Acute Effects of Progressive Muscle Relaxation Combined with Music Therapy on Stress Reactivity and Working Memory Following Maastricht Acute Stress Test in Health Science Students

Authors

  • Tichaporn Sookkua Faculty of Physical Therapy, Saint Louis College
  • Chayapa Gaewkumjaeng Freelance Physical Therapist
  • Lallalin Suwannasri Freelance Physical Therapist

Keywords:

Stress, progressive muscle relaxation, music therapy, working memory, Maastricht Acute Stress Test

Abstract

This assessor-blinded randomized controlled trial examined the acute effects of Progressive Muscle Relaxation (PMR) combined with Music Therapy (MT) on stress reactivity and working memory following stress induction using the Maastricht Acute Stress Test (MAST). Fifty female health science students aged 18-25 years with moderate baseline stress were randomly assigned to an experimental group (PMR combined with MT) or a control group (n = 25 per group). Perceived stress, blood pressure, heart rate, and Operation Span scores were assessed before and after stress induction. Post-induction results showed that the PMR combined with MT group reported significantly lower perceived stress than the control group (p = .042, d = -.59) and demonstrated significantly higher working memory performance (p = .019, r = .33). However, no significant between-group differences were observed in physiological measures, including blood pressure and heart rate (p > .05). These findings suggest that PMR combined with MT may attenuate subjective stress reactivity and support working memory performance under acute stress conditions, although no differential effects were detected in physiological responses.

References

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Published

2026-06-22

How to Cite

Sookkua, T., Gaewkumjaeng, C., & Suwannasri, L. (2026). Acute Effects of Progressive Muscle Relaxation Combined with Music Therapy on Stress Reactivity and Working Memory Following Maastricht Acute Stress Test in Health Science Students. Journal of health and health management, 12(1), 230–242. retrieved from https://he01.tci-thaijo.org/index.php/slc/article/view/286535

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Research Articles