The Effectiveness of Beethoven's Classical Music Therapy (Violin) in Reducing Anxiety in Pregnant Women
DOI:
https://doi.org/10.53713/htechj.v4i2.587Keywords:
antenatal care, anxiety, Beethoven, classical music therapy, pregnant womenAbstract
Anxiety during pregnancy is a common psychological condition that can negatively affect maternal well-being and pregnancy outcomes. Safe and accessible non-pharmacological interventions are therefore needed to help manage maternal anxiety. Music therapy, particularly classical music, has been suggested as a potential method to promote relaxation and emotional regulation. This study aimed to examine the effectiveness of Beethoven’s classical violin music in reducing anxiety levels among pregnant women. A pre-experimental study with a one-group pretest–posttest design was conducted among 30 pregnant women attending antenatal care at a community health center. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS) before and after a 15-minute intervention of listening to Beethoven’s classical violin music. Differences in anxiety scores before and after the intervention were analyzed using a paired sample t-test. The findings demonstrated a significant reduction in anxiety levels following the music intervention. The mean anxiety score decreased significantly after participants listened to Beethoven’s classical violin music (t(29) = 12.819, p < 0.001). Descriptive analysis indicated that most participants experienced a reduction in anxiety severity, shifting from moderate to mild anxiety levels. Listening to Beethoven’s classical violin music significantly reduced anxiety among pregnant women. This intervention is simple, safe, inexpensive, and free from pharmacological side effects, making it a feasible complementary strategy to support psychological well-being in antenatal care settings.
References
Akelma, F. K., Altınsoy, S., Nalbant, B., Özkan, D., & Ergil, J. (2024). Comparison of classical and patient-preferred music on anxiety and recovery after inguinal hernia repair: A prospective randomized controlled study. Perioperative Medicine, 13(1). https://doi.org/10.1186/s13741-024-00434-3
Amin, S. M., El-Monshed, A. H., Khedr, M. A., Elsayed Awad, A. G., & Ramadan Atta, M. H. (2025). The Association between Emotional Responses to Climate Change, Antenatal Anxiety and Maternal–Fetal Attachment in Primigravida Women. Journal of Advanced Nursing, 81(12), 8242-8255. https://doi.org/10.1111/jan.16549
Bilbul, M., Caccese, C., Horsley, K., Gauvreau, A., Gavanski, I., Montreuil, T., Konci, R., Lai, J. K., Da Costa, D., Zelkowitz, P., Shen, H. C., Gryte, K. R., Larosa, A., Brown, R. N., Suarthana, E., & Nguyen, T. (2022). Maternal anxiety, depression and vascular function during pregnancy. Journal of Psychosomatic Research, 154, 110722. https://doi.org/10.1016/j.jpsychores.2022.110722
Cheng, H., Xie, H., Tang, Q., Yi, L., & Zhu, J. (2024). Light and classical music therapies attenuate chronic unpredictable mild stress-induced depression via BDNF signaling pathway in mice. Heliyon, 10(13), e34196. https://doi.org/10.1016/j.heliyon.2024.e34196
Costa, B., & Vale, N. (2023). Advances in Psychotropic Treatment for Pregnant Women: Efficacy, Adverse Outcomes, and Therapeutic Monitoring. Journal of Clinical Medicine, 13(15), 4398. https://doi.org/10.3390/jcm13154398
De Witte, M., Aalbers, S., Vink, A., Friederichs, S., Knapen, A., Pelgrim, T., … van Hooren, S. (2025). Music therapy for the treatment of anxiety: A systematic review with multilevel meta-analyses. EClinicalMedicine, 84, 103293. https://doi.org/10.1016/j.eclinm.2025.103293
Diezi, A. S., Vanetti, M., Robert, M., Schaad, B., Baud, D., & Horsch, A. (2023). Informing about childbirth without increasing anxiety: a qualitative study of first-time pregnant women and partners’ perceptions and needs. BMC pregnancy and childbirth, 23(1), 797. https://doi.org/10.1186/s12884-023-06105-3
Fiskin, G. (2022). The relationship between perceived stress, uncertainty emotions and hopelessness regarding pandemics in pregnant women. Journal of Community Psychology, 50(8), 3809-3824. https://doi.org/10.1002/jcop.22635
Goel, S. K., Kim, V., Kearns, J., Sabo, D., Zoeller, L., Conboy, C., … Chelly, J. E. (2024). Music-based therapy for the treatment of perioperative anxiety and pain: A randomized, prospective clinical trial. Journal of Clinical Medicine, 13(20). https://doi.org/10.3390/jcm13206139
Hunter, A. R., Heiderscheit, A., Galbally, M., Gravina, D., Mutwalli, H., & Himmerich, H. (2022). 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. International Journal of Environmental Research and Public Health, 20(23), 7120. https://doi.org/10.3390/ijerph20237120
Ji, C., Li, J., Nie, Q., & Wang, S. (2024). Effect of music therapy on anxiety in full-term pregnant women. Frontiers in Psychiatry, 15, 1429999. https://doi.org/10.3389/fpsyt.2024.1429999
Kartaatmaja, R. R., Azzahroh, P., & Tiara Carolin, B. (2025). The Effect of Classical Music Therapy on Anxiety of Pregnant Women in The Third Trimester. Health and Technology Journal (HTechJ), 3(3), 289–296. https://doi.org/10.53713/htechj.v3i3.332
Konsam, M., Praharaj, S. K., Nayak, B. S., Shetty, J., Bhat, S., Noronha, J. A., & Panda, S. (2023). Effectiveness of Music on Perinatal Anxiety Among Pregnant Women and Newborn Behaviors: A Systematic Review and Narrative Synthesis. Indian Journal of Psychological Medicine. https://doi.org/10.1177/02537176231167077
Ladyman, C., Sweeney, B., Sharkey, K., Bei, B., Wright, T., Mooney, H., ... & Signal, T. L. (2022). A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health. BMC Pregnancy and Childbirth, 22(1), 659. https://doi.org/10.1186/s12884-022-04844-3
Liu, C. H., Zhang, H. Y., Wang, F., Mu, S. S., & Wen, F. Y. (2025). Anxiety and hypertensive disorders of pregnancy: Epidemiology, mechanisms, and management strategies. World Journal of Psychiatry, 15(6), 105944. https://doi.org/10.5498/wjp.v15.i6.105944
Matsas, A., Panopoulou, P., Antoniou, N., Bargiota, A., Gryparis, A., Vrachnis, N., Mastorakos, G., Kalantaridou, S. N., Panoskaltsis, T., Vlahos, N. F., & Valsamakis, G. (2022). Chronic Stress in Pregnancy Is Associated with Low Birth Weight: A Meta-Analysis. Journal of Clinical Medicine, 12(24), 7686. https://doi.org/10.3390/jcm12247686
Matvienko-Sikar, K., Redsell, S., & Flannery, C. (2023). Effects of maternal stress and/or anxiety interventions in the first 1000 days: Systematic review of reviews. Journal of Reproductive and Infant Psychology, 41(2), 114–151. https://doi.org/10.1080/02646838.2021.1976400
Maul, J., & Arabin, B. (2025). Reply to the letter regarding “Systematic review on music interventions during pregnancy in favor of the well-being of mothers and eventually their offspring.” American Journal of Obstetrics and Gynecology MFM, 7(3), 101588. https://doi.org/10.1016/j.ajogmf.2024.101588
Pascal, R., Casas, I., Genero, M., Nakaki, A., Youssef, L., Larroya, M., Benitez, L., Gomez, Y., Martinez-Aran, A., Morilla, I., Oller-Guzmán, T. M., Martín-Asuero, A., Vieta, E., Crispi, F., Gratacos, E., Gomez-Roig, M. D., & Crovetto, F. (2022). Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation. Journal of Clinical Medicine, 12(23), 7333. https://doi.org/10.3390/jcm12237333
Shafqat, N., Agrawal, A., Pushpalatha, K., Singh, B., Verma, R., Podder, L., Das, S., & Sutar, R. F. (2024). Effect of Music Therapy on Anxiety in Pregnancy: A Systematic Review of Randomized Controlled Trials. Cureus, 16(9), e69066. https://doi.org/10.7759/cureus.69066
Sugiarti, N., kundarti, F. isti, & Martiningsih, W. (2025). The Effect of Classical Lullaby Music Therapy on Anxiety in Primigravida Mothers in Labor. Health and Technology Journal (HTechJ), 3(6), 747–756. https://doi.org/10.53713/htechj.v3i6.471
Wang, M., Zhu, Y., Yan, X., Wang, F., Lin, Y., & Li, L. (2025). Research on the effects of combined application of one-to-one midwifery and music therapy on nursing care of natural childbirth mothers. The Journal of Maternal-Fetal & Neonatal Medicine, 38(1). https://doi.org/10.1080/14767058.2025.2495685
Zeng, G., Niu, J., Zhu, K., Li, F., Li, L., Gao, K., Zhuang, Y., Zhang, B., Han, X., Ye, G., Gao, Z., & Li, H. (2024). Effects of non-pharmacological interventions on depressive and anxiety symptoms in pregnant women: A systematic review and network meta-analysis. EClinicalMedicine, 79, 103011. https://doi.org/10.1016/j.eclinm.2024.103011
Zhou, J., Zhang, S., Teng, Y., Lu, J., Guo, Y., Yan, S., ... & Huang, K. (2023). Maternal pregnancy-related anxiety and children’s physical growth: the Ma’anshan birth cohort study. BMC pregnancy and childbirth, 23(1), 384. https://doi.org/10.1186/s12884-023-05711-5
