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Published on: February 6, 2019
Alcohol and drug abuse among persons with multiple sclerosis
C H Bombardier1, K D Blake, D M Ehde
1Department of Rehabilitation Medicine, Box 359740, Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104, USA. chb@u.washington.edu
Multiple Sclerosis (Houndmills, Basingstoke, England)
|February 6, 2004
Summary
Substance abuse affects up to 19% of individuals with multiple sclerosis (MS), potentially worsening symptoms and increasing depression. Screening for substance use is crucial for comprehensive MS care.
Area of Science:
- Neurology
- Public Health
- Addiction Medicine
Background:
- Multiple sclerosis (MS) is a chronic neurological disease.
- Substance abuse is a significant public health concern.
- The interplay between MS and substance abuse requires further investigation.
Purpose of the Study:
- To determine the prevalence of substance abuse in a community sample of individuals with MS.
- To assess the impact of substance abuse on persons with MS.
- To inform clinical practice regarding substance abuse in MS care.
Main Methods:
- A mail survey was distributed to members of the Multiple Sclerosis Society.
- The survey included questions on substance abuse, demographics, and health status.
- Data from 708 participants with confirmed MS were analyzed.
Main Results:
- 14% screened positive for alcohol abuse/dependence; 7.4% reported illicit or prescription drug misuse.
- Substance abuse was associated with younger age, lower MS disability, employment, and higher depressive symptoms.
- A significant portion of individuals with alcohol problems expressed interest in cessation support.
Conclusions:
- Substance abuse may affect up to 19% of individuals with MS, contributing to depression.
- Substance abuse poses a heightened risk in MS due to potential exacerbation of neurological deficits.
- Integrated care for MS should incorporate substance abuse screening and intervention strategies.
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