We provide an experimental evaluation of the impact of aesthetic experiences in terms of stress reduction (cortisol levels) and wellbeing increase. The test experience is a visit to the vault of the Sanctuary of Vicoforte, Italy. Data have been collected using a double step method. A structured interview in relation to the individual subjective well-being has been administered to a sample of 100 subjects. In addition, a sample of their saliva has been taken, and its cortisol level measured, before and after the experience, and likewise for momentary wellbeing measured on a Visual Analogous Scale. Subjects reported an average increase of 40% in wellbeing and a decrease of the 60% in the cortisol level. The recorded cortisol level values dropped on average well beyond the decrease normally associated to its circadian cycle. The modulating role of various variables has been appreciated, and profiling of the typical subjects who are wellbeing respondents/non-respondents and cortisol respondents/non-respondents has been carried out. We conclude that aesthetic experience seems to have a noticeable impact on individual physical and mental health. In both dominions, cultural participation intensity is significantly correlated to the response. The study underlines the potential of the arts and culture as a new platform for public health practices and new approaches to welfare policy design.
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 Anguera JA, Boccanfuso J, Rintoul JL, Al-Hashimi O, Faraji F, Janowich J, Kong E, Larraburo Y, Rolle C, Johnston E, Gazzaley A. Video game training enhances cognitive control in older adults. Nature 2013; 501: 97-101.
 Archibald M, Scott S, Hartling L. Mapping the waters: A scoping review of the use of visual arts in pediatric populations with health conditions. Arts Health 2014; 6(1): 5-23.
Arts Council England 2014 The Value of Arts and Culture to People and Society. An Evidence Review. London. http://www.artscouncil.org.uk/sites/default/files/download-file/Value_arts_culture_evidence_review.pdf.
 Bavishi A, Slade MD, Levy BR. A chapter a day: Association of book reading with longevity. Soc. Sci. Med. 2016; 164: 44-48.
 Bradt J. The effects of music entrainment on postoperative pain perception in pediatric patients. Music Medic. 2010; 2(3): 150-157.
Buscema M, Grossi E. The semantic connectivity map: an adapting self-organising knowledge discovery method in data bases Experience in gastro-oesophageal reflux disease. Int J Data Min Bioinform. 2008; 2(4):362-404.
Buscema M, Grossi E, Snowdon D, Antuono P. Auto-Contractive Maps: an artificial adaptive system for data mining: An application to Alzheimer disease. Curr Alzh. Res. 2008; 5(5): 481-98.
 Buscema M, Sacco PL. MST Fitness Index and implicit data narratives: A comparative test on alternative unsupervised algorithms. Physica A 2016; 461: 726-746.
 Cela-Conde CJ, Marty G, Maestú F, Ortiz T, Fernández A, Roca M, Rosselló J, Quesney F. Activation of the Prefrontal Cortex in the Human Visual Aesthetic Perception. Proc. Nat. Acad. Sci. USA 2004; 101(16): 6321–6325.
 Cervellin G, Lippi G. From music-beat to heart-beat: A journey in the complex interactions between music, brain and heart. Eur. J. Internal Med. 2011; 22: 371-374.
 Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn. Sci. 2013; 17(4): 179-193.
 Crociata A, Agovino M, Sacco PL. Cultural access and mental health: An exploratory study. Social Indicators Research 2014; 118: 219-233.
 Daykin N, Gray K, McCree M, Willis J. Creative and credible evaluations for arts, health, and well-being: Opportunities and challenges of co-production. Arts Health 2016. https://doi.org/10.1080/17533015.2016.1206948.
 Drenos F, Grossi E, Buscema M, Humphries SE. Networks in coronary heart disease genetics as a step towards system epidemiology. PLoS ONE 2015; 10(5): e0125876.
 Dupuy HJ. The Psychological General Well-being (PGWB) Index. In Wenger NK, Mattson ME, Furburg CD, Elinson J (Eds). Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies. Le Jacq Publishing, New York, 1990, 170-83.
Editorial 2014 Arts for Health’s Sake. Lancet 383:1100.
 Ellison CG, Boardman JD, Williams DR, Jackson JS. Religious involvement, stress, and mental health: Findings from the 1995 Detroit Area Study. Soc. Forces 2001; 80(1): 215-249.
 Fancourt D, Ockelford A, Belai A. The psychoneuroimmunological effects of music: A systematic review and a new model. Brain Beh. Immun. 2014; 36: 15-26.
 Gates J. An inquiry—aesthetics of art in hospitals. Aust Fam Physician 2008; 37(9): 761-763.
 Goldman A. The aesthetic. In Gaut B, Mclever Lopses D (Eds). The Routledge companion to aesthetics. Routledge, London, 2001, 181–192.
 Grossi E, Groth N, Mosconi P, Cerutti R, Pace F, Compare A, Apolone G. Development and validation of the short version of the Psychological General Well-Being Index (PGWB-S). Health Qual. Life Outcomes 2006; 4: 88- 96.
 Hanna GP, Noelker LS, Bienvenu B. The arts, health, and aging in America: 2005-2015. Gerontologist 2015; 55(2): 251-257.
 Heller AS, van Reekum CM, Schaefer SM, Lapate RC, Radler BT, Ryff CD, Davidson RJ. Sustained striatal activity predicts eudaimonic well-being and cortisol output. Psych. Sci 2016; 24(11): 2191-2200.
 Herman JP, Ostrander MM, Mueller NK, Figueiredo H. Limbic system mechanisms of stress regulation: Hypothalamo-pituitary-adrenocortical axis. Prog. Neuropsych. Biol. Psychiatry 2005; 29(8): 1201-1213.
 Koenig HG, Büssing A. The Duke University Religion Index (DUREL): A five-item measure for use in epidemiological studies. Religions 2010; 1(1): 78-85.
 Konlaan BB, Bjorby N, Bygren LO, Weissglas G, Karlsson LG, Widmark M. Attendance at cultural events and physical exercise and health: A randomized controlled study. Publ. Health 2000; 114: 316-319.
 Konlaan BB, Bygren LO, Johansson SE. Visiting the cinema, concerts, museums or art exhibitions as determinant of survival: a Swedish fourteen-year cohort follow-up. Scand J Pub Health 2000; 28:174-178.
 Konlaan BB, Theobald H, Bygren LO. Leisure time activity as a determinant of survival: A 26-year follow-up of a Swedish cohort. Publ. health 2002; 116: 227-230.
 Lindfors P, Lundberg U. Is low cortisol release an indicator of positive health? Stress Health 2002; 18: 153-160.
 Linnemann A, Ditzen B, Strahler J, Doerr JM, Nater UM. Music listening as a means of stress reduction in daily life. Psychoneuroend. 2015; 60: 82-90.
 Linnemann A, Strahler J, Nater UM. The stress-reducing effect of music listening varies depending on the social context. Psychoneuroend. 2016; 72: 97-105.
 Maina G, Palmas A, Filon FL. Relationship between self-reported mental stressors at the workplace and salivary cortisol. Int. Arch. Occup. Env. Health 2008; 81(4): 391-400.
 Marchand A, Durand P, Lupien S. Work hours and cortisol variation from non-working to working days. Int. Arch. Occup. Env. Health 2013; 86(5): 553-559.
 McKeown E, Weir H, Berridge EJ, Ellis L, Kyratsis Y. Art engagement and mental health: Experience of service users of a community-based arts programme at Tate Modern, London. Publ. Health 2016; 130: 29-35.
 Menon V, Levitin DJ. The rewards of music listening: Response and physiological connectivity of the mesolimbic system. Neuroimage 2005; 28: 175-184.
Rapacciuolo, A., Perrone Filardi, P., Cuomo, R., Mauriello, V., Quarto, M., Kisslinger, A., Savarese, G., Illario, M., Tramontano, D. 2016 The Impact of Social and Cultural Engagement and Dieting on Well-Being and Resilience in a Group of Residents in the Metropolitan Area of Naples. Journal of Aging Research. https://doi.org/10.1155/2016/4768420. https://www.hindawi.com/journals/jar/2016/4768420/abs/.
 Renton A, Phillips G, Daykin N, Yu G, Taylo K, Petticrew M. Think of your art-eries: Arts participation, behavioural cardiovascular risk factors and mental well-being in deprived communities in London. Publ. Health 2012; 126: S57-S64.
 Reynolds F. ‘Colour and communion’: Exploring the influences of visual art-making as a leisure activity on older women’s subjective well-being. J. Aging Stud. 2010; 24(2): 135-143.
 Reynolds F, Vivat B, Prior S. Visual art making as a resource for living positively with arthritis: An interpretative phenomenological analysis of older women’s accounts. J. Ageing Stud. 2011; 25: 328-337.
 Rippentrop AE, Altmaier EM, Chen JJ, Found EM, Keffala VJ. The relationship between religion/spirituality and physical health, mental health and pain in a chronic pain population. Pain 2005; 116: 311-321.
 Sapouna L, Pamer E. The transformative potential of the arts in mental health recovery—An irish research project. Arts Health 2016; 8(1): 1-12.
 Särkämö T, Altenmüller E, Rodriguez-Fornells A, Peretz I. Music, brain and rehabilitation: Emerging therapeutic applications and potential neural mechanisms. Front Psych 2016; 10:103.
 Sinclair C, Stokes A, Jeffries-Stokes C, Daly J. Positive community responses to an arts-health program designed to tackle diabetes an kidney disease in remote Aboriginal communities in Australia: A qualitative study. Austr. New Zeal. J. Pub. Health 2016; 40(4): 307-312.
StLouis EK, Gidal BE, Henry TR, Kaydanova Y, Krumholz A, McCabe PH, Montouris GD, Rosenfeld WE, Smith BJ, Stern JM, Waterhouse EJ, Schulz RM, Garnett WR, Bramley T. Conversions between monoteraphies in epilepsy: Expert consensus. Epilepsy Beh. 2007; 11: 222-234.
 Stanfield P. Arts-in-health. From practice-based evidence to evidence-based practice. Persp. Pub. Health 2016; 136(2): 62-63.
 Swaminathan S, Schellenberg EG. Current emotion research in music psychology. Emot. Rev. 2015; 7(2): 189-197.
 Tavano Blessi G, Grossi E, Sacco PL, Pieretti G, Ferilli G. The contribution of cultural participation to urban well-being. A comparative study in Bolzano/Bozen and Siracusa, Italy. Cities 2016; 50: 216-226.
 Torrissen W. ‘Better than medicine’: Theatre and health in the contemporary Norwegian context. J. Appl. Arts Health 2015; 6(2): 149-170.
 Ulrich RS. Human responses to vegetation and landscapes. Land. Urb. Plann. 1986; 13: 29-44.
 Ulrich RS, Simons RF, Losito RD, Fiorito E, Miles MA, Zelson M. Stress recovery during exposure to natural and urban environments. J. Envir. Psych. 1991; 11: 201-230.
 Vaillancourt D, James M, Manion M, Ting M. Beauty and healing. Int. J. Humanities 2007; 5(4): 217-232.
 van der Heijden MJE, Araghi SO, van Dijk M, Jeekel J, Hunink MGM. The effects of perioperative music interventions in pediatric surgery: A systematic review and meta-analusis of randomized controlled trials. PLoS ONE 2015; 10(8): e0133608.
 Van Dongen NNN, Van Strien JW, Dijkstra K. Implicit emotion regulation in the context of viewing artworks: ERP evidence in response to pleasant and unpleasant pictures. Brain Cognit. 2016; 107: 48-54.
 Vickoff B, Malmgren H, Aström R, Nyberg G, Ekström SR, Engwall M, Snygg J, Nilsson M, Jömsten R. Music structure determines heart rate variability of singers. Front. Psychol. 2013; 4: 334. https://doi.org/10.3389/fpsyg.2013.00334.
 Wenzel RP, Gennings C. Bloodstream infections due to Candida species in the intensive care unit: Identifying especially high-risk patients to determine prevention strategies. Clin. Infect. Dis. 2005; 41: S389-S393.
Weziak-Bialowolska D, Bialowolski P, Sacco PL. Involvement with the arts and participation in cultural events—Does personality moderate impact on well-being? Evidence from the UK Household Panel Survey. Psych. Aesth. Creat. Arts. (2018) doi: http://dx.doi.org/10.1037/aca0000180.
 Wieck K, Farias M, Kahane G, Shackel N, Tiede W, Tracey I. An fMRI study measuring analgesia enhanced by religion as a belief system. Pain 2009; 139: 467-476.
 Yamasaki A, Booker A, Kapur V, Tilt A, Niels H, Lillemoe KD, Warshaw AL, Conrad C. The impact of music on metabolism. Nutrition 2012; 28: 1075-1080.
The economic support for this study was provided by Kalatà Foundation (Mondovì, Italy).
Conflict of interest
All authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Specifically, an ethical approval for the study was obtained from the ethical committee of Santa Croce Hospital (Cuneo, Italy).
Informed consent was obtained from all individual participants included in the study.
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Grossi, E., Tavano Blessi, G. & Sacco, P.L. Magic Moments: Determinants of Stress Relief and Subjective Wellbeing from Visiting a Cultural Heritage Site. Cult Med Psychiatry 43, 4–24 (2019). https://doi.org/10.1007/s11013-018-9593-8
- Physical health
- Mental health