Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany.
Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin Center for Musicians' Medicine (BCMM), Berlin, Germany.
Psychol Med. 2019 Oct;49(14):2287-2306. doi: 10.1017/S0033291719001910. Epub 2019 Sep 2.
Music performance anxiety (MPA) is one of the most common disorders among professional musicians, nevertheless, little is known about the disease. With this systematic review, prevalence, risk factors and treatment procedures for MPA were assessed, and for the first time, quality assessments were carried out for all studies using standardized assessment tools. A systematic literature search was conducted via search algorithms in the databases MEDLINE, EMBASE, CINAHL, PsycArticles, PsycInfo and ERIC. Included were case reports, case-control, cohort, cross-sectional and intervention studies examining professional musicians with MPA. For quality assessment, adapted tools of the National Heart, Lung, and Blood Institute were used. A total of 43 studies were included (10 case reports, 21 intervention, 11 cross-sectional, one cohort study). Quality ratings ranged from -11 to 6 out of a maximum of 15/16 points for cross-sectional/cohort studies and -4 to 11 out of 18 points for intervention studies. The prevalence of MPA was between 16.5% and 60%. More women than men were affected and musicians older than 45-50 years reported less MPA than younger musicians. Regarding treatment cognitive behavioural therapy (CBT) and β-blockers were most often researched with beneficial results for CBT. However, studies with adequate control groups for CBT interventions are needed to clarify its efficacy. Studies showed methodological weaknesses, especially in the selection of participants, recording of influencing factors, blinding of interventions, randomization of participants and analysis of comorbidity. Recommendations for further research are made.
音乐表演焦虑（MPA）是专业音乐家中最常见的疾病之一，但对这种疾病知之甚少。通过这项系统评价，评估了 MPA 的患病率、危险因素和治疗程序，并且首次使用标准化评估工具对所有研究进行了质量评估。通过在 MEDLINE、EMBASE、CINAHL、PsycArticles、PsycInfo 和 ERIC 数据库中使用搜索算法进行了系统文献检索。纳入的研究包括患有 MPA 的专业音乐家的病例报告、病例对照、队列、横断面和干预研究。对于质量评估，使用了国家心肺血液研究所的改编工具。共纳入 43 项研究（10 项病例报告、21 项干预研究、11 项横断面研究、1 项队列研究）。横断面/队列研究的质量评分范围为-11 至 15/16 分，干预研究的质量评分范围为-4 至 18 分。MPA 的患病率在 16.5%至 60%之间。受影响的女性多于男性，年龄超过 45-50 岁的音乐家比年轻音乐家报告的 MPA 较少。关于治疗，认知行为疗法（CBT）和β受体阻滞剂最常被研究，CBT 结果有益。然而，需要有足够的 CBT 干预对照研究来澄清其疗效。研究显示存在方法学上的弱点，特别是在参与者的选择、影响因素的记录、干预的盲法、参与者的随机化和共病的分析方面。提出了进一步研究的建议。
