Most Read Articles
Pearl Toh, 5 days ago
Mothers with higher anxiety levels and intrapartum blood loss were less likely to breastfeed at 5–9 weeks after delivery, while those loss who received support services on breastfeeding were more likely to do so, a local study shows.
Rachel Soon, 30 Nov 2017

A care management program conducted via telephone for caregivers of patients with Alzheimer’s and other forms of dementia is associated with improved outcomes for both patients and carers, according to a new study in the United States.

Patients with hidradenitis suppurativa at higher risk of substance use disorder

07 Sep 2018
Substance abuse among the elderly is dangerous and require special attention to address the underlying problems.

Hidradenitis suppurativa (HS) is associated with an increased risk of substance use disorder (SUD), according to a US study. Patients with HS may benefit from periodic screening for substance abuse.

SUD prevalence among patients with HS was 4.0 percent (1,315/32,625) vs 2.0 percent (195,260/9,581,640) for those without HS (p<0.001). The most common forms of substance misuse among HS patients were as follows: alcohol (47.9 percent), opioids (32.7 percent) and cannabis (29.7 percent).

Patients with vs without HS had 1.50 (95 percent CI, 1.42–1.59) times the adjusted odds of SUD. The association between HS and SUD was generally stronger among the following: patients aged 45–64 years, nonwhites, privately insured, and those without depressive or anxiety disorder.

An earlier study found that patients at higher risk for prescription opioid misuse among those with SUD histories reported more pain and impairment, symptoms of depression, and were more likely to have current SUD compared to those at lower risk for misuse. Adjusted analysis showed pain catastrophizing to be significantly associated with risk for prescription opioid misuse. [Drug Alcohol Depend 2013;127:193-199]

In the present cross-sectional analysis that assessed SUD among HS patients in the US, the authors identified adult HS patients (n=32,625) using electronic health records data drawn from a population-based sample of >50 million patients.

One limitation of the study was that SUD might not have been accurately diagnosed, the authors said.

“Patients with HS experience chronic pain and have significant physical, emotional and psychological disease impact. These patients may be at risk for substance abuse,” they noted.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Psychiatry - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 5 days ago
Mothers with higher anxiety levels and intrapartum blood loss were less likely to breastfeed at 5–9 weeks after delivery, while those loss who received support services on breastfeeding were more likely to do so, a local study shows.
Rachel Soon, 30 Nov 2017

A care management program conducted via telephone for caregivers of patients with Alzheimer’s and other forms of dementia is associated with improved outcomes for both patients and carers, according to a new study in the United States.