Patients with Hidradenitis Suppurativa have a higher risk of psychological disorders

The psychiatrist points out that people with this condition are more likely to suffer from these disorders.

Dr. John Sanchez, assigned to the Department of Psychiatry on the Medical Sciences Campus. Photo: Journal of Medicine and Public Health.

IN hydradenitis Suppuration is a chronic disease that causes pain in patients, in addition to suppuration, discomfort and inflammation, generating various restrictions on the normal development of daily life.

According to Dr. John Sanchez, attached to the Department of Psychiatry on the Medical Sciences Campusaffects not only the physical health of the patient, but also affects their emotional and psychological health, reducing the quality of life and increasing the risk of suffering from various mental disorders.

“There are symptoms such as depression and anxiety, but following diagnostic criteria, as assessed by a psychologist or psychiatrist, there are clinical disorders that patients may experience in addition to symptoms,” he said during the Awareness Awareness Symposium. Hydradenitis Suppurative ”, published by the Journal of Medicine and Public Health.

In this regard, he explained that there is an increased risk of disorders related to substance use, alcohol use, depression and anxiety. As well as increasing the risk of suicide to twice as high in patients with hydradenitisleading to the need for multidisciplinary treatment by physicians.

Aspects that affect mental health

“As in mental health, we try to conceptualize a specific clinical case using a biopsychosocial model or perspective, where we try to take into account the biological, psychological and social aspects that affect the patient,” he said.

Biological aspects include genetics, family history, current health and the use of substances that affect the biological part. On the other hand, the psychological factor is related to what he calls “coping techniques, personal development, parenting and protection mechanism”.

Finally, there is the social part, which includes the environment in which the patient develops, the factors that can be stressors, work, education, interpersonal relationships and family environment. It is important for Dr. Sanchez to analyze all of these areas in order to guide the treatment of a patient’s mental health.

Factors affecting a patient with hydradenitis

Biological: chronic pain

One of the biological triggers of a mental health problem is pain, which is very characteristic of the condition. “IN hydradenitis the purulent frequency goes unnoticed, it is a painful condition that, if not managed well in the long run, can turn into chronic pain, ”explains the doctor.

At the same time, this indicates that chronic pain may occur because the treatment or drugs that were usually effective for the treatment stop working, and it is crucial for the patient to reduce their sensation of pain so that they can begin. use other types of substances, such as opioids, including “the element of self-medication that can accelerate the risk of disorder.

Similarly, the stage or severity of the disease affects the patient’s perception of the condition. In this regard, the specialist explains that “the factor is related to the development of depression, anxiety or any of these disorders, as there may be a discrepancy between what is reality and what the patient observes.”

According to the above, the use of drugs for treatment, whether primary medicine or psychiatry, can generate side effects on the skin, presenting skin manifestations or fluctuations in weight, which changes the patient’s perception.

Psychological: insecurity

The main psychological factors analyzed by mental health professionals are: coping mechanisms, insecurity, self-image, history of trauma and loss related to life. hydradenitis purulent

Regarding coping mechanisms, Dr Sanchez stated that “what is observed in patients with HS (due to special experience in dealing with different situations) is the risk of using coping patterns, such as social exclusion. “.

This behavior is proven when patients stop attending social gatherings, family activities or avoid being in an environment that creates discomfort. For the specialist, this type of coping model is called avoidant, and what he does is heighten fears, anxieties, and negative thoughts.

“Generally speaking, you have to face these possible fears; these processes are something that is happening little by little, as well as the factor of uncertainty and the change in the perception of the body, “he added.

There are also traumas that do not relate exactly to situations of violence, but moments that can be common and cause shame or embarrassment to the patient in the environment in which he operates. For Dr. Sanchez, this can become a psychological problem.

Finally, within psychological factors are losses; of independence in social, economic, labor and emotional.

Social isolation

Many patients with hydradenitis state that every day they fight the stigma of their condition, “there is still a great stigma in seeking treatment and to know more about the importance of mental health, as the disease requires people to face all sorts of situations that may cause shame, “he added.

With this in mind, the resident of the Department of Psychiatry at the Campus of Medical Sciences recommends that patients seek treatment, consult a specialist on how to control odor, because “we know that this is a different additional element in the dermatological condition and can cause a lot of pain.” , and ask for a mental health professional and document yourself with support groups, as this contributes to mental health.

“The management of mental illness will help in the most complete management of hydradenitis purulent, “he said.

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