An Integrative Review of Arts-Based Strategies for Addressing Pain and Substance Use Disorder During the Opioid Crisis

Abstract

In October 2017, the U.S. Department of Health & Human Services declared the opioid crisis a national public health emergency and prioritized identifying effective, evidence-based strategies for pain management and the prevention and treatment of substance use disorder (SUD). Increasingly, the arts have become more widely established and accepted as health-promoting practices in the United States and around the world. As the U.S. health care system moves toward greater integration of physical and behavioral health, arts-based interventions should be considered among potential complementary approaches for managing pain and preventing and treating SUD. We conducted an integrative literature review to summarize and synthesize the evidence on the role of the arts in the management of pain and in the prevention and treatment of SUD, including opioid use disorder. The available evidence suggests that music interventions may reduce participants’ pain, reduce the amount of pain medication they take, improve their SUD treatment readiness and motivation, and reduce craving. Few studies examined art forms other than music, limiting the ability to draw conclusions for those art forms. Given the critical need to identify effective strategies for managing pain and preventing and treating SUD, future research on arts-based interventions should examine maintenance of pain management and SUD treatment benefits over time and outcomes related to SUD prevention.

The Analgesic Museum

“…This landmark review produced several findings that informed both the intention and structure of the Analgesic Museum conference. First, the NEA review found that the majority of studies conducted on pain management focused on post-operative pain (vs. persistent pain) and investigated music-based interventions (vs. museum-based interventions) (5). Second, the report called for more research on the arts' impact on persistent pain and on the social dimensions of pain (5).…”

“…First, the NEA review found that the majority of studies conducted on pain management focused on post-operative pain (vs. persistent pain) and investigated music-based interventions (vs. museum-based interventions) (5). Second, the report called for more research on the arts' impact on persistent pain and on the social dimensions of pain (5). The conference responds to these findings by not only highlighting projects that specifically examine the role of non-music-based arts programming to address persistent pain, but through the identification of topic areas-Exhibition development; Arts experiences and practices; Research and creative scholarship-that will foster more research and programming in these gap areas of study and practice.…”