SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
JEPPE, C Y; SZABO, C P and SMITH, M D. Chronic pancreatitis, depression and substance use disorders: A not uncommon combination. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.3, pp. 179-180. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.8885.
Chronic pancreatitis (CP) is a progressive and debilitating disease. A potentially important consideration is the relationship between CP, depression and substance use disorders, which seems to be circular and multiplicative. Pain management is a critical component of intervention, and it would seem that in the context of chronic illness this requires a biopsychosocial approach aiming for a tailored intervention that strikes an appropriate therapeutic balance.