Embodied Learning for Well-Being, Self-Awareness, and Stress Regulation: A Randomized Trial with Engineering Students Using a Mixed-Method Approach

  1. Carmona, Manuel 1
  2. Díaz-Ureña, Germán 2
  3. Rodríguez-Jiménez, Rosa-María 3
  4. García-Merino, Sonia 2
  5. Lara Bercial, Pedro J. 3
  1. 1 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  2. 2 Universidad Francisco de Vitoria
    info

    Universidad Francisco de Vitoria

    Pozuelo de Alarcón, España

    ROR https://ror.org/03ha64j07

  3. 3 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

Revista:
Education Sciences

ISSN: 2227-7102

Año de publicación: 2022

Volumen: 12

Número: 2

Páginas: 111

Tipo: Artículo

DOI: 10.3390/EDUCSCI12020111 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Education Sciences

Resumen

The continuous changes in our society require adapted training that encompasses both technical and competency knowledge. There is a high level of demand, especially in areas such as engineering, which can affect the mental health of students, producing high levels of stress and psychological distress, hindering self-efficacy and academic performance. Embodied learning working on self-awareness, stress reduction and self-knowledge can help to generate healthier environments. Creative therapies can be a tool to promote the prevention of health problems in this group of the population. In particular, Dance Movement Therapy has demonstrated its effectiveness in improving health in clinical and non-clinical settings. In this work, a body awareness program based on Dance Movement Therapy is developed and implemented in engineering students. Through a mixed pre-post methodology, its impact is evaluated and analyzed in an experimental group of engineering students. Psychometric tests, physiological variables and reflective diaries are used as data sources. The results show that the experimental group, compared with the control group, increased their levels of body awareness and connectedness, well-being and life satisfaction and reduced their stress levels. The results were supported by cortisol measures. Likewise, the students acknowledged having increased their levels of self-awareness and self-knowledge and considered the inclusion of these bodily approaches in higher education to be necessary.

Referencias bibliográficas

  • Holler, J.; Tsiatsis, V.; Mulligan, C.; Karnouskos, S.; Avesand, S.; Boyle, D. Internet of Things; Academic Press: Cambridge, MA, USA, 2014.
  • The Adecco Group. Adecco Annual Report; The Adecco Group: Zurich, Switzerland, 2020.
  • Arms, V.M. Personal and Professional Enrichment: Humanities in the Engineering Curriculum. J. Eng. Educ. 1993, 82, 141–146.
  • Passow, H.J.; Passow, C.H. What Competencies Should Undergraduate Engineering Programs Emphasize? A Systematic Review. J. Eng. Educ. 2017, 106, 475–526.
  • Bush, S.B.; Cook, K.L. Constructing Authentic and Meaningful STEAM Experiences Through University, School, and Community Partnerships. J. STEM Teach. Educ. 2016, 51, 7.
  • Fulton, L.A.; Simpson-Steele, J. Reconciling the Divide: Common Processes in Science and Arts Education. STEAM J. 2016, 2, 3.
  • Gross, K.; Gross, S. Transformation: Constructivism, Design Thinking, and Elementary STEAM. Art Educ. 2016, 69, 36–43.
  • Erwin, H.E. Full STEAM Ahead in Physical Education. J. Phys. Educ. Recreat. Dance 2017, 88, 3–4.
  • Milojevich, H.M.; Lukowski, A.F. Sleep and Mental Health in Undergraduate Students with Generally Healthy Sleep Habits. PLoS ONE 2016, 11, e0156372.
  • Saleh, D.; Camart, N.; Romo, L. Predictors of stress in college students. Front. Psychol. 2017, 8, 19.
  • Akgun, S.; Ciarrochi, J. Learned Resourcefulness Moderates the Relationship between Academic Stress and Academic Performance. Educ. Psychol. 2003, 23, 287–294.
  • Struthers, C.W.; Perry, R.P.; Menec, V.H. An Examination of the Relationship Among Academic Stress, Coping, Motivation, and Performance in College. Res. High. Educ. 2000, 41, 581–592.
  • Balaji, N.K.; Murthy, P.S.; Kumar, D.N.; Chaudhury, S. Perceived stress, anxiety, and coping states in medical and engineering students during examinations. Ind. Psychiatry J. 2019, 28, 86.
  • Hensel, R.; Dygert, J.; Morris, M. Work in Progress: Understanding Student Perceptions of Stress as part of Engineering Culture. In Proceedings of the American Society of Engineering Education Conference Proceedings, Pittsburgh, PA, USA, 24–27 January 2018.
  • Bettis, A.H.; Coiro, M.J.; England, J.; Murphy, L.K.; Zelkowitz, R.L.; Dejardins, L.; Eskridge, R.; Adery, L.H.; Yarboi, J.; Pardo, D.; et al. Comparison of two approaches to prevention of mental health problems in college students: Enhancing coping and executive function skills. J. Am. Coll. Health 2017, 65, 313–322.
  • Crum, A.J.; Jamieson, J.P.; Akinola, M. Optimizing stress: An integrated intervention for regulating stress responses. Emotion 2020, 20, 120–125.
  • Huberty, J.; Green, J.; Glissmann, C.; Larkey, L.; Puzia, M.; Lee, C. Efficacy of the Mindfulness Meditation Mobile App “Calm” to Reduce Stress Among College Students: Randomized Controlled Trial. JMIR mHealth uHealth 2019, 7, e14273.
  • Damasio, A. The Feeling of What Happens: Body and Emotion in the Making of Consciousness; Harcourt Inc.: London, UK, 1999.
  • Rizzolatti, G.; Sinigaglia, C. Mirrors in the Brain: How Our Minds Share Actions, Emotions, and Experience; Oxford University Press: London, UK, 2008.
  • Ramachandran, V. The Emergind Mind; Profile Books: London, UK, 2003.
  • Mehling, W.E.; Wrubel, J.; Daubenmier, J.J.; Price, C.J.; Kerr, C.E.; Silow, T.; Gopisetty, V.; Stewart, A.L. Body Awareness: A phenomenological inquiry into the common ground of mind-body therapies. Philos. Ethics, Humanit. Med. 2011, 6, 1–12.
  • Tihanyi, B.T.; Bör, P.; Emanuelsen, L.; Köteles, F. Mediators between yoga practiceand psychological Well-Being mindfulness, body awareness and satisfaction with body image. Eur. J. Ment. Health 2016, 11, 112–127.
  • Gyllensten, A.L.; Skr, L.; Miller, M.; Gard, G. Embodied identity—A deeper understanding of body awareness. Physiother. Theory Pract. 2010, 26, 439–446.
  • Khalsa, M.K.; Greiner-Ferris, J.M.; Hofmann, S.G.; Khalsa, S.B.S. Yoga-Enhanced Cognitive Behavioural Therapy (Y-CBT) for Anxiety Management: A Pilot Study. Clin. Psychol. Psychother. 2015, 22, 364–371.
  • Varela, F.J.; Thompson, E.; Rosch, E.; Kabat-Zinn, J. The Embodied Mind: Cognitive Science and Human Experience; The MIT Press: Cambridge, MA, USA, 2016; ISBN 9780262335492.
  • Fernros, L.; Furhoff, A.K.; Wändell, P.E. Improving quality of life using compound mind-body therapies: Evaluation of a course intervention with body movement and breath therapy, guided imagery, chakra experiencing and mindfulness meditation. Qual. Life Res. 2008, 17, 367–376.
  • Shapiro, S.L.; Brown, K.W.; Astin, J. Toward the integration of meditation into higher education: A review of research evidence. Teach. Coll. Rec. 2011, 113, 493–528.
  • Koch, S.; Kunz, T.; Lykou, S.; Cruz, R. Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis. Arts Psychother. 2014, 41, 46–64.
  • Koch, S.C. Arts and health: Active factors and a theory framework of embodied aesthetics. Arts Psychother. 2017, 54, 85–91.
  • Koch, S.C.; Riege, R.F.F.; Tisborn, K.; Biondo, J.; Martin, L.; Beelmann, A. Effects of Dance Movement Therapy and Dance on Health-Related Psychological Outcomes. A Meta-Analysis Update. Front. Psychol. 2019, 10, 1806.
  • Meekums, B.; Karkou, V.; Nelson, E.A. Dance movement therapy for depression. Cochrane Database Syst. Rev. 2015, 2, CD00989.
  • Lyons, S.; Karkou, V.; Roe, B.; Meekums, B.; Richards, M. What research evidence is there that dance movement therapy improves the health and wellbeing of older adults with dementia? A systematic review and descriptive narrative summary. Arts Psychother. 2018, 60, 32–40.
  • Karkou, V.; Aithal, S.; Zubala, A.; Meekums, B. Effectiveness of dance movement therapy in the treatment of adults with depression: A systematic review with meta-analyses. Front. Psychol. 2019, 10, 936.
  • Millrod, E.; Goodill, S.; Giguere, M.; Kaimal, G.; Wilkins, E.; Chang, M. Movement Based Experiential Learning and Competency Development in Dance/Movement Therapy Graduate Education: Early Practitioner Perspectives. Am. J. Danc. Ther. 2021, 1–35.
  • Sheppard, A.; Broughton, M.C. Promoting wellbeing and health through active participation in music and dance: A systematic review. Int. J. Qual. Stud. Health Well-Being 2020, 15, 1732526.
  • Payne, H. The body speaks its mind: The BodyMind Approach® for patients with medically unexplained symptoms in primary care in England. Arts Psychother. 2015, 42, 19–27.
  • Payne, H. Dance Movement Therapy: Theory and Practice; Routledge: London, UK, 2003; ISBN 9781134934263.
  • Koch, S.C.; Fuchs, T. Embodied arts therapies. Arts Psychother. 2011, 38, 276–280.
  • Jeong, Y.J.; Hong, S.C.; Myeong, S.L.; Park, M.C.; Kim, Y.K.; Suh, C.M. Dance Movement Therapy improves emotional responses and modulates neurohormones in adolescents with mild depression. Int. J. Neurosci. 2009, 115, 1711–1720.
  • Curry, L.; Nuñez-Smith, M. Mixed Methods in Health Sciences Research: A Practical Primer; SAGE Publications: Thousand Oaks, CA, USA, 2015.
  • Rodríguez-Jiménez, R.M.; Carmona, M. Mixed methods for evaluating embodied processes in higher education. In The Art and Science of Embodied Research Design: Concepts, Methods and Cases; Tantia, J., Ed.; Routledge Press: New York, NY, USA, 2020; pp. 229–241.
  • Diener, E.D.; Emmons, R.A.; Sem, R.J.L.; Griffin, S. The Satisfaction With Life Scale. J. Pers. Assess. 1985, 49, 1.
  • Pavot, W.; Diener, E.; Colvin, C.R.; Sandvik, E. Further Validation of the Satisfaction With Life Scale: Evidence for the Cross-Method Convergence of Well-Being Measures. J. Pers. Assess. 2010, 57, 149–161.
  • Pavot, W.; Diener, E. The Satisfaction With Life Scale and the emerging construct of life satisfaction. J. Posit. Psychol. 2008, 3, 137–152.
  • Cohen, S.; Kamarck, T.; Mermelstein, R. A Global Measure of Perceived Stress. J. Health Soc. Behav. 1983, 24, 385–396.
  • Remor, E. Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS). J. Psychol. 2006, 9, 86–93.
  • López-Pérez, B.; Ambrona, T.; Márquez-González, M. Adaptación y validación de un instrumento para la evaluación de la empatía en niños y adolescentes: TECA-NA. Behav. Psychol. Psicol. Conduct. 2014, 22, 5–18.
  • Topp, C.W.; Østergaard, S.D.; Søndergaard, S.; Bech, P. The WHO-5 Well-Being Index: A Systematic Review of the Literature. Psychother. Psychosom. 2015, 84, 167–176.
  • Shields, S.A.; Mallory, M.E.; Simon, A. The Body Awareness Questionnaire: Reliability and Validity. J. Pers. Assess. 1989, 53, 802–815.
  • Mehling, W.E.; Gopisetty, V.; Daubenmier, J.; Price, C.J.; Hecht, F.M.; Stewart, A. Body awareness: Construct and self-report measures. PLoS ONE 2009, 4, e5614.
  • Price, C.J.; Thompson, E.A.; Cheng, S.C. Scale of Body Connection: A multi-sample construct validation study. PLoS ONE 2017, 12, e0184757.
  • Cameron, O.G. Interoception: The inside story—A model for psychosomatic processes. Psychosom. Med. 2001, 63, 697–710.
  • Craig, A.D. How do you feel? Interoception: The sense of the physiological condition of the body. Nat. Rev. Neurosci. 2002, 3, 655–666.
  • Malik, M.; Camm, A.J.; Bigger, J.T.; Breithardt, G.; Cerutti, S.; Cohen, R.J.; Coumel, P.; Fallen, E.L.; Kennedy, H.L.; Kleiger, R.E.; et al. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Eur. Heart J. 1996, 17, 354–381.
  • Sammito, S.; Böckelmann, I. Reference values for time- and frequency-domain heart rate variability measures. Heart Rhythm 2016, 13, 1309–1316.
  • Brickenkamp, R.; Zillmer, E. D2 Test of Attention; Hogrefe and Huber Publishing: Seattle, WA, USA, 1998.
  • Bates, M.E.; Lemay, E.P. The d2 Test of Attention: Construct validity and extensions in scoring techniques. J. Int. Neuropsychol. Soc. 2004, 10, 392–400.
  • Seisdedos, N. RP-30: Resolución de Problemas: Manual (No.248); Hogrefe Tea Ediciones: Madrid, Spain, 2002.
  • Román-González, M.; Pérez-González, J.C.; Jiménez-Fernández, C. Which cognitive abilities underlie computational thinking? Criterion validity of the Computational Thinking Test. Comput. Human Behav. 2017, 72, 678–691.
  • Rosenthal, R. Parametric measures of effect size. In The Handbook of Research Synthesis; Cooper, H., Hedges, L.V., Eds.; Russell Sage Foundation: New York, NY, USA, 1994.
  • Krippendorff, K. Reliability in content analysis: Some common misconceptions and recommendations. Hum. Commun. Res. 2004, 30, 411–433.
  • Fonow, M.M.; Cook, J.A.; Goldsand, R.S.; Burke-Miller, J.K. Using the Feldenkrais Method of Somatic Education to Enhance Mindfulness, Body Awareness, and Empathetic Leadership Perceptions Among College Students. J. Leadersh. Educ. 2016, 15, 116–130. [Google Scholar]
  • Karkou, V.; Oliver, S.; Lycouris, S.; MacDonald, R.A.R.; Chaiklin, S. The Oxford Handbook of Dance and Wellbeing; Oxford University Press: Oxford, UK, 2017; ISBN 9780199949298.
  • Cohen, S. Perceived stress in a probability sample of the United States. In The Social Psychology of Health; Spacapan, S., Oskam, S., Eds.; Sage Publications, Inc.: Thousand Oaks, CA, USA, 1988; Volume 13, pp. 31–67. ISBN 080393162X.
  • Robotham, D.; Julian, C. Stress and the higher education student: A critical review of the literature. J. Furth. High. Educ. 2006, 30, 107–117.
  • Guarino, L.; Gavidia, I.; Antor, M.; Caballero, H. Stress, mental health and immunologic changes in college students. Psicol. Conductual 2000, 8, 57–71. Baghurst, T.; Kelley, B.C. An Examination of Stress in College Students Over the Course of a Semester. Health Promot. Pract. 2014, 15, 438–447.
  • Keogh, E.; French, C.C. Test anxiety, evaluative stress, and susceptibility to distraction from threat. Eur. J. Pers. 2001, 15, 123–141.
  • Vrinceanu, T.; Esmail, A.; Berryman, N.; Predovan, D.; Vu, T.T.M.; Villalpando, J.M.; Pruessner, J.C.; Bherer, L. Dance your stress away: Comparing the effect of dance/movement training to aerobic exercise training on the cortisol awakening response in healthy older adults. Stress 2019, 22, 687–695.
  • Hopkins, L.B.; Medina, J.L.; Baird, S.O.; Rosenfield, D.; Powers, M.B.; Smits, J.A.J. Heated hatha yoga to target cortisol reactivity to stress and affective eating in women at risk for obesity-related illnesses: A randomized controlled trial. J. Consult. Clin. Psychol. 2016, 84, 558–564.
  • Chong, C.S.; Tsunaka, M.; Chan, E.P. Effects of yoga on stress management in healthy adults: A systematic review. Altern. Ther. Health Med. 2011, 17, 32–38.
  • Jarczok, M.N.; Kleber, M.E.; Koenig, J.; Loerbroks, A.; Herr, R.M.; Hoffmann, K.; Fischer, J.E.; Benyamini, Y.; Thayer, J.F. Investigating the Associations of Self-Rated Health: Heart Rate Variability Is More Strongly Associated than Inflammatory and Other Frequently Used Biomarkers in a Cross Sectional Occupational Sample. PLoS ONE 2015, 10, e0117196.
  • Thayer, J.F.; Åhs, F.; Fredrikson, M.; Sollers, J.J.; Wager, T.D. A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neurosci. Biobehav. Rev. 2012, 36, 747–756.
  • Holzman, J.B.; Bridgett, D.J. Heart rate variability indices as bio-markers of top-down self-regulatory mechanisms: A meta-analytic review. Neurosci. Biobehav. Rev. 2017, 74, 233–255.
  • Shaffer, F.; Ginsberg, J.P. An Overview of Heart Rate Variability Metrics and Norms. Front. Public Health. 2017, 5, 258.
  • Billman, G.E. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Front. Physiol. 2013, 4, 26.
  • Liu, J.; Xie, H.; Liu, M.; Wang, Z.; Zou, L.; Yeung, A.S.; Hui, S.S.C.; Yang, Q. The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression. Int. J. Environ. Res. Public Health 2018, 15, 2771.
  • Markil, N.; Whitehurst, M.; Jacobs, P.L.; Zoeller, R.F. Yoga Nidra Relaxation Increases Heart Rate Variability and is Unaffected by a Prior Bout of Hatha Yoga. J. Altern. Complement. Med. 2012, 18, 953–958.
  • Chang, M.Y. Qigong Effects on Heart Rate Variability and Peripheral Vasomotor Responses. West. J. Nurs. Res. 2015, 37, 1383–1403.
  • Cheema, B.S.; Marshall, P.W.; Chang, D.; Colagiuri, B.; MacHliss, B. Effect of an office worksite-based yoga program on heart rate variability: A randomized controlled trial. BMC Public Health 2011, 11, 578.
  • Telles, S.; Singh, D.; Naveen, K.V.; Pailoor, S.; Singh, N.; Pathak, S. P300 and Heart Rate Variability Recorded Simultaneously in Meditation. Clin. EEG Neurosci. 2019, 50, 161–171.
  • Zou, L.; Yeung, A.; Quan, X.; Boyden, S.; Wang, H. A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases. Int. J. Environ. Res. Public Health 2018, 15, 206.
  • Schwender, T.M.; Spengler, S.; Oedl, C.; Mess, F. Effects of Dance Interventions on Aspects of the Participants’ Self: A Systematic Review. Front. Psychol. 2018, 9, 1130.
  • Martin, L.; Oepen, R.; Bauer, K.; Nottensteiner, A.; Mergheim, K.; Gruber, H.; Koch, S.C. Creative arts interventions for stress management and prevention-a systematic review. Behav. Sci. 2018, 8, 28.
  • Stuckey, H.L.; Nobel, J. The connection between art, healing, and public health: A review of current literature. Am. J. Public Health 2010, 100, 254–263.
  • De Witte, M.; Orkibi, H.; Zarate, R.; Karkou, V.; Sajnani, N.; Malhotra, B.; Ho, R.T.H.; Kaimal, G.; Baker, F.A.; Koch, S.C. From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review. Front. Psychol. 2021, 12, 2525.
  • Payne, H. The BodyMind Approach® to support students in higher education: Relationships between student stress, medically unexplained physical symptoms and mental health. Innov. Educ. Teach. Int. 2021, 1–12.
  • Rodríguez-Jiménez, R.-M.; Carmona, M. A Rationale for Teacher Change from a Bodyfulness Paradigm: An Experience in Higher Education. Educ. Sci. 2021, 11, 460.
  • Zou, L.; Sasaki, J.E.; Wei, G.X.; Huang, T.; Yeung, A.S.; Neto, O.B.; Chen, K.W.; Hui, S.S.C. Effects of Mind–Body Exercises (Tai Chi/Yoga) on Heart Rate Variability Parameters and Perceived Stress: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. J. Clin. Med. 2018, 7, 404.
  • Jones, P. The Arts Therapies: A Revolution in Healthcare; Routledge: London, UK, 2020; ISBN 9781315536989.
  • Ellis, R. Movement metaphor as mediator: A model for the dance/movement therapy process. Arts Psychother. 2001, 28, 181–190.
  • Panhofer, H.; Payne, H. Languaging the embodied experience. Body, Mov. Danc. Psychother. 2011, 6, 215–232.
  • Bas, T.; Fischman, D.; Rodríguez-Jiménez, R.M. Modulating Verbal and Non-Verbaal Languages in Dance Movement Therapy. In The Routledge International Handbook of Embodied Perspectives in Psychotherapy; Payne, H., Koch, S., Tantia, J., Eds.; Routledge: London, UK, 2019; p. 440.
  • Shafir, T.; Tsachor, R.P.; Welch, K.B. Emotion regulation through movement: Unique Sets of Movement Characteristics are Associated with and Enhance Basic Emotions. Front. Psychol. 2016, 6, 2030.
  • Shafir, T. Movement-based strategies for emotion regulation. In Handbook on Emotion Regulation; Bryant, M.L., Ed.; Nova Science Publishers: Hapog, NY, USA, 2015; pp. 231–249.
  • Payne, H.; Roberts, A.; Jarvis, J. The BodyMind Approach® as Transformative Learning to Promote Self-Management for Patients With Medically Unexplained Symptoms. J. Transform. Educ. 2019, 1–24.