Bakhtiari Parham, Nikanmajd Nazanin, Ghasemi Shayan Ramin
Department of Classical Music, Music Faculty, Tehran University of Art, Tehran, Iran.
Faculty of Biological Sciences, Islamic Azad University, Isfahan, Iran.
Front Psychol. 2025 Apr 25;16:1507229. doi: 10.3389/fpsyg.2025.1507229. eCollection 2025.
Music performance anxiety (MPA) is a prevalent concern among musicians, manifesting through cognitive, physiological, and behavioral symptoms that can severely impact performance quality and overall wellbeing. This systematic review synthesizes research on coping strategies employed by musicians to manage MPA from 2016 to 2023, identifying a range of psychological and physical interventions, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), mindfulness, and yoga. Findings reveal that these interventions significantly reduce anxiety and enhance psychological resilience, with ACT showing notable improvements in psychological flexibility. Physical approaches also proved effective in mitigating physiological symptoms associated with MPA. However, challenges such as small sample sizes and methodological limitations hinder the generalizability of results. The review underscores the necessity for multi-faceted intervention strategies tailored to the unique needs of different musicians, and emphasizes the importance of future research employing larger, randomized controlled designs to further validate these findings. Overall, this review serves as a comprehensive resource for musicians seeking effective coping strategies for managing performance anxiety, highlighting the critical interplay between mental and physical approaches in promoting optimal performance outcomes.
音乐表演焦虑（MPA）是音乐家们普遍关注的问题，表现为认知、生理和行为症状，这些症状会严重影响表演质量和整体幸福感。本系统综述综合了2016年至2023年期间音乐家用于管理MPA的应对策略的研究，确定了一系列心理和身体干预措施，包括接纳与承诺疗法（ACT）、认知行为疗法（CBT）、正念和瑜伽。研究结果表明，这些干预措施显著降低了焦虑并增强了心理韧性，ACT在心理灵活性方面有显著改善。身体方法在减轻与MPA相关的生理症状方面也被证明是有效的。然而，样本量小和方法学局限性等挑战阻碍了研究结果的普遍性。该综述强调了针对不同音乐家的独特需求制定多方面干预策略的必要性，并强调了未来采用更大规模的随机对照设计进行研究以进一步验证这些发现的重要性。总体而言，本综述为寻求有效应对表演焦虑策略的音乐家提供了全面的资源，突出了心理和身体方法在促进最佳表演结果方面的关键相互作用。
