The Role of Art and Music Interventions in Mediating Emotional Regulation and Reducing Academic Stress among University Students
Keywords:
Academic Stress, Arts and Music, Emotion Regulation, Systematic Literature Review, University StudentAbstract
Academic stress is a common issue experienced by university students and is closely associated with mental health conditions and a decline in academic performance. Emotion regulation plays a crucial role in stress management and has been proven to be an adaptive ability that enhances well-being. Interventions involving arts and music have increasingly been explored as effective approaches to improving emotion regulation skills among university students. This paper aims to systematically review existing studies related to Arts and music-based interventions in enhancing emotion regulation and reducing academic stress among university students, as well as to identify the intervention methods implemented. The method used in this paper is a systematic review of experimental studies, meta-analyses, and qualitative research focusing on arts and music interventions among university students. The analysis of results is based on measurements of academic stress, emotion regulation, and psychological well-being. The main findings indicate that Arts and music-based interventions consistently reduce academic stress levels and help improve students’ emotion regulation skills. In conclusion, Arts and music-based interventions are effective in enhancing emotion regulation and reducing academic stress among university students. Such approaches can be integrated into mental health support programs, including counseling and group guidance services, for students at the university level.
References
C. D. Ryff, "Happiness is everything, or is it? Explorations on the meaning of psychological well-being," Journal of Personality and Social Psychology, vol. 57, no. 6, pp. 1069–1081, 1989, doi: 10.1037/0022-3514.57.6.1069. DOI: https://doi.org/10.1037/0022-3514.57.6.1069
C. D. Ryff and B. H. Singer, "Know thyself and become what you are: A eudaimonic approach to psychological well-being," Journal of Happiness Studies, vol. 9, no. 1, pp. 13–39, 2006, doi: 10.1007/s10902-006-9019-0. DOI: https://doi.org/10.1007/s10902-006-9019-0
C. D. Ryff, "Psychological well-being in adult life," Current Directions in Psychological Science, vol. 4, no. 4, pp. 99–104, 1995, doi: 10.1111/1467-8721.ep10772395. DOI: https://doi.org/10.1111/1467-8721.ep10772395
Y. Liu, N. Zhang, G. Bao, Y. Huang, B. Ji, Y. Wu, and G. Li, "Risk of depression in Chinese university students amid the COVID-19 pandemic: A nationwide survey," Frontiers in Psychology, vol. 10, p. 1524, 2019, doi: 10.3389/fpsyg.2019.01524. DOI: https://doi.org/10.3389/fpsyg.2019.01524
C. Freire, M. M. Ferradás, A. Valle, J. C. Núñez, and G. Vallejo, "Profiles of psychological well-being and coping strategies among university students," Frontiers in Psychology, vol. 7, p. 1554, 2016, doi: 10.3389/fpsyg.2016.01554. DOI: https://doi.org/10.3389/fpsyg.2016.01554
F. M. Morales-Rodríguez, I. Espigares-López, T. Brown, and J. M. Pérez-Mármol, "The relationship between psychological well-being and psychosocial factors in university students," International Journal of Environmental Research and Public Health, vol. 17, no. 13, p. 4778, 2020, doi: 10.3390/ijerph17134778. DOI: https://doi.org/10.3390/ijerph17134778
J. L. Burris, E. H. Brechting, J. Salsman, and C. R. Carlson, "Factors associated with the psychological well-being and distress of university students," Journal of American College Health, vol. 57, no. 5, pp. 536–544, 2009, doi: 10.3200/JACH.57.5.536-544. DOI: https://doi.org/10.3200/JACH.57.5.536-544
C. D. Ryff and C. L. M. Keyes, "The structure of psychological well-being revisited," Journal of Personality and Social Psychology, vol. 69, no. 4, pp. 719–727, 1995, doi: 10.1037/0022-3514.69.4.719. DOI: https://doi.org/10.1037/0022-3514.69.4.719
S. Govaerts and J. Grégoire, "Stressful academic situations: Study on appraisal variables in adolescence," European Review of Applied Psychology, vol. 54, no. 4, pp. 261–271, 2004, doi: 10.1016/j.erap.2004.05.001. DOI: https://doi.org/10.1016/j.erap.2004.05.001
G. Weidner, C. Kohlmann, E. Dotzauer, and L. R. Burns, "The effects of academic stress on health behaviors in young adults," Anxiety, Stress, and Coping, vol. 9, no. 2, pp. 123–133, 1996, doi: 10.1080/10615809608249396. DOI: https://doi.org/10.1080/10615809608249396
American College Health Association, ACHA-NCHA III: Executive Summary (Spring 2021). Silver Spring, MD: American College Health Association, 2021.
K. J. Reddy, K. R. Menon, and A. Thattil, "Academic stress and its sources among university students," Biomedical and Pharmacology Journal, vol. 11, no. 1, pp. 531–537, 2018, doi: 10.13005/bpj/1404. DOI: https://doi.org/10.13005/bpj/1404
D. Bedewy and A. Gabriel, "Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale," Health Psychology Open, vol. 2, no. 2, p. 2055102915596714, 2015, doi: 10.1177/2055102915596714. DOI: https://doi.org/10.1177/2055102915596714
J. Kennet, Y. Zhang, and T. Jackson, "Academic stress and its psychological impact among higher education students," Journal of American College Health, vol. 69, no. 6, pp. 653–661, 2021, doi: 10.1080/07448481.2019.1705834. DOI: https://doi.org/10.1080/07448481.2019.1705834
L. Engel and M. R. Gunnar, "Adolescent stress and brain development: Implications for behavior and mental health," Trends in Cognitive Sciences, vol. 24, no. 5, pp. 356–368, 2020, doi: 10.1016/j.tics.2020.01.012.
D. Sosiady and D. Ermansyah, "Academic stress and suicidal ideation among college students," Jurnal Psikologi Klinis dan Kesehatan Mental [Journal of Clinical Psychology and Mental Health], vol. 9, no. 2, pp. 102–111, 2020, doi: 10.20473/jpkm.v9i22020.102-111.
K. S. Moore, "A systematic review on the neural effects of music on emotion regulation: Implications for music therapy practice," Journal of Music Therapy, vol. 50, no. 3, pp. 198–242, 2013. DOI: https://doi.org/10.1093/jmt/50.3.198
D. Fancourt, C. Garnett, N. Spiro, R. West, and D. Müllensiefen, "How do artistic creative activities regulate our emotions? Validation of the Emotion Regulation Strategies for Artistic Creative Activities Scale (ERS-ACA)," PLOS ONE, vol. 14, no. 2, p. e0211362, 2019, doi: 10.1371/journal.pone.0211362. DOI: https://doi.org/10.1371/journal.pone.0211362
T. Cook, A. R. K. Roy, and K. M. Welker, "Music as an emotion regulation strategy: An examination of genres of music and their roles in emotion regulation," Psychology of Music, vol. 47, no. 1, pp. 144–154, 2019, doi: 10.1177/0305735617734627. DOI: https://doi.org/10.1177/0305735617734627
B. Göcke and N. Herrmann, "Methodological foundations of systematic literature review in psychological research," Methodology, vol. 18, no. 3, pp. 215–228, 2022.
A. Waqas, S. H. Teoh, M. I. Lapid, et al., "Systematic review methodology in mental health: A comprehensive overview," Annals of General Psychiatry, vol. 20, p. 23, 2021, doi: 10.1186/s12991-021-00340-y.
D. Moher, A. Liberati, J. Tetzlaff, D. G. Altman, and PRISMA Group, "Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement," PLoS Medicine, vol. 6, no. 7, p. e1000097, 2009, doi: 10.1371/journal.pmed.1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097
A. Aghaei Chadegani, H. Salehi, M. M. Yunus, H. Farhadi, M. Fooladi, M. Farhadi, and N. Ale Ebrahim, "A comparison between Scopus and Web of Science databases," Asian Social Science, vol. 9, no. 5, pp. 18–26, 2013, doi: 10.5539/ass.v9n5p18. DOI: https://doi.org/10.5539/ass.v9n5p18
M. H. Lim, J. Holt-Lunstad, J. C. Badcock, et al., "Recommendations for conducting and reporting systematic reviews in mental health research," Frontiers in Psychiatry, vol. 13, p. 887543, 2022, doi: 10.3389/fpsyt.2022.887543. DOI: https://doi.org/10.3389/fpsyt.2022.818030
J. Paul, W. M. Lim, A. O'Cass, and A. Hao, "SPAR-4-SLR: A framework for rigorous and impactful systematic literature reviews," Industrial Marketing Management, vol. 98, pp. 205–216, 2021, doi: 10.1016/j.indmarman.2021.08.006. DOI: https://doi.org/10.1016/j.indmarman.2021.08.006
M. B. Miles, A. M. Huberman, and J. Saldaña, Qualitative Data Analysis: A Methods Sourcebook, 3rd ed. Thousand Oaks, CA: SAGE Publications, 2014.
C. Müller-Bloch and J. Kranz, "A framework for rigorously identifying research gaps in qualitative literature reviews," in Proc. 36th International Conference on Information Systems (ICIS), Fort Worth, TX, 2015, pp. 1–19.
J. Robinson, C. M. Witt, and R. Mueller, "Research design in systematic review practices: Evaluating evidence rigor," Journal of Evidence-Based Medicine, vol. 4, no. 2, pp. 98–106, 2011.
H. Cooper, "Organizing knowledge syntheses: A taxonomy of literature reviews," Knowledge in Society, vol. 1, pp. 104–126, 1988, doi: 10.1007/BF03177550. DOI: https://doi.org/10.1007/BF03177550
Y. Zhang, "Impact of arts activities on psychological well-being: Emotional intelligence as mediator and perceived stress as moderator," Acta Psychologica, vol. 254, p. 104865, 2025, doi: 10.1016/j.actpsy.2025.104865. DOI: https://doi.org/10.1016/j.actpsy.2025.104865
J. Julia, T. Supriyadi, U. M. Sobirjonovna, R. M. Qahramonovna, J. M. Smatillayevna, Y. L. Rustam Qizi, and S. A. Komiljon Kizi, "Music consumption patterns and their relationship with emotional well-being among university students," Personality and Individual Differences, vol. 246, p. 113375, 2025, doi: 10.1016/j.paid.2025.113375. DOI: https://doi.org/10.1016/j.paid.2025.113375
L. Martin, R. Oepen, K. Bauer, A. Nottensteiner, K. Mergheim, H. Gruber, and S. C. Koch, "Creative arts interventions for stress management and prevention—A systematic review," Behavioral Sciences, vol. 8, no. 2, p. 28, 2018, doi: 10.3390/bs8020028. DOI: https://doi.org/10.3390/bs8020028
L. Song, R. Xiao, C. Wang, C. Li, Q. Liu, Y. Zhang, Z. Liu, L. Zhang, and M. Zhang, "Effect of group impromptu music therapy on improving test anxiety and emotional regulation ability in medical students," Frontiers in Psychology, vol. 15, p. 1467830, 2024, doi: 10.3389/fpsyg.2024.1467830. DOI: https://doi.org/10.3389/fpsyg.2024.1467830
Y. Guo, "Enhancing resilience and well-being in music education majors: Promoting academic and emotional development," GBP Proceedings Series, vol. 5, no. 4, pp. 29–41, 2025. [Online]. Available: https://creativecommons.org/licenses/by/4.0/ DOI: https://doi.org/10.70088/s76wrb72
L. Ye, Y. Li, and N. Zhang, "The impact of aesthetic education on university students' psychological wellbeing: Exploring mediating and moderating effects," Frontiers in Psychology, vol. 16, p. 1515671, 2025, doi: 10.3389/fpsyg.2025.1515671. DOI: https://doi.org/10.3389/fpsyg.2025.1515671
M. A. Aloufi, R. J. Jarden, M. F. Gerdtz, and S. Kapp, "Reducing stress, anxiety and depression in undergraduate nursing students: Systematic review," Nurse Education Today, vol. 102, p. 104877, 2021, doi: 10.1016/j.nedt.2021.104877. DOI: https://doi.org/10.1016/j.nedt.2021.104877
H. J. Chong, H. J. Kim, and B. Kim, "Scoping review on the use of music for emotion regulation," Behavioral Sciences, vol. 14, no. 9, p. 793, 2024, doi: 10.3390/bs14090793. DOI: https://doi.org/10.3390/bs14090793
J. Lee, H. M. O. Ridder, and C. Lindvang, "Exploring the continuum of music listening for emotion regulation with university students: A meta-ethnography," Nordic Journal of Music Therapy, advance online publication, 2025, doi: 10.1080/08098131.2025.2488756. DOI: https://doi.org/10.1080/08098131.2025.2488756
K. S. Barnett and F. Vasiu, "How the arts heal: A review of the neural mechanisms behind the therapeutic effects of creative arts on mental and physical health," Frontiers in Behavioral Neuroscience, vol. 18, p. 1422361, 2024, doi: 10.3389/fnbeh.2024.1422361. DOI: https://doi.org/10.3389/fnbeh.2024.1422361
A. Park and K.-H. Suh, "Hardiness and expectations for future life: The roles of perceived stress, music listening for negative emotion regulation, and life satisfaction," Behavioral Sciences, vol. 13, no. 10, p. 852, 2023, doi: 10.3390/bs13100852. DOI: https://doi.org/10.3390/bs13100852
Y. Guo, "Potentials of arts education initiatives for promoting emotional wellbeing of Chinese university students," Frontiers in Psychology, vol. 15, p. 1349370, 2024, doi: 10.3389/fpsyg.2024.1349370. DOI: https://doi.org/10.3389/fpsyg.2024.1349370
J. Hou, B. Song, A. C. N. Chen, C. Sun, J. Zhou, H. Zhu, and T. P. Beauchaine, "Review on neural correlates of emotion regulation and music: Implications for emotion dysregulation," Frontiers in Psychology, vol. 8, p. 501, 2017, doi: 10.3389/fpsyg.2017.00501. DOI: https://doi.org/10.3389/fpsyg.2017.00501
S. Mastandrea, S. Fagioli, and V. Biasi, "Art and psychological well-being: Linking the brain to the aesthetic emotion," Frontiers in Psychology, vol. 10, p. 739, 2019, doi: 10.3389/fpsyg.2019.00739. DOI: https://doi.org/10.3389/fpsyg.2019.00739
Q. He, S. A. Attan, J. Zhang, R. Shang, and D. He, "Evaluating music education interventions for mental health in Chinese university students: A dual fuzzy analytic method," Scientific Reports, vol. 14, p. 19727, 2024, doi: 10.1038/s41598-024-70753-4. DOI: https://doi.org/10.1038/s41598-024-70753-4
M. Tan, X. Zhou, L. Shen, Y. Li, and X. Chen, "Music's dual role in emotion regulation: Network analysis of music use, emotion regulation self-efficacy, alexithymia, anxiety, and depression," Depression and Anxiety, vol. 2024, art. no. 1790168, 2024, doi: 10.1155/2024/1790168. DOI: https://doi.org/10.1155/2024/1790168
D. Vidas, N. L. Nelson, and G. A. Dingle, "Efficacy of the Tuned In music emotion regulation program in international university students," Psychology and Health, vol. 40, no. 1, pp. 105–125, 2025, doi: 10.1080/08870446.2023.2197007. DOI: https://doi.org/10.1080/08870446.2023.2197007
C. Freitas, J. F. Fernández-Company, M. Figueira Pita, and M. García-Rodríguez, "Music therapy for adolescents with psychiatric disorders: An overview," Clinical Child Psychology and Psychiatry, vol. 27, no. 3, pp. 662–677, 2022, doi: 10.1177/13591045221079161. DOI: https://doi.org/10.1177/13591045221079161
R. Finnerty, S. McWeeny, and L. Trainor, "Online group music therapy: Proactive management of undergraduate students' stress and anxiety," Frontiers in Psychiatry, vol. 14, p. 1183311, 2023, doi: 10.3389/fpsyt.2023.1183311. DOI: https://doi.org/10.3389/fpsyt.2023.1183311
M. K. Khaira, R. L. Raja Gopal, S. Mohamed Saini, and Z. Md Isa, "Interventional strategies to reduce test anxiety among nursing students: A systematic review," International Journal of Environmental Research and Public Health, vol. 20, no. 2, p. 1233, 2023, doi: 10.3390/ijerph20021233. DOI: https://doi.org/10.3390/ijerph20021233
M. M. Wong, T. Tahir, M. M. Wong, A. Baron, and R. Finnerty, "Biomarkers of stress in music interventions: A systematic review," Journal of Music Therapy, vol. 59, no. 1, pp. 1–44, 2022, doi: 10.1093/jmt/thab003. DOI: https://doi.org/10.1093/jmt/thab003
H. Gruber and R. Oepen, "Emotion regulation strategies and effects in art-making: A narrative synthesis," The Arts in Psychotherapy, vol. 59, pp. 65–74, 2018, doi: 10.1016/j.aip.2017.12.006. DOI: https://doi.org/10.1016/j.aip.2017.12.006
A. Abbing, A. Ponstein, S. van Hooren, L. de Sonneville, H. Swaab, and E. Baars, "The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials," PLOS ONE, vol. 13, no. 12, p. e0208716, 2018, doi: 10.1371/journal.pone.0208716. DOI: https://doi.org/10.1371/journal.pone.0208716
S. O'Donnell, M. Lohan, J. Oliffe, D. Grant, and K. Galway, "The acceptability, effectiveness and gender responsiveness of participatory arts interventions in promoting mental health and wellbeing: A systematic review," Arts and Health, vol. 14, no. 3, pp. 195–214, 2022, doi: 10.1080/17533015.2021.1894463. DOI: https://doi.org/10.1080/17533015.2021.1894463
M. Ramaswamy, J. L. Philip, V. Priya, S. Priyadarshini, M. Ramasamy, G. C. Jeevitha, D. M. Mathkor, S. Haque, F. Dabaghzadeh, P. Bhattacharya, and F. Ahmad, "Therapeutic use of music in neurological disorders: A concise narrative review," Heliyon, vol. 10, p. e35564, 2024, doi: 10.1016/j.heliyon.2024.e35564. DOI: https://doi.org/10.1016/j.heliyon.2024.e35564
Y. Cao, Y. Shi, D. C. W. Low, D. T. L. Shek, D. H. K. Shum, R. Tanksale, and G. Dingle, "Using music to promote Hong Kong young people's emotion regulation and reduce their mood symptoms and loneliness: Protocol for a pilot randomized controlled trial," JMIR Research Protocols, vol. 14, p. e67764, 2025, doi: 10.2196/67764. DOI: https://doi.org/10.2196/67764
A. H. Rodwin, R. Shimizu, R. Travis, K. J. James, M. Banya, and M. R. Munson, "A systematic review of music-based interventions to improve treatment engagement and mental health outcomes for adolescents and young adults," Child and Adolescent Social Work Journal, vol. 40, no. 5, pp. 583–607, 2023, doi: 10.1007/s10560-022-00893-x. DOI: https://doi.org/10.1007/s10560-022-00893-x
M. Saskovets, I. Saponkova, and Z. Liang, "Effects of sound interventions on the mental stress response in adults: Scoping review," JMIR Mental Health, vol. 12, p. e69120, 2025, doi: 10.2196/69120. DOI: https://doi.org/10.2196/69120
C. Ding, S. Kim Geok, H. Sun, S. Roslan, S. Cao, and Y. Zhao, "Does music counteract mental fatigue? A systematic review," PLOS ONE, vol. 20, no. 1, p. e0316252, 2025, doi: 10.1371/journal.pone.0316252. DOI: https://doi.org/10.1371/journal.pone.0316252
K. R. Agres and Y. Chen, "The impact of performing arts on mental health, social connection, and creativity in university students: A randomised controlled trial," BMC Public Health, vol. 25, p. 1628, 2025, doi: 10.1186/s12889-025-22552-3. DOI: https://doi.org/10.1186/s12889-025-22552-3
Y. Feng and M. Wang, "Effect of music therapy on emotional resilience, well-being, and employability: A quantitative investigation of mediation and moderation," BMC Psychology, vol. 13, p. 47, 2025, doi: 10.1186/s40359-024-02336-x. DOI: https://doi.org/10.1186/s40359-024-02336-x
J. Yang, "The role of music in enhancing cognitive and emotional development in higher education students: A comparative study," International Journal of Research Publications, vol. 159, no. 1, pp. 284–292, 2024, doi: 10.47119/IJRP10015911020247269. DOI: https://doi.org/10.47119/IJRP10015911020247269
X. Wang, "Exploring the impact of mindfulness, subjective well-being, and music engagement on academic performance of students in higher educational institutions," Humanities and Social Sciences Communications, vol. 12, p. 305, 2025, doi: 10.1057/s41599-025-04658-6. DOI: https://doi.org/10.1057/s41599-025-04658-6
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