Prioritization of Iranian Male Mental Disorders Based onlatest Prevalence, Burden, Male/Female Ratio and ExpertPane; a Systematic Review

Mental disorders are the most prevalent health problems in the world. 23.6% of Iranians have atleast one psychological disorder. Men usually neglect their mental health issues, and their top priority mentalhealth disorders should be determined for health planning.

International databases including Med-Line, Scopus, Web of Science, ProQuest, and SID national database were searched from 2015 to October 2020.The latest reported prevalence and percent of total DALY (Disability-adjusted life year), their difference betweensexes as well as the expert panel’s opinion about mental disorders were gathered in a matrix based on the Three-Dimensional Combined Approach Matrix (3D-CAM). Each item got a rank and prioritization was made base onmean rank.

Eight studies were included. The most prevalent mental disorders among the Iranian malepopulation were Major Anxiety Disorders (MADs, 12%) and the highest burden belonged to Major depressivedisorder (MDD) comprising 2.88% of the total DALY. Considering all parameters, the highest priority was theDrug Use Disorders (DUD) followed by Alcohol Use disorders (AUDs), Conduct disorder, MADs, Bipolar disor-der, MDD, and Schizophrenia, respectively.

Men are extremely affected by drug and alcohol usedisorders in Iran and also there is a lack of practical screening and effective interventional programs for thesedisorders in the primary health care system. More intensive harm reduction programs are needed for decreasingdevastating consequences of any substance use disorders as well as improving mental health literacy and raisingawareness toward risk perception for preventive and controlling purposes.