Effects of ritual participation in traditional dragon-lion dance performances on psychological resilience in cancer patients: A mixed-methods analysis from a positive psychology perspective
Abstract
Based on the perspective of positive psychology, this study explored the intervention mechanism and clinical value of ritual participation in traditional dragon-lion performances on the psychological resilience of cancer patients through a mixed method. Given the cultural alienation and lack of participation faced by mainstream psychological intervention methods in non-Western cultural contexts, this study innovatively integrated cultural ritual theory with the modern psychological resilience model and proposed a three-factor intervention framework of “cultural identity-group interaction-psychological reshaping”. Through a systematic range review and analysis of 66 core literature, it was found that dragon-lion performances play a role through three mechanisms: collective synergy reconstructs the social support network, physical participation regulates neuroendocrine balance, and cultural narrative empowers disease cognitive reshaping. Its multimodal characteristics (music, dance, and symbol system) show significant advantages over single-modal interventions. Comparative studies have found that dragon-lion rituals can overcome cross-cultural communication barriers through non-verbal expression and enhance patients’ sense of social connection. Studies have confirmed that such culturally rooted interventions can effectively activate the dimensions of positive emotions, engagement, and sense of meaning in the PERMA model, providing a localized solution to the problem of the “last mile of culture” in psychological intervention. This research result opens up a new path for the modern medical transformation of intangible cultural heritage and provides empirical evidence for the development of cross-cultural psychological resilience theory.
Copyright (c) 2026 Teng Yu, Xueshao Zhang, Zhou Yang, Lingfei Wang, Wei Hui

This work is licensed under a Creative Commons Attribution 4.0 International License.
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