音乐疗法治疗焦虑障碍的研究进展
Research Progress of Music Therapy in the Treatment of Anxiety Disorders
DOI: 10.12677/ap.2026.165280, PDF,    科研立项经费支持
作者: 盛 彬, 谢小莹:江西中医药大学人文学院,江西 南昌;袁富强:江西中医药大学研究生学院,江西 南昌
关键词: 音乐疗法焦虑障碍非药物干预神经机制中西医结合Music Therapy Anxiety Non-Drug Intervention Neural Mechanism Integrated Traditional Chinese and Western Medicine
摘要: 焦虑障碍是一类以过度担忧、恐惧及行为异常为主要特征的常见精神障碍。当前治疗方法主要包括现代医学治疗与中医药治疗两大体系。近年来,音乐疗法作为一种安全、无创的非药物干预手段,在焦虑症治疗中的应用日益受到关注。本文系统梳理了焦虑症的现代医学与中医治疗策略,重点综述音乐疗法的干预形式、临床应用及其神经生物学机制,并从中西医结合的视角探讨其发展前景,以期为相关研究与临床实践提供参考。
Abstract: Anxiety disorders are common psychiatric conditions characterized by excessive worry, fear, and behavioral disturbances. Current treatment approaches mainly include modern medical therapies and traditional Chinese medicine (TCM). In recent years, music therapy, as a safe and non-invasive non-pharmacological intervention, has gained increasing attention in the management of anxiety disorders. This review systematically summarizes modern medical and TCM treatment strategies, with a focus on the types of interventions, clinical applications, and neurobiological mechanisms of music therapy. Furthermore, the prospects of integrating music therapy within a combined TCM and Western medicine framework are discussed, aiming to provide references for future research and clinical practice.
文章引用:盛彬, 谢小莹, 袁富强 (2026). 音乐疗法治疗焦虑障碍的研究进展. 心理学进展, 16(5), 435-443. https://doi.org/10.12677/ap.2026.165280

参考文献

[1] 曹云松, 韩振蕴, 胡文悦(2024). 五行音乐联合八段锦治疗轻中度抑郁和焦虑障碍的临床研究. 中华中医药杂志, 39(1), 505-509.
[2] 郝娟娟, 吴敏, 姜科宇(2018). 音乐疗法治疗精神类疾病的研究进展. 教育生物学杂志, 6(3), 144-148.
[3] 林法财, 贺娜娜, 黄德弘(2015). 浅探《黄帝内经》中五行音乐疗法. 中华中医药杂志, 30(11), 4161-4162
[4] 林法财, 吴云川(2018). 基于“以情胜情”理论探讨五行音乐疗法. 中华中医药杂志, 33(7), 2733-2735.
[5] 刘恩纪, 张晓娜(2025). 甘麦大枣汤联合舒肝解郁胶囊治疗更年期患者情绪异常的疗效观察. 黑龙江医药科学, 48(8), 159-161.
[6] 刘红喜, 梁晓, 申伟, 魏竞竞, 刘悦, 迟显苏, 等(2022). 张允岭运用六法治疗广泛性焦虑障碍临床经验. 上海中医药杂志, 56(10), 29-32, 52.
[7] 刘淑一, 黄世敬(2025). 中医药治疗焦虑症研究进展. 河北中医, 47(3), 505-510.
[8] 刘琰, 马下青, 吴朦(2025). 调息法中呼吸训练在干预抑郁焦虑情绪方面的研究进展. 世界中医药, 20(8), 1405-1410.
[9] 罗浩轩, 姜玉琴(2024). 五行宫调音乐疗法治疗脾胃相关疾病的机制研究进展. 见 中国音乐家协会音乐心理学学会,河南大学(编), 2024中国音乐家协会音乐心理学学会第八届学术研讨会(pp. 24-25).
[10] 祁静, 李琳(2007). 针灸与音乐治疗焦虑症的研究现状. 临床和实验医学杂志, 6(2), 149-150.
[11] 苏小玲, 曾锴, 裘昊(2025). 温胆汤治疗痰热内扰型失眠症伴焦虑的疗效及对患者心率变异性指标的影响. 大医生, 10(24), 68-71.
[12] 项鑫, 陈雪爱, 李慧璟(2025). 中医治疗焦虑障碍临床研究进展. 吉林医药学院学报, 46(5), 382-386.
[13] 许继宗, 汤心钰, 郭雁冰, 李玉华, 李洁, 杨戈, 等(2014). 体感音乐低频声波对30例健康人心包经及三焦经循经微循环的影响. 中医学报, 29(8), 1213-1217.
[14] 张敬于, 安富竹, 魏云霞, 于旭峰, 乔明琦(2024). 柴胡疏肝散治疗情志病的研究进展. 世界中医药, 19(9), 1359-1364.
[15] Baker, F., Wigram, T., Stott, D., & McFerran, K. (2008). Herapeutic Songwriting in Music Therapy: Part I. Who Are the Therapists, Who Are the Clients, and Why Is Songwriting Used? Nordic Journal of Music Therapy, 17, 105-123.[CrossRef
[16] Birling, Y., Yu, W. Y., Hoenders, R. H., & Fahey, P. P. (2025). Chinese Herbal Medicine for Anxiety Disorders and Obsessive-Compulsive Disorder: A Systematic Review with Meta-analysis. Journal of Psychiatric Research, 191, 356-362.[CrossRef
[17] Bradt, J., & Dileo, C. (2014). Music Interventions for Mechanically Ventilated Patients. Cochrane Database of Systematic Reviews, No. 12, CD006902.[CrossRef] [PubMed]
[18] Bradt, J., Dileo, C., & Shim, M. (2013). Music Interventions for Preoperative Anxiety. Cochrane Database of Systematic Reviews, No. 6, CD006908.[CrossRef] [PubMed]
[19] Carlson, E., Saarikallio, S., Toiviainen, P., Bogert, B., Kliuchko, M., & Brattico, E. (2015). Maladaptive and Adaptive Emotion Regulation through Music: A Behavioral and Neuroimaging Study of Males and Females. Frontiers in Human Neuroscience, 9, Article 466.[CrossRef] [PubMed]
[20] Chanda, M. L., & Levitin, D. J. (2013). The Neurochemistry of Music. Trends in Cognitive Sciences, 17, 179-193.[CrossRef] [PubMed]
[21] Dan, Y., Xiong, Y., Xu, D., Wang, Y., Yin, M., Sun, P. et al. (2025). Potential Common Targets of Music Therapy Intervention in Neuropsychiatric Disorders: The Prefrontal Cortex-Hippocampus-Amygdala Circuit (a Review). Frontiers in Human Neuroscience, 19, Article 1471433.[CrossRef] [PubMed]
[22] De Witte, M., Aalbers, S., Vink, A., Friederichs, S., Knapen, A., Pelgrim, T. et al. (2025). Music Therapy for the Treatment of Anxiety: A Systematic Review with Multilevel Meta-Analyses. eClinicalMedicine, 84, Article ID: 103293.[CrossRef] [PubMed]
[23] Dhanushya Devi, G., Mooventhan, A., Nivethitha, L., Vijay, A., & Mangaiarkarasi, N. (2025). Effect of Acupuncture at HT-7 (Shenmen) and GV-20 (Baihui) on Anxiety and Cardiovascular Functions in Generalized Anxiety Disorder: A Randomized Controlled Trial. The International Journal of Psychiatry in Medicine.[CrossRef
[24] Ellis, R. J., & Thayer, J. F. (2010). Music and Autonomic Nervous System (Dys)Function. Music Perception, 27, 317-326.[CrossRef] [PubMed]
[25] Geretsegger, M., Elefant, C., Mössler, K. A., & Gold, C. (2014). Music Therapy for People with Autism Spectrum Disorder. Cochrane Database of Systematic Reviews, No. 6, CD004381.[CrossRef] [PubMed]
[26] Gold, C., Solli, H. P., Krüger, V., & Lie, S. A. (2009). Dose-Response Relationship in Music Therapy for People with Serious Mental Disorders: Systematic Review and Meta-analysis. Clinical Psychology Review, 29, 193-207.[CrossRef] [PubMed]
[27] Greenaway, A. (2024). Addressing Depression and Anxiety in Dementia: Targeting Ruminative Processing via Music and Attentional Bias Modification. Ph.D. Thesis, University of Reading.
[28] Head, J. H., & Vasquez, N. N. (2025). Integrating Cognitive Behavioral Therapy into Music Therapy Methods Using a Flexibility within Fidelity Framework. Frontiers in Psychiatry, 16, Article 1734508.[CrossRef
[29] Jiang, B., Xue, C., Xiao, X., Zhang, J., Xie, C., Li, Y. et al. (2025). Effectiveness and Safety of Repetitive Transcranial Magnetic Stimulation for Generalized Anxiety Disorder: A Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials. General Hospital Psychiatry, 97, 25-36.[CrossRef
[30] Johnco, C. J., Dickson, S. J., & Seaton, A. (2026). A Systematic Review and Meta-Analysis of Diagnostic Remission, Treatment Response, Attrition and Relapse Following Cognitive Behavior Therapy (CBT), Other Psychological Therapies and Pharmacological Treatments for Anxiety Disorders in Older Adults. The American Journal of Geriatric Psychiatry, 34, 500-521.[CrossRef] [PubMed]
[31] Karawekpanyawong, N., Charnsil, C., Suttajit, S., & Srisurapanont, M. (2026). Efficacy, Suicidality, Tolerability, and Acceptability of Selective Serotonin Reuptake Inhibitors and Serotonin-Norepinephrine Reuptake Inhibitors for Children and Adolescents with Anxiety Disorders: A Systematic Review and Meta-Analysis. International Clinical Psychopharmacology, 41, 96-108.[CrossRef] [PubMed]
[32] Kearns, B., Cooper, K., Orr, M., Essat, M., Hamilton, J., & Cantrell, A. (2022). The Incidence and Costs of Adverse Events Associated with Antidepressants: Results from a Systematic Review, Network Meta-Analysis and Multi-Country Economic Model. Neuropsychiatric Disease and Treatment, 18, 1133-1143.[CrossRef] [PubMed]
[33] Kim, S., Gäbel, C., Aguilar-Raab, C., Hillecke, T. K., & Warth, M. (2018). Affective and Autonomic Response to Dynamic Rhythmic Entrainment: Mechanisms of a Specific Music Therapy Factor. The Arts in Psychotherapy, 60, 48-54.[CrossRef
[34] Lai, J., Wang, Y., Yao, X., Yu, J., Lu, S., Lu, J. et al. (2025). Efficacy of Acupuncture for Generalized Anxiety Disorder: A Systematic Review. Annals of General Psychiatry, 24, Article No. 73.[CrossRef
[35] Li, J., Chen, K., Wang, I. T., & Beh, W. F. (2025). The Effectiveness of the Chinese Five-Element Music Intervention on Older Adults with Depression and Anxiety Disorder: A Systematic Review and Meta-Analysis. Medicine, 104, e44764.[CrossRef
[36] Liou, K. T., McConnell, K. M., Currier, M. B., Baser, R. E., MacLeod, J., Walker, D. et al. (2023). Telehealth-Based Music Therapy versus Cognitive Behavioral Therapy for Anxiety in Cancer Survivors: Rationale and Protocol for a Comparative Effectiveness Trial. JMIR Research Protocols, 12, e46281.[CrossRef] [PubMed]
[37] Lyu, P., Li, X., & Yao, X. (2025). An Empirical Study on the Intervention of Traditional Chinese Medicine Five-Element Music in Alleviating Anxiety and Depression among Medical Students: Differences in Effectiveness among Three Different Musical Instruments. Frontiers in Psychology, 16, Article 1625325.[CrossRef
[38] Naesström, M., Blomstedt, P., & Johansson, V. (2025). Deep Brain Stimulation in the Bed Nucleus of Stria Terminalis and Medial Forebrain Bundle in Two Patients with Treatment‐Resistant Depression and Generalized Anxiety Disorder—A Long‐Term Follow‐Up. Clinical Case Reports, 13, e70179.[CrossRef] [PubMed]
[39] Noda, Y., & Noda, T. (2025). The Influence of Music on Mental Health through Neuroplasticity: Mechanisms, Clinical Implications, and Contextual Perspectives. Brain Sciences, 15, Article 1248.[CrossRef
[40] Nouri, M. A., Rezaei, M., & Khatony, A. (2025). Comparison of the Effects of Vocal and Instrumental Traditional Music on Anxiety in Candidates for General Surgery: A Randomized Controlled Clinical Trial. BMC Complementary Medicine and Therapies, 25, Article No. 364.[CrossRef
[41] Raja, J., Parmar, D., Subramaniam, S. D., Nagella, S. P., Pappulwar, S. M., Mehlawat, R. et al. (2025). Anxiety and Pain Management in Dental Patients: A Systematic Review of Pharmacological and Non-Pharmacological Approaches. Journal of Pharmacy and Bioallied Sciences, 17, S77-S79.[CrossRef] [PubMed]
[42] Ribeiro, M. K. A., Alcântara-Silva, T. R. M., Oliveira, J. C. M., Paula, T. C., Dutra, J. B. R., Pedrino, G. R. et al. (2018). Music Therapy Intervention in Cardiac Autonomic Modulation, Anxiety, and Depression in Mothers of Preterms: Randomized Controlled Trial. BMC Psychology, 6, Article No. 57.[CrossRef] [PubMed]
[43] Saqib, M., Batool, A., Iftikhar, Q. U. A., Akbar, M. A., Qadri, F. H., Maryam, K. U. E. et al. (2025). Effect of Music Intervention on Anxiety in Critically Ill Patients, a Meta-Analysis of Randomized Controlled Trials. Journal of Critical Care, 89, Article ID: 155133.[CrossRef] [PubMed]
[44] Shinfuku, M., Kishimoto, T., Uchida, H., Suzuki, T., Mimura, M., & Kikuchi, T. (2019). Effectiveness and Safety of Long-Term Benzodiazepine Use in Anxiety Disorders: A Systematic Review and Meta-Analysis. International Clinical Psychopharmacology, 34, 211-221.[CrossRef] [PubMed]
[45] Shushardzhan, S. (2025). Music & Drug Therapy of Neurotic Disorders: Smart Technologies of Healing. Medicine and Art, 3, 68-93.[CrossRef
[46] Sung, H., Lee, W., Li, T., & Watson, R. (2012). A Group Music Intervention Using Percussion Instruments with Familiar Music to Reduce Anxiety and Agitation of Institutionalized Older Adults with Dementia. International Journal of Geriatric Psychiatry, 27, 621-627.[CrossRef] [PubMed]
[47] Szuhany, K. L., & Simon, N. M. (2022). Anxiety Disorders. JAMA, 328, 2431-2445.[CrossRef] [PubMed]
[48] Wang, Q., Wang, D., Lv, Y., & Li, Q. (2025). Traditional Chinese Medicine in the Management of Anxiety Disorders: A Narrative Review of Theoretical Foundations, Clinical Applications, and Modern Integrative Approaches. Neuropsychiatric Disease and Treatment, 21, 1215-1233.[CrossRef] [PubMed]
[49] Xu, J., Akhter, S., & Apuke, O. D. (2025). The Effectiveness of Combining Interactive Media Based Cognitive Behaviour Therapy with Art and Music Therapies for Ameliorating the Generalised Anxiety Disorder of Children Exposed to Abduction. Psychiatry Research, 349, Article ID: 116498.[CrossRef] [PubMed]
[50] Zhang, H., Li, H., Wang, J., & Bao, A. (2025). Observation on the Efficacy of Abdominal Massage in Treating Generalized Anxiety Disorder: A Randomized Controlled Trial Study Protocol. Cureus, 17, e77030.[CrossRef] [PubMed]
[51] Zhao, C., Chen, X., Zhang, A., Huo, N., Yu, S., Lai, L. et al. (2025). A Meta-Analysis on the Effectiveness of Traditional Chinese Medicine Emotional Nursing in Improving Anxiety and Depression Symptoms in Elderly Patients. Frontiers in Psychology, 16, Article 1535349.[CrossRef] [PubMed]