This study addressed stress and mental health challenges among female Chinese university students, stemming from academic pressures, societal expectations, and impacts on reproductive health. It investigated music performance as a non-pharmacological intervention to improve psychological well-being and reproductive health. Guided by the Biopsychosocial and Transactional Model of Stress, a mixed-methods design was employed, including a quasi-experiment, a survey (n=900), and interviews (n=40). An 8-week music program was implemented. Data analysis (t-tests, ANOVA, SEM) showed a significant reduction in stress and improved health outcomes. Stress reduction was a key pathway, while SEM revealed a complementary pathway involving social bonding and emotional expression. Demographic factors like income were moderators. Qualitative data emphasized music's role in emotional release and self-care. We conclude that music is a potent, sustainable, and culturally relevant intervention for student well-being.
Li et al. (2026) studied this question.