus [62], while school-based programs integrating relaxation and non-competitive enjoyment promoted embodied presence and acceptance among adolescents [41]. These findings highlight embodiment as a foundational pathway to psychological regulation and self-compassion.
- Relational and Social Benefits: Dance-based mindfulness programs also fostered social and relational benefits, emphasizing co-regulation and collective experience. University-based mindful dancing protocols grounded in Sufi principles enhanced compassion for others, mediated by shared flow and perceived emotional synchrony within group contexts [61]. In school-based interventions, programs fostered non-competitive enjoyment, peer inclusion, and collaborative creativity [64,66]. Among older adults, the online M-DMT program supported stronger social engagement and a sense of belonging despite geographical distance, demonstrating the adaptability of digital platforms for relational outcomes [63]. These findings suggest that mindfulness-based dance creates opportunities for connection, trust-building, and social cohesion.
- Feasibility and Acceptability: Across studies, interventions demonstrated high feasibility, engagement, and acceptability. School-based programs reported exceptional recruitment (up to 91%) and retention (up to 98%), with teachers noting successful integration into curricula and high student engagement [64,66]. Community-based initiatives similarly achieved strong commitment and positive participant experiences, with Duberg et al. [60] reporting that 67% of adolescents attended at least half the sessions and 91% rated the experience positively. Qualitative feedback highlighted feelings of safety, empowerment, and enjoyment as central to sustained participation [32]. Online formats were also feasible and well-received among older adults, suggesting that digital delivery can expand accessibility while maintaining participant engagement [63].
- Sustained and Preventive Effects: Although limited in number, several studies indicated long-term and preventive benefits. In adolescents, improvements in self-rated health were sustained up to 12 months after intervention completion [60], and reductions in daytime tiredness and gains in alertness persisted at 20-month follow-up assessments [41]. Among university students, mindfulness-based DMT buffered against stress increases during exam periods, suggesting a preventive role in high-stress academic contexts [36]. These findings point to the potential of dance-based mindfulness to deliver durable effects. However, the scarcity of long-term data and methodological variability across studies emphasize the need for future research with extended follow-up periods.
4. Discussion
4.1. Identified Interventions: Scope and Nature
4.2. Reported Outcomes and Experiential Themes
4.3. Key Characteristics and Contextual Dimensions
4.4. Conceptual Boundaries, Gaps and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
BAQ | Body Awareness Questionnaire |
BOTMP-2 | Bruininks-Oseretsky Test of Motor Proficiency, Second Edition |
CFO-S | Compassion for Others Scale (Spanish-validated version) |
D2 | D2 Test of Attention |
DMT | Dance/Movement Therapy |
ELISA | Enzyme-Linked Immunosorbent Assay |
FFMQ | Five Facet Mindfulness Questionnaire |
GEC | Global Executive Composite (from BRIEF-2) |
HRV | Heart Rate Variability |
ISTSS | International Society for Traumatic Stress Studies |
M-DMT | Mindfulness-based Dance/Movement Therapy |
MMP | Mindful Movement Program |
PROMIS | Patient-Reported Outcomes Measurement Information System |
PSS | Perceived Stress Scale |
RP30 | Problem-Solving Test (30-item) |
SDQ | Strengths and Difficulties Questionnaire |
SBCBA | Scale of Body Connection—Body Awareness |
SBCBD | Scale of Body Connection—Bodily Dissociation |
SG-MBI | Sufi Group-based Mindful Bodywork Intervention (mindful dancing protocol) |
SWLS | Satisfaction with Life Scale |
TECA | Test of Cognitive and Affective Empathy |
WHO-5 | World Health Organization–5 Well-Being Index |
YQOL-R | Youth Quality of Life—Research Version |
Appendix A
TIDieR Item | Description | Studies Reporting This |
Intervention (What) | Mindful dance/movement practices integrated with relaxation, reflection, body scans, breath awareness, yoga, sensory props, compassion-focused exercises, improvisation, emotional expression. Dance types included: African dance, jazz, contemporary, ballet, Sufi-inspired movement, street/show dance, mindful movement with motor activities, online M-DMT. | Duberg et al. [60]; Hagensen [65]; Marich & Howell [32]; Pizarro et al. [61]; Rodríguez-Jiménez et al. [36]; Shim et al. [63]; Theroux et al. [66]; Areskoug Sandberg [41]; Saum [62]; Warner [64] |
Why (Rationale) | Based on mindfulness theory, DMT principles, somatic psychology, trauma-informed practice, embodied self-regulation, creativity and social-emotional learning in education, preventive health for stress-related problems, and promotion of resilience and well-being. | All studies |
Who (Providers) | Licensed/certified dance/movement therapists, psychologists, health educators, yoga instructors, dance teachers/instructors, school teachers, or trained facilitators. In some community-based programs, provider credentials were not fully specified. | All studies (credentials vary) |
What (Materials) | Meditation/relaxation music, reflection journals, yoga mats, props (scarves, objects), mindfulness scripts, standardized scales/questionnaires, salivary cortisol and HRV monitors, online video resources (for M-DMT), choreography assignments. | All studies (with variable specificity) |
How (Mode of Delivery) | Primarily in-person group sessions; one intervention [63] delivered fully online via Zoom with daily video resources; school-based interventions integrated into curriculum. | All studies |
Where (Setting) | Schools, universities, community centers, academic wellness programs, dance studios, online platforms. | All studies |
How much (Dosage) | Ranged from short-term programs (5 weeks, 2 sessions/week) to long-term (24 weeks, twice weekly; 8 months, twice weekly). Session length varied (40–90 min). Online M-DMT: 12 weeks, weekly. School-based MMP: 19 weeks. | All studies |
Tailoring (Modifications) | Some programs tailored to participant needs (e.g., reflection, trauma-informed care, adaptive movements for age/cognitive decline). Explicit mention of tailoring found in Rodríguez-Jiménez [36], Shim [63], Warner [64]. | Subset of studies |
How well (Planned Fidelity) | Some reported fidelity measures (Theroux [66]: fidelity checklist; Pizarro [61]: structured protocol; Rodríguez-Jiménez [36]: reflective diaries; Duberg [60] & Areskoug [41]: high adherence tracking). Others less explicit. | Reported in multiple studies, but variable detail |
How well (Actual Adherence/Engagement) | High adherence reported in many studies Duberg et al. (Duberg et al., 2013) 67% ≥ 50% attendance; Sandberg [41]: high adherence, no adverse events; Theroux et al. [66]: 91% recruitment, 98% retention; Saum [62] & Shim et a;. [63]: high adherence and satisfaction). Enjoyment and positive engagement consistently reported. | All studies |
Appendix B
Age Group | Studies | Participants |
Primary school children (≤12 yrs) | Theroux et al. [66] | 133 primary school students (mean age 6.61 years) |
Older children/early adolescent | Hagensen [65] | 1 early adolescent girl, 11 years old |
Adolescents (13–18 yrs) | Duberg et al. [60]; Areskoug Sandberg [41]; Warner [64] | 112 adolescent girls aged 13–18 (two studies), high school students aged 15–18 |
Young adults (18–40 yrs) | Pizarro et al. [61]; Rodríguez-Jiménez et al. [36]; Saum [62] | University students and early-career adults aged 18–40 |
Adults (mixed age, 18–80 yrs) | Marich & Howell [32] | Adults aged 18–61 (trauma sample) |
Older adults (≥65 yrs) | Shim et al. [63] | 16 older adults (mean age 70.9 years) with mild cognitive decline |
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SPIDER | Description | Application in this Review |
---|---|---|
S—Sample | Who is being studied | Non-professional, non-clinical, amateur, recreational, and community dancers (children, adolescents, adults) |
PI—Phenomenon of Interest | What is being studied | Dance-based mindfulness interventions integrating mindfulness principles with dance or expressive movement |
D—Design | Study types considered | Intervention studies, protocols, and program evaluations |
E—Evaluation | Outcomes of interest | Psychological, emotional, cognitive, physical, and social outcomes, where reported (e.g., stress reduction, emotional regulation, interoceptive awareness, balance, social connectedness). |
Database | Total Records | Included Studies | Observations/Notes |
---|---|---|---|
PubMed | 77 | 6 | Found general studies on dance and mindfulness in schools and universities; few non-clinical recreational settings. |
ERIC | 89 | 8 | Several studies on mindfulness-based movement; 8 relevant to amateur/recreational populations. |
Scopus | 69 | 6 | Most studies involved clinical populations and settings |
Web of Science | 72 | 5 | Most studies involved clinical populations and professional settings; a few relevant to community dance |
PsycINFO | 64 | 7 | Most studies involved clinical populations; 6 relevant to non-clinical recreational dancers. |
Google Scholar | 131 | 9 | Supplementary tool; mixed results and grey literature. Two phenomenological studies. |
Study | Design Type | Source | Country |
---|---|---|---|
Duberg et al. [60] | Quantitative—RCT | Peer-reviewed | Sweden |
Hagensen [65] | Qualitative and Quantitative—Case Study | Peer-reviewed | USA |
Marich & Howell [32] | Qualitative –Phenomenological | Peer-reviewed | USA |
Pizarro et al. [61] | Quantitative—Quasi-experimental | Peer-reviewed | Spain |
Rodríguez-Jiménez et al. [36] | Quantitative—RCT (Mixed-Methods) | Peer-reviewed | Spain |
Shim et al. [63] | Quantitative—Mixed-methods, non-randomized one-group pre/post | Peer-reviewed | USA |
Theroux et al. [66] | Quantitative—Single-arm pilot pre/post | Peer-reviewed | Australia |
Areskoug Sandberg [41] | Mixed-methods | Grey literature—PhD thesis | Sweden |
Saum [62] | Mixed-methods | Grey literature—Undergraduate thesis | USA |
Warner [64] | Mixed-methods | Grey literature—Master’s thesis | USA |
Author | Participants | Dance Type | Duration | Mindful Techniques | Assessment Tools | Key Findings |
---|---|---|---|---|---|---|
Duberg et al. [60] | 112 adolescent girls (13–18 years old) with self-reported internalizing problems (stress, psychosomatic symptoms), Sweden | African dance, jazz, contemporary (with improvisation) | 8 months, twice/week, 75 min/session (moderate to vigorous intensity) | Relaxation, light massage in pairs, reflection | Self-rated health (5-point scale), graphic rating scale for dance experience | Dance group showed greater improvement in self-rated health than control at all follow-ups; effects sustained up to 12 months post-intervention. High adherence (67% ≥ 50% attendance) and very positive experience (91%). |
Hagensen [65] | one early adolescent girl aged 11 years, USA | Dance/Movement Therapy-based holistic wellness curriculum (nutrition, mindfulness, movement, body image, friendships) | 6 weeks curriculum + check-ins over 4 months; 9 sessions total | Mindful eating, breathwork (“five-point breath”), body awareness exercises, movement-based reflection | Youth Quality of Life–Research Version (YQOL-R), parent surveys, session transcripts | Overall Quality of Life score increased from 86.58 to 88.65, with the Self domain rising ~7 points; gains in comfort with appearance, sexual feelings, stress level, and communication with friends. Enjoyment and engagement were highest in movement-based activities (Identity Dance, games, props). Parents reported greater self-appreciation; DMT found feasible, enjoyable, and effective for supporting self-awareness and wellness. |
Marich & Howell [32] | 10 Caucasian females aged 18–61, with trauma histories, from a community in northeastern Ohio | Dancing Mindfulness (community-based, not formal DMT) | Integration of mindfulness principles into free-form dance; body scans; breath awareness; present-moment focus; non-judgmental awareness | Semi-structured interviews; thematic analysis | Reported improvements in body awareness, emotional expression, and self-compassion; facilitated trauma processing; promoted safety, empowerment, and emotional regulation in line with ISTSS trauma-informed practice principles | |
Pizarro et al. [61] | 111 students (53 intervention, 58 control) aged 18–34 from a university in Spain | SG-MBI mindful dancing (group-based mindful movement protocol with music, based on Sufi dance principles) | 5 weeks, 2 sessions/week, ~45 min each | Guided mindfulness with music; body awareness; breath–movement–music synchronization; group synchrony; present-moment attention; Karunesh Heart Chakra Meditation sequence; closing relaxation circle | Compassion for Others Scale—Spanish-validated version (CFO-S) and brief CFO-S (intervention group only); Identity Fusion (with classmates and people in general); Pemberton Happiness Index—vitality item; Level of Involvement scale; Shared Flow Short Form; Perceived Emotional Synchrony Short Form | Significant improvement in mindfulness dimension of compassion vs. control (maintained at 1-week follow-up); brief compassion measure increased immediately post-intervention; Kindness and Common Humanity mediated by shared flow; Common Humanity also mediated by perceived emotional synchrony; increased fusion with people in general but not class group; no change in total compassion, SWB, or other compassion dimensions. |
Rodríguez-Jiménez et al. [36] | 37 engineering students (18–26 years; 19 experimental, 18 control), from Universidad Europea of Madrid, Spain | Dance Movement Therapy (DMT) (creative movement, Laban-based) | 10 sessions, 2 sessions/week, over 5 weeks, 90 min each | Body awareness work, somatic exploration, Hatha yoga warm-up, Laban movement qualities, kinesthetic empathy, group reflection, relaxation | BAQ, Scale of Body Connection Scale of Body Connection (SBCBA, SBCBD), SWLS, PSS, WHO-5, TECA), Salivary cortisol (ELISA), HRV (Firstbeat Bodyguard 2), D2 Test of Attention, RP30 Problem-Solving Test, Reflective diaries. | Significant increase in body awareness (BAQ, SBCBA), decrease in bodily dissociation (SBCBD), increase in life satisfaction (SWLS), increase in well-being (WHO-5), decrease in perceived stress (PSS), stable low cortisol in DMT vs. increase in control, increase in problem-solving (RP30) and attention (D2) in both groups (no group difference), no significant change in empathy (TECA), no clear HRV changes. Themes of embodiment, relaxation, playfulness, emotional expression, self-awareness, skill development, group trust, and meaning-making. Preventive effect on stress increase during exam period. |
Shim et al. [63] | 16 older adults (70.9 ± 4.2 years), with mild age-related cognitive decline from 15 states across both urban and rural regions in USA | Mindfulness-based Dance/Movement Therapy (M-DMT) | 12 weeks, 60 min/week, online via Zoom | Body awareness, attention/focus, emotional health, sensory enrichment, interpersonal connection, memory and nostalgia, resilience cultivation; structured and free-style movement; group discussions; sensory props; daily mindful movement practice videos | UCLA Loneliness Scale; PROMIS Depression SF-4a; PROMIS Positive Affect SF; General Well-Being Schedule; UCLA Physical Activity Scale; Treatment Credibility/Expectancy Questionnaire; Satisfaction survey; Patient Global Impression of Change; semi-structured interviews | There were significant reductions in loneliness and depression and increases in positive affect and psychological well-being. Physical activity increased but the change was not statistically significant. Qualitative themes included improved social connection, enhanced quality of life, greater body awareness, and better coping skills. The online format facilitated safe engagement. |
Theroux et al. [66] | 133 students (mean age 6.61 years), from primary schools in Southeast Queensland, Australia | Mindful Movement Program (MMP) with dance and motor activities | 19 school weeks in two terms | Breath awareness, body scan, emotional awareness, acceptance, non-judgmental attention integrated into dance activities | BRIEF-2 (Teacher Form); SDQ (Teacher report); BOTMP-2 (Brief Form and Body Coordination subscale); daily fidelity checklist; semi-structured teacher interviews; demographic data | Feasibility criteria met: high recruitment (91%) and retention (98%), high acceptability, moderate fidelity. Significant improvements in executive function (GEC −2.95), externalizing behavior, internalizing behavior and motor skills. Teachers reported strong integration into curriculum, high student engagement, and resource usability despite COVID-19 disruptions. |
Areskoug Sandberg [41] | 112 adolescent girls aged 13–18 with stress-related/internalizing problems, frequent school nurse visits for somatic or emotional symptoms from Sweden. | Mixed styles: street dance, show/jazz, contemporary, with improvisation and emotional themes | over 24 weeks, twice weekly, 75 min/session (15 min warm-up, 40 min dance, 15 min relaxation, 5 min reflection) | Relaxation (10 min), light massage, focus on enjoyment, acceptance, social inclusion (non-competitive) | Self-reported questionnaires on daytime tiredness, alertness, sleep, and school satisfaction (baseline, 8, 12, 20 months) | Significant reduction in daytime tiredness at all follow-ups; significant increase in alertness at 12 and 20 months (unadjusted); effects not significant after adjustment for baseline differences; high adherence, no adverse events reported |
Saum [62] | 7 university-level ballet students (Ballet II–IV), USA | Ballet (as part of curriculum) with added yoga intervention | 7 Vinyasa yoga sessions over ~2 months | Vinyasa-style yoga integrated with breath awareness, mindful movement, and instructor-led reflection | Five Facet Mindfulness Questionnaire (FFMQ) at baseline, mid, and post; guided journals; instructor observation notes | Increase in total mindfulness scores on FFMQ from baseline to post-intervention; qualitative themes indicated greater body awareness, reduced performance anxiety, improved focus; high adherence, no adverse events reported |
Warner [64] | High school students (grades 10–12), ages 15–18, enrolled in Intermediate Dance (beginner/intermediate) and Dance Company (advanced), USA | Dance-based movement program integrating multiple dance styles with mindfulness incorporated into improvisational and choreographic work | 10 weeks (2 weeks introduction + 8 weeks mindfulness-based rehearsal process, twice a week for 90 min) | Breath awareness, 4-7-8 breathing, STOP practice, hand tracing, body scan, mindful walking, mindful coloring, senses meditation, somatic yoga; connection of mindfulness practices to improvisational movement creation and choreography | Questionnaire (baseline), 4 self-reflections (over 8 weeks), post-performance interviews; qualitative thematic analysis and quantitative summary of selected responses | Mindfulness curriculum was feasible and engaging for both beginner and advanced high school dancers; participants reported enhanced self-awareness, self-acceptance, emotional regulation, and creative connection between mindfulness and movement; student-led mindfulness practices emerged in advanced group; mindfulness supported social-emotional learning in dance education. |
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Zafeiroudi, A.; Tsartsapakis, I.; Trigonis, I.; Kouli, O.; Goulimaris, D.; Kouthouris, C. Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations. Healthcare 2025, 13, 2230. https://doi.org/10.3390/healthcare13172230
Zafeiroudi A, Tsartsapakis I, Trigonis I, Kouli O, Goulimaris D, Kouthouris C. Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations. Healthcare. 2025; 13(17):2230. https://doi.org/10.3390/healthcare13172230
Chicago/Turabian StyleZafeiroudi, Aglaia, Ioannis Tsartsapakis, Ioannis Trigonis, Olga Kouli, Dimitrios Goulimaris, and Charilaos Kouthouris. 2025. "Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations" Healthcare 13, no. 17: 2230. https://doi.org/10.3390/healthcare13172230
APA StyleZafeiroudi, A., Tsartsapakis, I., Trigonis, I., Kouli, O., Goulimaris, D., & Kouthouris, C. (2025). Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations. Healthcare, 13(17), 2230. https://doi.org/10.3390/healthcare13172230