Mental health and music engagement: review, framework, and guidelines for future studies.

Mental health and music engagement: review, framework, and guidelines for future studies.
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DOI:
10.1038/s41398-021-01483-8
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发表时间:
2021-06-22
影响因子:
6.8
通讯作者:
Lense MD
Lense MD
中科院分区:
医学1区
文献类型:
--
作者:
Gustavson DE;Coleman PL;Iversen JR;Maes HH;Gordon RL;Lense MD

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接触音乐对您的心理健康有益吗?这个问题长期以来一直是实证临床和非临床研究的主题,研究表明音乐参与与生活质量、抑郁或焦虑症状减少以及物质使用频率降低之间存在正相关。然而,许多早期的调查受到人口少和方法学限制的限制,而且也有人认为音乐参与的各个方面甚至可能与更糟糕的心理健康结果有关。本次范围审查的目的首先是总结音乐参与和心理健康研究的现状,找出它们的优点和缺点。我们专注于心理健康诊断的广泛领域,包括内化精神病理学(例如抑郁和焦虑症状和诊断)、外化精神病理学(例如物质使用)和思维障碍(例如精神分裂症)。其次,我们提出了一个理论模型来为未来的工作提供信息,该模型描述了在以下层面同时考虑音乐与心理健康关联的重要性:(1)相关的遗传和/或环境影响与(双向)关联,(2)与遗传风险因素的相互作用,(3)治疗功效,以及(4)通过大脑结构和功能进行调节。最后,我们描述了大规模数据收集(包括遗传、神经影像和电子健康记录研究)的最新进展如何允许对这些关联进行更严格的检查,从而阐明其神经生物学基础。
Is engaging with music good for your mental health? This question has long been the topic of empirical clinical and nonclinical investigations, with studies indicating positive associations between music engagement and quality of life, reduced depression or anxiety symptoms, and less frequent substance use. However, many earlier investigations were limited by small populations and methodological limitations, and it has also been suggested that aspects of music engagement may even be associated with worse mental health outcomes. The purpose of this scoping review is first to summarize the existing state of music engagement and mental health studies, identifying their strengths and weaknesses. We focus on broad domains of mental health diagnoses including internalizing psychopathology (e.g., depression and anxiety symptoms and diagnoses), externalizing psychopathology (e.g., substance use), and thought disorders (e.g., schizophrenia). Second, we propose a theoretical model to inform future work that describes the importance of simultaneously considering music-mental health associations at the levels of (1) correlated genetic and/or environmental influences vs. (bi)directional associations, (2) interactions with genetic risk factors, (3) treatment efficacy, and (4) mediation through brain structure and function. Finally, we describe how recent advances in large-scale data collection, including genetic, neuroimaging, and electronic health record studies, allow for a more rigorous examination of these associations that can also elucidate their neurobiological substrates.
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