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

Raghid Charara; Charbel Elbcheraoui; Ibrahim Khalil; Maziar Moradi-Lakeh; Ashkan Afshin; Nicholas J. Kassebaum; Michael Collison; Kristopher J. Krohn; Adrienne Chew; Farah Daoud; Fiona J. Charlson; Danny Colombara; Louisa Degenhardt; Rebecca Ehrenkranz; Holly E. Erskine; Alize J. Ferrari; Michael Kutz; Janni Leung; Damian Santomauro; Haidong Wang; Harvey A. Whiteford; Amanuel Alemu Abajobir; Foad Abd-Allah; Haftom Niguse Abraha; Laith J. Abu-Raddad; Aliasghar Ahmadkiadaliri; Alireza Ahmadi; Kedir Yimam Ahmed; Muktar Beshir Ahmed; Faris Hasan Allami; Khurshid Alam; Deena Alasfoor; Reza Alizadeh-Navaei; Juma M. Alkaabi; Fatma Al-Maskari; Rajaa Al-Raddadi; Khalid A. Altirkawi; Nahla Anber; Hossein Ansari; Hamid Asayesh; Rana Jawad Asghar; Tesfay Mehari Atey; Tadesse Awokeayele; Till Bärnighausen; Umar Bacha; Aleksandra Barac; Suzanne L. Barker-Collo; Bernhard T. Baune; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Isabela M. Bensenor; Adugnaw Berhane; Addisu Shunu Beyene; Zulfiqar A. Bhutta; Dube Jara Boneya; Rohan Borschmann; Nicholas J.K. Breitborde; Zahid A. Butt; Ferrán Catalá-López; Liliana G. Ciobanu; Hadi Danawi; Amare Deribew; Samath D. Dharmaratne; Kerrie E. Doyle; Aman Yesuf Endries; Emerito Jose Aquino Faraon; André Faro; Maryam S. Farvid; Wubalem Fekadu; Seyed Mohammad Fereshtehnejad; Florian Fischer; Tsegaye Tewelde Gebrehiwot; Ababi Zergaw Giref; Melkamu Dedefo D. Gishu; Alessandra Carvalho Goulart; Tesfa Dejenie Habtewold; Randah Ribhi Hamadeh; Mitiku Teshome Hambisa; Samer Hamidi; Josep Maria Haro; Mohammad Sadegh Hassanvand; Nobuyuki Horita; Mohamed Hsairi; Hsiang Huang; Abdullatif Husseini; Mihajlo B. Jakovljevic; Spencer Lewis James; Jost B. Jonas; Amir Kasaeian; Yousef Saleh Khader; Ejaz Ahmad Khan; Abdullah Tawfih Abdullah Khoja; Ardeshir Khosravi; Jagdish Khubchandani; Daniel Kim; Yun Jin Kim; Yoshihiro Kokubo; Ai Koyanagi; Barthelemy Kuate Defo; Heidi J. Larson

doi:10.1007/s00038-017-1006-1

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

Raghid Charara, Charbel Elbcheraoui, Ibrahim Khalil, Maziar Moradi-Lakeh, Ashkan Afshin, Nicholas J. Kassebaum, Michael Collison, Kristopher J. Krohn, Adrienne Chew, Farah Daoud, Fiona J. Charlson, Danny Colombara, Louisa Degenhardt, Rebecca Ehrenkranz, Holly E. Erskine, Alize J. Ferrari, Michael Kutz, Janni Leung, Damian Santomauro, Haidong WangHarvey A. Whiteford, Amanuel Alemu Abajobir, Foad Abd-Allah, Haftom Niguse Abraha, Laith J. Abu-Raddad, Aliasghar Ahmadkiadaliri, Alireza Ahmadi, Kedir Yimam Ahmed, Muktar Beshir Ahmed, Faris Hasan Allami, Khurshid Alam, Deena Alasfoor, Reza Alizadeh-Navaei, Juma M. Alkaabi, Fatma Al-Maskari, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nahla Anber, Hossein Ansari, Hamid Asayesh, Rana Jawad Asghar, Tesfay Mehari Atey, Tadesse Awokeayele, Till Bärnighausen, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Bernhard T. Baune, Shahrzad Bazargan-Hejazi, Neeraj Bedi, Isabela M. Bensenor, Adugnaw Berhane, Addisu Shunu Beyene, Zulfiqar A. Bhutta, Dube Jara Boneya, Rohan Borschmann, Nicholas J.K. Breitborde, Zahid A. Butt, Ferrán Catalá-López, Liliana G. Ciobanu, Hadi Danawi, Amare Deribew, Samath D. Dharmaratne, Kerrie E. Doyle, Aman Yesuf Endries, Emerito Jose Aquino Faraon, André Faro, Maryam S. Farvid, Wubalem Fekadu, Seyed Mohammad Fereshtehnejad, Florian Fischer, Tsegaye Tewelde Gebrehiwot, Ababi Zergaw Giref, Melkamu Dedefo D. Gishu, Alessandra Carvalho Goulart, Tesfa Dejenie Habtewold, Randah Ribhi Hamadeh, Mitiku Teshome Hambisa, Samer Hamidi, Josep Maria Haro, Mohammad Sadegh Hassanvand, Nobuyuki Horita, Mohamed Hsairi, Hsiang Huang, Abdullatif Husseini, Mihajlo B. Jakovljevic, Spencer Lewis James, Jost B. Jonas, Amir Kasaeian, Yousef Saleh Khader, Ejaz Ahmad Khan, Abdullah Tawfih Abdullah Khoja, Ardeshir Khosravi, Jagdish Khubchandani, Daniel Kim, Yun Jin Kim, Yoshihiro Kokubo, Ai Koyanagi, Barthelemy Kuate Defo, Heidi J. Larson

Research output: Journal article publication › Journal article › Academic research › peer-review

60 Citations (Scopus)

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 language	English
Pages (from-to)	25-37
Number of pages	13
Journal	International Journal of Public Health
Volume	63
DOIs	https://doi.org/10.1007/s00038-017-1006-1
Publication status	Published - 1 May 2018
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

More information

10.1007/s00038-017-1006-1

Cite this

Charara, R., Elbcheraoui, C., Khalil, I., Moradi-Lakeh, M., Afshin, A., Kassebaum, N. J., Collison, M., Krohn, K. J., Chew, A., Daoud, F., Charlson, F. J., Colombara, D., Degenhardt, L., Ehrenkranz, R., Erskine, H. E., Ferrari, A. J., Kutz, M., Leung, J., Santomauro, D., ... Larson, H. J. (2018). The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study. International Journal of Public Health, 63, 25-37. https://doi.org/10.1007/s00038-017-1006-1

@article{c26877c439ed4928abb0d643e9827d7e,

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

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 = "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 Neeraj Bedi and Bensenor, {Isabela M.} and Adugnaw Berhane and Beyene, {Addisu Shunu} and Bhutta, {Zulfiqar A.} and Boneya, {Dube Jara} and Rohan Borschmann and Breitborde, {Nicholas J.K.} and Butt, {Zahid A.} and Ferr{\'a}n Catal{\'a}-L{\'o}pez and Ciobanu, {Liliana G.} and Hadi Danawi and Amare Deribew and Dharmaratne, {Samath D.} and Doyle, {Kerrie E.} and Endries, {Aman Yesuf} and Faraon, {Emerito Jose Aquino} and Andr{\'e} Faro and Farvid, {Maryam S.} and Wubalem Fekadu and Fereshtehnejad, {Seyed Mohammad} and Florian Fischer and Gebrehiwot, {Tsegaye Tewelde} and Giref, {Ababi Zergaw} and Gishu, {Melkamu Dedefo D.} and Goulart, {Alessandra Carvalho} and Habtewold, {Tesfa Dejenie} and Hamadeh, {Randah Ribhi} and Hambisa, {Mitiku Teshome} and Samer Hamidi and Haro, {Josep Maria} and Hassanvand, {Mohammad Sadegh} and Nobuyuki Horita and Mohamed Hsairi and Hsiang Huang and Abdullatif Husseini and Jakovljevic, {Mihajlo B.} and James, {Spencer Lewis} and Jonas, {Jost B.} and Amir Kasaeian and Khader, {Yousef Saleh} and Khan, {Ejaz Ahmad} and Khoja, {Abdullah Tawfih Abdullah} and Ardeshir Khosravi and Jagdish Khubchandani and Daniel Kim and Kim, {Yun Jin} and Yoshihiro Kokubo and Ai Koyanagi and Defo, {Barthelemy Kuate} and Larson, {Heidi J.}",

year = "2018",

month = may,

day = "1",

doi = "10.1007/s00038-017-1006-1",

language = "English",

volume = "63",

pages = "25--37",

journal = "International Journal of Public Health",

issn = "1661-8556",

publisher = "Birkhauser Verlag Basel",

}

Charara, R, Elbcheraoui, 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, Ahmadkiadaliri, A, Ahmadi, A, Ahmed, KY, Ahmed, MB, Allami, 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, Awokeayele, 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, MDD, 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 2018, 'The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study', International Journal of Public Health, vol. 63, pp. 25-37. https://doi.org/10.1007/s00038-017-1006-1

The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study. / Charara, Raghid; Elbcheraoui, Charbel; Khalil, Ibrahim et al.
In: International Journal of Public Health, Vol. 63, 01.05.2018, p. 25-37.

Research output: Journal article publication › Journal article › Academic research › peer-review

TY - JOUR

T1 - The burden of mental disorders in the Eastern Mediterranean region, 1990–2015: findings from the global burden of disease 2015 study

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 - Bedi, Neeraj

AU - Bensenor, Isabela M.

AU - Berhane, Adugnaw

AU - Beyene, Addisu Shunu

AU - Bhutta, Zulfiqar A.

AU - Boneya, Dube Jara

AU - Borschmann, Rohan

AU - Breitborde, Nicholas J.K.

AU - Butt, Zahid A.

AU - Catalá-López, Ferrán

AU - Ciobanu, Liliana G.

AU - Danawi, Hadi

AU - Deribew, Amare

AU - Dharmaratne, Samath D.

AU - Doyle, Kerrie E.

AU - Endries, Aman Yesuf

AU - Faraon, Emerito Jose Aquino

AU - Faro, André

AU - Farvid, Maryam S.

AU - Fekadu, Wubalem

AU - Fereshtehnejad, Seyed Mohammad

AU - Fischer, Florian

AU - Gebrehiwot, Tsegaye Tewelde

AU - Giref, Ababi Zergaw

AU - Gishu, Melkamu Dedefo D.

AU - Goulart, Alessandra Carvalho

AU - Habtewold, Tesfa Dejenie

AU - Hamadeh, Randah Ribhi

AU - Hambisa, Mitiku Teshome

AU - Hamidi, Samer

AU - Haro, Josep Maria

AU - Hassanvand, Mohammad Sadegh

AU - Horita, Nobuyuki

AU - Hsairi, Mohamed

AU - Huang, Hsiang

AU - Husseini, Abdullatif

AU - Jakovljevic, Mihajlo B.

AU - James, Spencer Lewis

AU - Jonas, Jost B.

AU - Kasaeian, Amir

AU - Khader, Yousef Saleh

AU - Khan, Ejaz Ahmad

AU - Khoja, Abdullah Tawfih Abdullah

AU - Khosravi, Ardeshir

AU - Khubchandani, Jagdish

AU - Kim, Daniel

AU - Kim, Yun Jin

AU - Kokubo, Yoshihiro

AU - Koyanagi, Ai

AU - Defo, Barthelemy Kuate

AU - Larson, Heidi J.

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

UR - http://www.scopus.com/inward/record.url?scp=85026836836&partnerID=8YFLogxK

U2 - 10.1007/s00038-017-1006-1

DO - 10.1007/s00038-017-1006-1

M3 - Journal article

SN - 1661-8556

VL - 63

SP - 25

EP - 37

JO - International Journal of Public Health

JF - International Journal of Public Health

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

More information

Other files and links

Fingerprint

Cite this