The burden of depression, anxiety and schizophrenia among the older population in ageing and aged countries: an analysis of the Global Burden of Disease Study 2019

被引:23
作者
Cheng, Ying [1 ]
Fang, Yu [1 ]
Zheng, Jinxin [2 ,3 ]
Guan, Shiyang [4 ]
Wang, Meiti [1 ]
Hong, Wu [1 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Ruijin Hosp, Inst Nephrol, Sch Med, Shanghai, Peoples R China
[3] Shanghai Jiao Tong Univ, Chinese Ctr Trop Dis Res, Sch Global Hlth, Sch Med, Shanghai, Peoples R China
[4] Anhui Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hefei, Anhui, Peoples R China
基金
上海市自然科学基金; 中国国家自然科学基金;
关键词
Schizophrenia; Depressive Disorder; Anxiety; DISORDERS; ADULTS; CHINA;
D O I
10.1136/gpsych-2023-101078
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
BackgroundDepression, anxiety and schizophrenia among older persons have become global public health challenges. However, the burden of these disorders in ageing and aged countries has not been analysed.AimsTo investigate the burden of depression, anxiety and schizophrenia among older adults in ageing and aged countries.MethodsUsing data from the Global Burden of Disease Study 2019, we calculated the estimated annual percentage change (EAPC) in the age-standardised incidence rates (ASIR) and age-standardised disability-adjusted life years (DALYs) rates (ASDR) for depression, anxiety and schizophrenia of older people in ageing countries (China, India, Indonesia) and aged countries (Japan, Italy, Portugal) between 1990 and 2019. Trends in incidence and DALYs were analysed by gender and age.ResultsIn 2019, the highest incidence of depression, anxiety and schizophrenia in the older population in aged countries was in Japan (927 271.3 (752 552.3-1 125 796.5), 51 498.2 (37 625.7-70 487.3) and 126.0 (61.0-223.2), respectively), while the highest incidence in ageing countries was in China (5 797 556.9 (4 599 403.4-7 133 006.5), 330 256.1 (246 448.9-445 987.4) and 1067.7 (556.2-1775.9), respectively). DALYs for these disorders were similar, with the highest in Japan and China. From 1990 to 2019, the ASIR for depressive disorders decreased in aged countries but increased in ageing countries; the ASIR for anxiety disorders and schizophrenia declined in both ageing and aged countries. The ASDR for depressive disorders was consistent with the ASIR but not for anxiety disorders and schizophrenia. The ASIR for depressive disorders was higher in older women, while the opposite was observed in anxiety disorders and schizophrenia. Notably, the conditions of burden of depressive disorders, anxiety disorders and schizophrenia in the 65-70-year-old age group were the most burdensome.ConclusionsThe incidence and DALYs of these three mental disorders increased while exhibiting differences between ageing and aged countries. Raising awareness about formulating health policies for preventing and treating mental disorders in the older population is necessary to reduce the future burden posed by the ageing challenge.
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页数:11
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共 30 条
[1]   The global prevalence of major depressive disorder (MDD) among the elderly: A systematic review and meta-analysis [J].
Abdoli, Nasrin ;
Salari, Nader ;
Darvishi, Niloofar ;
Jafarpour, Sima ;
Solaymani, Mina ;
Mohammadi, Masoud ;
Shohaimi, Shamarina .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 2022, 132 :1067-1073
[2]   Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis [J].
Aldridge, Robert W. ;
Story, Alistair ;
Hwang, Stephen W. ;
Nordentoft, Merete ;
Luchenski, Serena A. ;
Hartwell, Greg ;
Tweed, Emily J. ;
Lewer, Dan ;
Katikireddi, Srinivasa Vittal ;
Hayward, Andrew C. .
LANCET, 2018, 391 (10117) :241-250
[3]   The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019 [J].
Castelpietra, Giulio ;
Knudsen, Ann Kristin Skrindo ;
Agardh, Emilie E. ;
Armocida, Benedetta ;
Beghi, Massimiliano ;
Iburg, Kim Moesgaard ;
Logroscino, Giancarlo ;
Ma, Rui ;
Starace, Fabrizio ;
Steel, Nicholas ;
Addolorato, Giovanni ;
Andrei, Catalina Liliana ;
Andrei, Tudorel ;
Ayuso-Mateos, Jose L. ;
Banach, Maciej ;
Barnighausen, Till Winfried ;
Barone-Adesi, Francesco ;
Bhagavathula, Akshaya Srikanth ;
Carvalho, Felix ;
Carvalho, Marcia ;
Chandan, Joht Singh ;
Chattu, Vijay Kumar ;
Couto, Rosa A. S. ;
Cruz-Martins, Natalia ;
Dargan, Paul, I ;
Deuba, Keshab ;
da Silva, Diana Dias ;
Fagbamigbe, Adeniyi Francis ;
Fernandes, Eduarda ;
Ferrara, Pietro ;
Fischer, Florian ;
Gaal, Peter Andras ;
Gialluisi, Alessandro ;
Haagsma, Juanita A. ;
Haro, Josep Maria ;
Hasan, M. Tasdik ;
Hasan, Syed Shahzad ;
Hostiuc, Sorin ;
Iacoviello, Licia ;
Iavicoli, Ivo ;
Jamshidi, Elham ;
Jonas, Jost B. ;
Joo, Tamas ;
Jozwiak, Jacek Jerzy ;
Katikireddi, Srinivasa Vittal ;
Kauppila, Joonas H. ;
Khan, Moien A. B. ;
Kisa, Adnan ;
Kisa, Sezer ;
Kivimaki, Mika .
LANCET REGIONAL HEALTH-EUROPE, 2022, 16
[4]   Temporal Trends in the Incidence and Disability Adjusted Life Years of Schizophrenia in China Over 30 Years [J].
Dong, Wanyue ;
Liu, Yunning ;
Sun, Jianzhong ;
Liu, Yan ;
Sun, Zhonghe ;
Bai, Ruhai .
FRONTIERS IN PSYCHIATRY, 2022, 13
[5]   Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019 [J].
Ferrari, Alize J. ;
Santomauro, Damian F. ;
Herrera, Ana M. Mantilla ;
Shadid, Jamileh ;
Ashbaugh, Charlie ;
Erskine, Holly E. ;
Charlson, Fiona J. ;
Degenhardt, Louisa ;
Scott, James G. ;
McGrath, John J. ;
Allebeck, Peter ;
Benjet, Corina ;
Breitborde, Nicholas J. K. ;
Brugha, Traolach ;
Dai, Xiaochen ;
Dandona, Lalit ;
Dandona, Rakhi ;
Fischer, Florian ;
Haagsma, Juanita A. ;
Maria Haro, Josep ;
Kieling, Christian ;
Knudsen, Ann Kristin Skrindo ;
Kumar, G. Anil ;
Leung, Janni ;
Majeed, Azeem ;
Mitchell, Philip B. ;
Moitra, Modhurima ;
Mokdad, Ali H. ;
Molokhia, Mariam ;
Patten, Scott B. ;
Patton, George C. ;
Phillips, Michael R. ;
Soriano, Joan B. ;
Stein, Dan J. ;
Stein, Murray B. ;
Szoeke, Cassandra E., I ;
Naghavi, Mohsen ;
Hay, Simon, I ;
Murray, Christopher J. L. ;
Vos, Theo ;
Whiteford, Harvey A. .
LANCET PSYCHIATRY, 2022, 9 (02) :137-150
[6]   The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness [J].
Firth, Joseph ;
Siddiqi, Najma ;
Koyanagi, Ai ;
Siskind, Dan ;
Rosenbaum, Simon ;
Galletly, Cherrie ;
Allan, Stephanie ;
Caneo, Constanza ;
Carney, Rebekah ;
Carvalho, Andre F. ;
Chatterton, Mary Lou ;
Correll, Christoph U. ;
Curtis, Jackie ;
Gaughran, Fiona ;
Heald, Adrian ;
Hoare, Erin ;
Jackson, Sarah E. ;
Kisely, Steve ;
Lovell, Karina ;
Maj, Mario ;
McGorry, Patrick D. ;
Mihalopoulos, Cathrine ;
Myles, Hannah ;
O'Donoghue, Brian ;
Pillinger, Toby ;
Sarris, Jerome ;
Schuch, Felipe B. ;
Shiers, David ;
Smith, Lee ;
Solmi, Marco ;
Suetani, Shuichi ;
Taylor, Johanna ;
Teasdale, Scott B. ;
Thornicroft, Graham ;
Torous, John ;
Usherwood, Tim ;
Vancampfort, Davy ;
Veronese, Nicola ;
Ward, Philip B. ;
Yung, Alison R. ;
Killackey, Eoin ;
Stubbs, Brendon .
LANCET PSYCHIATRY, 2019, 6 (08) :675-712
[7]  
Global Burden of Disease Collaborative Network, Global Burden of Disease Study 2021 (GBD 2021) Results. Institute for Health Metrics and Evaluation. 2022
[8]   Aging, mental illness and COVID-19: Focusing research on vulnerable populations [J].
Gordon, Joshua ;
Evans, Jovier D. .
AGING BRAIN, 2021, 1
[9]   Reducing stigma and discrimination against older people with mental disorders:: a technical consensus statement [J].
Graham, N ;
Lindesay, J ;
Katona, C ;
Bertolote, JM ;
Camus, V ;
Copeland, JRM ;
Lima, CAD ;
Gaillard, M ;
Nargeot, MCG ;
Gray, J ;
Jacobsson, L ;
Kingma, M ;
Kühne, N ;
O'Loughlin, A ;
Rutz, W ;
Saraceno, B ;
Taintor, Z ;
Wancata, J .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2003, 18 (08) :670-678
[10]   Major Trends in Population Growth Around the World [J].
Gu, Danan ;
Andreev, Kirill ;
Dupre, Matthew E. .
CHINA CDC WEEKLY, 2021, 3 (28) :604-613