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Music therapy for stress reduction: a systematic review and meta-analysis
Open accessAbstract
Music therapy is increasingly being used as an intervention for stress reduction in both medical and mental healthcare settings. Music therapy is characterized by personally tailored music interventions initiated by a trained and qualified music therapist, which distinguishes music therapy from other music interventions, such as ‘music medicine’, which concerns mainly music listening interventions offered by healthcare professionals. To summarize the growing body of empirical research on music therapy, a multilevel meta-analysis, containing 47 studies, 76 effect sizes and 2.747 participants, was performed to assess the strength of the effects of music therapy on both physiological and psychological stress-related outcomes, and to test potential moderators of the intervention effects. Results showed that music therapy showed an overall medium-to-large effect on stress-related outcomes (d = .723, [.51–.94]). Larger effects were found for clinical controlled trials (CCT) compared to randomized controlled trials (RCT), waiting list controls instead of care as usual (CAU) or other stress-reducing interventions, and for studies conducted in Non-Western countries compared to Western countries. Implications for both music therapy and future research are discussed.
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“CBT-I has demonstrated efficacy in traumaexposed populations, reducing pre-sleep arousal and improving sleep continuity by integrating conventional behavioral sleep strategies with trauma-informed adaptations in multiple RCTs [115,116], especially when combined with trauma-focused interventions, such as trauma-focused cognitive behavioral therapy (TF-CBT) and eye movement desensitization and repro”
From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [115]
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Metadata
- Authors
- de Witte, M., Pinho, A. D. S., Stams, G.-J., Moonen, X., Bos, A. E. R., & van Hooren, S.
- Affiliations
- University of Amsterdam
- University of Amsterdam (NL)
- Zuyd University of Applied Sciences (NL)
- The Open University (GB)
- KenVaK, Research Centre for the Arts Therapies
- Venue
- Health Psychology Review
- Publisher
- Informa UK Limited
- Published
- 2020-11-27
- Volume
- 16
- Issue
- 1
- Pages
- 134-159
- ISSN
- 1743-7199 (ISSN-L)
- 1743-7202
- OpenAlex
- W3105716709
- Cited by
- 444
- References
- 204
- Citations by year
- 2026: 117 · 2025: 131 · 2024: 81 · 2023: 59 · 2022: 35 · 2021: 20 · 2020: 1
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health Psychology Review (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by-nc-nd)
- DSpace (Open University in the Netherlands) (submittedVersion, cc-by-nc-nd)
- DSpace (Open University in the Netherlands) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (grant number 023.007.068)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Social Sciences › Psychology › Clinical Psychology › Art Therapy and Mental Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Keywords
- music therapy, stress reduction, physiological stress, psychological stress, intervention moderators, music medicine, music listening intervention, healthcare settings
- MeSH terms
- Anxiety, Humans, Music, Music Therapy, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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