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 publicationJournal articleAcademic researchpeer-review

19 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 languageEnglish
Pages (from-to)25-37
Number of pages13
JournalInternational Journal of Public Health
Volume63
DOIs
Publication statusPublished - 1 May 2018
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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