Apzinātībā balstītas deju un kustību terapijas intervences adaptācija depresijas pacientu grupai

Aim of the study is to adapt the mindful-based dance and movement therapy (MBDMT) intervention for patients with depression and to determine its suitability for this patient group. The study was conducted in three consecutive phases using a qualitative research design. In the first phase the guiding principles of working with patients with depression in a dance and movement therapy and mindfulness-based approach were identified creating two narrative literature reviews. The identified core principles were sequenced in the therapy process and integrated into the MBDMT intervention model, thus adapting it for patients with depression. In the second phase of the study, the adapted intervention and the 10-session plan were aligned with the experts in a focus group interview, and suggestions for working with depressed patients were identified based on the experts' practical experience. In the third phase of the study, nine participants with moderate to severe depression as assessed by The Patient Health Questionnaire-9 attended 10 group sessions of MBDMT at a frequency of twice a week. After the 10th session, a focus group interview and a written qualitative questionnaire were conducted to obtain feedback on the feasibility of the adapted MBDMT intervention. Data synthesis was used for data analysis in the first phase of the study, while inductive thematic analysis was used in the second and third phases of the study. To ensure scientific strength, content validity testing was conducted on the data from the first phase of the study, and researcher triangulation was conducted on the data from the second and third phases. The results of the study suggest that the MBDMT intervention is feasible for patients with depression, responds to their difficulties, promotes well-being and develops emotional regulation skills. Key aspects to focus on in working with this patient group were identified, which include working on exploration of emotional and cognitive discomfort, providing experiences of group affiliation, interaction and relationship building, activation and relaxation. The intervention framework of 10 sessions twice a week is also feasible, but the 90-minute session can be extended to 120 minutes. Thus, the aim of the study was achieved: the MBDMT intervention was adapted and its feasibility for patients with depression was established. Key words: mindfulness, dance movement therapy, mindful-based dance and movement therapy intervention model, depression.