Clottes, J. What Is Paleolithic Art? Cave Paintings and the Dawn of Human Creativity (Univ. Chicago Press, 2016).

Rivero, O. et al. Experimental insights into cognition, motor skills, and artistic expertise in Paleolithic art. Sci. Rep. 14, 18029 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Warran, K., Burton, A. & Fancourt, D. What are the active ingredients of ‘arts in health’ activities? Development of the INgredients iN ArTs in hEalth (INNATE) Framework. Wellcome Open Res. 7, 10 (2022).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Sonke, J. et al. Defining “arts participation” for public health research. Health Promot. Practice 25, 985–996 (2024).

Article 

Google Scholar
 

Winkelman, M. J. Shamanism: the Neural Ecology of Consciousness and Healing (Praeger, 2000).

Janzen, J. M. Ngoma: Discourses of Healing in Central and Southern Africa Comparative Studies of Health Systems and Medical Care Vol. 34 (California Univ. Press, 1992).

Gouk, P. Musical Healing in Cultural Contexts (Routledge, 2017).

Von Fritschen, C. & Dos Santos, A. Perspectives on music healing by traditional healers and music therapists. Music. Ther. Persp. 41, 152–158 (2023).

Article 

Google Scholar
 

Fancourt, D. & Finn, S. What is the evidence on the role of the arts in improving health and well-being? Health Evidence Network Synthesis Report 67 WHO https://www.who.int/europe/publications/i/item/9789289054553 (2019).

Lu, G. et al. Effects of music therapy on anxiety: a meta-analysis of randomized controlled trials. Psychiatry Res. 304, 114137 (2021).

Article 
PubMed 

Google Scholar
 

Tang, Q., Huang, Z., Zhou, H. & Ye, P. Effects of music therapy on depression: a meta-analysis of randomized controlled trials. PLoS ONE 15, e0240862 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

de Witte, M. et al. The effects of arts-based interventions in the treatment and management of non-communicable diseases: an umbrella review and meta-analyses. Preprint at Research Square https://doi.org/10.21203/rs.3.rs-5961850/v1 (2025).

Joschko, R. et al. Active visual art therapy and health outcomes: a systematic review and meta-analysis. JAMA Netw. Open 7, e2428709 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Huang, W. et al. The effects of visual art therapy on improving anxiety symptoms in adults: a aystematic review and meta-analysis. J. Psychiat. Ment. Health Nurs. 32, 1197–1210 (2025).

Article 

Google Scholar
 

Geretsegger, M. et al. Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database Syst. Rev. 29, CD004025 (2017).


Google Scholar
 

Jia, R. et al. The effectiveness of adjunct music therapy for patients with schizophrenia: a meta-analysis. Psychiat. Res. 293, 113464 (2020).

Article 

Google Scholar
 

Tseng, P.-T. et al. Significant treatment effect of adjunct music therapy to standard treatment on the positive, negative, and mood symptoms of schizophrenic patients: a meta-analysis. BMC Psychiat. 16, 16 (2016).

Article 

Google Scholar
 

Wang, J., Zhang, B., Yahaya, R. & Abdullah, b. A. Colors of the mind: a meta-analysis of creative arts therapy as an approach for post-traumatic stress disorder intervention. BMC Psychol. 13, 32 (2025).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Volpe, U. et al. Acute effects of music therapy in subjects with psychosis during inpatient treatment. Psychiatry 81, 218–227 (2018).

Article 
PubMed 

Google Scholar
 

Haslam, R., Heiderscheit, A. & Himmerich, H. A systematic review of scientific studies on the effects of music in people with personality disorders. Int. J. Environ. Res. Public Health 19, 15434 (2022).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Panteleeva, Y., Ceschi, G., Glowinski, D., Courvoisier, D. S. & Grandjean, D. Music for anxiety? Meta-analysis of anxiety reduction in non-clinical samples. Psychol. Music. 46, 473–487 (2018).

Article 

Google Scholar
 

Quinn, E. A., Millard, E. & Jones, J. M. Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis. Nat. Ment. Health 3, 374–386 (2025).

Article 
PubMed 
PubMed Central 

Google Scholar
 

De Witte, M. et al. From therapeutic factors to mechanisms of change in the creative arts therapies: a scoping review. Front. Psychol. 12, 678397 (2021).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fancourt, D., Aughterson, H., Finn, S., Walker, E. & Steptoe, A. How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action. Lancet Psychiatry 8, 329–339 (2021).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Rogers, P. J. Using programme theory to evaluate complicated and complex aspects of interventions. Evaluation 14, 29–48 (2008).

Article 

Google Scholar
 

Dalgleish, T., Black, M., Johnston, D. & Bevan, A. Transdiagnostic approaches to mental health problems: current status and future directions. J. Consult. Clin. Psychol. 88, 179–195 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Flom, R., Gentile, D. A. & Pick, A. D. Infants’ discrimination of happy and sad music. Infant. Behav. Dev. 31, 716–728 (2008).

Article 
PubMed 

Google Scholar
 

Winner, E. How Art Works: A Psychological Exploration (Oxford Univ. Press, 2019).

Peretz, I., Aubé, W. & Armony, J. L. in Evolution of Emotional Communication: From Sounds in Nonhuman Mammals to Speech and Music in Man (eds Altenmüller, E. et al.) Ch. 17 (Series in Affective Science, Oxford Academic, 2013).

Juslin, P. N. From everyday emotions to aesthetic emotions: towards a unified theory of musical emotions. Phys. Life Rev. 10, 235–266 (2013).

Article 
PubMed 

Google Scholar
 

Koelsch, S. Brain correlates of music-evoked emotions. Nat. Rev. Neurosci. 15, 170 (2014).

Article 
PubMed 

Google Scholar
 

Sescousse, G., Caldú, X., Segura, B. & Dreher, J.-C. Processing of primary and secondary rewards: a quantitative meta-analysis and review of human functional neuroimaging studies. Neurosci. Biobehav. Rev. 37, 681–696 (2013).

Article 
PubMed 

Google Scholar
 

Salimpoor, V. N., Benovoy, M., Larcher, K., Dagher, A. & Zatorre, R. J. Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nat. Neurosci. 14, 257–262 (2011).

Article 
PubMed 

Google Scholar
 

Wassiliwizky, E., Koelsch, S., Wagner, V., Jacobsen, T. & Menninghaus, W. The emotional power of poetry: neural circuitry, psychophysiology and compositional principles. Soc. Cogn. Affect. Neurosci. 12, 1229–1240 (2017).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Laeng, B. et al. ‘Defrosting’ music chills with naltrexone: the role of endogenous opioids for the intensity of musical pleasure. Conscious. Cogn. 90, 103105 (2021).

Article 
PubMed 

Google Scholar
 

Mas-Herrero, E. et al. The role of opioid transmission in music-induced pleasure. Ann. NY Acad. Sci. 1520, 105–114 (2023).

Article 
PubMed 

Google Scholar
 

Dunbar, R. I. M. The origins and function of musical performance. Front. Psychol. 14, 1257390 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Van den Tol, A. J. M. & Edwards, J. Exploring a rationale for choosing to listen to sad music when feeling sad. Psychol. Music 41, 440–465 (2013).

Article 

Google Scholar
 

Wagner, V., Menninghaus, W., Hanich, J. & Jacobsen, T. Art schema effects on affective experience: the case of disgusting images. Psychol. Aesthet. Creativ. Arts 8, 120 (2014).

Article 

Google Scholar
 

Winner, E. in How Art Works: A Psychological Exploration (ed. Winner, E.) Ch. 7 (Oxford Univ. Press, 2018).

Bortolotti, A., Conti, A., Romagnoli, A. & Sacco, P. L. Imagination vs. routines: festive time, weekly time, and the predictive brain. Front. Hum. Neurosci. 18, 1357354 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Yoon, S., Verona, E., Schlauch, R., Schneider, S. & Rottenberg, J. Why do depressed people prefer sad music? Emotion 20, 613–624 (2020).

Article 
PubMed 

Google Scholar
 

Sachs, M. E., Damasio, A. & Habibi, A. The pleasures of sad music: a systematic review. Front. Hum. Neurosci. 9, 404 (2015).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Wilhelm, K., Gillis, I., Schubert, E. & Whittle, E. L. On a blue note: depressed peoples’ reasons for listening to music. Music Medicine 5, 76–83 (2013).

Article 

Google Scholar
 

Visted, E., Vøllestad, J., Nielsen, M. B. & Schanche, E. Emotion regulation in current and remitted depression: a systematic review and meta-analysis. Front. Psychol. 9, 756 (2018).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Naranjo, C. et al. Major depression is associated with impaired processing of emotion in music as well as in facial and vocal stimuli. J. Affect. Disord. 128, 243–251 (2011).

Article 
PubMed 

Google Scholar
 

Jenkins, L. M. et al. Individuals with more severe depression fail to sustain nucleus accumbens activity to preferred music over time. Psychiat. Res. Neuroimag. 275, 21–27 (2018).

Article 

Google Scholar
 

Fancourt, D., Garnett, C., Spiro, N., West, R. & Müllensiefen, D. How do artistic creative activities regulate our emotions? Validation of the Emotion Regulation Strategies for Artistic Creative Activities Scale (ERS-ACA). PLoS ONE 14, e0211362 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Dalebroux, A., Goldstein, T. R. & Winner, E. Short-term mood repair through art-making: positive emotion is more effective than venting. Motiv. Emot. 32, 288–295 (2008).

Article 

Google Scholar
 

De Petrillo, L. & Winner, E. Does art improve mood? A test of a key assumption underlying art therapy. Art. Ther. 22, 205–212 (2005).

Article 

Google Scholar
 

Drake, J. E., Coleman, K. & Winner, E. Short-term mood repair through art: effects of medium and strategy. Art. Ther. 28, 26–30 (2011).

Article 

Google Scholar
 

Sakka, L. S. & Juslin, P. N. Emotion regulation with music in depressed and non-depressed individuals: goals, strategies, and mechanisms. Music. Sci. 1, 2059204318755023 (2018).

Article 

Google Scholar
 

Fancourt, D. & Ali, H. Differential use of emotion regulation strategies when engaging in artistic creative activities amongst those with and without depression. Sci. Rep. 9, 9897 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Dingle, G. A., Williams, E., Jetten, J. & Welch, J. Choir singing and creative writing enhance emotion regulation in adults with chronic mental health conditions. Br. J. Clin. Psychol. 56, 443–457 (2017).

Article 
PubMed 

Google Scholar
 

Yuan, Z., Li, B., Ye, X. & Zhu, X. Systematic review and meta-analysis of the effects of group painting therapy on the negative emotions of depressed adolescent patients. Ann. Palliat. Med. 10, 10744–10755 (2021).

Article 
PubMed 

Google Scholar
 

Villalobos, D., Pacios, J. & Vázquez, C. Cognitive control, cognitive biases and emotion regulation in depression: a new proposal for an integrative interplay model. Front. Psychol. 12, 62841 (2021).

Article 

Google Scholar
 

Liu, Y., Zhang, J., Liu, C. & Yang, Y. A review of attention restoration theory: implications for designing restorative environments. Sustainability 16, 3639 (2024).

Article 

Google Scholar
 

Packer, J. & Bond, N. Museums as restorative environments. Curator 53, 421–436 (2010).

Article 

Google Scholar
 

Feng, K. et al. Effects of music therapy on major depressive disorder: a study of prefrontal hemodynamic functions using fNIRS. Psychiat. Res. 275, 86–93 (2019).

Article 

Google Scholar
 

He, H. et al. Music intervention leads to increased insular connectivity and improved clinical symptoms in schizophrenia. Front. Neurosci. 11, 744 (2018).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Yao, Y. et al. The effects of music intervention on pallidum–DMN circuit of schizophrenia. Biomed. Res. Int. 2020, 4107065 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Blasi, V. et al. Structural and functional neuroplasticity in music and dance-based rehabilitation: a systematic review. J. Neurol. 272, 329 (2025).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Kunikullaya, U. K. et al. The molecular basis of music-induced neuroplasticity in humans: a systematic review. Neurosci. Biobehav. Rev. 175, 106219 (2025).

Article 

Google Scholar
 

Wan, C. Y. & Schlaug, G. Music making as a tool for promoting brain plasticity across the life span. Neuroscientist 16, 566–577 (2010).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Ball, N. J., Mercado III, E. & Orduña, I. Enriched environments as a potential treatment for developmental disorders: a critical assessment. Front. Psychol. 10, 466 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Särkämö, T. et al. Structural changes induced by daily music listening in the recovering brain after middle cerebral artery stroke: a voxel-based morphometry study. Front. Hum. Neurosci. 8, 245 (2014).

PubMed 
PubMed Central 

Google Scholar
 

Isham, A., Gatersleben, B. & Jackson, T. Flow activities as a route to living well with less. Environ. Behav. 51, 431–461 (2019).

Article 

Google Scholar
 

Riva, E., Freire, T. & Bassi, M. in Flow Experience: Empirical Research and Applications (eds Harmat, L. et al.) 309–326 (Springer International, 2016).

Weber, R., Tamborini, R., Westcott-Baker, A. & Kantor, B. Theorizing flow and media enjoyment as cognitive synchronization of attentional and reward networks. Commun. Theory 19, 397–422 (2009).

Article 

Google Scholar
 

Huron, D. & Margulis, E. H. in Handbook of Music and Emotion: Theory, Research, Applications (eds Juslin, P. N. & Sloboda, J. A.) 575–604 (Oxford Univ. Press, 2010).

Bortolotti, A., Candeloro, G., Palumbo, R. & Sacco, P. L. Supercomplexity: bridging the gap between aesthetics and cognition. Front. Neurosci. 19, 1552363 (2025).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Gabrielsson, A. Strong Experiences with Music: Music is Much More than Just Music (Oxford Univ. Press, 2011).

Cela-Conde, C. J. et al. Dynamics of brain networks in the aesthetic appreciation. Proc. Natl Acad. Sci. USA 110, 10454–10461 (2013).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Beaty, R. E., Benedek, M., Barry Kaufman, S. & Silvia, P. J. Default and executive network coupling supports creative idea production. Sci. Rep. 5, 10964 (2015).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fox, M. D. et al. The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proc. Natl Acad. Sci. USA 102, 9673–9678 (2005).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Vessel, E. A., Starr, G. G. & Rubin, N. The brain on art: intense aesthetic experience activates the default mode network. Front. Hum. Neurosci. 6, 66 (2012).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Leder, H., Belke, B., Oeberst, A. & Augustin, D. A model of aesthetic appreciation and aesthetic judgments. Br. J. Psychol. 95, 489–508 (2004).

Article 
PubMed 

Google Scholar
 

Reber, R., Schwarz, N. & Winkielman, P. Processing fluency and aesthetic pleasure: is beauty in the perceiver’s processing experience? Pers. Soc. Psychol. Rev. 8, 364–382 (2004).

Article 
PubMed 

Google Scholar
 

Starr, G. G. Aesthetic experience models human learning. Front. Hum. Neurosci. 17, 1146083 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Ellamil, M., Dobson, C., Beeman, M. & Christoff, K. Evaluative and generative modes of thought during the creative process. NeuroImage 59, 1783–1794 (2012).

Article 
PubMed 

Google Scholar
 

Marshall, J. & D’Adamo, K. Art studio as thinking lab: fostering metacognition in art classrooms. Art. Educ. 71, 9–16 (2018).

Article 

Google Scholar
 

Anderson, R. C. & Haney, M. Reflection in the creative process of early adolescents: the mediating roles of creative metacognition, self-efficacy, and self-concept. Psychol. Aesthet. Creativ. Arts 15, 612–626 (2021).

Article 

Google Scholar
 

DeNora, T. in Music in Everyday Life (ed. DeNora, T.) 46–74 (Cambridge Univ. Press, 2000).

Iwasaki, Y., Messina, E., Shank, J. & Coyle, C. Role of leisure in meaning-making for community-dwelling adults with mental illness: inspiration for engaged life. J. Leisure Res. 47, 538–555 (2015).

Article 

Google Scholar
 

Colbert, S., Cooke, A., Camic, P. M. & Springham, N. The art-gallery as a resource for recovery for people who have experienced psychosis. Arts Psychother. 40, 250–256 (2013).

Article 

Google Scholar
 

Cruwys, T., Haslam, S. A., Dingle, G. A., Haslam, C. & Jetten, J. Depression and social identity: an integrative review. Pers. Soc. Psychol. Rev. 18, 215–238 (2014).

Article 
PubMed 

Google Scholar
 

Andemicael, A. Positive energy: a review of the role of artistic activities in refugee camps. UNHCR https://www.unhcr.org/media/positive-energy-review-role-artistic-activities-refugee-camps-awet-andemicael-june-2011 (2011).

Cruwys, T. et al. Social group memberships protect against future depression, alleviate depression symptoms and prevent depression relapse. Soc. Sci. Med. 98, 179–186 (2013).

Article 
PubMed 

Google Scholar
 

Perkins, R., Mason-Bertrand, A., Fancourt, D., Baxter, L. & Williamon, A. How participatory music engagement supports mental well-being: a meta-ethnography. Qual. Health Res. 30, 1924–1940 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Newman, D. B., Tay, L. & Diener, E. Leisure and subjective well-being: a model of psychological mechanisms as mediating factors. J. Happiness Stud. 15, 555–578 (2014).

Article 

Google Scholar
 

Hobfoll, S. E. in The Oxford Handbook of Stress, Health, and Coping (ed. Folkman, S.) 127–147 (Oxford Univ. Press, 2011).

de Witte, M., Spruit, A., van Hooren, S., Moonen, X. & Stams, G.-J. Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses. Health Psychol. Rev. 14, 294–324 (2020).

Article 
PubMed 

Google Scholar
 

De Witte, M. et al. Music therapy for stress reduction: a systematic review and meta-analysis. Health Psychol. Rev. 16, 134–159 (2022).

Article 
PubMed 

Google Scholar
 

Law, M., Karulkar, N. & Broadbent, E. Evidence for the effects of viewing visual artworks on stress outcomes: a scoping review. BMJ Open 11, e043549 (2021).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Hodges, D. A. in Handbook of Music and Emotion: Theory, Research, Applications (eds Juslin, P. N. & Sloboda, J. A.) 279–311 (Oxford Univ. Press, 2010).

Yamasaki, A. et al. The impact of music on metabolism. Nutrition 28, 1075–1080 (2012).

Article 
PubMed 

Google Scholar
 

Cameron, D. J. & Grahn, J. A. in The Oxford Handbook of Music Psychology (eds Hallam, S. et al.) 357–368 (Oxford Univ. Press, 2016).

Barbaresi, M., Nardo, D. & Fagioli, S. Physiological entrainment: a key mind–body mechanism for cognitive, motor and affective functioning, and well-being. Brain Sci. 15, 3 (2025).

Article 

Google Scholar
 

Maróti, E. et al. Does moving to the music make you smarter? The relation of sensorimotor entrainment to cognitive, linguistic, musical, and social skills. Psychol. Music 47, 663–679 (2019).

Article 

Google Scholar
 

Gross, J. J., Uusberg, H. & Uusberg, A. Mental illness and well-being: an affect regulation perspective. World Psychiat. 18, 130–139 (2019).

Article 

Google Scholar
 

McCraty, R. & Zayas, M. A. Cardiac coherence, self-regulation, autonomic stability, and psychosocial well-being. Front. Psychol. 5, 1090 (2014).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Hao, T., Pang, J., Liu, Q. & Xin, P. A systematic review and network meta-analysis of virtual reality, audiovisuals and music interventions for reducing dental anxiety related to tooth extraction. BMC Oral Health 23, 684 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

He, H., Li, Z., Zhao, X. & Chen, X. The effect of music therapy on anxiety and pain in patients undergoing prostate biopsy: a systematic review and meta-analysis. Complem. Ther. Med. 72, 102913 (2023).

Article 

Google Scholar
 

Sekhavatpour, Z., Khanjani, N., Reyhani, T., Ghaffari, S. & Dastoorpoor, M. The effect of storytelling on anxiety and behavioral disorders in children undergoing surgery: a randomized controlled trial. Pediat. Health Med. Ther. 10, 61–68 (2019).


Google Scholar
 

Díaz-Rodríguez, M. et al. The effect of play on pain and anxiety in children in the field of nursing: a systematic review. J. Pediat. Nurs. 61, 15–22 (2021).

Article 

Google Scholar
 

Hunter, A. R. et al. The effects of music-based interventions for pain and anxiety management during vaginal labour and caesarean delivery: a systematic review and narrative synthesis of randomised controlled trials. Int. J. Environ. Res. Public Health 20, 7120 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Öztürk, F. U., Turnaoğlu, H. & Uslu, N. Preferred music lowers anxiety levels and pain perception while promoting patient satisfaction in women undergoing ultrasound-guided breast biopsy: randomized controlled study. Acta Radiol. 64, 993–998 (2023).

Article 
PubMed 

Google Scholar
 

Bennett, D. L., Swan, J. S., Gazelle, G. S. & Saksena, M. Music during image-guided breast biopsy reduces patient anxiety levels. Clin. Imag. 65, 18–23 (2020).

Article 

Google Scholar
 

Finn, S. & Fancourt, D. The biological impact of listening to music in clinical and nonclinical settings: a systematic review. Prog. Brain Res. 237, 173–200 (2018).

Article 
PubMed 

Google Scholar
 

Fu, V. X. et al. The effect of perioperative music on the stress response to surgery: a meta-analysis. J. Surg. Res. 244, 444–455 (2019).

Article 
PubMed 

Google Scholar
 

Cao, M. & Zhang, Z. Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Complem. Med. Ther. 23, 110 (2023).

Article 

Google Scholar
 

Im-oun, S. et al. Effect of Thai instrumental folk music on blood pressure: a randomized controlled trial in stage-2 hypertensive patients. Complem. Ther. Med. 39, 43–48 (2018).

Article 

Google Scholar
 

Walker, E. S., Fancourt, D., Kumari, M. & McMunn, A. Cross-sectional associations between patterns of cultural engagement and indicators of biological dysregulation. Ann. Hum. Biol. 51, 2399276 (2024).

Article 
PubMed 

Google Scholar
 

Fancourt, D. et al. Group drumming modulates cytokine activity in mental health service users: a preliminary study. Psychother. Psychosom. 85, 53–55 (2016).

Article 
PubMed 

Google Scholar
 

Brown, E. D., Garnett, M. L., Anderson, K. E. & Laurenceau, J.-P. Can the arts get under the skin? Arts and cortisol for economically disadvantaged children. Child Dev. 88, 1368–1381 (2017).

Article 
PubMed 

Google Scholar
 

D’Cunha, N. M. et al. Psychophysiological responses in people living with dementia after an art gallery intervention: an exploratory study. J. Alzheimers Dis. 72, 549–562 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Sgoifo, A., Carnevali, L., de los Angeles Pico Alfonso, M. & Amore, M. Autonomic dysfunction and heart rate variability in depression. Stress 18, 343–352 (2015).

Article 
PubMed 

Google Scholar
 

Stone, L. B., McCormack, C. C. & Bylsma, L. M. Cross system autonomic balance and regulation: associations with depression and anxiety symptoms. Psychophysiology 57, e13636 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

McCrary, J. M. & Altenmüller, E. Mechanisms of music impact: autonomic tone and the physical activity roadmap to advancing understanding and evidence-based policy. Front. Psychol. 12, 727231 (2021).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fancourt, D. & Perkins, R. The impact of maternal singing on glucocorticoids, cytokines, anxiety, affect and mother–infant bonding. Psychoneuroendocrinology 83, 83 (2017).

Article 

Google Scholar
 

Fancourt, D. & Perkins, R. The effects of mother–infant singing on emotional closeness, affect, anxiety, and stress hormones. Music. Sci. 1, 2059204317745746 (2018).

Article 

Google Scholar
 

Fancourt, D. et al. Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers. eCancerMedicalScience 10, 631 (2016).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fancourt, D. & Williamon, A. Attending a concert reduces glucocorticoids, progesterone and the cortisol/DHEA ratio. Public Health 132, 101–104 (2016).

Article 
PubMed 

Google Scholar
 

Pilger, A. et al. Affective and inflammatory responses among orchestra musicians in performance situation. Brain Behav. Immun. 37, 23–29 (2014).

Article 
PubMed 

Google Scholar
 

Fancourt, D., Aufegger, L. & Williamon, A. Low-stress and high-stress singing have contrasting effects on glucocorticoid response. Front. Psychol. 6, 1242 (2015).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Beak, S.-G. & Chi, D.-C. The effects of line dance on immune function and inflammation for elderly women. J. Ind. Converg. 19, 187–195 (2021).


Google Scholar
 

Okada, K. et al. Effects of music therapy on autonomic nervous system activity, incidence of heart failure events, and plasma cytokine and catecholamine levels in elderly patients with cerebrovascular disease and dementia. Int. Heart J. 50, 95–110 (2009).

Article 
PubMed 

Google Scholar
 

King, D. E., Carek, P., Mainous III, A. G. & Pearson, W. S. Inflammatory markers and exercise: differences related to exercise type. Med. Sci. Sports Exerc. 35, 575–581 (2003).

Article 
PubMed 

Google Scholar
 

Walker, E., Ploubidis, G. & Fancourt, D. Social engagement and loneliness are differentially associated with neuro-immune markers in older age: time-varying associations from the English Longitudinal Study of Ageing. Brain Behav. Immun. 82, 224–229 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Osimo, E. F. et al. Inflammatory markers in depression: a meta-analysis of mean differences and variability in 5,166 patients and 5,083 controls. Brain Behav. Immun. 87, 901–909 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Miller, A. H., Maletic, V. & Raison, C. L. Inflammation and Its discontents: the role of cytokines in the pathophysiology of major depression. Biol. Psychiatry 65, 732–741 (2009).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Wright, C. E., Strike, P. C., Brydon, L. & Steptoe, A. Acute inflammation and negative mood: mediation by cytokine activation. Brain Behav. Immun. 19, 345–350 (2005).

Article 
PubMed 

Google Scholar
 

Zeng, Y. et al. Inflammatory biomarkers and risk of psychiatric disorders. JAMA Psychiatry 81, 1118–1129 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Kanduri, C. et al. The effect of music performance on the transcriptome of professional musicians. Sci. Rep. 5, 9506 (2015).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Kanduri, C. et al. The effect of listening to music on human transcriptome. PeerJ 3, e830 (2015).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Bittman, B. et al. Recreational music-making alters gene expression pathways in patients with coronary heart disease. Med. Sci. Monit. 19, 139–147 (2013).

Article 
PubMed 
PubMed Central 

Google Scholar
 

van Leeuwen, J. E. P., Boomgaard, J., Bzdok, D., Crutch, S. J. & Warren, J. D. More than meets the eye: art engages the social brain. Front. Neurosci. 16, 738865 (2022).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Dissanayake, E. Ancestral human mother–infant interaction was an adaptation that gave rise to music and dance. Behav. Brain Sci. 44, e68 (2021).

Article 
PubMed 

Google Scholar
 

Nuara, A. in Brain and Art: From Aesthetics to Therapeutics (ed. Colombo, B.) 67–79 (Springer International, 2020).

Van de Vyver, J. & Abrams, D. The arts as a catalyst for human prosociality and cooperation. Soc. Psychol. Personal. Sci. 9, 664–674 (2018).

Article 
PubMed 

Google Scholar
 

Hasson, Y., Amir, E., Sobol-Sarag, D., Tamir, M. & Halperin, E. Using performance art to promote intergroup prosociality by cultivating the belief that empathy is unlimited. Nat. Commun. 13, 7786 (2022).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Tymoszuk, U., Perkins, R., Fancourt, D. & Williamon, A. Cross-sectional and longitudinal associations between receptive arts engagement and loneliness among older adults. Soc. Psychiatry Psychiat. Epidemiol. 55, 891–900 (2020).

Article 

Google Scholar
 

Perkins, R. et al. Arts engagement supports social connectedness in adulthood: findings from the HEartS Survey. BMC Public Health 21, 1208 (2021).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Dadswell, A., Wilson, C., Bungay, H. & Munn-Giddings, C. The role of participatory arts in addressing the loneliness and social isolation of older people: a conceptual review of the literature. J. Arts Commun. 9, 109–128 (2017).

Article 

Google Scholar
 

Stephens, G. J., Silbert, L. J. & Hasson, U. Speaker–listener neural coupling underlies successful communication. Proc. Natl Acad. Sci. 107, 14425–14430 (2010).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Hartmann, T. in The Routledge Handbook of Media Use and Well-being (eds Reinecke, L. & Oliver, M. B.) 131–144 (Routledge, 2016).

Gardner, W. L., Pickett, C. L. & Knowles, M. in The Social Outcast: Ostracism, Social Exclusion, Rejection, and Bullying (eds Williams, K. D. et al.) 227–241 (Psychology Press, 2013).

Derrick, J. L., Gabriel, S. & Hugenberg, K. Social surrogacy: how favored television programs provide the experience of belonging. J. Exp. Soc. Psychol. 45, 352–362 (2009).

Article 

Google Scholar
 

Bandura, A. & Walters, R. H. Social Learning Theory Vol. 1 (Prentice-Hall, 1977).

Ayers, J. W., Althouse, B. M., Leas, E. C., Dredze, M. & Allem, J.-P. Internet searches for suicide following the release of 13 Reasons Why. JAMA Intern. Med. 177, 1527–1529 (2017).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Bridge, J. A. et al. Association between the release of Netflix’s 13 Reasons Why and suicide rates in the United States: an interrupted time series analysis. J. Am. Acad. Child Adolesc. Psychiat. 59, 236–243 (2020).

Article 

Google Scholar
 

Niederkrotenthaler, T. et al. Association of increased youth suicides in the United States with the release of 13 Reasons Why. JAMA Psychiat. 76, 933–940 (2019).

Article 

Google Scholar
 

Fürtjes, S. et al. Self-efficacy, stress, and symptoms of depression and anxiety in adolescents: an epidemiological cohort study with ecological momentary assessment. J. Mood Anxiety Disord. 4, 100039 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Henn, L., Otto, S. & Kaiser, F. G. Positive spillover: the result of attitude change. J. Environ. Psychol. 69, 101429 (2020).

Article 

Google Scholar
 

Bu, F., Steptoe, A. & Fancourt, D. Relationship between loneliness, social isolation and modifiable risk factors for cardiovascular disease: a latent class analysis. J. Epidemiol. Commun. Health 75, 749–754 (2021).

Article 

Google Scholar
 

Mak, H. W. & Fancourt, D. Reading for pleasure in childhood and adolescent healthy behaviours: longitudinal associations using the Millennium Cohort Study. Prevent. Med. 130, 105889 (2020).

Article 

Google Scholar
 

Narvaez, D. & Mrkva, K. in The Ethics of Creativity (eds Moran, S. et al.) 25–45 (Palgrave Macmillan, 2014).

Fancourt, D. & Steptoe, A. Effects of creativity on social and behavioral adjustment in 7-to 11-year-old children. Ann. NY Acad. Sci. 1438, 30–39 (2019).

Article 
PubMed 

Google Scholar
 

Chandler, M. J. Egocentrism and antisocial behavior: the assessment and training of social perspective-taking skills. Dev. Psychol. 9, 326 (1973).

Article 

Google Scholar
 

Chandler, M. J., Greenspan, S. & Barenboim, C. Assessment and training of role-taking and referential communication skills in institutionalized emotionally disturbed children. Dev. Psychol. 10, 546 (1974).

Article 

Google Scholar
 

Brown, S., Cockett, P. & Yuan, Y. The neuroscience of Romeo and Juliet: an fMRI study of acting. R. Soc. Open Sci. 6, 181908 (2019).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Jamey, K., Foster, N. E., Hyde, K. L. & Dalla Bella, S. Does music training improve inhibition control in children? A systematic review and meta-analysis. Cognition 252, 105913 (2024).

Article 
PubMed 

Google Scholar
 

Bone, J. K. et al. Arts and cultural engagement, reportedly antisocial or criminalized behaviors, and potential mediators in two longitudinal cohorts of adolescents. J. Youth Adolesc. 51, 1463–1482 (2022).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Liu, C. et al. Assessing the stress-relief impact of an art-based intervention inspired by the broaden-and-build theory in college students. Front. Psychol. 15, 1324415 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Moore, G. F. & Evans, R. E. What theory, for whom and in which context? Reflections on the application of theory in the development and evaluation of complex population health interventions. SSM Popul. Health 3, 132–135 (2016).

Article 

Google Scholar
 

Preiser, R., Biggs, R., De Vos, A. & Folke, C. Social-ecological systems as complex adaptive systems: organizing principles for advancing research methods and approaches. Ecol. Soc. https://doi.org/10.5751/ES-10558-230446 (2018).

Byrne, D. & Callaghan, G. Complexity Theory and the Social Sciences: The State of the Art (Routledge, 2013).

Burgdorf, J. & Panksepp, J. The neurobiology of positive emotions. Neurosci. Biobehav. Rev. 30, 173–187 (2006).

Article 
PubMed 

Google Scholar
 

Vermeulen, R., Schymanski, E. L., Barabási, A. L. & Miller, G. W. The exposome and health: where chemistry meets biology. Science 367, 392–396 (2020).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fancourt, D. & Warran, K. A fRAmework of the DetermInants of Arts aNd Cultural Engagement (RADIANCE): integrated insights from ecological, behavioural and complex adaptive systems theories. Wellcome Open Res. 9, 356 (2024).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Krieger, N. Theories for social epidemiology in the 21st century: an ecosocial perspective. Int. J. Epidemiol. 30, 668–677 (2001).

Article 
PubMed 

Google Scholar
 

Andersen, P., Toner, P., Bland, M. & McMillan, D. Effectiveness of transdiagnostic cognitive behaviour therapy for anxiety and depression in adults: a systematic review and meta-analysis. Behav. Cogn. Psychother. 44, 673–690 (2016).

Article 
PubMed 

Google Scholar
 

Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S. & Dalgleish, T. Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clin. Psychol. Rev. 40, 91–110 (2015).

Article 
PubMed 

Google Scholar
 

Newby, J. M., Twomey, C., Yuan Li, S. S. & Andrews, G. Transdiagnostic computerised cognitive behavioural therapy for depression and anxiety: a systematic review and meta-analysis. J. Affect. Disord. 199, 30–41 (2016).

Article 
PubMed 

Google Scholar
 

Pearl, S. B. & Norton, P. J. Transdiagnostic versus diagnosis specific cognitive behavioural therapies for anxiety: a meta-analysis. J. Anxiety Disord. 46, 11–24 (2017).

Article 
PubMed 

Google Scholar
 

Reinholt, N. & Krogh, J. Efficacy of transdiagnostic cognitive behaviour therapy for anxiety disorders: a systematic review and meta-analysis of published outcome studies. Cogn. Behav. Ther. 43, 171–184 (2014).

Article 
PubMed 

Google Scholar
 

Păsărelu, C. R., Andersson, G., Bergman, N. L. & Dobrean, A. Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials. Cogn. Behav. Ther. 46, 1–28 (2017).

Article 
PubMed 

Google Scholar
 

Harvey, A., Watkins, E., Mansell, W. & Shafran, R. Cognitive Behavioural Processes across Psychological Disorders: a Transdiagnostic Approach to Research and Treatment (Oxford Univ. Press, 2004).

Carr, C. E. et al. Effectiveness of group arts therapies (art therapy, dance movement therapy and music therapy) compared to group counselling for diagnostically heterogeneous psychiatric community patients: study protocol for a randomised controlled trial in mental health services (the ERA study). Trials 24, 557 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Hayes, D. et al. INcreasing Adolescent social and Community supporT (INACT): pilot study protocol. PLoS ONE 20, e0317823 (2025).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Kernick, D. Wanted — new methodologies for health service research. Is complexity theory the answer? Family Pract. 23, 385–390 (2006).

Article 

Google Scholar
 

Implementation Science Research Development (ImpRes) Tool and Guide. King’s Improvement Science https://kingsimprovementscience.org/cms-data/resources/ImpRes_guide_December%202018.pdf (2018).

Foulkes, L. & Stringaris, A. Do no harm: can school mental health interventions cause iatrogenic harm? BJPsych Bull. 47, 267–269 (2023).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Senier, L., Brown, P., Shostak, S. & Hanna, B. The posome: advancing exposure science and environmental justice in a post-genomic era. Environ. Sociol. 3, 107–121 (2017).

Article 
PubMed 

Google Scholar
 

Craig, P. et al. Developing and evaluating complex interventions: the new medical research council guidance. BMJ 337, a1655 (2008).

Article 
PubMed 
PubMed Central 

Google Scholar
 

Fancourt, D. & Bone, J. K. Advancing observational research on arts and health: theory-informed approaches using the RADIANCE framework. Am. J. Epidemiol. 14, kwaf149 (2025).

Article 

Google Scholar
 

Fancourt, D. & Warran, K. in The Routledge Handbook of Arts and Health (eds. Holt, N. J. et al.) 420–431 (Routledge, 2025).

Fancourt, D. & Perkins, R. Effect of singing interventions on symptoms of postnatal depression: three-arm randomised controlled trial. Br. J. Psychiat. 212, 119–121 (2018).

Article 

Google Scholar
 

Comments are closed.