In recent years, the mental health of performing artists, particularly dancers, has garnered increasing attention from the scientific community and the public alike. A groundbreaking systematic review published in BMC Psychology in 2025 by Zhang, Noh, and Liu delves deeply into the efficacy and characteristics of psychological interventions designed specifically for dancers. This comprehensive analysis synthesizes data from a variety of studies, aiming to illuminate the often overlooked psychological challenges faced by dancers and offer evidence-based strategies to mitigate these challenges.
Dancing is unique among the performing arts, requiring not only exceptional physical prowess but also immense psychological resilience. The rigors of training, constant evaluation, performance pressure, and physical risks combine to create a mental health landscape fraught with stressors rarely addressed systematically. Zhang and colleagues’ review emphasizes that mental health issues such as anxiety, depression, burnout, and eating disorders are prevalent within this population. However, despite these critical concerns, psychological support systems tailored for dancers remain insufficiently researched and implemented.
One of the core findings in this review is the diversity of psychological interventions currently employed. These range from cognitive-behavioral therapy (CBT), mindfulness-based stress reduction (MBSR), to resilience training and psychoeducation. The review meticulously evaluates the methodologies of each intervention, discussing their theoretical frameworks, therapeutic mechanisms, and practical applications in dance environments. For instance, CBT’s focus on identifying and restructuring harmful thought patterns has shown promise in alleviating anxiety and performance fears, which are particularly debilitating for dancers during auditions and live shows.
Mindfulness and meditation-based approaches represent another significant category highlighted in the review. These techniques, rooted in ancient contemplative traditions but increasingly validated by contemporary neuroscience, help dancers cultivate present-moment awareness and emotional regulation. Zhang et al. report that integrating mindfulness practices into dancers’ routines not only lowers physiological stress markers but also enhances overall focus, aiding in precise execution and creativity. This physiological-psychological synergy underscores the multifaceted benefits of such interventions.
Furthermore, the review discusses the importance of psychoeducational programs that aim to normalize mental health struggles and reduce stigma. Dancers often operate within competitive, high-stakes environments where acknowledging psychological distress can be perceived as weakness. Programs that educate dancers, instructors, and even administrative staff foster a culture of awareness, empathy, and early intervention. Zhang and colleagues argue that destigmatization is as crucial as the therapeutic interventions themselves for sustained mental health improvements.
An innovative point raised in this systematic review is the incorporation of digital mental health interventions. Given the demanding travel schedules and irregular hours that dancers face, digital platforms provide accessible and flexible support. Apps and online counseling services tailored to dancers’ unique lifestyle patterns can bridge gaps in care availability. The authors highlight emerging evidence suggesting digital solutions, when combined with traditional therapy, can optimize treatment adherence and engagement.
Another aspect the review brings to light is the need for interventions that consider the intersectionality of factors influencing dancers’ mental health, such as gender, cultural background, and dance genre. For example, ballet dancers may face distinct pressures related to body image compared to contemporary dancers. Zhang et al. advocate for personalized interventions that are culturally sensitive and contextually relevant, moving beyond one-size-fits-all approaches to enhance efficacy.
The review also critically assesses methodological limitations in the existing literature on psychological interventions for dancers. Among these are small sample sizes, lack of randomized controls, and heterogeneous outcome measures. Zhang and colleagues call for rigorous, large-scale clinical trials employing standardized psychological assessments to generate replicable evidence. Improved research design will enable the refinement of interventions and help build a robust, empirical knowledge base.
Intertwined with the analysis of interventions is the discussion on the neurobiological underpinnings of stress and mental health disorders within the dancer population. The authors summarize findings from neuroimaging and psychophysiological studies that elucidate how chronic stress impacts brain structures related to emotion regulation, memory, and executive function. Understanding these mechanisms can inform the development of treatments that target brain plasticity and resilience in a more precise manner.
Zhang, Noh, and Liu also highlight the potential benefits of interdisciplinary collaboration in optimizing psychological care for dancers. Integrating expertise from dance medicine, psychology, neurology, and sports science creates a holistic approach addressing both mind and body. The review suggests models of care that include psychologists embedded within dance companies, regular mental health screenings, and coordinated physical-psychological rehabilitation protocols.
The importance of early intervention emerges as another consistent theme in the review. Detection of mental health issues at an early stage can prevent progression to more severe conditions. Thus, screening tools that are dance-specific and culturally appropriate are recommended. Workshops and training sessions aimed at coaches and artistic directors equip them with skills to recognize warning signs and facilitate timely referrals.
Moreover, the review explores the role of peer support and community-building as adjunctive psychological resources. Dancers often experience isolation due to intense schedules and competitive environments. Peer-led support groups and mentorship programs can provide emotional validation and shared coping strategies. Zhang et al. argue that these social networks enhance psychological resilience and promote sustained mental well-being.
One notable insight from the systematic review is the recognition of psychological intervention as a preventive strategy, not solely a reaction to distress. Embedding resilience training and emotional skills development into dance education can prepare dancers to navigate stressors proactively. Such forward-looking approaches align with public health models emphasizing mental wellness maintenance alongside treatment.
In conclusion, Zhang and colleagues provide a compelling, multifaceted review that both advances scientific understanding and offers pragmatic guidance for mental health interventions tailored to dancers. Their work stresses that addressing the psychological dimension of dance is indispensable for fostering thriving artistic careers and optimizing performance. As mental health continues to rise as a vital component in the wellness paradigm, this review marks a critical step towards integrating robust, scientifically grounded psychological care into the demanding world of professional dance.
This extensive examination serves not only dancers and mental health professionals but also policymakers and performing arts institutions. It advocates for systemic changes, funding prioritization, and educational reforms to build infrastructures that support dancers’ mental health holistically. With such multidimensional strategies in place, the future promises a performing arts culture where mental well-being and artistic excellence move in concert.
Subject of Research: Psychological interventions targeting mental health challenges among professional and student dancers.
Article Title: Psychological interventions for dancers’ mental health: a systematic review.
Article References:
Zhang, Y., Noh, YE. & Liu, S. Psychological interventions for dancers’ mental health: a systematic review. BMC Psychol (2025). https://doi.org/10.1186/s40359-025-03724-7
Image Credits: AI Generated

