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Elizabeth Brown Vallim Brisola
Beatriz Ilari


Although motherhood is often associated with expectations of happiness and fulfillment, for many women it actually brings anxiety and distress. As women engage in daily tasks of childcare, they commonly use music and singing to communicate with and regulate their infant’s emotions. Though not widely disseminated in the mental health field, a growing number of studies, mental health projects, and interventions have addressed the psychosocial and cultural aspects of maternal singing. Scholars have documented its effects and benefits, and revealed its value as a non-pharmacological mental health tool for both mother and infant. The present article reviews literature from the past 10 years on maternal singing to infants, with the aim of understanding and describing its impact on maternal mental health. Seventeen publications that met our pre-established criteria draw attention to the potential of maternal singing both as a palliative and preventive measure for individual mothers and for mothers in group programs, including those who are healthy or suffering from postnatal depression. These studies point to singing as a tool to deepen mother-infant bonds; as a vehicle of emotional expression; as a mnemonic channel for memories of past experiences; and as a mechanism to help mothers engage positively with daily chores and childcare, giving them a sense of achievement and increased self-esteem. Group singing studies point to mothers feeling connected with others, learning parenting "repertoire", and changing their "tempo". Several suggestions are presented to incorporate singing to already existing programs and to the daily care of infants, as well as for further research.

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BROWN VALLIM BRISOLA , .; ILARI, . CAN MOTHERS JUST ‘SING THEIR TROUBLES AWAY’?: AN INTEGRATIVE REVIEW OF SINGING AND MATERNAL MENTAL HEALTH. Cadernos Brasileiros de Saúde Mental/Brazilian Journal of Mental Health, [S. l.], v. 13, n. 35, p. 16–42, 2021. Disponível em: Acesso em: 2 out. 2023.
Artigos originais
Biografia do Autor

Elizabeth Brown Vallim Brisola , St. Edward’s University

Doutora em Psicologia (Pontifícia Universidade Católica de Campinas). St. Edward’s University, Office of Graduate and Professional Studies, Texas, EUA. Psicóloga e pesquisadora.

Beatriz Ilari, University of Southern California

Doutora em Educação (McGill University). University of Southern California (USC), Department of Music Teaching and Learning, Thornton School of Music, California, EUA. Professora e pesquisadora.


AFIYANTI, Yati & SOLBERG, Shirley M. “It is my destiny as a woman”: On becoming a new mother in Indonesia. Journal of Transcultural Nursing, 26(5), 491–498, 2014.

ALDERDICE, Fiona; MCNEILL, Jenny & LYNN, Fiona. A systematic review of systematic reviews of interventions to improve maternal mental health and well-being. Midwifery, 29(4), 389–399, 2013.

AMERICAN PSYCHOLOGICAL ASSOCIATION. Stress in the time of COVID-19, v.1. Retrieved on May 22, 2020 from

ARNON, Shmuel; DIAMANT, Chagit; BAUER, Sofia; REGEV, Rivka; SIROTA, Gisela & LITMANOVITZ, Ita. Maternal singing during kangaroo care led to autonomic stability in preterm infants and reduced maternal anxiety. Acta Paediatrica, 103: 1039-1044, 2014. doi:10.1111/apa.12744

BAKER, Felicity & MACKINLAY, Elizabeth. Sing, soothe and sleep: A lullaby education programme for first-time mothers. British Journal of Music Education, 23(2), 147-60, 2006. doi:10.1017/S0265051706006899

BANASIEWICZ, Jolanta, ZAREBA, Kornelia, BiNKOWSKA, Malgorzata, ROZENEK, Hanna, WÓJTowICZ, Stanislaw & JAKIEL, Gzegorz. Perinatal predictors of postpartum depression: Results of a retrospective comparative study. Journal of Clinical Medicine 9(9), 2952, 1-11.

BARLOW, Jane; MCMILLAN, Anita S.; KIRKPATRICK, Sue; GHATE, Deborah; BARNES, Jacqueline & SMITH, Marjorie. Health-led interventions in the early years to enhance infant and maternal mental health: a review of reviews. Child and Adolescent Mental Health, 15(4), 178-85, 2010.

BASS, Pat F. & BAUER, Nerissas. Parental postpartum depression: more than “baby blues”: pedriatricans need to recognize symptoms of perinatal depression in new mothers, provide basic cousneling and treatment, and refer for appropriate services when need. Contemporary Pediatrics 35(9), 35-38, Septmeber 2018.

BLOM, Marieke. Exploring mothers’ experiences participating in parent-infant singing classes. Master’s thesis, University of Saskatchewan. University of Saskatchewan Harvest, 2015.

BONNÁR, Lisa. Life and lullabies: exploring the basis of meaningfulness in parents’ lullaby singing. Doctoral dissertation, Norges Musikkhogskole. NMH Brage, 2014.

BRISOLA, Elizabeth Brown Vallim. A experiência de cantar para bebês: um estudo fenomenológico com mães The experience of singing to infants: a phenomenological study with mothers]. Doctoral Dissertation, Pontifícia Universidade Católica de Campinas. TEDE Programa de Pós-Graduação em Psicologia, 2017.

BRISOLA, Elizabeth B. V. & CURY, Vera E. Singing your troubles away: the experience of singing from a psychological standpoint - contributions from a heuristic research. The Humanistic Psychologist 43(4), 395-408, 2015.

BRISOLA, Elizabeth B. V. & CURY, Vera E. Investigating experiences of mothers singing to their infants: in search of meanings. Psicologia em Estudo, 23, 1-14, 2018.

CANADY, Valerie A. APA stress report amid COVID-19 points to parental challenges. Mental Health Weekly, 30 (22), 2020. Accessed 28 Aug.2020.

CAROLAN, Mary; BARRY, Maebh; GAMBLE, Mary; TURNER, Kathleen & MASCAREÑAS, Óscar. Experiences of pregnant women attending a lullaby programme in Limerick, Ireland: a qualitative study. Midwifery, 28(3), 321–328, 2012(a).

CAROLAN, Mary; BARRY, Maebh; GAMBLE, Mary; TURNER, Kathleen & MASCAREÑAS, Óscar. The Limerick Lullaby project: an intervention to relieve prenatal stress. Midwifery, 28(2), 173–180, 2012(b).

CENTER FOR TRANSLATIONAL NEUROSCIENCE. How long can the levee hold? Medium. August 12, 2020.

CEVASCO Andrea M. The effects of mothers' singing on full-term and preterm infants and maternal emotional responses. Journal of Music Therapy, 45(3), 273–306, 2008.

CLIFT, Stephen. Singing, wellbeing, and health. In: R. MacDonald, G. Kreutz & L. Mitchell (Eds.). Music, health, and wellbeing (pp. 113-124). New York: Oxford University Press, 2012.

CREIGHTON, Alison L.; ATHERTON, Michael & KITAMURA, Christine. Singing play songs and lullabies: Investigating the subjective contributions to maternal attachment constructs. Australian Journal of Music Therapy, 24, 17-44, 2013.

DARVILL, Ruth; SKIRTON, Heather & FARRAND, Paul. Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition. Midwifery, 26(3), 357–366, 2010.

DAVENPORT, Margie H.; MEYER, Sarah; MEAH, Victoria L.; STRYNADKA, Morgan C., & KHURANA, Rshmi. Moms are not OK: COVID-19 and maternal mental health. Frontiers in Global Women’s Health, 1(1), 2020. doi: 10.2289/fgwh.2020.000001

DAVID, Daryn H.; STYRON, Thomas & DAVIDSON, Larry. Supported parenting to meet the needs and concerns of mothers with severe mental illness. American Journal of Psychiatric Rehabilitation, 14(2), 137–53, 2011.

DAYKIN, Norma; MANSFIELD, Louise; MEADS, Catherine; JULIER, Guy; TOMLINSON, Alan; PAYNE, Annette; DUFFY, Lily Grigsby; LANE, Jack; D'INNOCENZO, Gtiorgia; BURNETT, Adele; KAY, Tess; DOLAN, Paul; TESTONI, Stefano; & VICTOR, Christina. What works for wellbeing? A systematic review of wellbeing outcomes for music and singing in adults. Perspectives in public health, 138(1), 39–46, 2018.

DE L'ETOILE, Shannon K. Responses to infant-directed singing in infants of mothers with depressive symptoms. Arts in Psychotherapy, 39(5), 353-66, 2012.

DE L'ETOILE, Shannon K. & LEIDER, Colby N. Acoustic parameters of infant-directed singing in mothers with depressive symptoms. Infant Behavior and Development, 34(2), 248-256, 2011.

DINGLE, Genevieve A.; BRANDER, Christopher BALLANTYNE, Julie & BAKER, Felicity A. ‘To be heard’: The social and mental health benefits of choir singing for disadvantaged adults. Psychology of Music, 41(4), 405–21, 2013.

EDWARDS, Jane. Music therapy and parent-infant bonding. In J. Edwards (Ed.), Music therapy and parent–infant bonding (p. 5–21). Oxford University Press, 2011.

ELMER, Stefanie Stadler. Human singing: Towards a developmental theory. Psychomusicology: Music, Mind and Brain, 21(1-2), 13–30, 2011.

FANCOURT, Daisy; OCKELFORD, Adan & BELAI, Abi. The psychoneuroimmunological effects of music: a systematic review and a new model. Brain, behavior, and immunity, 36, 15–26, 2014.

FANCOURT, Daisy, & PERKINS, Rosie. Associations between singing to babies and symptoms of postnatal depression, wellbeing, self-esteem and mother-infant bond. Public health, 145, 149–52, 2017.

FANCOURT, Daisy & PERKINS, Rosie. The effects of mother–infant singing on emotional closeness, affect, anxiety, and stress hormones. Music & Science, 2018.

FRIEDMAN, Susan H.; KAPLAN, Ronna S., ROSENTHAL, MMiriam B. & CONSOLE, Patty. Music therapy in perinatal psychiatry: Use of lullabies for pregnant and postpartum women with mental illness. Music and Medicine, 2(4), 219–25, 2010.

GAEBEL, Christine, Study protocol of the MUSED study: A randomized trial to evaluate the psychobiological effects of group music therapy in women with depression. Nordic Journal of Music Therapy, 1-26. doi:10.1080/08098131.2020.1760921.

GICK, Mary L. Singing, health and well-being: A health psychologist's review. Psychomusicology: Music, Mind and Brain, 21(1-2), 176-207, 2011.

GRANATO, Tânia M. M., & AIELLO-VAISBERG, Tânia M. J. Maternidade e colapso: consultas terapêuticas na gestação e pós-parto. Paidéia (Ribeirão Preto), 19(44), 395-401, 2009.

GUDMUNDSDOTTIR, Dora G., & GUDMUNDSDOTTIR, Helga R. Parent–infant music courses in Iceland: perceived benefits and mental well-being of mothers, Music Education Research, 12(3), 299-309, 2010.

GUDMUNDSDOTTIR, Helga R.; BEYNON, Carol; LUDKE, Karen & COHEN, Annabel J. The Routledge Companion to Interdisciplinary studies in singing, vol II: Education. Routledge, 2020.

ILARI, Beatriz. Songs of belonging: Musical interactions in early life. In: J. Kerchner & C. Abril (Eds.), Musical experience in our lives: Expanding the boundaries of music education (pp. 21-38). Lanham, MD: Rowman & Littlefield & MENC, 2009.

LUDKE, Karen; GUDMUNDSDOTTIR, Helga; BEYNON, Carol & COHEN, Annabel J. (Eds.). The Routledge companion to interdisciplinary studies, vol. 2. Routledge, 2020.

MACDONALD, Raymond, KREUTZ, Gunter & MITCHELL, Laura (Eds). Music, health, & wellbeing. Oxford University Press, 2012.

MCLEAN, Elizabeth. Exploring parents’ experiences and perceptions of singing and using their voice with their baby in a neonatal unit: an interpretive phenomenological analysis. Qualitative Inquiries in Music Therapy, 11, 1-42, 2016.

MENDES, Karina Dal Sasso.; SILVEIRA, Renata Cristina de Campos P. & GALVÃO, Cristina Maria. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758-764, 2008.

MENTAL HEALTH AMERICA. Pregnancy and Postpartum Disorders. Retrieved June 18, 2020, from

PADJEN, Ante. L. Music, Brain and Health. The International Journal of Whole Person Care, 7(1), 38-39, 2020.

PERKINS, Rosie; YORKE, Sarah & FANCOURT, Daisy. How group singing facilitates recovery from the symptoms of postnatal depression: a comparative qualitative study. BMC psychology, 6(1), 41, 2018.

PERSICO, Giuseppina; ANTOLINI, Laura; VERGANI, Patrizia; COSTANTINI, Walter; NARDI, Maria Teresa & BELLOTTI, Lidia. Maternal singing of lullabies during pregnancy and after birth: Effects on mother-infant bonding and on newborns' behaviour. Concurrent Cohort Study. Women and Birth: Journal of the Australian College of Midwives, 30(4), 214–220, 2017.

PIXLEY, Margaret Mia. Singing motherhood: first time mothers’ experiences singing to their infants. Doctoral Dissertation, The City University of New York, 2015. CUNY Academic Works.

PUNAMÄKI, Raija-Leena; VÄNSKÄ, Mervi; QUOTA, Samir R.; PERKO, Kaisa & DIAB, Safwat Y. Vocal emotion expressions in infant‐directed singing: The impact of war trauma and maternal mental health and the consequences on infant development. Infant Child Development, 1-23, 2020.

REAGON, Carly; GALE, Nichola; ENRIGHT, Stephanie; MANN, Mala & VAN DEURSEN, Robert. A mixed-method systematic review to investigate the effect of group singing on health-related quality of life. Complementary Therapies in Medicine, 27, 1–11, 2016.

REILLY, Nicole; TURNER, Gemma; TAOUK, Jamilie & AUSTIN, Marie-Paule. 'Singing with your baby': an evaluation of group singing sessions for women admitted to a specialist mother-baby unit. Archives of Women's Mental Health, 22(1), 123–127, 2019.

RUBASHKIN, Nicholas; WARNOCK, Ruby & DIAMOND-SMITH, Nadia. A systematic review of person-centered care interventions to improve quality of facility-based delivery. Reproductive Health, 15(1), 169, 2018.

SMITH, Wendy; TAKI, Sarah & WEN, Li Ming. The role of telehealth in supporting mothers and children during the COVID-19 pandemic. Australian Journal of Advanced Nursing 37(3), 37-38, 2020.

SONG, J. E., KIM, T., & AHN, J. A. (2015). A systematic review of psychosocial interventions for women with postpartum stress. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(2), 183–192.

SOUZA, Marcela Tavares de; SILVA, Michelly Dias da, & CARVALHO, Rachel de. Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 8(1), 102-106, 2010. 10.1590/s1679-45082010rw1134

SWORD, Wendy; CLARK, Alexander M.; HEGADOREN, Kathleen; BROOKS, Sandra & KINGSTON, Dawn. The complexity of postpartum mental health and illness: a critical realist study. Nursing Inquiry, 19(1), 51–62, 2012.

TORRACO, Richard J. Writing Integrative Literature Reviews: Using the Past and Present to Explore the Future. Human Resource Development Review, 15(4), 404–428, 2016.

TREHUB, Sandra E. (1999). Singing as a parenting tool. Early Childhood Connections, 8-14.

TREHUB, Sandra E. The maternal voice as a special signal for infants. In M. Filippa, P. Kuhn, & B. Westrup (Eds.), Early vocal contact and preterm infant brain development: Bridging the gaps between research and practice (pp. 39–54), 2017. Amsterdam: Springer International Publishing.

TREHUB, Sandra E., & GUDMUNDSDOTTIR, Helga R. Mothers as singing mentors for infants. In G. F. Welch, D. M Howard, & J. Nix (Eds.), Oxford handbook of singing. Oxford: Oxford University Press, 2015. Advance online publication. doi: 10.1093/oxfordhb/9780199660773.013.25

TREHUB, Sandra E., WEISS, Marcel W., & CIRELLI, Laura K. Musicality across the lifespan. In P. J. Rentfrow & D. J. Levitin (Eds.), Foundations in music psychology: Theory and research (pp. 265-303), 2019. Cambridge, MA: MIT Press.

WHITTEMORE, Robin & Knafl, Kathleen. The integrative review: updated methodology, Journal of Advanced Nursing, 52(5), 546-33, 2005. Doi: 10.1111/j.1365-2648.2005.03621.x

WILLIAMS, Elyse; DINGLE, Genevieve & CLIFT, Stephen. A systematic review of mental health and wellbeing outcomes of group singing for adults with a mental health condition. The European Journal of Public Health, 28(6), 1035-42, 2018.

WORLD HEALTH ORGANIZATION. Mental health: strengthening our response. Retrieved may 21, 2018, from

WORLD HEALTH ORGANIZATION. Maternal mental health. Retrieved May 23, 2020 from

ZELKOWITZ, Phyllis & PAPAGEORGIOU, Apostolos. ‘Easing maternal anxiety: An update’, Women’s Health, 8(2), 205-13, 2012.