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High-Performing Young Musicians' Playing-Related Pain. Results of a Large-Scale Study.

ABSTRACT: The present study examines the prevalence, localization, frequency, and intensity of playing-related pain (PRP) in a sample of high-performing young musicians. We also address coping behavior and communication about PRP between young musicians, teachers, parents, and other people, such as friends. The aim is to provide information on PRP among high-performing musicians in childhood and adolescence, which can serve as a basis for music education, practice, and prevention in the context of instrumental teaching and musicians' health. The study is part of a large-scale study (N = 1,143) with highly musically gifted participants (age 9-24 years; M = 15.1; SD = 2.14, female = 62%) at the national level of the "Jugend musiziert" (youth making music) contest. For data analyses, we used descriptive statistics, correlations, Chi²-tests, principal component analysis, Kruskal-Wallis H tests, and multivariate regression. About three-quarters (76%) of the surveyed participants stated that they had experienced pain during or after playing their instrument. Female musicians were significantly more frequently affected (79%) than male musicians (71%). With increasing age, the prevalence of PRP rises from 71 percent (9-13 years) to 85 percent (18-24 years). Regarding localization of pain, results are in line with many other studies with musculoskeletal problems the most common. Furthermore, data show a clear relationship between the duration of practice and the prevalence of PRP. Our study found averages of 7:18 h/week, whereas mean values of the duration of practice vary considerably between different instruments. The variance in practice duration is very large within the different instruments. Thus, when researching PRP, it is necessary to consider both the differences between different groups of instruments in the average duration of practice as well as the very large inter-individual variation in the duration of practice within a given instrument group. While just over half of the young musicians (56%) felt they had been taken seriously, 32 percent felt that their complaints were not completely taken seriously, and 12 percent did not feel taken seriously at all. Therefore, it is necessary to improve communication and information about PRP to prevent PRP and counteract existing complaints.

SUBMITTER: Gembris H

PROVIDER: S-EPMC7772153 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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High-Performing Young Musicians' Playing-Related Pain. Results of a Large-Scale Study.

Gembris Heiner H Menze Jonas J Heye Andreas A Bullerjahn Claudia C

Frontiers in psychology 20201216

The present study examines the prevalence, localization, frequency, and intensity of playing-related pain (PRP) in a sample of high-performing young musicians. We also address coping behavior and communication about PRP between young musicians, teachers, parents, and other people, such as friends. The aim is to provide information on PRP among high-performing musicians in childhood and adolescence, which can serve as a basis for music education, practice, and prevention in the context of instrum ...[more]

PMID: 33391080

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Project description:IntroductionFlow state has been deemed a desirable state for performing musicians given its negative correlations with musical performance anxiety, its relationship to optimal performance, and its possible effect on creativity. In the field of music, there are a few studies that have assessed intervention programmes to promote flow state in performing musicians with varying results in terms of their success. The flow condition-experience model proposes three components that would be the conditions for flow state to occur and six components that describe the experience of being in a flow state. In addition, within the vast academic literature on this experience, other factors that could influence its occurrence have been proposed. The main objective of this research was to detect which are the most suitable predictors from a set of independent variables collected to distinguish performing musicians with a high flow level.MethodsA binary logistic regression analysis was carried out with data from 163 musicians aged between 18 and 65. Independent variables were introduced in the analysis: skill-challenge balance, clear goals and clear feedback (condition-experience model); and also, gender, age, dedication, (musical) style, musical instrument and (performing) situation.ResultsThe results showed that the three conditions of the condition-experience model and the situation variable had positive associations with flow state. The model explained 78% of the variance of the dependent variable and obtained a 90.8% correct classification rate.DiscussionThese variables seem to contribute most to a high flow level, and the importance of keeping in mind the intrinsic reasons why performers dedicate themselves to music is emphasised. The results and their implications for the training of performing musicians are discussed. Future lines of research are proposed, as well as collecting data on personality-related variables to introduce them into the regression model.

Project description:Summary Background Gambling appears to be an independent risk factor for suicide among the young population worldwide. Blind boxes are collectable toys packed randomly in the box, which share certain similarities with gambling and are popular among the young population. This is the first study that examined the association between blind box engagement and suicide risk in the young population, the leading consumption group of blind boxes. Methods This study is part of a large-scale, cross-sectional study using convenience sampling conducted Oct 26 to Nov 18, 2021, which covered all the university and college students in the Jilin province, China. A total of 73,206 participants completed the survey with valid data for the current study (male: N = 28,762; female: N = 44,444; Mean age = 19·59). Participants’ blind box engagement, suicide risk, depression, anxiety, alcohol use, smoking habit, and sociodemographic characteristics were assessed. First, we used univariate and multivariable binary logistic regression models to examine the relationship between blind box engagement and suicide risk in all participants. Second, we tested whether depression and anxiety would mediate the association between blind box engagement and suicide risk. Third, we analysed the association between “Frequency (i.e., frequency of blind box engagement),” “Bet (i.e., expenditure on the blind box that exceeds affordability),” “Tolerance (i.e., level of addiction),” “Borrowed (i.e., the amount of money borrowed for blind box engagement),” and suicide risk in the group with blind box engagement history. Findings 4,195 participants (5·73%) have engaged in blind boxes, with 3,255 females (77·59%) and 940 males (22·41%). In the univariate models, binary logistic regression showed that blind box engagement was associated with suicide risk in both male and female participants (male: OR = 2·21, 95% CI = 1·86-2·63; female: OR = 1·64, 95% CI = 1·50-1·78). In the multivariable models, after controlling age, subjective socioeconomic status, per capita disposable income, alcohol use, and smoking habit, blind box engagement still was associated with suicide risk across genders (male: OR = 2·25, 95% CI = 1·89-2·68; female: OR = 1·58, 95% CI = 1·45-1·73). Depression (male: indirect effect = 0·31, SE = 0·04, p < 0·001; female: indirect effect = 0·20, SE = 0·02, p < 0·001) and anxiety (male: indirect effect = 0·26, SE = 0·03, p < 0·001; female: indirect effect = 0·13, SE = 0·02, p < 0·001) mediate the association between blind box engagement and suicide risk. Within the blind box engagement group, forward binary logistic regression revealed that “Tolerance” was associated with participants’ suicide risk in both males (p = 0·001) and females (p < 0·001); “Borrowed” (p = 0·019) alone was associated with the male participants’ suicide risk. Interpretation Our findings showed that blind box over-engagement is positively associated with suicide risk in both young males and females, and this association persisted after adjusting for influencing factors. In spite of the limitations in this study (e.g., cross-sectional, convenience sampling), current findings can assist policymakers in developing regulations for such a prosperous youth-dominant consumption industry while protecting youth's mental health worldwide. Funding None.

Dataset Information

High-Performing Young Musicians' Playing-Related Pain. Results of a Large-Scale Study.

Publications

High-Performing Young Musicians' Playing-Related Pain. Results of a Large-Scale Study.

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