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



Charara R1 ; Forouzanfar M1 ; Naghavi M1 ; Moradilakeh M1, 2 ; Afshin A1 ; Vos T1 ; Daoud F1 ; Wang H1 ; Bcheraoui CE1 ; Khalil I1 ; Hamadeh RR3 ; Khosravi A4 ; Rahimimovaghar V5 ; Khader Y6 Show All Authors
Authors
  1. Charara R1
  2. Forouzanfar M1
  3. Naghavi M1
  4. Moradilakeh M1, 2
  5. Afshin A1
  6. Vos T1
  7. Daoud F1
  8. Wang H1
  9. Bcheraoui CE1
  10. Khalil I1
  11. Hamadeh RR3
  12. Khosravi A4
  13. Rahimimovaghar V5
  14. Khader Y6
  15. Alhamad N7
  16. Obermeyer CM8
  17. Rafay A9
  18. Asghar R10
  19. Rana SM9
  20. Shaheen A11
  21. Aburmeileh NME12
  22. Husseini A12
  23. Aburaddad LJ13, 14
  24. Khoja T15
  25. Rayess ZAA16
  26. Albuhairan FS17
  27. Hsairi M18
  28. Alomari MA19
  29. Ali R20
  30. Roshandel G21
  31. Terkawi AS22, 23, 24
  32. Hamidi S25
  33. Refaat AH26, 27
  34. Westerman R28
  35. Kiadaliri AA29
  36. Akanda AS30
  37. Ali SD31
  38. Bacha U32
  39. Badawi A33
  40. Bazarganhejazi S34, 35
  41. Faghmous IAD36, 37
  42. Fereshtehnejad SM38
  43. Fischer F39
  44. Jonas JB40
  45. Defo BK41
  46. Mehari A42
  47. Omer SB43
  48. Pourmalek F44
  49. Uthman OA45
  50. Mokdad AA46
  51. Maalouf FT47
  52. Abdallah F48
  53. Akseer N49
  54. Arya D50
  55. Borschmann R51
  56. Brazinova A52
  57. Brugha TS53
  58. Catalalopez F54
  59. Degenhardt L55
  60. Ferrari A56, 57
  61. Haro JM58
  62. Horino M59
  63. Hornberger JC60, 61
  64. Huang H62
  65. Kieling C63
  66. Kim D64
  67. Kim Y65
  68. Knudsen AK66
  69. Mitchell PB67
  70. Patton G68
  71. Sagar R69
  72. Satpathy M70
  73. Savuon K71, 72
  74. Seedat S73
  75. Shiue I74
  76. Skogen JC75, 76
  77. Stein DJ77, 78
  78. Tabb KM79
  79. Whiteford HA80
  80. Yip P81, 82
  81. Yonemoto N83
  82. Murray CJL1
  83. Mokdad AH1

Source: PLoS ONE Published:2017


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. © 2017 Charara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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