Hormone and enzyme reactivity before, during, and after a music performance: Cortisol, testosterone, and alpha-amylase

Performance anxiety is common in a wide range of settings. This study was designed to explore the hormonal correlates of a music performance recital – a setting commonly associated with extreme and often unsettling anxiety linked to the anticipation of performing. Thirty-nine college undergraduate participants (24 women and 15 men) were recruited from students enrolled in an undergraduate music performance course. Each gave a saliva sample on a neutral non-performance day and gave additional samples immediately before and 10 and 30-min after each of two solo music recitals. Samples were subsequently assayed for cortisol, alpha-amylase, and testosterone. For women, pre-performance salivary cortisol levels were significantly elevated relative to neutral-day baseline (presumably in anticipation of performing) and continued to rise in association with the performance phase of the recital. Pre-performance alpha-amylase was significantly higher than neutral-day baseline. Testosterone increased in connection with the performance phase of the recital, but not during the anticipation phase. For all three products, patterns for men were generally similar to those for women, though not as statistically robust, perhaps owing to the smaller sample size. Increases in cortisol and alpha-amylase, from neutral-day to immediately pre-performance on recital day, suggest an effect related to the psychological anticipation of the recital. Cortisol and testosterone (but not alpha-amylase) increased in association with the performance phase of the recital. Phase-related changes in these products appears to reflect a coordinated response to the stress of a music recital and perhaps, more generally, to social-evaluative threat.