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

Gbd 2015 Eastern Mediterranean Region Mental Health Collaborators, Karen Margaret-Tabb Dina

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)25-37
Number of pages13
JournalInternational Journal of Public Health
Volume63
DOIs
StatePublished - May 1 2018

Fingerprint

Mediterranean Region
Mental Disorders
Quality-Adjusted Life Years
Global Burden of Disease
International Classification of Diseases
Depressive Disorder
Anxiety Disorders
Diagnostic and Statistical Manual of Mental Disorders
Uncertainty
Wounds and Injuries

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The burden of mental disorders in the Eastern Mediterranean region, 1990–2015 : findings from the global burden of disease 2015 study. / Gbd 2015 Eastern Mediterranean Region Mental Health Collaborators ; Dina, Karen Margaret-Tabb.

In: International Journal of Public Health, Vol. 63, 01.05.2018, p. 25-37.

Research output: Contribution to journalArticle

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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",
author = "{Gbd 2015 Eastern Mediterranean Region Mental Health Collaborators} and Raghid Charara and Charbel Elbcheraoui and Ibrahim Khalil and Maziar Moradi-Lakeh and Ashkan Afshin and Kassebaum, {Nicholas J.} and Michael Collison and Krohn, {Kristopher J.} and Adrienne Chew and Farah Daoud and Charlson, {Fiona J.} and Danny Colombara and Louisa Degenhardt and Rebecca Ehrenkranz and Erskine, {Holly E.} and Ferrari, {Alize J.} and Michael Kutz and Janni Leung and Damian Santomauro and Haidong Wang and Whiteford, {Harvey A.} and Abajobir, {Amanuel Alemu} and Foad Abd-Allah and Abraha, {Haftom Niguse} and Abu-Raddad, {Laith J.} and Aliasghar Ahmadkiadaliri and Alireza Ahmadi and Ahmed, {Kedir Yimam} and Ahmed, {Muktar Beshir} and Allami, {Faris Hasan} and Khurshid Alam and Deena Alasfoor and Reza Alizadeh-Navaei and Alkaabi, {Juma M.} and Fatma Al-Maskari and Rajaa Al-Raddadi and Altirkawi, {Khalid A.} and Nahla Anber and Hossein Ansari and Hamid Asayesh and Asghar, {Rana Jawad} and Atey, {Tesfay Mehari} and Tadesse Awokeayele and Till B{\"a}rnighausen and Umar Bacha and Aleksandra Barac and Barker-Collo, {Suzanne L.} and Baune, {Bernhard T.} and Shahrzad Bazargan-Hejazi and Dina, {Karen Margaret-Tabb}",
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T2 - findings from the global burden of disease 2015 study

AU - Gbd 2015 Eastern Mediterranean Region Mental Health Collaborators

AU - Charara, Raghid

AU - Elbcheraoui, Charbel

AU - Khalil, Ibrahim

AU - Moradi-Lakeh, Maziar

AU - Afshin, Ashkan

AU - Kassebaum, Nicholas J.

AU - Collison, Michael

AU - Krohn, Kristopher J.

AU - Chew, Adrienne

AU - Daoud, Farah

AU - Charlson, Fiona J.

AU - Colombara, Danny

AU - Degenhardt, Louisa

AU - Ehrenkranz, Rebecca

AU - Erskine, Holly E.

AU - Ferrari, Alize J.

AU - Kutz, Michael

AU - Leung, Janni

AU - Santomauro, Damian

AU - Wang, Haidong

AU - Whiteford, Harvey A.

AU - Abajobir, Amanuel Alemu

AU - Abd-Allah, Foad

AU - Abraha, Haftom Niguse

AU - Abu-Raddad, Laith J.

AU - Ahmadkiadaliri, Aliasghar

AU - Ahmadi, Alireza

AU - Ahmed, Kedir Yimam

AU - Ahmed, Muktar Beshir

AU - Allami, Faris Hasan

AU - Alam, Khurshid

AU - Alasfoor, Deena

AU - Alizadeh-Navaei, Reza

AU - Alkaabi, Juma M.

AU - Al-Maskari, Fatma

AU - Al-Raddadi, Rajaa

AU - Altirkawi, Khalid A.

AU - Anber, Nahla

AU - Ansari, Hossein

AU - Asayesh, Hamid

AU - Asghar, Rana Jawad

AU - Atey, Tesfay Mehari

AU - Awokeayele, Tadesse

AU - Bärnighausen, Till

AU - Bacha, Umar

AU - Barac, Aleksandra

AU - Barker-Collo, Suzanne L.

AU - Baune, Bernhard T.

AU - Bazargan-Hejazi, Shahrzad

AU - Dina, Karen Margaret-Tabb

PY - 2018/5/1

Y1 - 2018/5/1

N2 - 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.

AB - 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.

KW - Anxiety disorders

KW - Burden of disease

KW - Depressive disorders

KW - Eastern Mediterranean region

KW - Mental health

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U2 - 10.1007/s00038-017-1006-1

DO - 10.1007/s00038-017-1006-1

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