ArticleFrontiers in psychiatry2026
Music performance anxiety, sleep problems, and disordered eating: the role of performance and learning self-efficacy.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Music students face chronic evaluative stress, increasing their vulnerability to sleep problems and disordered eating. Drawing on transdiagnostic and self-regulation frameworks, this study examined whether music performance anxiety (MPA) is associated with both outcomes and whether music performance and learning self-efficacy moderate these associations. Methods: A cross-sectional survey of 260 Chinese music students assessed music performance anxiety, sleep problems, disordered eating, and self-efficacy. Robust maximum likelihood structural equation modeling and Johnson-Neyman analyses were used, controlling body mass index, age, gender, and years of music study. Results: Music performance anxiety correlated with disordered eating ( Conclusions: Music performance anxiety is a transdiagnostic risk factor among music students, directly relating to disordered eating, while its link to sleep problems depends on domain-specific self-efficacy. Interventions may combine anxiety reduction with balanced self-efficacy support to improve recovery under performance pressure.
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