The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

Charara R, Forouzanfar M, Naghavi M, Moradi-Lakeh M, Afshin A, Vos T, Daoud F, Wang H, El Bcheraoui C, Khalil I, Hamadeh RR, et al. (2017)
PLOS ONE 12(1): e0169575.

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Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Abstract / Bemerkung
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.
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Charara R, Forouzanfar M, Naghavi M, et al. The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE. 2017;12(1): e0169575.
Charara, R., Forouzanfar, M., Naghavi, M., Moradi-Lakeh, M., Afshin, A., Vos, T., Daoud, F., et al. (2017). The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE, 12(1), e0169575. doi:10.1371/journal.pone.0169575
Charara, R., Forouzanfar, M., Naghavi, M., Moradi-Lakeh, M., Afshin, A., Vos, T., Daoud, F., Wang, H., El Bcheraoui, C., Khalil, I., et al. (2017). The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE 12:e0169575.
Charara, R., et al., 2017. The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE, 12(1): e0169575.
R. Charara, et al., “The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013”, PLOS ONE, vol. 12, 2017, : e0169575.
Charara, R., Forouzanfar, M., Naghavi, M., Moradi-Lakeh, M., Afshin, A., Vos, T., Daoud, F., Wang, H., El Bcheraoui, C., Khalil, I., Hamadeh, R.R., Khosravi, A., Rahimi-Movaghar, V., Khader, Y., Al-Hamad, N., Obermeyer, C.M., Rafay, A., Asghar, R., Rana, S.M., Shaheen, A., Abu-Rmeileh, N.M.E., Husseini, A., Abu-Raddad, L.J., Khoja, T., Al Rayess, Z.A., AlBuhairan, F.S., Hsairi, M., Alomari, M.A., Ali, R., Roshandel, G., Terkawi, A.S., Hamidi, S., Refaat, A.H., Westerman, R., Kiadaliri, A.A., Akanda, A.S., Ali, S.D., Bacha, U., Badawi, A., Bazargan-Hejazi, S., Faghmous, I.A.D., Fereshtehnejad, S.-M., Fischer, F., Jonas, J.B., Defo, B.K., Mehari, A., Omer, S.B., Pourmalek, F., Uthman, O.A., Mokdad, A.A., Maalouf, F.T., Abd-Allah, F., Akseer, N., Arya, D., Borschmann, R., Brazinova, A., Brugha, T.S., Catala-Lopez, F., Degenhardt, L., Ferrari, A., Maria Haro, J., Horino, M., Hornberger, J.C., Huang, H., Kieling, C., Kim, D., Kim, Y., Knudsen, A.K., Mitchell, P.B., Patton, G., Sagar, R., Satpathy, M., Savuon, K., Seedat, S., Shiuem, I., Skogen, J.C., Stein, D.J., Tabb, K.M., Whitefored, H.A., Yip, P., Yonemoto, N., Murray, C.J.L., Mokdad, A.H.: The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE. 12, : e0169575 (2017).
Charara, Raghid, Forouzanfar, Mohammad, Naghavi, Mohsen, Moradi-Lakeh, Maziar, Afshin, Ashkan, Vos, Theo, Daoud, Farah, Wang, Haidong, El Bcheraoui, Charbel, Khalil, Ibrahim, Hamadeh, Randah R., Khosravi, Ardeshir, Rahimi-Movaghar, Vafa, Khader, Yousef, Al-Hamad, Nawal, Obermeyer, Carla Makhlouf, Rafay, Anwar, Asghar, Rana, Rana, Saleem M., Shaheen, Amira, Abu-Rmeileh, Niveen M. E., Husseini, Abdullatif, Abu-Raddad, Laith J., Khoja, Tawfik, Al Rayess, Zulfa A., AlBuhairan, Fadia S., Hsairi, Mohamed, Alomari, Mahmoud A., Ali, Raghib, Roshandel, Gholamreza, Terkawi, Abdullah Sulieman, Hamidi, Samer, Refaat, Amany H., Westerman, Ronny, Kiadaliri, Aliasghar Ahmad, Akanda, Ali S., Ali, Syed Danish, Bacha, Umar, Badawi, Alaa, Bazargan-Hejazi, Shahrzad, Faghmous, Imad A. D., Fereshtehnejad, Seyed-Mohammad, Fischer, Florian, Jonas, Jost B., Defo, Barthelemy Kuate, Mehari, Alem, Omer, Saad B., Pourmalek, Farshad, Uthman, Olalekan A., Mokdad, Ali A., Maalouf, Fadi T., Abd-Allah, Foad, Akseer, Nadia, Arya, Dinesh, Borschmann, Rohan, Brazinova, Alexandra, Brugha, Traolach S., Catala-Lopez, Ferran, Degenhardt, Louisa, Ferrari, Alize, Maria Haro, Josep, Horino, Masako, Hornberger, John C., Huang, Hsiang, Kieling, Christian, Kim, Daniel, Kim, Yunjin, Knudsen, Ann Kristin, Mitchell, Philip B., Patton, George, Sagar, Rajesh, Satpathy, Maheswar, Savuon, Kim, Seedat, Soraya, Shiuem, Ivy, Skogen, Jens Christoffer, Stein, Dan J., Tabb, Karen M., Whitefored, Harvey A., Yip, Paul, Yonemoto, Naohiro, Murray, Christopher J. L., and Mokdad, Ali H. “The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013”. PLOS ONE 12.1 (2017): e0169575.

11 Zitationen in Europe PMC

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PMID: 16539793
Diabetes and anxiety in US adults: findings from the 2006 Behavioral Risk Factor Surveillance System.
Li C, Barker L, Ford ES, Zhang X, Strine TW, Mokdad AH., Diabet. Med. 25(7), 2008
PMID: 18644077
Prevalence and correlates of undiagnosed depression among U.S. adults with diabetes: the Behavioral Risk Factor Surveillance System, 2006.
Li C, Ford ES, Zhao G, Ahluwalia IB, Pearson WS, Mokdad AH., Diabetes Res. Clin. Pract. 83(2), 2008
PMID: 19111364
Depression, anxiety, and physical impairments and quality of life in the U.S. noninstitutionalized population.
Strine TW, Chapman DP, Kobau R, Balluz L, Mokdad AH., Psychiatr Serv 55(12), 2004
PMID: 15572569
Mental health in the Syrian crisis: beyond immediate relief
AUTHOR UNKNOWN, 2015
Estimating the true global burden of mental illness.
Vigo D, Thornicroft G, Atun R., Lancet Psychiatry 3(2), 2016
PMID: 26851330
A new agenda for mental health in the Eastern Mediterranean Region.
Alwan A, Saeed K., East. Mediterr. Health J. 21(7), 2015
PMID: 26442883
Addressing the burden of mental, neurological, and substance use disorders: key messages from Disease Control Priorities, 3rd edition
AUTHOR UNKNOWN, 2015
Collaborative care for patients with depression and chronic illnesses.
Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, Peterson D, Rutter CM, McGregor M, McCulloch D., N. Engl. J. Med. 363(27), 2010
PMID: 21190455

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