Music Therapy for stress reduction in healthy adults: a systematic review.

Authors

DOI:

https://doi.org/10.59028/misostenido.2025.06

Keywords:

music therapy, stress reduction, ealthy adults, music listening, well-being

Abstract

Background. Stress is a prevalent problem today, and music therapy is presented as a discipline with great potential to reduce stress-related symptoms. However, systematic reviews of the efficacy of music therapy in this context are controversial. Objective. This paper aims to conduct a systematic review of the literature to assess the efficacy of music therapy in reducing stress in healthy adults. Method. A strategic search was conducted by consulting scientific databases and 12 studies were selected from a total of 3690 identified sources, involving 807 participants aged 18-44 years. Results. The reviewed studies indicated that music therapy can reduce stress by positively influencing blood pressure, heart rate, cortisol levels and emotional well-being. However, these effects are not uniform and depend on factors such as musical preference, social context, and frequency of music listening. Conclusions. Music therapy is a promising intervention for stress reduction, but its effectiveness depends on personalised approaches and further research in ecological contexts. Its integration with other therapeutic strategies could improve physical and psychological health in diverse populations.

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References

Adiasto, K., Beckers, D. G. J., Van Hooff, M. L. M., Roelofs, K., y Geurts, S. A. E. (2022). Music listening and stress recovery in healthy individuals: A systematic review with meta-analysis of experimental studies. PLoS ONE, 17(6), e0270031. https://doi.org/10.1371/journal.pone.0270031

Akimoto, K., Hu, A.,Yamaguchi, T., y Kobayashi, H. (2019). Effect of 528 Hz Music on the Endocrine System and Autonomic Nervous System. Health, 10(9), 1159-1170. https://doi.org/10.4236/health.2018.109088

Amorós-Sánchez, B., Gamella-González, D.J., Cisneros-Álvarez, P., Gisbert-Caudeli, V. (2024). A Systematic Review of the Technolog y Available for Data Collection and Assessment in Music Therapy. In: Brooks, A.L. (eds) ArtsIT, Interactivity and Game Creation. ArtsIT 2023. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 564. Springer, Cham. https://doi.org/10.1007/978-3-031-55319-6_4

Asif, A., Majid, M., y Anwar, S. M. (2019). Human stress classification using EEG signals in response to music tracks. Computers in Biology and Medicine, 107, 182-196. https://doi.org/10.1016/j.compbiomed.2019.02.015

Baltazar, M., Västfjäll, D., Asutay, E., Koppel, L., y Saarikallio, S. (2019). Is it me or the music? Stress reduction and the role of regulation strategies and music. Music & Science, 2, 205920431984416. https://doi.org/10.1177/2059204319844161

Cakmak, O., Cimen, S., Tarhan, H., Ekin, R. G., Akarken, I., Ulker, V., Celik, O., Yucel, C., Kisa, E., Ergani, B., Cetin, T., y Kozacioglu, Z. (2017). Listening to music during shock wave lithotripsy decreases anxiety, pain, and dissatisfaction. Wiener Klinische Wochenschrift, 129(19-20), 687-691. https://doi.org/10.1007/s00508-017-1212-0

Cao, M., y Zhang, Z. (2023). Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Complementary Medicine and Therapies, 23(1), 110. https://doi.org/10.1186/s12906-023-03929-6

Chida, Y., y Steptoe, A. (2010). Greater Cardiovascular Responses to Laboratory Mental Stress Are Associated with Poor Subsequent Cardiovascular Risk Status: A Meta-Analysis of Prospective Evidence. Hypertension, 55(4), 1026-1032. https://doi.org/10.1161/hypertensionaha.109.146621

de la Torre-Luque, A., Caparrós-González, R. A., Bastard, T., Vico, F. J., y Buela-Casal, G. (2016). Acute stress recovery through listening to Melomics relaxing music: A randomized controlled trial. Nordic Journal of Music Therapy, 26(2), 124-141. https://doi.org/10.1080/08098131.2015.1131186

de la Torre-Luque, A., Díaz-Piedra, C., y Buela-Casal, G. (2017). Effects of preferred relaxing music after acute stress exposure: A randomized controlled trial. Psychology of Music , 45(6), 795-813. https://doi.org/10.1177/0305735617689953

de Witte, M., Spruit, A.,Van Hooren, S., Moonen, X., y Stams, G. (2020). Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses. Health Psychology Review, 14(2), 294-324. https://doi.org/10.1080/17437199.2019.1627897

Fallon, V. T., Rubenstein, S., Warfield, R., Ennerfelt, H., Hearn, B., y Leaver, E. (2020). Stress reduction from a musical intervention. Psychomusicology: Music, Mind and Brain, 30(1), 20-27. https://doi.org/10.1037/pmu0000246

Fernández-Company, J. F., García-Rodríguez, M. J., Ondé, D., y Calero-Aparicio, E. (2022). Eficacia de la Musicoterapia en la Satisfacción con los Roles y Actividades Sociales en Pacientes Neurológicos. Revista Iberoamericana de Diagnóstico y Evaluación Psicológica, 66(5), 91-104. https://doi.org/10.21865/ridep66.5.07

Fuentes-Sánchez, N., Pastor, R., Eerola, T., Escrig, M. A., y Pastor, M. C. (2022). Musical preference but not familiarity influences subjective ratings and psychophysiological correlates of music-induced emotions. Personality and Individual Differences, 198, 111828. https://doi.org/10.1016/j.paid.2022.111828

Gan, S. K., Lim, K. M., y Haw,Y. (2015). The relaxation effects of stimulative and sedative music on mathematics anxiety: A perception to physiology model. Psychology of Music, 44(4), 730-741. https://doi.org/10.1177/0305735615590430

García-Rodríguez, M., Alvarado, J. M., Fernández-Company, J. F., Jiménez, V., y Ivanova-Iotova, A. (2023). Music and facial emotion recognition and its relationship with alexithymia. Psychology of Music, 51(1), 259-273. https://doi.org/10.1177/03057356221091311

Gooding, L., Swezey, S., y Zwischenberger, J. B. (2012). Using Music Interventions in Perioperative Care. Southern Medical Journal, 105(9), 486-490. https://doi.org/10.1097/smj.0b013e318264450c

Groarke, J. M., Groarke, A., Hogan, M. J., Costello, L., y Lynch, D. (2019). Does Listening to Music Regulate Negative Affect in a Stressful Situation? Examining the Effects of Self-Selected and Researcher-Selected Music Using Both Silent and Active Controls. Applied Psychology: Health and Well-being, 12(2), 288-311. https://doi.org/10.1111/ aphw.12185

Groarke, J. M., y Hogan, M. J. (2019). Listening to self-chosen music regulates induced negative affect for both younger and older adults. PLoS ONE, 14(6), e0218017. https://doi.org/10.1371/journal.pone.0218017

Gupta, U., y Gupta, B. S. (2015). Psychophysiological reactions to music in male coronary patients and healthy controls. Psychology of Music, 43(5), 736-755. https://doi.org/10.1177/0305735614536754

Jiang, J., Rickson, D., y Jiang, C. (2016). The mechanism of music for reducing psychological stress: Music preference as a mediator. The Arts in Psychotherapy, 48, 62-68. https://doi.org/10.1016/j.aip.2016.02.002

Jiang, J., Zhou, L., Rickson, D., y Jiang, C. (2013). The effects of sedative and stimulative music on stress reduction depend on music preference. The Arts in Psychotherapy, 40(2), 201-205. https://doi.org/10.1016/j.aip.2013.02.002

Juslin, P. N., Liljeström, S., Västfjäll, D., Barradas, G., y Silva, A. (2008). An experience sampling study of emotional reactions to music: Listener, music, and situation. Emotion, 8(5), 668-683. https://doi.org/10.1037/a0013505

Kappert, M. B., Wuttke-Linnemann, A., Schlotz, W., y Nater, U. M. (2019). The Aim Justifies the Means—Differences Among Musical and Nonmusical Means of Relaxation or Activation Induction in Daily Life. Frontiers in Human Neuroscience, 13, 36. https://doi.org/10.3389/fnhum.2019.00036

Koelsch, S. (2020). A coordinate-based meta-analysis of music- evoked emotions. NeuroImage, 223, 117350. https://doi.org/10.1016/j.neuroimage.2020.117350

Koelsch, S., Boehlig, A., Hohenadel, M., Nitsche, I., Bauer, K., y Sack, U. (2016). The impact of acute stress on hormones and cytokines and how their recovery is affected by music-evoked positive mood. Scientific Reports, 6(1), 23008. https://doi.org/10.1038/srep23008

Kongsawatvorakul, C., Charakorn, C., Paiwattananupant, K., Lekskul, N., Rattanasiri, S., y Lertkhachonsuk, A. (2016). Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial. Asian Pacific Journal of Cancer Prevention, 17(6), 2853-2856. https://pubmed.ncbi.nlm.nih.gov/27356701

Krause, A. E., Scott, W. G., Flynn, S., Foong, B., Goh, K., Wake, S., Miller, D., y Garvey, D. (2021). Listening to music to cope with everyday stressors. Musicae Scientiae, 27(1), 176-192. https://doi.org/10.1177/10298649211030318

Liljeström, S., Juslin, P. N., y Västfjäll, D. (2012). Experimental evidence of the roles of music choice, social context, and listener personality in emotional reactions to music. Psychology of Music, 41(5), 579-599. https://doi.org/10.1177/0305735612440615

Linnemann, A., Ditzen, B., Strahler, J., Doerr, J. M., y Nater, U. M. (2015). Music listening as a means of stress reduction in daily life. Psychoneuroendocrinology, 60, 82-90. https://doi.org/10.1016/j.psyneuen.2015.06.008

Linnemann, A., Strahler, J., y Nater, U. M. (2016). The stress- reducing effect of music listening varies depending on the social context. Psychoneuroendocrinology, 72, 97-105. https://doi.org/10.1016/j.psyneuen.2016.06.003

Linnemann, A., Wenzel, M., Grammes, J., Kubiak, T., y Nater, U. M. (2017). Music Listening and Stress in Daily Life—a Matter of Timing. International Journal of Behavioral Medicine, 25(2), 223-230. https://doi.org/10.1007/ s12529-017-9697-5

Lynar, E., Cvejic, E., Schubert, E., y Vollmer-Conna, U. (2017). The joy of heartfelt music: An examination of emotional and physiological responses. International Journal of Psychophysiology, 120, 118-125. https://doi.org/10.1016/j.ijpsycho.2017.07.012

Malakoutikhah, A., Dehghan, M., Ghonchehpoorc, A., Afshar, P. P., y Honarmand, A. (2020). The effect of different genres of music and silence on relaxation and anxiety: A randomized controlled trial. EXPLORE, 16(6), 376-381. https://doi.org/10.1016/j.explore.2020.02.005

Matney, B. (2017). The effect of specific music instrumentation on anxiety reduction in university music students: A feasibility study. The Arts in Psychotherapy, 54, 47-55. https://doi.org/10.1016/j.aip.2017.02.006

Ministerio de Cultura y Deporte. (2019). Encuesta de hábitos y prácticas culturales en España 2018-2019. Secretaría General Técnica-Subdirección General de Atención al ciudadano, Documentación y Publicaciones. https://www.cultura.gob.es/va/dam/jcr:1712f192-d59b-427d-bbe0-db0f3e9f716b/encuesta-de-habitos-y-practicas-culturales-2018-2019.pdf

Nakajima, Y., Tanaka, N., Mima, T., y Izumi, S. (2016). Stress Recovery Effects of High- and Low-Frequency Amplified Music on Heart Rate Variability. Behavioural Neurology, 1-8. https://doi.org/10.1155/2016/5965894

Organización Mundial de la Salud (OMS). (2023). Estrés. https://www.who.int/news-room/questions-and-answers/item/stress

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71), 1-9. https://doi.org/10.1136/bmj.n71

Parada-Cabaleiro, E., Batliner, A., y Schedl, M. (2022). An Exploratory Study on the Acoustic Musical Properties to Decrease Self-Perceived Anxiety. International Journal of Environmental Research and Public Health, 19(2), 994. https://doi.org/10.3390/ijerph19020994

Radstaak, M., Geurts, S. A. E., Brosschot, J. F., y Kompier, M. A. J. (2014). Music and Psychophysiological Recovery from Stress. Psychosomatic Medicine, 76(7), 529-537. https://doi.org/10.1097/psy.0000000000000094

Saarikallio, S., Baltazar, M., y Västfjäll, D. (2017). Adolescents’ musical relaxation: understanding related affective processing. Nordic Journal of Music Therapy, 26(4), 376-389. https://doi.org/10.1080/08098131.2016.1276097

Song, Y., Mewes, R., Skoluda, N., y Nater, U. M. (2023). How is music listening purpose related to stress recovery?–two preliminary studies in men and women. Frontiers in Psychology, 14, 1108402. https://doi.org/10.3389/fpsyg.2023.1108402

Tervaniemi, M., Makkonen, T., y Nie, P. (2021). Psychological and Physiological Signatures of Music Listening in Different Listening Environments—An Exploratory Study. Brain Sciences, 11(5), 593. https://doi.org/10.3390/brainsci11050593

Thoma, M. V., La Marca, R., Brönnimann, R., Finkel, L., Ehlert, U., y Nater, U. M. (2013). The Effect of Music on the Human Stress Response. PLoS ONE, 8(8), e70156. https://doi.org/10.1371/journal.pone.0070156

van Dyck, E., Six, J., Soyer, E., Denys, M., Bardijn, I., y Leman, M. (2017). Adopting a music-to-heart rate alignment strategy to measure the impact of music and its tempo on human heart rate. Musicae Scientiae, 21(4), 390-404. https://doi.org/10.1177/1029864917700706

World Federation of Music Therapy. (2011). Announcing WFMT’s NEW Definition of Music Therapy [Comunicado de prensa]. https://www.wfmt.info/post/ announcing-wfmts-new-definition-of-music-therapy

Wuttke-Linnemann, A., Nater, U. M., Ehlert, U., y Ditzen, B. (2019). Sex-specific Effects of Music Listening on Couples’ Stress in Everyday Life. Scientific Reports, 9(1), 4880. https://doi.org/10.1038/s41598-019-40056-0

Yehuda, N. (2011). Music and Stress. Journal of Adult Development, 18(2), 85-94. https://doi.org/10.1007/s10804-010-9117-4

Published

2025-03-30

How to Cite

Guerrero Sánchez, A. and Godoy Gutiérrez, M. I. (2025). Music Therapy for stress reduction in healthy adults: a systematic review. Misostenido, (9), 43–52. https://doi.org/10.59028/misostenido.2025.06

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