The effect of classical Turkish and Western music on university students' exam stress level, blood pressure and pulse rate: a randomized controlled trial

Year 2020, Volume: 3 Issue: 3, 216 - 220, 18.06.2020

Nilay Bektaş Akpınar , Merve Aşkın Ceran , Birol Özkalp

https://doi.org/10.32322/jhsm.681640

Cited By: 3

Abstract

Introduction: Exam stress may cause anxiety, worry, emotion and condition changes in university students. Students use various methods to cope with exam stress. Music is a method used to cope with anxiety that reduces the stress level of individuals by creating a deep relaxation and providing a therapeutic environment. This research was carried out in a randomized controlled pre-test and post-test to examine the effect of regular Classical Turkish and Western music on university students’ exam stress level, blood pressure and pulse findings.
Material and Method: The sample of the study consisted of 88 students (40 experiments, 48 controls) studying in different departments at this University between November 2017 and February 2018. Data were collected by exam anxiety scale and personal information form. The experiment group was played 25 minutes 4 days a week total 6 weeks and Classic Western and Classical Turkish music just before the exam. Examination anxiety scale was re-applied to the experimental and control groups just before the examination, and the vital sign findings of the students were examined.
Findings: The mean score of the experimental group was 41.40±9.40 and the postest mean score was 23.20±4.16 and there was a statistically significant difference (p<0.01). In addition, diastolic, systolic blood pressure and pulse rate of the students in the group who listen to music were lower than those who did not listen to music.
Conclusion: It has been determined that regular music performance is an effective method in reducing the stress levels and anxiety levels of the students.

Keywords

blood pressure, exam stress, music listening;

References

• 1. Murrock CJ, Higgins PA. The theory of music, mood and movement to improve health out comes. J Adv Nurs 2009; 65: 2249–57.
• 2. McKinney CH, Tims FC, Kumar AM, Kumar M. The effect of selected classical music and spontaneous imagery on plasma beta-endorphin. J Behav Med 1997; 20: 85–99.
• 3. American Music Therapy Association. What is music therapy https://www.musictherapy.org/research/guidance_for_music_listening_programs/ Accessed May 19, 2018.
• 4. T.C SAĞLIK Bakanlığı. Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği. http://getatportal.saglik.gov.tr/TR,8461/geleneksel-ve-tamamlayici-tip-uygulamalari-yonetmeligi.html. Accessed may 23, 2018.
• 5. Landis-Shack N, Heinz AJ, Bonn-Miller MO. Music therapy for posttraumatic stress in adults: a theoretical review. Psychomusicology 2017; 27: 334–42.
• 6. Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn Sci 2013; 17: 179- 93.
• 7. McKinney CH, Tims FC, Kumar AM, Kumar M. The effect of selected classical music and spontaneous imagery on plasma beta-endorphin. J Behav Med 1997; 20: 85- 99.
• 8. Marshall OW, Tomcala, M. Effects of different genres of music on stress levels. East Texas State University, 1981.
• 9. Miluk-Kolasa B, Matejek M, Stupnicki R. The effects of music listening on changes in selected physiological parameters in adult presurgical patients. J Music Ther 1996; 33: 208-18.
• 10. Ghasemi M, Lotfollahzadeh H, Kermani-Ranjbar T, Kharazifard MJ. Effect of music practice on anxiety and depression of ıranian dental students. J Dent (Tehran) 2017; 14: 138-43.
• 11. Wu SM. Effects of music therapy on anxiety, depression and self-esteem of undergraduates. Psychologia 2002; 45: 104–14.
• 12. Azizinezhad M, Hashemi M, Darvishi S. Music as an education-related service to promote learning and skills acquisition. Procedia - Social Behavioral Sci 2013; 93: 142–5.
• 13. Barber NL, Barber JL. Jazz For Success: Alternative music therapy to enhance student development ın college. J College Univ Student Housing 2005; 33: 4-9.
• 14. HuangS T, Good M, Zauszniewski JA. The effectiveness of music in relieving pain in cancer patients: a randomized controlled trial. Int J Nurs Stud 2010; 47: 1354–62.
• 15. Kaya A. The effects of religion-based music therapy on emotional state, anxiety, perceived stress levels of university students. Int J Religion & Philosophical Res 2018; 1: 58-62.
• 16. Özdemir Ü, Tasçı S, Yıldızhan E, Aslan S, Eser B. The effect of classical turkish music on pain severity and anxiety levels in patients undergoing bone marrow aspiration and biopsy. Pain Manag Nurs 2019; 20: 82-7.
• 17. Stanczyk MM. Music therapy in supportive cancer care. Rep Pract Oncol Radiother 2011; 8: 170-2.
• 18. Öner N. Sınav Kaygısı Envanteri El Kitabı, Yüksek Öğrenimde Rehberliği Tanıtma ve Rehber Yetiştirme Vakfı, 1990 Yayın No:1, İstanbul.
• 19. Liu YH, Lee CS, Yu CH, Chen CH. Effects of music listening on stress, anxiety, and sleep quality for sleep-disturbed pregnant women. Women Health 2016; 56: 296-311.
• 20. Yokuş T. The relationship between the state-traıt anxiety levels and the academic achievement of music teacher candidates. Int Online J Primary Educ 2013; 2: 25-31.
• 21. Afzal H, Afzal S, Siddique SA, Naqvi SA. Measures used by medical students to reduce test anxiety. J Pak Med Assoc 2012; 62: 982-6.
• 22. Çam O, Altınköprü H. The effect of music upon the emotional status and styles to cope with stress of university students. Motif Akademi Halkbilimi Derg 2013; 11: 262-72.
• 23. Labbé E, Schmidt N, Babin J, Pharr M. Coping with stress: the effectiveness of different types of music. Appl Psychophysiol Biofeedback 2007; 32: 163–8.
• 24. Tastan S, Ayhan H, Unver V, et al. The effects of music on the cardiac resuscitation education of nursing students. Int Emerg Nurs 2017; 31: 30-5.
• 25. Ince S, Çevik K. The effect of music listening on the anxiety of nursing students during their first blood draw experience. Nurse Educ Today 2017; 52: 10-4.
• 26. Gagner-Tjellesen D, Yurkovich EE, Gragert M. Use of music therapy and other ITNIs in acute care. J Psychosoc Nurs Ment Health Serv 2001; 39: 26-37.