Comorbidity of mental disorder in patients with chronic dis-ease: a comparative study of heroin dependence patients and diabetes mellitus patients

Seghatoleslam, Tahereh and Ardakani, Abolfazl and Habil, Hussain and Abd Rashid, Rusdi (2022) Comorbidity of mental disorder in patients with chronic dis-ease: a comparative study of heroin dependence patients and diabetes mellitus patients. Iranian Journal of Public Health, 51 (1). pp. 142-150. ISSN 2251-6085,

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Abstract

Background: Chronic patients are at greater risk for a psychiatric problem than the normal population; yet, the increased rate of mental disorder among one chronic patient compared to another chronic patient is uncertain. We aimed to assess the rate of mental disorder among people with heroin dependence and diabetes mellitus in comparison with the healthy population. Methods: This cross-sectional study was carried out in Kuala Lumpur, Malaysia in 2017-2020. The study con-sisted of 648 participants including heroin dependence patients, diabetes mellitus patients, and healthy popula-tion. The GHQ-28 and SCL-90-R scales were used to assess mental disorder among the study populations. Results: The current study revealed the rate of mental disorder among heroin dependence patients, diabetes mellitus patients, and healthy population respectively at 52.1, 49.5, and 23.2 using SCL-90-R and GHQ-28. The rate of mental disorder in both heroin dependent (OR 95= 3.59: 2.37-5.44) and diabetic groups (OR 95=3.25: 2.14-4.92) were significantly more than the healthy population; however, the odds ratio of mental disorder was not significantly different between heroin dependent and diabetic groups. Furthermore, the results revealed an acceptable agreement between SCL-90-R and GHQ-28 to detect mental disorders (Kappa=0.60; P<0.001). Conclusion: People with diabetes mellitus and heroin dependence have significantly poorer mental health than healthy people in Malaysia have. Furthermore, the equivalent rate of mental disorder among such patients sug-gests that heroin dependence patients are not more distressed than diabetes mellitus patients are. However, fur-ther comparative studies are needed to prove these findings. © 2022 Seghatoleslam et al.

Item Type: Article
Funders: University Malaya Center of Addiction Sciences
Uncontrolled Keywords: Diabetes Mellitus; Heroin dependence; Mental disorder
Subjects: R Medicine
Divisions: Faculty of Medicine > Psychological Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 09 Oct 2023 08:38
Last Modified: 09 Oct 2023 08:38
URI: http://eprints.um.edu.my/id/eprint/43171

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