The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study

Objectives Mental disorders are among the leading causes of nonfatal burden of disease globally. Methods We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders accor...

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Veröffentlicht in:International journal of public health 2018-05, Vol.63 (Suppl 1), p.25-37
Hauptverfasser: Mokdad, Ali H., Ahmad Kiadaliri, Aliasghar
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creator Mokdad, Ali H.
Ahmad Kiadaliri, Aliasghar
description Objectives Mental disorders are among the leading causes of nonfatal burden of disease globally. Methods We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. Results Mental disorders contributed to 4.7% (95% uncertainty interval (UI) 3.7–5.6%) of total disability-adjusted life-years (DALYs), ranking as the ninth leading cause of disease burden. Depressive disorders and anxiety disorders were the third and ninth leading causes of nonfatal burden, respectively. Almost all countries in the EMR had higher age-standardized mental disorder DALYs rates compared to the global level, and in half of the EMR countries, observed mental disorder rates exceeded the expected values. Conclusions The burden of mental disorders in the EMR is higher than global levels, particularly for women. To properly address this burden, EMR governments should implement nationwide quality epidemiological surveillance of mental disorders and provide adequate prevention and treatment services.
doi_str_mv 10.1007/s00038-017-1006-1
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Methods We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. Results Mental disorders contributed to 4.7% (95% uncertainty interval (UI) 3.7–5.6%) of total disability-adjusted life-years (DALYs), ranking as the ninth leading cause of disease burden. Depressive disorders and anxiety disorders were the third and ninth leading causes of nonfatal burden, respectively. Almost all countries in the EMR had higher age-standardized mental disorder DALYs rates compared to the global level, and in half of the EMR countries, observed mental disorder rates exceeded the expected values. Conclusions The burden of mental disorders in the EMR is higher than global levels, particularly for women. To properly address this burden, EMR governments should implement nationwide quality epidemiological surveillance of mental disorders and provide adequate prevention and treatment services.</description><identifier>ISSN: 1661-8556</identifier><identifier>ISSN: 1661-8564</identifier><identifier>EISSN: 1661-8564</identifier><identifier>DOI: 10.1007/s00038-017-1006-1</identifier><identifier>PMID: 28776247</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; Aged ; Clinical Medicine ; Environmental Health ; Female ; Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ; Global Burden of Disease - statistics &amp; numerical data ; Global Health ; Health risk assessment ; Health Sciences ; Humans ; Hälsovetenskap ; Klinisk medicin ; Male ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Medicine ; Medicine &amp; Public Health ; Mediterranean Region - epidemiology ; Mental disorders ; Mental Disorders - economics ; Mental Disorders - epidemiology ; Middle Aged ; Middle East - epidemiology ; Occupational Medicine/Industrial Medicine ; Original ; Original Article ; Psychiatry ; Psykiatri ; Public Health ; Public Health, Global Health, Social Medicine and Epidemiology ; Quality-Adjusted Life Years ; Risk Factors ; Young Adult</subject><ispartof>International journal of public health, 2018-05, Vol.63 (Suppl 1), p.25-37</ispartof><rights>The Author(s) 2017</rights><rights>International Journal of Public Health is a copyright of Springer, (2017). 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Methods We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. Results Mental disorders contributed to 4.7% (95% uncertainty interval (UI) 3.7–5.6%) of total disability-adjusted life-years (DALYs), ranking as the ninth leading cause of disease burden. Depressive disorders and anxiety disorders were the third and ninth leading causes of nonfatal burden, respectively. Almost all countries in the EMR had higher age-standardized mental disorder DALYs rates compared to the global level, and in half of the EMR countries, observed mental disorder rates exceeded the expected values. Conclusions The burden of mental disorders in the EMR is higher than global levels, particularly for women. 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Methods We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. Results Mental disorders contributed to 4.7% (95% uncertainty interval (UI) 3.7–5.6%) of total disability-adjusted life-years (DALYs), ranking as the ninth leading cause of disease burden. Depressive disorders and anxiety disorders were the third and ninth leading causes of nonfatal burden, respectively. Almost all countries in the EMR had higher age-standardized mental disorder DALYs rates compared to the global level, and in half of the EMR countries, observed mental disorder rates exceeded the expected values. Conclusions The burden of mental disorders in the EMR is higher than global levels, particularly for women. To properly address this burden, EMR governments should implement nationwide quality epidemiological surveillance of mental disorders and provide adequate prevention and treatment services.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28776247</pmid><doi>10.1007/s00038-017-1006-1</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Clinical Medicine
Environmental Health
Female
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Global Burden of Disease - statistics & numerical data
Global Health
Health risk assessment
Health Sciences
Humans
Hälsovetenskap
Klinisk medicin
Male
Medical and Health Sciences
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Mediterranean Region - epidemiology
Mental disorders
Mental Disorders - economics
Mental Disorders - epidemiology
Middle Aged
Middle East - epidemiology
Occupational Medicine/Industrial Medicine
Original
Original Article
Psychiatry
Psykiatri
Public Health
Public Health, Global Health, Social Medicine and Epidemiology
Quality-Adjusted Life Years
Risk Factors
Young Adult
title The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study
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