6533b82efe1ef96bd1292886
RESEARCH PRODUCT
The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013.
Ali S. AkandaJost B. JonasDinesh AryaTraolach S. BrughaHaidong WangRandah R. HamadehRohan BorschmannSamer HamidiAliasghar Ahmad KiadaliriMohammad H. ForouzanfarMohsen NaghaviYun Jin KimFadi T. MaaloufRaghid ChararaJosep Maria HaroCharbel El BcheraouiSeyed-mohammad FereshtehnejadDan J. SteinDaniel KimSaad B. OmerLaith J. Abu-raddadLaith J. Abu-raddadPhilip B. MitchellNaohiro YonemotoPaul S. F. YipRaghib AliCarla Makhlouf ObermeyerRajesh SagarYousef KhaderAli H. MokdadFerrán Catalá-lópezTawfik Ahmed Muthafer KhojaMahmoud A. AlomariKim SavuonIbrahim A KhalilGholamreza RoshandelAshkan AfshinAli A. MokdadBarthelemy Kuate DefoNadia AkseerMaheswar SatpathyRonny WestermanTheo VosFlorian FischerFarshad PourmalekSoraya SeedatNawal Al-hamadSaleem M RanaIvy ShiueAbdullatif HusseiniOlalekan A. UthmanMaziar Moradi-lakehMaziar Moradi-lakehShahrzad Bazargan-hejaziShahrzad Bazargan-hejaziAlize J. FerrariAlize J. FerrariMohamed HsairiMasako HorinoChristian KielingUmar BachaZulfa A. Al RayessRahimi-movaghar VAmany H RefaatAmany H RefaatKaren M. TabbAnn Kristin KnudsenJens Christoffer SkogenJens Christoffer SkogenAlem MehariLouisa DegenhardtRana Jawad AsgharJohn C. HornbergerAlexandra BrazinovaAlaa BadawiFoad Abd-allahImad A.d. FaghmousImad A.d. FaghmousFarah DaoudArdeshir KhosraviFadia AlbuhairanGeorge C PattonSyed Danish AliAbdullah Sulieman TerkawiAbdullah Sulieman TerkawiHsiang HuangChristopher J L MurrayHarvey WhitefordNiveen M E Abu-rmeilehAnwar RafayAmira Shaheensubject
MaleGerontologyTime FactorsL900Health Statuslcsh:MedicineGlobal HealthGeographical Locations0302 clinical medicineMedicine and Health SciencesGlobal healthPublic and Occupational Health030212 general & internal medicineChildlcsh:ScienceDepression (differential diagnoses)Aged 80 and overeducation.field_of_studyPublic healthMultidisciplinaryMediterranean RegionDepressionMental DisordersAge FactorsMiddle AgedAnxiety DisordersSocioeconomic Aspects of HealthMental illnessChild PreschoolMediterrània orientalAnxietyFemaleEgyptmedicine.symptomResearch ArticleAdultAdolescentEastern MediterraneanPopulationNeuropsychiatric DisordersNeurosesYoung Adult03 medical and health sciencesLife ExpectancySex FactorsMental Health and PsychiatrymedicineHumanseducationDisease burdenAgedMood Disordersbusiness.industrylcsh:RInfant NewbornInfantMental illnessmedicine.diseaseMental healthSalut pública030227 psychiatryHealth CareB900Age GroupsPeople and PlacesAfricaLife expectancyRC0321Population Groupingslcsh:QbusinessMalalties mentalsDemographydescription
The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost-YLLs) and nonfatal outcomes (years lived with disability-YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100,000 population): 2519 DALYS/100,000 (2590/100,000 males, 2426/100,000 females) in high-income countries, 1884 DALYS/100,000 (1618/100,000 males, 2157/100,000 females) in middle-income countries, 1607 DALYS/100,000 (1500/100,000 males, 1717/100,000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25-49 age group, with a peak in the 35-39 years age group (5344 DALYs/100,000). The burden of mental disorders in EMR increased from 1726 DALYs/100,000 in 1990 to 1912 DALYs/100,000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of diseases in the region.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-01-17 |