{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:02:11Z","timestamp":1789970531034,"version":"4.0.1"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"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. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Music students face chronic evaluative stress, increasing their vulnerability to sleep problems and disordered eating. Drawing on transdiagnostic and self-regulation frameworks, this study examined whether music performance anxiety (MPA) is associated with both outcomes and whether music performance and learning self-efficacy moderate these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey of 260 Chinese music students assessed music performance anxiety, sleep problems, disordered eating, and self-efficacy. Robust maximum likelihood structural equation modeling and Johnson\u2013Neyman analyses were used, controlling body mass index, age, gender, and years of music study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Music performance anxiety correlated with disordered eating (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0= .24,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;.001) and sleep problems (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0= .21,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;.001). In the structural model, music performance anxiety was positively associated with disordered eating (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;.01). For sleep problems, music performance self-efficacy showed a negative main effect (\u03b2 = \u22120.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;.001), whereas the direct effect of music performance anxiety was non-significant (\u03b2 = 0.04,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;gt;.05). The interaction between music performance anxiety and music performance self-efficacy was negatively associated with sleep problems (\u03b2 = \u22120.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;.01). Johnson\u2013Neyman analyses showed that music performance anxiety was associated with sleep problems only when music performance self-efficacy was &amp;lt; 3.80 or &amp;gt; 5.55.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Music performance anxiety is a transdiagnostic risk factor among music students, directly relating to disordered eating, while its link to sleep problems depends on domain-specific self-efficacy. Interventions may combine anxiety reduction with balanced self-efficacy support to improve recovery under performance pressure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1933259","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:35:48Z","timestamp":1789968948000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Music performance anxiety, sleep problems, and disordered eating: the role of performance and learning self-efficacy"],"prefix":"10.3389","volume":"17","author":[{"given":"Shuai","family":"Jiao","sequence":"first","affiliation":[{"name":"Chang Zhi Medical College, Music Therapy Department","place":["ChangZhi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaoyi","family":"Wu","sequence":"additional","affiliation":[{"name":"Performing Department, Communication University of Shanxi","place":["Taiyuan, 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