Cognitive and behavioral therapy for musical-performance anxiety.

Abstract

The present study compared the efficiency of cognitive-behavioral therapy, emphasizing self-instruction and attention-focusing techniques, with behavior rehearsal and with a waiting-list control in the treatment of debilitating musicalperformance anxiety. Clients were S3 pianists who experienced extreme anxiety in performing situations. Therapy sessions were conducted over a 3-week period with clients who met three times in small groups for l'/2 to 2 hours on each occasion and who also completed homework assignments. Self-report, behavioral, and physiological indexes of anxiety were collected at baseline, treatment termination, and follow-up intervals, Multivariate analyses indicated that both the cognitive-behavioral therapy and behavior-rehearsal programs were effective in reducing musical-performance anxiety in comparison to the control condition at the follow-up assessment, although there were no differences among groups at treatment termination. The cognitive therapy was more effective than the behavior-rehearsal program on several measures. Cognitive mediators of therapeutic change were examined and are discussed.

Étude de validation du programme Funambule : pour une gestion équilibrée du stress des adolescents

“…En dépit de la qualité et de l'efficacité des programmes traitant les troubles anxieux, peu s'adressent spécifiquement à l'anxiété en situation de performance scolaire (lire . Or, ceux qui ont fait l'objet d'une évaluation concluant à des effets positifs pour le bénéficiaire touchent un type de performance en particulier : musicale (Kendrick, 1982;Sweeney et Horan, 1982), sportive (Mamassis et Doganis, 2004) ou liée à un test spécifique (Stallworth-Clark, Cochran et Scott, 1998). Se fondant sur une méta-analyse de 56 études, Ergene (2003) conclut également à l'efficacité de la TCC dans la réduction de l'anxiété aux évalua-tions.…”

Managing performance anxiety and improving mental skills in conservatoire students through performance psychology training: a pilot study

“…The most effective clinical anxiety treatment paradigm for MPA involves a combination of cognitive and behavioral techniques, including cognitive restructuring, attention control and behavioral rehearsal, relaxation and mental skills training (Clark and Agras 1991;Kenny 2011;Kendrick et al 1982;Roland 1994). Cognitive restructuring techniques identify and challenge negative, self-defeating, task-irrelevant thought patterns and replaces them with more adaptive and realistic views.…”

Pain-related and performance anxiety and their contribution to pain in music students: a pilot study

“…A number of attempts have been made to evaluate treatments for performance anxiety in musicians (Clark & Agras, 1991;Kendrick, Craig, Lawson, & Davidson, 1982;Sweeney & Horan, 1982). Cognitive-behavioral treatments have shown success in reducing anxiety in this population (Clark & Agras, 1991;Kendrick et al, 1982).…”

“…Cognitive-behavioral treatments have shown success in reducing anxiety in this population (Clark & Agras, 1991;Kendrick et al, 1982). Cue-controlled relaxation and cognitive restructuring have also been associated with diminished anxiety in musicians (Sweeney & Horan, 1982).…”