Performance anxiety in professional musicians: a systematic review on prevalence, risk factors and clinical treatment effects
- PMID: 31474244
- DOI: 10.1017/S0033291719001910
Performance anxiety in professional musicians: a systematic review on prevalence, risk factors and clinical treatment effects
Abstract
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.
Keywords: Incidence; music performance anxiety; prevalence; risk factors; social anxiety disorder; stage fright; therapy.
Similar articles
-
Treatment and prevention of music performance anxiety.Prog Brain Res. 2015;217:129-40. doi: 10.1016/bs.pbr.2014.11.024. Epub 2015 Jan 31. Prog Brain Res. 2015. PMID: 25725913 Review.
-
Musculoskeletal disorders and complaints in professional musicians: a systematic review of prevalence, risk factors, and clinical treatment effects.Int Arch Occup Environ Health. 2020 Feb;93(2):149-187. doi: 10.1007/s00420-019-01467-8. Epub 2019 Sep 3. Int Arch Occup Environ Health. 2020. PMID: 31482285 Free PMC article.
-
Music performance anxiety: perceived causes, coping strategies and clinical profiles of Brazilian musicians.Trends Psychiatry Psychother. 2019 Oct-Dec;41(4):348-357. doi: 10.1590/2237-6089-2018-0104. Trends Psychiatry Psychother. 2019. PMID: 31967195
-
Is Playing in the Pit Really the Pits?: Pain, Strength, Music Performance Anxiety, and Workplace Satisfaction in Professional Musicians in Stage, Pit, and Combined Stage/Pit Orchestras.Med Probl Perform Art. 2016 Mar;31(1):1-7. doi: 10.21091/mppa.2016.1001. Med Probl Perform Art. 2016. PMID: 26966957
-
Imagery-Based Interventions for Music Performance Anxiety: An Integrative Review.Med Probl Perform Art. 2016 Dec;31(4):222-231. doi: 10.21091/mppa.2016.4040. Med Probl Perform Art. 2016. PMID: 27942702 Review.
Cited by
-
Design and Evaluation of a Collective Preventive Program for Musical Performance Anxiety (ConfiDance).Eur J Investig Health Psychol Educ. 2024 May 6;14(5):1260-1278. doi: 10.3390/ejihpe14050083. Eur J Investig Health Psychol Educ. 2024. PMID: 38785581 Free PMC article.
-
Focus of attention in musical learning and music performance: a systematic review and discussion of focus instructions and outcome measures.Front Psychol. 2024 Apr 8;15:1290596. doi: 10.3389/fpsyg.2024.1290596. eCollection 2024. Front Psychol. 2024. PMID: 38650905 Free PMC article. Review.
-
It's not a virus! Reconceptualizing and de-pathologizing music performance anxiety.Front Psychol. 2023 Nov 10;14:1194873. doi: 10.3389/fpsyg.2023.1194873. eCollection 2023. Front Psychol. 2023. PMID: 38022988 Free PMC article. Review.
-
Effects of Psychological Interventions on Performance Anxiety in Performing Artists and Athletes: A Systematic Review with Meta-Analysis.Behav Sci (Basel). 2023 Nov 7;13(11):910. doi: 10.3390/bs13110910. Behav Sci (Basel). 2023. PMID: 37998657 Free PMC article. Review.
-
Current Trends in Music Performance Anxiety Intervention.Behav Sci (Basel). 2023 Aug 29;13(9):720. doi: 10.3390/bs13090720. Behav Sci (Basel). 2023. PMID: 37753998 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical