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Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses
Open accessAbstract
Music interventions are used for stress reduction in a variety of settings because of the positive effects of music listening on both physiological arousal (e.g., heart rate, blood pressure, and hormonal levels) and psychological stress experiences (e.g., restlessness, anxiety, and nervousness). To summarize the growing body of empirical research, two multilevel meta-analyses of 104 RCTs, containing 327 effect sizes and 9,617 participants, were performed to assess the strength of the effects of music interventions on both physiological and psychological stress-related outcomes, and to test the potential moderators of the intervention effects. Results showed that music interventions had an overall significant effect on stress reduction in both physiological (d = .380) and psychological (d = .545) outcomes. Further, moderator analyses showed that the type of outcome assessment moderated the effects of music interventions on stress-related outcomes. Larger effects were found on heart rate (d = .456), compared to blood pressure (d = .343) and hormone levels (d = .349). Implications for stress-reducing music interventions are discussed.
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“Music interventions have an overall significant effect on stress reduction in both physiological and psychological outcomes (De Witte et al., 2020).”
From A theoretical exploration of polyvagal theory in creative arts and psychomotor therapies for emotion regulation in stress and trauma (2024) · cites this paper as De Witte et al., 2020
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Effects of music advertised to support focus on mood and processing speed
Orpella, J., Bowling, D. L., Tomaino, C. M., & Ripollés, P. (2025) · PLoS ONE · doi:10.1371/journal.pone.0316047 · Cited by 16
Owens, O. L., Smith, K. N., Beer, J. M., Gallerani, D. G., & McDonnell, K. K. (2020) · Oncology nursing forum · doi:10.1188/20.onf.331-341 · Cited by 15
Metadata
- Authors
- de Witte, M., Spruit, A., van Hooren, S., Moonen, X., & Stams, G.-J.
- Affiliations
- HAN University of Applied Sciences (NL)
- University of Amsterdam (NL)
- Zuyd University of Applied Sciences (NL)
- Corresponding author
- de Witte, Martina
- Venue
- Health Psychology Review
- Publisher
- Informa UK Limited
- Published
- 2019-07-15
- Volume
- 14
- Issue
- 2
- Pages
- 294-324
- ISSN
- 1743-7199 (ISSN-L)
- 1743-7202
- OpenAlex
- W2951678817
- Cited by
- 539
- References
- 159
- Citations by year
- 2026: 96 · 2025: 107 · 2024: 70 · 2023: 84 · 2022: 86 · 2021: 65 · 2020: 27 · 2019: 4
- FWCI
- 7.02
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health Psychology Review (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by-nc-nd)
- DSpace (Open University in the Netherlands) (submittedVersion, cc-by-nc-nd)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (023.007.068)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Social Sciences › Psychology › Clinical Psychology › Art Therapy and Mental Health
- Keywords
- music intervention, music listening, stress reduction, physiological stress, psychological stress, heart rate, blood pressure, hormone levels, anxiety, intervention moderators
- MeSH terms
- Anxiety, Heart Rate, Humans, Music, Music Therapy, Stress, Psychological
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