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However, the review\u2010level evidence remains conceptually and methodologically fragmented. This quality\u2010sensitive umbrella review synthesized 90 review articles identified across five databases. Systematic reviews and meta\u2010analyses were appraised using AMSTAR 2, while scoping, narrative, literature, and clinical reviews were assessed using adapted review\u2010appraisal criteria. Findings from systematic reviews and meta\u2010analyses were used primarily to interpret effectiveness evidence, whereas nonsystematic reviews were used to map conceptual definitions, practice traditions, and measurement issues. The synthesis showed that the field is fragmented at three interrelated levels. First, intervention labels and delivery models are inconsistent, ranging from clearly defined dance\/movement therapy to broad and underspecified uses of dance. Second, effectiveness is conceptualized differently across intervention traditions, with therapy\u2010oriented reviews emphasizing symptom reduction and non\u2010therapy\u2010oriented reviews foregrounding well\u2010being, vitality, social connection, and embodied experience. Third, outcome assessment relies predominantly on generic psychological scales, with limited use of movement\u2010sensitive or dance\u2010specific measures. Quality\u2010sensitive evidence suggests that dance\u2010based interventions show promise for well\u2010being, social connection, emotional regulation, and selected symptom outcomes, but confidence remains limited by low review quality, heterogeneous populations, inconsistent intervention reporting, and insufficient attention to primary\u2010study overlap. Future research should move beyond asking whether dance works in general and instead specify what kind of dance, for whom, through which mechanisms, and according to which model of mental health and well\u2010being.<\/jats:p>","DOI":"10.1111\/nyas.70358","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T09:39:35Z","timestamp":1786181975000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dance\u2010Based Interventions for Mental Health: A Comprehensive and Quality\u2010Sensitive Umbrella Review of Definitions, Measurement Practices, and Evidence Fragmentation"],"prefix":"10.1111","volume":"1562","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5533-6642","authenticated-orcid":false,"given":"Xinyu","family":"Dou","sequence":"first","affiliation":[{"name":"The University of Hong Kong Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6885-2793","authenticated-orcid":false,"given":"Xu","family":"Zhu","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e08573"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14647893.2024.2392593"},{"key":"e_1_2_11_4_1","first-page":"64","article-title":"The Effectiveness of Dance Interventions to Improve Older Adults' Health: A Systematic Literature Review","volume":"21","author":"Hwang P. 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