The burden of mental disorders in the eastern mediterranean region, 1990-2013

Charara, Raghid, Forouzanfar, Mohammad, Naghavi, Mohsen, Moradi-Lakeh, Maziar, Afshin, Ashkan, Vos, Theo, Daoud, Farah, Wang, Haidong, Bcheraoui, Charbel El, 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, Rayess, Zulfa A. Al, 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, Haro, Josep Maria, 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, Shiue, Ivy, Skogen, Jens Christoffer, Stein, Dan J., Tabb, Karen M., Whiteford, Harvey A., Yip, Paul, Yonemoto, Naohiro, Murray, Christopher J. L. and Mokdad, Ali H. (2017) The burden of mental disorders in the eastern mediterranean region, 1990-2013. PLoS One, 12 1: e0169575. doi:10.1371/journal.pone.0169575

Author Charara, Raghid
Forouzanfar, Mohammad
Naghavi, Mohsen
Moradi-Lakeh, Maziar
Afshin, Ashkan
Vos, Theo
Daoud, Farah
Wang, Haidong
Bcheraoui, Charbel El
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
Rayess, Zulfa A. Al
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
Haro, Josep Maria
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
Shiue, Ivy
Skogen, Jens Christoffer
Stein, Dan J.
Tabb, Karen M.
Whiteford, Harvey A.
Yip, Paul
Yonemoto, Naohiro
Murray, Christopher J. L.
Mokdad, Ali H.
Title The burden of mental disorders in the eastern mediterranean region, 1990-2013
Journal name PLoS One   Check publisher's open access policy
ISSN 1932-6203
Publication date 2017-01-17
Year available 2017
Sub-type Article (original research)
DOI 10.1371/journal.pone.0169575
Open Access Status DOI
Volume 12
Issue 1
Start page e0169575
Total pages 17
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Language eng
Subject 2700 Medicine
1300 Biochemistry, Genetics and Molecular Biology
1100 Agricultural and Biological Sciences
Abstract 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 Burden of Mental Disorders in EMR PLOS ONE 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.
Keyword Community Psychiatric Survey
Global Burden
Systematic Analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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