Abstract
Background: Sensory Processing Sensitivity (SPS), a temperament trait reflecting deeper cognitive processing and heightened emotional/physiological reactivity, is often linked to emotional dysregulation and vulnerability to stress-related problems. SPS includes three subscales: Ease of Excitation (EOE) reflects emotional sensitivity to internal (e.g., thoughts, bodily states) and external (e.g., social demands) stimuli; Low Sensory Threshold (LST) reflects sensitivity to intense sensory input; and Aesthetic Sensitivity (AES) denotes appreciation for subtleties (Smolewska et al., 2006). Music can sometimes contribute to maladaptive outcomes like rumination, avoidance coping, and amplification of negative affect (Alluri et al., 2022). Highly sensitive persons, especially with elevated EOE, may be more prone to such patterns due to their emotional reactivity. However, SPS’s interactive role in maladaptive music use remains underexplored.
Aim: This study investigates the relationship between SPS and maladaptive music use, hypothesizing that individuals with high EOE, particularly those sensitive to external demands (External EOE), are more prone to unhealthy music engagement. Network analysis was employed to reveal how sensitivity traits, distress, and empathy interact in shaping music use patterns.
Methods: A total of 680 Indian participants(mean age=20.69, s.d.=1.9; 180 females) completed a battery of self-report measures including Highly Sensitive Persons Scale (HSPS) for SPS traits, the Kessler Psychological Distress Scale (K10) (Andrews & Slade, 2001), Interpersonal Reactivity Index (IRI) for empathy traits (Keaton, 2017), and Healthy-Unhealthy Music Scale (Saarikallio et al., 2015) assessing adaptive and maladaptive music use. The IRI included four subscales: Empathic Concern (EC), Perspective Taking (PT), Personal Distress (PD), and Fantasy Scale (FS), capturing both cognitive and affective empathy. Using exploratory factor analysis we split EOE into Internal and External factors. Regularized Partial Correlation Networks (RPCNs) and Bayesian Networks were constructed to model interactions and infer relationships among variables.
Results: Unhealthy music use correlated with External EOE(r=0.25) while Healthy music use correlated with AES(r=0.32) among SPS traits. RPCNs identified External EOE as a central node in the network(strength=0.69; betweenness=116), bridging SPS traits with distress-related personal feelings(PD from IRI), psychological symptoms (K10), and Unhealthy music use. Bayesian Networks confirmed K10 as a direct predictor of Unhealthy use(B=0.50), with PD predicting K10(B=0.31) and External EOE predicting PD(B=0.50). Mediation analysis revealed that K10 significantly mediated the pathway from External EOE to Unhealthy music use, accounting for 55% of the total effect (all p<0.01), suggesting distress amplifies the impact of emotional sensitivity on maladaptive behaviors.
Discussion: While music can support emotion regulation, our results suggest that highly sensitive persons experiencing distress may turn to music as a maladaptive coping strategy to escape overwhelming external demands. In India, where population density and sensory overstimulation are high, such patterns may be intensified. These findings add to the emerging literature on trait-environment interactions in music behavior and suggest that understanding EOE may inform future interventions or wellness strategies tailored to individual sensitivity profiles.