Impact of a Cognitive-Behavioural Treatment Program on Music Performance Anxiety in Secondary School Music Students: A Pilot Study

Abstract

This study assessed the effectiveness of a combined individual and group cognitive-behavioural treatment (CBT) program to reduce music performance anxiety (MPA) in adolescent musicians. Twenty-three adolescents with high MPA from a selective high school were randomly assigned to either a seven-session intervention program or a behaviour-exposure-only control group. The intervention consisted of psychoeducation, goal setting, cognitive restructuring, relaxation training and behavioural exposure in the form of two solo performances with audience. Outcome measures included self-reports of MPA, trait and state anxiety, diagnostic interview for social phobia, heart rate, frontalis EMG, and performance quality. Significant improvements in self-reported MPA were observed at posttest for adherent students only ( i.e., students who were actively engaged in the program and who adopted program techniques). Adherent students also had higher MPA at commencement. Non-adherent and behaviour-exposure-only students both showed reductions in MPA over the study period but not to the same degree as adherent students. There appeared to be no effect of CBT on performance quality.