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

Makhlouf Obermeyer, Carla

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

Kuate Defo, Barthelemy

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

Catalá-López, Ferrán

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

2017

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.

PloS one 2017; 12(1): e0169575

https://pubmed.ncbi.nlm.nih.gov/28095477/?otool=iaurydwlib

https://hdl.handle.net/10137/5291

Adolescent

Adult

Age Factors

Aged

Aged, 80 and over

Child

Child, Preschool

Female

Humans

Infant

Infant, Newborn

Life Expectancy

Male

Mediterranean Region

Mental Disorders

Middle Aged

Sex Factors

Time Factors

Young Adult

Global Health

Health Status

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

Journal Article

Publication