The coronavirus disease 2019 (COVID-19) pandemic has caused heightened mental distress globally. The purpose of this systematic review is to investigate the impact of music engagement on stress and anxiety in adults during COVID-19. Thirteen articles were included, encompassing 9,893 adults and reporting on seven forms of music engagement: music listening, singing, playing an instrument, watching music videos or virtual performances, dancing to music, composing, and externally-facilitated music interventions. The majority of articles concluded a beneficial impact of music on stress and anxiety among adults during the COVID-19 pandemic. Of the seven studies that investigated stress, four (57.1%) reported that music had a positive impact on stress and, of the nine studies that investigated anxiety, six (66.7%) reported a positive impact on anxiety. A higher proportion of externally-facilitated music studies reported reductions in stress and anxiety compared to studies with participant-facilitated music interventions. Our systematic review demonstrates the potential feasibility of music to improve mental health outcomes during times of heightened psychological distress. However, given the limited quality of included articles and the high proportion of observational studies, further research is required to better elucidate the effect of music on stress and anxiety among adults during the COVID-19 pandemic.

中文翻译：

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COVID-19 大流行期间音乐参与对成年人压力和焦虑的影响：系统评价

2019 年冠状病毒病 (COVID-19) 大流行在全球范围内造成了严重的精神困扰。本系统综述的目的是调查 COVID-19 期间音乐参与对成年人压力和焦虑的影响。其中包括 13 篇文章，涵盖 9,893 名成年人，报告了七种音乐参与形式：听音乐、唱歌、演奏乐器、观看音乐视频或虚拟表演、随着音乐跳舞、作曲和外部辅助的音乐干预。大多数文章得出的结论是，在 COVID-19 大流行期间，音乐对成年人的压力和焦虑具有有益的影响。在七项调查压力的研究中，四项（57.1%）报告音乐对压力有积极影响，在九项调查焦虑的研究中，六项（66.7%）报告对焦虑有积极影响。与参与者促进的音乐干预的研究相比，更高比例的外部促进的音乐研究报告压力和焦虑减少。我们的系统回顾表明，音乐在心理困扰加剧期间改善心理健康结果的潜在可行性。然而，鉴于纳入文章的质量有限以及观察性研究的比例较高，需要进一步研究以更好地阐明音乐对 COVID-19 大流行期间成年人压力和焦虑的影响。