Exam anxiety is one of the most common problems that learners face during their studies and affects their academic performance. Music therapy (MT) is defined as the use of music for therapeutic purposes and to achieve nonmusical goals such as anxiety reduction. The aim of the present research is to evaluate the effect of mindfulness-guided MT intervention using an instrumental rendition of raga Hamsadhvani in relieving exam-related anxiety among Indian medical students. Fifty-five exam-going postgraduate students from departments of anesthesia, obstetrics and gynecology, ear, nose, and throat (ENT), general surgery, and pediatrics were included in the study. The study population of students was provided set of two proformas that included the Beck Anxiety Inventory (BAI) and the World Health Organization (WHO) Well-Being Index (WHO-5) for self-reported scoring. During 2-week intervention period, students were asked to listen to 10 minutes of instrumental raga Hamsadhvani everyday via a link shared on their phones, 5 minutes each in the morning and evening. The pre- and postintervention proformas were measured and recorded on day 0 and day 15 of the study. The self-reported BAI score and WHO Well-Being score was compared before and after the MT intervention. There was reduction in both the scores which were found to be statistically significant (p-value < 0.05). The results indicate that with the help of receptive MT, the students were able to cope with their exam-related anxiety and showcased an enhanced well-being index.
Bharadwaj R. Effect of music therapy on stress and anxiety of university students. IJIRMF 2017;3(5).
Craig KD, Dobson KS. Anxiety and Depression in Adults and Children. California: SAQE publication; 1995.
Benjamin, Lin. Psychology and Introduction. New York: Macgraw Hill Book; 1997.
May R. The Meaning of Anxiety. New York: WW Norton & Company, Inc.; 1977.
Latas M, Pantic M, Obradovic D. Analysis of test anxiety in medical students. Med Pregl 2010;63(11-12): 863–866. DOI: 10.2298/mpns1012863l
Guida FV, Ludlow LH. A cross-cultural study of test anxiety. J Cross-Cult Psychol 1989;(20):178–190. DOI: 10.1177/0022022189202004
Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev 2013;2013(6):CD006908. DOI: 10.1002/14651858.CD006908.pub2
Tsegay L, Shumet S, Damene W, et al. Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia. BMC Med Educ 2019;19(1):423. DOI: 10.1186/s12909-019-1859-5
Mohammadinia N, Rezaei M, Heydarikhayat N, et al. Assessing stressors and coping styles in medical science students. Q J Nurs Manag 2012;1(1):9–16.
Narimany M, Eslamdost S, Gafary M. A causal investigation of test anxiety and its coping methods among college students. Q J Res Plan High Educ 2006;12(1):23–40.
Badrian M, Bazrafkan L, Shakour M. Medical science students’ experiences of test anxiety: a phenomenological study. BMC Psychol 2022;10:187. DOI: 10.1186/s40359-022-00896-4
Smith M. The effects of a single music relaxation session on state anxiety levels of adults in a workplace environment. Aust J Music Ther 2008;19:45–66.
Husain G, Thompson WF, Schellenberg EG. Effects of musical tempo and mode on arousal, mood, and spatial abilities. Music Percept 2002;20(2):151–171. DOI: 10.1525/mp.2002.20.2.151
Lilley JL, Oberle CD, Thompson JG. Effects of music and grade consequences on test anxiety and performance. Psychomusicology 2014;24(2):184–190. DOI: 10.1037/pmu0000038
Indira A, Pydimarry PV, Kantha Katari K, et al. Effectiveness of music therapy on academic performance of nursing students. Int J Acad Med 2018;4(3):278. DOI: 10.4103/IJAM.IJAM_32_18
Maack C, Nolan P. The effects of guided imagery and music therapy on reported change in normal adults. J Music Ther 1999;36(1):39–55. DOI: 10.1093/jmt/36.1.39
Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn Sci 2013;17(4):179–193. DOI: 10.1016/j.tics.2013.02.007
Koelsch S. Music-evoked emotions: principles, brain correlates, and implications for therapy. Ann N Y Acad Sci 2015;1337(1):193–201. DOI: 10.1111/nyas.12684
Gitanjali B. Effect of the Karnatic music raga “Neelambari” on sleep architecture. Indian J Physiol Pharmacol 1998;42(1):119–122.
Mukherjee S, Mukherjee R. Evaluation of the effects of music therapy using Todi Raga of Hindustani Classical Music on blood pressure, pulse rate and respiratory rate of healthy elderly men. J Sci Res 2020;64:159–166. DOI: 10.37398/JSR.2020.640123
Anitha K, Parameshachari B. An overview of musical therapy for mind and body using various Ragas. Int J Eng Res Develop 2019;15(3):1–16.
What is Raga Hamsadhwani? icmacy.org
Desai NM, HS S, Desai DM, et al. An overview of the Indian system of Raagas and their positive effects on health. J Drugs Addict Ther 2021;2(2).
Beck AT, Epstein N, Brown G, et al. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56(6):893–897. DOI: 10.1037//0022-006x.56.6.893
Bech P. Measuring the dimensions of psychological general well-being by the WHO-5. QoL Newsletter 2004;32:15–16. DOI: 10.1159/000376585
Koelsch S, Jäncke L. Music and the heart. Eur Heart J 2015;36:3043–3049. DOI: 10.1093/eurheartj/ehv430
Finn S, Fancourt D. The biological impact of listening to music in clinical and nonclinical settings: a systematic review. Prog Brain Res 2018;237:173–200. DOI: 10.1016/bs.pbr.2018.03.007
Mojarrab S, Bazrafkan L, Jaberi A. The effect of a stress and anxiety coping program on objective structured clinical examination performance among nursing students in Shiraz, Iran. BMC Med Educ 2020;20(1):301. DOI: 10.1186/s12909-020-02228-9
Liu S, Li G. Analysis of the effect of music therapy interventions on college students with excessive anxiety. Occup Ther Int 2023;2023:3551918. DOI: 10.1155/2023/3351918
Darki C, Riley J, Dadabhoy DP, et al. The effect of classical music on heart rate, blood pressure, and mood. Cureus 2022;14(7):e27348. DOI: 10.7759/cureus.27348
Kachanathu SJ, Verma SK, Khanna GL. Effect of music therapy on heart rate variability: a reliable marker to pre-competition stress in sports performance. J Med Sci 2013;13:418–424. DOI: 10.3923/jms.2013.418.424
Mojtabavi H, Saghazadeh A, Valenti VE, et al. Can music influence cardiac autonomic system? A systematic review and narrative synthesis to evaluate its impact on heart rate variability. Complement Ther Clin Pract 2020;39:101162. DOI: 10.1016/j.ctcp.2020.101162