{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:06:16Z","timestamp":1792685176808,"version":"4.5.0"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescence is a developmental period marked by heightened vulnerability to anxiety, driven by academic pressure, social expectations, and rapid emotional changes. Music-based interventions have been examined as accessible, low-risk approaches for anxiety reduction; however, existing evidence remains conceptually fragmented and methodologically diverse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review followed PRISMA 2020 guidelines. A comprehensive search across PubMed, APA PsycINFO, Scopus, Web of Science, and CNKI identified randomized controlled trials (RCTs) and quasi-experimental studies examining the effects of music interventions on adolescent anxiety. Twenty studies (15 RCTs and 5 quasi-experiments) met the inclusion criteria. Data on study characteristics, intervention type, duration, frequency, and anxiety-related outcomes were extracted. Study quality was assessed using the PEDro scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across 1,912 adolescents aged 12\u201318, most studies reported reductions in anxiety following music-based interventions, although the strength and durability of effects differed across intervention types. Active forms of music engagement (e.g., singing, instrument playing, improvisation) tended to produce more robust and sustained anxiety reduction compared with passive listening. Several studies also documented secondary improvements such as reduced depressive symptoms, enhanced stress regulation, and improved emotional well-being. Nonetheless, variations in intervention design, inconsistent reporting of musical features, and limited long-term follow-up constrained cross-study comparability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Music-based interventions appear beneficial for reducing anxiety among adolescents in both school and clinical contexts. Yet important gaps remain, particularly regarding the specification of musical elements, cultural adaptation of music selections, and integration with complementary psychological or school-based programs. Future work should employ more rigorous designs, include culturally grounded musical components, and systematically investigate combined intervention models and underlying mechanisms to strengthen the evidence base.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      CRD420251129625,\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420251129625<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1822041","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:04:03Z","timestamp":1784095443000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of music on anxiety among adolescents: a systematic review"],"prefix":"10.3389","volume":"17","author":[{"given":"Yingjie","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Music, Faculty of Human Ecology, Universiti Putra Malaysia","place":["Serdang, Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne Pei Sze","family":"Yeoh","sequence":"additional","affiliation":[{"name":"Department of Music, Faculty of Human Ecology, Universiti Putra Malaysia","place":["Serdang, Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Geok","family":"Soh","sequence":"additional","affiliation":[{"name":"Department of Sports Studies, Faculty of Educational Studies, Universiti Putra Malaysia","place":["Serdang, Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xutao","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Physical Education, Jiangsu University of Science and Technology","place":["Zhenjiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004517.pub3","article-title":"Music therapy for depression","volume":"2017","author":"Aalbers","year":"2017","journal-title":"Cochrane Database Syst. 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Famil."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1136\/hrt.2005.064600","article-title":"Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence","volume":"92","author":"Bernardi","year":"2006","journal-title":"Heart"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"110","DOI":"10.30773\/pi.2020.0155","article-title":"Effects of cognitive-behavioral therapy based music therapy in Korean adolescents with smartphone and internet addiction","volume":"18","author":"Bong","year":"2021","journal-title":"Psychiatry Investig."},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006902","article-title":"Music interventions for mechanically ventilated patients","author":"Bradt","year":"2010","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"CD006908","DOI":"10.1002\/14651858.CD006908.pub2","article-title":"Music interventions for preoperative anxiety","volume":"2013","author":"Bradt","year":"2013","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"l6890","DOI":"10.1136\/bmj.l6890","article-title":"Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline","volume":"368","author":"Campbell","year":"2020","journal-title":"BMJ"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.tics.2013.02.007","article-title":"The neurochemistry of music","volume":"17","author":"Chanda","year":"2013","journal-title":"Trends Cogn. Sci."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.1111\/jan.13975","article-title":"Effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents in Taiwan","volume":"75","author":"Chen","year":"2019","journal-title":"J. Adv. Nurs."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1616","DOI":"10.1177\/03057356211050672","article-title":"Effects of a group music-based intervention in improving attachment and psychosocial adaptation in adolescents with parental attachment insecurity: a randomized trial","volume":"50","author":"Chen","year":"2022","journal-title":"Psychol. Music"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.pedn.2012.08.008","article-title":"Impact of music therapy interventions (listening, composition, orff-based) on the physiological and psychosocial behaviors of hospitalized children: a feasibility study","volume":"28","author":"Colwell","year":"2013","journal-title":"J. Pediatr. Nurs."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.jaac.2013.09.017","article-title":"Longitudinal patterns of anxiety from childhood to adulthood: the Great Smoky Mountains study","volume":"53","author":"Copeland","year":"2014","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1111\/j.1469-7610.2004.t01-1-00298.x?sid=nlm73Apubmed","article-title":"Effects of music therapy for children and adolescents with psychopathology: a meta-analysis","volume":"45","author":"Gold","year":"2004","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"3019","DOI":"10.1523\/JNEUROSCI.5118-08.2009","article-title":"Musical training shapes structural brain development","volume":"29","author":"Hyde","year":"2009","journal-title":"J. Neurosci."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.jadohealth.2023.08.056","article-title":"Effect of audio-visual-based art and music therapy in reducing adolescents post traumatic stress disorder","volume":"74","author":"Iyendo","year":"2024","journal-title":"J. Adolesc. Health"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e0276568","DOI":"10.1371\/journal.pone.0276568","article-title":"Effects of a choral program combining wind instrument performance and breathing training on respiratory function, stress, and quality of life in adolescents: a randomized controlled trial","volume":"19","author":"Kim","year":"2024","journal-title":"PLoS One"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1038\/nrn3666","article-title":"Brain correlates of music-evoked emotions","volume":"15","author":"Koelsch","year":"2014","journal-title":"Nat. Rev. Neurosci."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1177\/1049731518773423","article-title":"Integrating positive psychology and elements of music therapy to alleviate adolescent anxiety","volume":"29","author":"Kwok","year":"2019","journal-title":"Res. Soc. Work. Pract."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys. Ther."},{"key":"ref21","first-page":"51","article-title":"Psychocorrection of Adolescents' Anxiety by Music Therapy","volume-title":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","author":"Matokhniuk","year":"2021"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fnbeh.2013.00001","article-title":"Enriched childhood experiences moderate age-related motor and cognitive decline","volume":"7","author":"Metzler","year":"2013","journal-title":"Front. Behav. Neurosci."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"e1043","DOI":"10.1016\/j.physio.2015.03.1919","article-title":"A systematic review of the measurement properties and usage of the physiotherapy evidence database (PEDRO) scale","volume":"101","author":"Moseley","year":"2015","journal-title":"Physiotherapy"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.pmn.2016.10.005","article-title":"Relaxation training and postoperative music therapy for adolescents undergoing spinal fusion surgery","volume":"18","author":"Nelson","year":"2017","journal-title":"Pain Manag. Nurs."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s12906-022-03832-6","article-title":"Effects of music therapy as an alternative treatment on depression in children and adolescents with ADHD by activating serotonin and improving stress coping ability","volume":"23","author":"Park","year":"2023","journal-title":"BMC Complement. Med. Ther."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1177\/0305735621996024","article-title":"Efficacy of music therapy in the treatment of anxiety among children at social risk and those have committed child to parent violence","volume":"50","author":"P\u00e9rez-Eizaguirre","year":"2022","journal-title":"Psychol. Music"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1001\/archpsyc.55.1.56","article-title":"The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders","volume":"55","author":"Pine","year":"1998","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1111\/jcpp.12381","article-title":"Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents","volume":"56","author":"Polanczyk","year":"2015","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1111\/jcpp.12656","article-title":"Music therapy for children and adolescents with behavioural and emotional problems: a randomised controlled trial","volume":"58","author":"Porter","year":"2017","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref31","first-page":"78","article-title":"Integrating effect of art and music therapy on depression in adolescents","volume":"6","author":"Rahmani","year":"2016","journal-title":"J. Educ. Sci. Psychol."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"40","DOI":"10.54322\/kairaranga.v8i1.88","article-title":"Music therapy in special education. Where are we now?","volume":"8","author":"Rickson","year":"2007","journal-title":"Kairaranga"},{"key":"ref33","first-page":"283","volume-title":"Music Therapy to Promote Prosocial Behaviors in Aggressive Adolescent Boys\u2014a pilot Study","author":"Rickson","year":"2003"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"112","DOI":"10.22122\/ijbmc.v6i2.163","article-title":"The effectiveness of music therapy on anxiety sensitivity and self-efficacy in adolescents with leukemia in Tehran, Iran","volume":"6","author":"Saghaee-Shahriari","year":"2019","journal-title":"Int. J. Body Mind Cult."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1093\/jmt\/thaa021","article-title":"Comparing three music therapy interventions for anxiety and relaxation in youth with amplified pain","volume":"58","author":"Scheufler","year":"2021","journal-title":"J. Music. Ther."},{"key":"ref36","volume-title":"Age of Opportunity: Lessons from the new Science of Adolescence","author":"Steinberg","year":"2014"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"e70156","DOI":"10.1371\/journal.pone.0070156","article-title":"The effect of music on the human stress response","volume":"8","author":"Thoma","year":"2013","journal-title":"PLoS One"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.15252\/embr.201642951","article-title":"The economic costs of mental disorders: do our societies react appropriately to the burden of mental disorders?","volume":"17","author":"Trautmann","year":"2016","journal-title":"EMBO Rep."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e16406","DOI":"10.1097\/md.0000000000016406","article-title":"Effect of cognitive-behavioral therapy with music therapy in reducing physics test anxiety among students as measured by generalized test anxiety scale","volume":"99","author":"Ugwuanyi","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1177\/0305735617719154","article-title":"\"being a bully isn't very cool\": rap & Sing Music Therapy for enhanced emotional self-regulation in an adolescent school setting - a randomized controlled trial","volume":"46","author":"Uhlig","year":"2018","journal-title":"Psychol. Music"},{"key":"ref41","first-page":"118","article-title":"Application of music therapy in children and adolescents with emotional disorders","volume":"27","author":"Yi","year":"2012","journal-title":"West China Med."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"10430","DOI":"10.1073\/pnas.1301228110","article-title":"From perception to pleasure: music and its neural substrates","volume":"110","author":"Zatorre","year":"2013","journal-title":"Proc. Natl. Acad. Sci."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"149","DOI":"10.4103\/nah.nah_156_24","article-title":"Effects of integrating music therapy into family support system on adolescent depression","volume":"27","author":"Zhou","year":"2025","journal-title":"Noise Health"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1007\/s12671-013-0260-4","article-title":"Mindfulness interventions with youth: a meta-analysis","volume":"6","author":"Zoogman","year":"2015","journal-title":"Mindfulness"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1822041\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:04:05Z","timestamp":1784095445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1822041\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":44,"alternative-id":["10.3389\/fpsyg.2026.1822041"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1822041","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"article-number":"1822041"}}