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Int J Public Health. 2018 May;63(Suppl 1):25-37. doi: 10.1007/s00038-017-1006-1. Epub 2017 Aug 3.

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

Collaborators (190)

Charara R, El Bcheraoui C, Khalil I, Moradi-Lakeh M, Afshin A, Kassebaum NJ, Collison M, Krohn KJ, Chew A, Daoud F, Charlson FJ, Colombara D, Degenhardt L, Ehrenkranz R, Erskine HE, Ferrari AJ, Kutz M, Leung J, Santomauro D, Wang H, Whiteford HA, Abajobir AA, Abd-Allah F, Abraha HN, Abu-Raddad LJ, Ahmad Kiadaliri A, Ahmadi A, Ahmed KY, Ahmed MB, Al Lami FH, Alam K, Alasfoor D, Alizadeh-Navaei R, Alkaabi JM, Al-Maskari F, Al-Raddadi R, Altirkawi KA, Anber N, Ansari H, Asayesh H, Asghar RJ, Atey TM, Awoke Ayele T, Bärnighausen T, Bacha U, Barac A, Barker-Collo SL, Baune BT, Bazargan-Hejazi S, Bedi N, Bensenor IM, Berhane A, Beyene AS, Bhutta ZA, Boneya DJ, Borschmann R, Breitborde NJK, Butt ZA, Catalá-López F, Ciobanu LG, Danawi H, Deribew A, Dharmaratne SD, Doyle KE, Endries AY, Faraon EJA, Faro A, Farvid MS, Fekadu W, Fereshtehnejad SM, Fischer F, Gebrehiwot TT, Giref AZ, Gishu MD, Goulart AC, Habtewold TD, Hamadeh RR, Hambisa MT, Hamidi S, Haro JM, Hassanvand MS, Horita N, Hsairi M, Huang H, Husseini A, Jakovljevic MB, James SL, Jonas JB, Kasaeian A, Khader YS, Khan EA, Khoja ATA, Khosravi A, Khubchandani J, Kim D, Kim YJ, Kokubo Y, Koyanagi A, Defo BK, Larson HJ, Latif AA, Lee PH, Leshargie CT, Leung R, Lo LT, Lunevicius R, Magdy Abd El Razek H, Magdy Abd El Razek M, Majdzadeh R, Majeed A, Malekzadeh R, Martinez-Raga J, Masoudi Farid H, Mazidi M, McGrath JJ, Memish ZA, Mendoza W, Mengesha MM, Mengistie MA, Mezgebe HB, Miller TR, Mitchell PB, Mohammadi A, Mohammed S, Obermeyer CM, Ogbo FA, Palomares Castillo E, Papachristou C, Patten SB, Patton GC, Pervaiz A, Phillips MR, Pourmalek F, Qorbani M, Radfar A, Rafay A, Rahimi-Movaghar V, Rai RK, Rawaf DL, Rawaf S, Refaat AH, Rezaei S, Rezai MS, Roshandel G, Safdarian M, Safiabadi M, Safiri S, Sagar R, Sahraian MA, Salamati P, Samy AM, Sartorius B, Saylan MI, Seedat S, Sepanlou SG, Shaikh MA, Shamsizadeh M, Silva DAS, Singh JA, Sobaih BHA, Stein DJ, Suliankatchi Abdulkader R, Sykes BL, Tabarés-Seisdedos R, Tabb KM, Tehrani-Banihashemi A, Temsah MH, Terkawi AS, Topor-Madry R, Ukwaja KN, Uthman OA, Vollset SE, Wakayo T, Wang YP, Werdecker A, Westerman R, Workicho A, Yaghoubi M, Yimam HH, Yonemoto N, Younis MZ, Yu C, Zaki MES, Zein B, Jumaan AO, Vos T, Hay SI, Naghavi M, Murray CJL, Mokdad AH.

Abstract

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.

KEYWORDS:

Anxiety disorders; Burden of disease; Depressive disorders; Eastern Mediterranean region; Mental health

Comment in

PMID:
28776247
PMCID:
PMC5973970
DOI:
10.1007/s00038-017-1006-1
[Indexed for MEDLINE]
Free PMC Article

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