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Title: The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013.
Authors: 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
Citation: PloS one 2017; 12(1): e0169575
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 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.
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Journal title: PloS one
Publication Date: 2017
Type: Journal Article
DOI: 10.1371/journal.pone.0169575
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