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Narcotic Dependence in Inflammatory Bowel Disease

1988; Lippincott Williams & Wilkins; Volume: 10; Issue: 3 Linguagem: Inglês

10.1097/00004836-198806000-00010

1539-2031

Marvin A. Kaplan, Burton Korelitz,

Health, psychology, and well-being

Thirteen of 43 patients (30%) with inflammatory bowel disease referred for psychiatric consultation were found to be drug dependent, most commonly on oral narcotics. Drug dependence was more frequent in patients with Crohn's disease than ulcerative colitis and many had a borderline personality disorder. The study suggests that drug dependence is not recognized often enough in patients with inflammatory bowel disease and that patients with certain psychiatric dis-orders are at higher risk of developing it. Recognition of drug dependence is aided by interviewing family members. It is best prevented by seeking and treating the specific cause of pain and by having only one physician assigned to prescribe and manage narcotics.