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The Neural Impact of Mindfulness-Based and Somatic Practices on Music Performance Anxiety

Angela Boland

Open MIND May 21, 2026 DOI: 10.20381/ruor-31979 (opens in new tab) via OpenAlex

Summary

AI-generated from the abstract

A thesis investigated how mindfulness-based and somatic interventions affect musicians' brain activity and well-being. In two studies, 27 musicians aged 18–28 completed a two-week mindfulness-based vocal improvisation program (EVE), a traditional mindfulness program, or no intervention. After both interventions, particularly EVE, brain activity indicated improved emotional and attentional regulation, alongside reduced state anxiety. A third study with 23 professional musicians examined a somatic intervention called Body Mapping for Musicians, delivered over two sessions and three weeks of self-guided practice. After Body Mapping, brain activity showed reduced emotional arousal during an anxiety-provoking task and enhanced sensorimotor integration, with decreased performance anxiety and musculoskeletal discomfort.

Study at a glance

Characteristics Pre-post intervention study with active control and no-intervention group Peer reviewed
Sample size 50
Population Musicians (18–28-year-old musicians for Studies 1 and 2; professional musicians for Study 3)
Interventions traditional mindfulness program Body Mapping for Musicians (BMM)
Duration Two-week-long intervention for EVE and traditional mindfulness; two formal sessions (eight hours total) and three weeks of self-guided practice for Body Mapping
Topics Anxiety Meditation
Keywords Psychological intervention Abandonment legal Music therapy
Key finding Mindfulness-based and somatic interventions, especially EVE and Body Mapping, improved emotional and attentional regulation and reduced anxiety in musicians, with EVE potentially surpassing traditional mindfulness due to vagus nerve stimulation.

Abstract

Background. Music performance anxiety and musculoskeletal disorders can lead to devastating outcomes for musicians, such as career abandonment and substance use. This thesis uses functional Magnetic Resonance Imaging (fMRI) to investigate the neurobiological mechanisms through which mindfulness-based and somatic interventions may improve musicians’ health and well-being. Studies 1 and 2 Methods. Studies 1 and 2 investigated the neural effects of a two-week-long mindfulness-based vocal improvisation program called Environmental Vocal Exploration or EVE. EVE involved vocalizing in a group setting while engaging with the body, breath, and surroundings. We also investigated the neural effects of a two-week-long traditional mindfulness program as an active control condition. Participants (N = 27) were 18–28-year-old musicians (n=10: traditional mindfulness, n=7: EVE, n=10: no intervention). Study 1 investigated pre-to-post-intervention changes in brain activity during an anxiety-provoking task and a working memory task, and Study 2 examined resting state fMRI results. Changes in state anxiety and themes from EVE discussion transcripts were also analyzed. Studies 1 and 2 Results. Following both interventions, particularly EVE, participants’ brain activity reflected increased emotional and attentional regulation. This aligned with reduced state anxiety and themes of present moment awareness that emerged. EVE’s benefits may surpass those of traditional mindfulness because vocalization stimulates the vagus nerve, which helps to reduce stress. Study 3 Methods. Among another group of 23 professional musicians, Study 3 investigated the neural effects of a somatic intervention called Body Mapping for Musicians (BMM), which took place over two formal sessions (eight hours total) and three weeks of self-guided practice. Body Mapping helps musicians correct and refine the internal representation of their body movement while playing an instrument or singing; techniques include retraining movements based on the body’s anatomy and retraining attention toward both internal and external sensations. Using fMRI, we examined pre- to post-intervention changes in brain activity during the aforementioned anxiety-provoking and working memory tasks. We also examined the effects of Body Mapping on subjective anxiety, mindfulness, musculoskeletal discomfort, and working memory performance. Themes from participants’ experiences with Body Mapping were also assessed. Study 3 Results. Following the intervention, participants’ brain activity reflected reduced emotional arousal during the anxiety-provoking task as well as enhanced sensorimotor integration during the working memory task. Additionally, state, trait, and performance anxiety decreased post-intervention. Themes of freedom in movement, breath, and awareness also emerged. Body Mapping for Musicians may thus reduce performance anxiety through enhanced sensorimotor processing and nonjudgmental awareness. Conclusion. These studies provide preliminary empirical findings on how mindfulness and somatic interventions may improve musicians’ health and well-being. Future studies may seek to build on this work, to further examine each intervention’s effects on a larger scale.

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