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 mesocorticolimbic 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.

每年，美国有数百万人寻求药物滥用症（SUD）的治疗，这凸显了有效治疗这种社会困境的重要性。SUD的特征是长期的神经系统变化，尽管产生了不良后果，但仍持续消耗物质。我们对研究进行了叙述性回顾，重点介绍了成瘾性物质与SUD，社会联系和音乐干预之间的交集。我们发现，成瘾，社交联系和音乐干预都会影响中皮层皮质途径和内源性阿片系统。然而，仍然缺乏公开的经验文献，为音乐疗法提供了理论基础，以解决社交连接问题作为SUD患者的主要临床目标。根据我们的评论，我们开发了一种神经疗法的音乐疗法模型，用于SUD人群之间的社交联系。提供了对临床实践的影响，局限性以及对未来研究的建议。