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Iranian Journal of Public Health، جلد ۵۱، شماره ۱، صفحات ۱۴۲-۱۵۰
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عنوان انگلیسی Comorbidity of Mental Disorder in Patients with Chronic Disease: A Comparative Study of Heroin Dependence Patients and Diabetes Mellitus Patients
چکیده انگلیسی مقاله 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 consisted of 648 participants including heroin dependence patients, diabetes mellitus patients, and healthy population. 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 suggests that heroin dependence patients are not more distressed than diabetes mellitus patients are. However, further comparative studies are needed to prove these findings.
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نویسندگان مقاله | Tahereh Seghatoleslam
1. Department of Psychological Medicine, Medical Faculty, University of Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia 2. Department of Psychiatry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Abolfazl Ardakani
Department of Psychological Medicine, Medical Faculty, University of Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia


| Hussain Habil
Department of Psychiatry, Faculty of Medicine, Masha University, Kuala Lumpur, Malaysia


| Rusid Rashid
Department of Psychological Medicine, Medical Faculty, University of Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/18712
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