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A neurological rationale for music therapy to address social connectivity among individuals with substance use disorders

机译:用于音乐疗法的神经系统理由,以解决具有物质使用障碍的个体的社会连接

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Millions of people in the United States seek treatment for substance use disorders (SUD) each year, highlighting the importance of effective treatments for this social dilemma. SUD are characterized by long-term neurological changes and continued consumption of substances despite negative consequences. We conducted a narrative review of research highlighting the intersections between addictive substances and SUD, social connectivity, and music interventions. We found that addiction, social connectivity, and music interventions all affect the meso-corticolimbic pathway and endogenous opioid system. However, there remains a dearth of published empirical literature providing a rationale for music therapy to address social connectivity as a primary clinical objective among people with SUD. Based on our review, we developed a neurologically-informed model of music therapy for social connectivity among people with SUD. Implications for clinical practice, limitations, and suggestions for future research are provided.
机译:美国每年有数百万人寻求药物使用障碍(SUD)的治疗,这突显了有效治疗这一社会困境的重要性。SUD的特点是长期的神经系统改变,尽管会产生负面后果,但仍会持续消耗物质。我们对研究进行了叙述性回顾,强调了成瘾性物质与SUD、社交联系和音乐干预之间的交叉点。我们发现,成瘾、社交联系和音乐干预都会影响中脑皮质淋巴通路和内源性阿片系统。然而,仍然缺乏已发表的实证文献为音乐治疗提供理论依据,以解决社交联系作为SUD患者的主要临床目标。基于我们的综述,我们开发了一种神经信息模型,用于SUD患者之间的社交连接。对临床实践的影响,局限性,以及对未来研究的建议。

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