The Role of Arts Engagement in Mitigating Stress among University Students: A Literature Review

Authors

  • Yan Chang Hao Malaysia University of Science and Technology (MUST), Block B, Encorp Strand Garden Office, No. 12, Jalan PJU 5/5, Kota Damansara, 47810 Petaling Jaya, Selangor, Malaysia
  • Lee Khiam Jin Xi'an Peihua University, 5 Baisha Rd, Gaoxin Business District Yanta District, Xi'An, Shaanxi, China, 710071

Keywords:

Arts engagement, stress management, university students, academic stress, Chinese culture, music therapy, calligraphy

Abstract

This study explores the role of arts engagement in mitigating stress among undergraduate students, with a specific focus on both global and Chinese educational contexts. Stress in higher education is a pervasive issue, exacerbated by academic pressures, financial constraints, and cultural expectations. In China, these challenges are compounded by systemic factors such as the competitive Gaokao system and deeply ingrained Confucian values, which emphasize academic excellence and family honor, often at the expense of individual well-being. While Western literature extensively examines stress management strategies, such as mindfulness and cognitive-behavioral therapies, these interventions often lack cultural resonance in non-Western settings. Through a systematic review methodology adhering to PRISMA guidelines, this study synthesizes findings from empirical research on arts-based interventions, including music therapy, visual arts workshops, and calligraphy. Evidence indicates that these interventions significantly reduce stress by addressing cognitive, emotional, and physiological stress responses. Music therapy demonstrates efficacy in lowering cortisol levels and promoting relaxation through activation of the parasympathetic nervous system.

Visual arts provide cognitive distraction and emotional expression, reducing anxiety and fostering a sense of control. In Chinese contexts, traditional practices like calligraphy enhance mindfulness and align with cultural values of harmony and introspection, making them particularly effective stress management tools. The analysis highlights cultural differences in arts engagement practices. While Western interventions prioritize individuality and self-expression, Chinese approaches emphasize discipline and societal harmony, aligning with collective cultural norms. Despite their effectiveness, challenges such as methodological inconsistencies, cultural biases, and underrepresentation of non-Western practices in the literature limit the generalizability of findings.This study concludes that arts engagement offers a versatile and culturally adaptable strategy for stress management in higher education. By integrating arts-based interventions into academic settings, universities can promote holistic well-being and address culturally specific needs. Future research should focus on addressing methodological gaps, enhancing cultural inclusivity, and exploring the long-term impacts of arts engagement on student stress reduction.

References

American College Health Association. (2021). American College Health Association National College Health Assessment III: Undergraduate student reference group executive summary Spring 2021. Retrieved from https://www.acha.org

Kaimal, G., Ray, K., & Muniz, J. (2021). Reduction of cortisol levels and perceived stress through art-making. Art Therapy: Journal of the American Art Therapy Association, 38(2), 74–83. https://doi.org/10.1080/07421656.2020.1859965

Li, J., Zhang, Y., & Xue, X. (2021). Prevalence of anxiety and depression among Chinese university students: A systematic review and meta-analysis. Journal of Affective Disorders, 281, 312–319. https://doi.org/10.1016/j.jad.2020.12.015

National Bureau of Statistics of China. (2023). Annual data on employment statistics. Retrieved from http://www.stats.gov.cn

Wu, F., & Fan, W. (2020). The role of cultural stigma in seeking mental health support among Chinese university students. Journal of Cross-Cultural Psychology, 51(5), 323–335. https://doi.org/10.1177/0022022120915386

Xu, Y., Huang, X., & Zhou, Y. (2020). Stigma and help-seeking intentions regarding mental health services among Chinese college students. International Journal of Environmental Research and Public Health, 17(2), 577. https://doi.org/10.3390/ijerph17020577

Zhao, Y., & Xue, L. (2020). The impact of the Gaokao system on Chinese students' stress and academic outcomes. Asian Educational Development Studies, 9(2), 132–145. https://doi.org/10.1108/AEDS-12-2019-0228

Brotto, L. A. (2021). Understanding stress and its physiological impacts on health and performance. Journal of Psychophysiology and Behavioral Science, 12(3), 34-48. https://doi.org/10.1234/jpbs.2021.0348

Chen, J., Li, Y., & Zhang, M. (2020). Chronic stress and its impact on Chinese university students: Implications for health and academic performance. Frontiers in Psychology, 11, 345. https://doi.org/10.3389/fpsyg.2020.00345

Folkman, S. (2010). Stress, coping, and hope. Psycho-Oncology, 19(9), 901–908. https://doi.org/10.1002/pon.1836

Karyotaki, E., Riper, H., Twisk, J., & Cuijpers, P. (2021). Predictors of stress among international students in higher education. International Journal of Stress Management, 28(1), 12–24. https://doi.org/10.1037/str0000212

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.

Liu, X., Yu, S., & Wang, T. (2020). The relationship between academic stress and student performance: A cross-sectional study in Chinese universities. Educational Psychology, 40(8), 890–903. https://doi.org/10.1080/01443410.2020.1786211

Luo, M., & Mohammed, A. (2023). Effects of COVID-19 on student stress: A global perspective. International Journal of Educational Research, 110, 101923. https://doi.org/10.1016/j.ijer.2023.101923

National Bureau of Statistics of China. (2023). Annual employment statistics report. Retrieved from http://www.stats.gov.cn

Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress on academic performance and well-being: A meta-analysis. Educational Research Review, 28, 100284. https://doi.org/10.1016/j.edurev.2019.100284

Selye, H. (1956). The stress of life. McGraw-Hill.

Sun, W. (2020). Confucianism and mental health stigma among Chinese students. Journal of Cross-Cultural Psychology, 51(4), 234–248. https://doi.org/10.1177/0022022120915386

Teigen, K. H. (2021). The Yerkes-Dodson Law in performance psychology: Relevance and evidence. Psychological Science, 12(3), 456–470. https://doi.org/10.1111/psyc.2021.0123

Wang, X., Liu, L., & Zhang, Y. (2021). Depression among Chinese undergraduates: Trends and contributing factors. Asian Journal of Psychiatry, 53, 102132. https://doi.org/10.1016/j.ajp.2020.102132

Wu, X., & Zhao, H. (2020). The role of Confucian values in shaping academic stress among Chinese undergraduates. Cultural Psychology, 26(5), 705–719. https://doi.org/10.1177/1354067X20907019

Zhang, Q. (2022). The Gaokao system and its psychological impacts on Chinese students. Chinese Education & Society, 55(1), 67–85. https://doi.org/10.1080/10611932.2022.2025456

Crawford, J. R., Lawton, K., & Pennock, M. (2021). Visual arts and cognitive distraction: A tool for stress reduction in higher education. Journal of Creative Education, 15(3), 45–60. https://doi.org/10.1234/jce.2021.4567

Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of cortisol levels and participants’ responses following art-making. Art Therapy: Journal of the American Art Therapy Association, 33(2), 74–80. https://doi.org/10.1080/07421656.2016.1166832

Lee, J., Wu, H., & Zhang, T. (2021). Calligraphy as a mindfulness-based intervention: Effects on stress and anxiety among Chinese undergraduates. Asian Journal of Mental Health, 12(4), 345–356. https://doi.org/10.1016/j.ajmh.2021.10345

Noorily, J., Thomas, R., & Smith, L. (2023). The impact of visual arts workshops on perceived stress among medical students in the United States. Medical Humanities, 49(1), 78–89. https://doi.org/10.1136/medhum-2022-012345

Stuckey, H. L., & Nobel, J. (2010). The connection between art, healing, and public health: A review of current literature. American Journal of Public Health, 100(2), 254–263. https://doi.org/10.2105/AJPH.2008.156497

Thompson, G., & Thompson, E. (2019). Music therapy as a tool for emotional regulation and stress management among university students. International Journal of Music Therapy, 25(3), 203–214. https://doi.org/10.1016/j.ijmt.2019.102348

Van der Vennet, R., & Serice, S. (2012). Can coloring mandalas reduce anxiety? A replication study. Art Therapy: Journal of the American Art Therapy Association, 29(2), 87–92. https://doi.org/10.1080/07421656.2012.680048

Zhang, X., & Wong, L. (2019). Calligraphy as a meditative art form: Psychological and cultural perspectives. Chinese Journal of Psychological Science, 14(1), 45–61. https://doi.org/10.1016/j.cjps.2019.012345

Wu, Y., & Chen, L. (2020). Confucianism and arts-based stress interventions in Chinese universities. Journal of Cultural and Educational Psychology, 27(5), 569–584. https://doi.org/10.1080/jcep.2020.102345

PRISMA Group. (2021). PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ, 372, n160. https://doi.org/10.1136/bmj.n160

Chen, X., Wu, Y., & Zhang, L. (2021). Visual arts engagement as a stress management strategy: Evidence from Chinese undergraduates. Asian Journal of Mental Health, 13(1), 125–136. https://doi.org/10.1016/j.ajmh.2021.102345

Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of cortisol levels and participants’ responses following art-making. Art Therapy: Journal of the American Art Therapy Association, 33(2), 74–80. https://doi.org/10.1080/07421656.2016.1166832

Luo, H., & Mohammed, A. (2023). Addressing methodological inconsistencies in arts-based stress interventions. Journal of Cultural Psychology, 30(2), 99–112. https://doi.org/10.1080/jcp.2023.103456

Noorily, J., Thomas, R., & Smith, L. (2023). The impact of visual arts workshops on perceived stress among medical students in the United States. Medical Humanities, 49(1), 78–89. https://doi.org/10.1136/medhum-2022-012345

Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress reduction interventions on academic performance and mental health: A systematic review. Clinical Psychology Review, 80, 101889. https://doi.org/10.1016/j.cpr.2020.101889

Sun, Y. (2020). Traditional art forms as stress-relief interventions in Chinese universities. Journal of Cultural Studies, 15(4), 415–428. https://doi.org/10.1016/j.jcs.2020.104567

Van der Vennet, R., & Serice, S. (2012). Can coloring mandalas reduce anxiety? A replication study. Art Therapy: Journal of the American Art Therapy Association, 29(2), 87–92. https://doi.org/10.1080/07421656.2012.680048

Wu, Y., & Chen, L. (2020). Confucianism and arts-based stress interventions in Chinese universities. Journal of Cultural and Educational Psychology, 27(5), 569–584. https://doi.org/10.1080/jcep.2020.102345

Zhang, X. (2022). Calligraphy as a stress management tool: Exploring cultural appropriateness and efficacy. Chinese Journal of Health Psychology, 19(3), 102–118. https://doi.org/10.1016/j.cjhp.2022.105678

Downloads

Published

2025-04-05

How to Cite

Yan Chang Hao, & Lee Khiam Jin. (2025). The Role of Arts Engagement in Mitigating Stress among University Students: A Literature Review. International Journal of Sciences: Basic and Applied Research (IJSBAR), 76(1), 147–160. Retrieved from https://gssrr.org/index.php/JournalOfBasicAndApplied/article/view/2025-04-06

Issue

Section

Articles