Neuroplastic Changes in Addiction Memory-How Music Therapy and Music-Based Intervention May Reduce Craving: A Narrative Review.

Neuroplastic Changes in Addiction Memory-How Music Therapy and Music-Based Intervention May Reduce Craving: A Narrative Review.
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成瘾记忆 - 音乐疗法和基于音乐的干预的神经塑性变化可能会减少渴望:叙事评论。

DOI:
10.3390/brainsci13020259
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发表时间:
2023-02-03
期刊:
影响因子:
3.3
通讯作者:
Fachner, Jorg
Fachner, Jorg
中科院分区:
医学4区
文献类型:
--
作者:
Pasqualitto, Filippo;Panin, Francesca;Maidhof, Clemens;Thompson, Naomi;Fachner, Jorg

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近期的研究结果表明,音乐疗法(MT)和基于音乐的干预(MBIs)可能会减轻物质使用障碍(SUD)患者的渴求症状。然而,MT/MBIs可能会导致SUD患者回忆起与他们的吸毒史相关的记忆以及相应的强烈情绪(成瘾记忆)。渴求是SUD的一个核心组成部分,可能与复发有关,并由多种因素触发,比如回忆起与吸毒经历相关的记忆。因此,为了探讨MT/MBIs后哪些因素可以解释渴求症状的改善,我们进行了一项叙述性综述,该综述(1)描述了音乐唤起的具有情感显著性的自传体记忆的大脑相关因素,(2)概述了神经影像学和神经生理学研究,这些研究表明渴求的体验可能如何包含对充满情感的时刻的回忆,以及(3)指出了神经元周围网(PNNs)在成瘾记忆神经可塑性中的作用。我们强调自传体记忆提取、音乐唤起的自传体记忆和渴求如何与PNNs有相似的神经激活,而PNNs是成瘾记忆处理中的一个因果因素。最后,我们通过思考成瘾记忆的神经可塑性特征如何可能代表在治疗中更新和/或重新校准与回忆相关的情感内容的基础来得出结论。
Recent findings indicate that Music Therapy (MT) and Music-Based Interventions (MBIs) may reduce craving symptoms in people with Substance Use Disorders (SUD). However, MT/MBIs can lead SUD clients to recall memories associated with their drug history and the corresponding strong emotions (addiction memories). Craving is a central component of SUD, possibly linked to relapse and triggered by several factors such as the recall of memories associated with the drug experience. Therefore, to address the topic of what elements can account for an improvement in craving symptoms after MT/MBIs, we conducted a narrative review that (1) describes the brain correlates of emotionally salient autobiographical memories evoked by music, (2) outlines neuroimaging and neurophysiological studies suggesting how the experience of craving may encompass the recall of emotionally filled moments, and (3) points out the role of perineuronal nets (PNNs) in addiction memory neuroplasticity. We highlight how autobiographical memory retrieval, music-evoked autobiographical memories, and craving share similar neural activations with PNNs which represent a causal element in the processing of addiction memory. We finally conclude by considering how the neuroplastic characteristics of addiction memory might represent the ground to update and/or recalibrate, within the therapy, the emotional content related to the recall.
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