The assessment and treatment of performance anxiety in musicians
1991; American Psychiatric Association; Volume: 148; Issue: 5 Linguagem: Inglês
10.1176/ajp.148.5.598
ISSN1535-7228
AutoresDuncan B. Clark, W. Stewart Agras,
Tópico(s)Music Therapy and Health
ResumoBack to table of contents Previous article Next article No AccessThe assessment and treatment of performance anxiety in musiciansPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.148.5.598AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: Performance anxiety in musicians may be severe enough to require intervention but has been the subject of relatively little clinical research. The authors' objectives were to describe the results of a comprehensive clinical and laboratory assessment and to perform a double-blind, placebo-controlled study comparing buspirone, cognitive- behavior therapy, and the combination of these treatments for performance anxiety. METHOD: Ninety-four subjects were recruited by mass media announcements and were seen in a university-based outpatient psychiatric clinic. Assessments were 1) questionnaires for all 94 subjects, 2) diagnostic interview of 50 subjects, and 3) laboratory performance of 34 subjects. Treatment conditions were 1) 6 weeks of buspirone, 2) 6 weeks of placebo, 3) a five-session, group cognitive- behavior therapy program with buspirone, or 4) the cognitive-behavior therapy program with placebo. Treatment outcome measures included subjective anxiety ratings and heart rate measures during a laboratory performance, a questionnaire measure of performance confidence, and a blind rating of musical performance quality. RESULTS: All subjects fulfilled criteria for DSM-III-R social phobia. Of the 15 full-time professional musicians, ten had tried propranolol and three had stopped performing. Most of the subjects had substantial anxiety and heart rate increases during laboratory speech and musical performances. Cognitive- behavior therapy resulted in statistically significant reductions in subjective anxiety, improved quality of musical performance, and improved performance confidence. Buspirone was not an effective treatment. CONCLUSIONS: Cognitive-behavior therapy is a viable treatment approach for performance anxiety in musicians. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. 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CHANEL1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 2Dr. Clark RepliesDUNCAN B. CLARK1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 2Performance anxiety23 January 2015 | American Journal of Psychiatry, Vol. 149, No. 2 Volume 148Issue 5 May 1991Pages 598-605 Metrics PDF download History Published online 1 April 2006 Published in print 1 May 1991
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