Psychiatric comorbidity among community-based, treatment seeking opioid dependents in klang valley

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Abstract

The main objectives in this study were to determine the percentage of psychiatric comorbidity among treatment seeking opioid dependents in Klang Valley. A cross sectional study of opioid dependence patients was conducted between December 2007 and May 2008 at ten community-based drug substitution therapy clinics in Klang Valley. A total of 204 opioid dependence patients participated in the study using the structured clinical interview for DSM-IV Axis I disorders (SCID-I) as its instruments. The percentage of psychiatric comorbidity among opioid dependents was 43.6%. Major depressive disorder had the highest prevalence at 32.6%, followed by dysthymia at 23.6% and Panic disorder at 14.6%. Psychiatric comorbidity were found to have significant differences (p>0.05) in connection with history of polysubstance abuse, previous history of court sentences (legal status) and family history of psychiatric illnesses. This study showed that the percentage of psychiatric comorbidity is high among the opioid dependents. It highlights the urgent need for the psychiatric comorbidity to be assessed and early intervention is important for this group of patients.

Original languageEnglish
Pages (from-to)417-421
Number of pages5
JournalSains Malaysiana
Volume42
Issue number3
Publication statusPublished - Mar 2013

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Opioid Analgesics
Psychiatry
Comorbidity
Therapeutics
Drug Substitution
Panic Disorder
Major Depressive Disorder
Jurisprudence
Diagnostic and Statistical Manual of Mental Disorders
Cross-Sectional Studies
Interviews
Drug Therapy

Keywords

  • Opioid dependents
  • Psychiatry comorbidity

ASJC Scopus subject areas

  • General

Cite this

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title = "Psychiatric comorbidity among community-based, treatment seeking opioid dependents in klang valley",
abstract = "The main objectives in this study were to determine the percentage of psychiatric comorbidity among treatment seeking opioid dependents in Klang Valley. A cross sectional study of opioid dependence patients was conducted between December 2007 and May 2008 at ten community-based drug substitution therapy clinics in Klang Valley. A total of 204 opioid dependence patients participated in the study using the structured clinical interview for DSM-IV Axis I disorders (SCID-I) as its instruments. The percentage of psychiatric comorbidity among opioid dependents was 43.6{\%}. Major depressive disorder had the highest prevalence at 32.6{\%}, followed by dysthymia at 23.6{\%} and Panic disorder at 14.6{\%}. Psychiatric comorbidity were found to have significant differences (p>0.05) in connection with history of polysubstance abuse, previous history of court sentences (legal status) and family history of psychiatric illnesses. This study showed that the percentage of psychiatric comorbidity is high among the opioid dependents. It highlights the urgent need for the psychiatric comorbidity to be assessed and early intervention is important for this group of patients.",
keywords = "Opioid dependents, Psychiatry comorbidity",
author = "Azlin Baharudin and Lotfi Anuar and {Mohamed Saini}, Suriati and Bakar, {Osman Che} and Rosdinom Razali and {Nik Jaafar}, {Nik Ruzyanei}",
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AU - Baharudin, Azlin

AU - Anuar, Lotfi

AU - Mohamed Saini, Suriati

AU - Bakar, Osman Che

AU - Razali, Rosdinom

AU - Nik Jaafar, Nik Ruzyanei

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N2 - The main objectives in this study were to determine the percentage of psychiatric comorbidity among treatment seeking opioid dependents in Klang Valley. A cross sectional study of opioid dependence patients was conducted between December 2007 and May 2008 at ten community-based drug substitution therapy clinics in Klang Valley. A total of 204 opioid dependence patients participated in the study using the structured clinical interview for DSM-IV Axis I disorders (SCID-I) as its instruments. The percentage of psychiatric comorbidity among opioid dependents was 43.6%. Major depressive disorder had the highest prevalence at 32.6%, followed by dysthymia at 23.6% and Panic disorder at 14.6%. Psychiatric comorbidity were found to have significant differences (p>0.05) in connection with history of polysubstance abuse, previous history of court sentences (legal status) and family history of psychiatric illnesses. This study showed that the percentage of psychiatric comorbidity is high among the opioid dependents. It highlights the urgent need for the psychiatric comorbidity to be assessed and early intervention is important for this group of patients.

AB - The main objectives in this study were to determine the percentage of psychiatric comorbidity among treatment seeking opioid dependents in Klang Valley. A cross sectional study of opioid dependence patients was conducted between December 2007 and May 2008 at ten community-based drug substitution therapy clinics in Klang Valley. A total of 204 opioid dependence patients participated in the study using the structured clinical interview for DSM-IV Axis I disorders (SCID-I) as its instruments. The percentage of psychiatric comorbidity among opioid dependents was 43.6%. Major depressive disorder had the highest prevalence at 32.6%, followed by dysthymia at 23.6% and Panic disorder at 14.6%. Psychiatric comorbidity were found to have significant differences (p>0.05) in connection with history of polysubstance abuse, previous history of court sentences (legal status) and family history of psychiatric illnesses. This study showed that the percentage of psychiatric comorbidity is high among the opioid dependents. It highlights the urgent need for the psychiatric comorbidity to be assessed and early intervention is important for this group of patients.

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KW - Psychiatry comorbidity

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