The burden of mental disorders in the Eastern Mediterranean region, 1990-2015: findings from the global burden of disease 2015 study

被引：59

作者：

Mokdad, Ali H. ^{[1
]}

Charara, Raghid ^{[2
]}

El Bcheraoui, Charbel

Khalil, Ibrahim ^{[1
]}

Moradi-Lakeh, Maziar ^{[3
]}

Afshin, Ashkan ^{[1
]}

Kassebaum, Nicholas J. ^{[2
,4
]}

Collison, Michael ^{[1
]}

Krohn, Kristopher J. ^{[1
]}

Chew, Adrienne ^{[1
]}

Daoud, Farah ^{[1
]}

Charlson, Fiona J. ^{[1
,5
,6
]}

Colombara, Danny ^{[1
]}

Degenhardt, Louisa ^{[7
]}

Ehrenkranz, Rebecca ^{[1
]}

Erskine, Holly E. ^{[1
,5
,6
]}

Ferrari, Alize J. ^{[1
,5
,6
]}

Kutz, Michael ^{[1
]}

Leung, Janni ^{[1
,5
]}

Santomauro, Damian ^{[1
,5
,6
]}

Wang, Haidong ^{[1
]}

Whiteford, Harvey A. ^{[1
,5
,6
]}

Abajobir, Amanuel Alemu ^{[5
]}

Abd-Allah, Foad ^{[8
]}

Abraha, Haftom Niguse ^{[9
]}

Abu-Raddad, Laith J. ^{[10
]}

Kiadaliri, Aliasghar Ahmad ^{[11
]}

Ahmadi, Alireza ^{[12
]}

Yimam, Kedir ^{[13
]}

Beshir, Muktar ^{[14
]}

Al Lami, Faris Hasan ^{[15
]}

Alam, Khurshid ^{[16
,17
,18
]}

Alasfoor, Deena ^{[19
]}

Alizadeh-Navaei, Reza ^{[20
]}

Alkaabi, Juma M. ^{[21
]}

Al-Maskari, Fatma ^{[21
]}

Al-Raddadi, Rajaa ^{[22
]}

Altirkawi, Khalid A. ^{[23
]}

Anber, Nahla ^{[24
]}

Ansari, Hossein ^{[25
]}

Asayesh, Hamid ^{[26
]}

Asghar, Rana Jawad ^{[27
]}

Atey, Tesfay Mehari ^{[9
]}

Ayele, Tadesse Awoke ^{[28
]}

Baernighausen, Till ^{[29
,30
,31
]}

Bacha, Umar ^{[32
]}

Barac, Aleksandra ^{[33
]}

Barker-Collo, Suzanne L. ^{[34
]}

Baune, Bernhard T. ^{[35
]}

Bazargan-Hejazi, Shahrzad ^{[36
]}

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[2] Amer Univ Beirut, Beirut, Lebanon

[3] Iran Univ Med Sci, Prevent Med & Publ Hlth Res Ctr, Gastrointestinal & Liver Dis Res Ctr, Dept Community Med, Tehran, Iran

[4] Seattle Childrens Hosp, Dept Anesthesiol & Pain Med, Seattle, WA USA

[5] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia

[6] Queensland Ctr Mental Hlth Res, Brisbane, Qld, Australia

[7] Univ New South Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW, Australia

[8] Cairo Univ, Dept Neurol, Cairo, Egypt

[9] Mekelle Univ, Mekelle, Ethiopia

[10] Weill Cornell Med Coll Qatar, Infect Dis Epidemiol Grp, Doha, Qatar

[11] Lund Univ, Orthoped Clin Epidemiol Unit, Dept Clin Sci Lund, Lund, Sweden

[12] Kermanshah Univ Med Sci, Kermanshah, Iran

[13] Debre Markos Univ, Debre Markos, Ethiopia

[14] Jimma Univ, Coll Hlth Sci, Dept Epidemiol, Jimma, Ethiopia

[15] Baghdad Coll Med, Baghdad, Iraq

[16] Univ Melbourne, Murdoch Childrens Res Inst, Parkville, Vic, Australia

[17] Univ Melbourne, Melbourne, Vic, Australia

[18] Univ Sydney, Sydney, NSW, Australia

[19] Minist Hlth, Al Khuwair, Oman

[20] Mazandaran Univ Med Sci, Gastrointestinal Canc Res Ctr, Sari, Iran

[21] United Arab Emirates Univ, Coll Med & Hlth Sci, Al Ain, U Arab Emirates

[22] Joint Program Family & Community Med, Jeddah, Saudi Arabia

[23] King Saud Univ, Riyadh, Saudi Arabia

[24] Mansoura Univ, Mansoura, Egypt

[25] Zahedan Univ Med Sci, Dept Epidemiol & Biostat, Hlth Promot Res Ctr, Zahedan, Iran

[26] Qom Univ Med Sci, Sch Paramed, Dept Med Emergency, Qom, Iran

[27] South Asian Publ Hlth Forum, Islamabad, Pakistan

[28] Univ Gondar, Gondar, Ethiopia

[29] Harvard Univ, Dept Global Hlth & Populat, Harvard TH Chan Sch Publ Hlth, Boston, MA 02115 USA

[30] Africa Hlth Res Inst, Mtu batuba, Mtubatuba, Kwazulu Natal, South Africa

[31] Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany

[32] Univ Management & Technol, Sch Hlth Sci, Lahore, Pakistan

[33] Univ Belgrade, Fac Med, Belgrade, Serbia

[34] Univ Auckland, Sch Psychol, Auckland, New Zealand

[35] Univ Adelaide, Sch Med, Adelaide, SA, Australia

[36] Charles R Drew Univ Med & Sci, Coll Med, 1621 E 120th St, Los Angeles, CA 90059 USA

[37] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA

[38] Coll Publ Hlth & Trop Med, Jazan, Saudi Arabia

[39] Univ Sao Paulo, Sao Paulo, Brazil

[40] Debre Berhan Univ, Coll Hlth Sci, Debre Berhan, Ethiopia

[41] Haramaya Univ, Coll Hlth & Med Sci, Harar, Ethiopia

[42] Aga Khan Univ, Ctr Excellence Women & Child Hlth, Karachi, Pakistan

[43] Hosp Sick Children, Ctr Global Child Hlth, Toronto, ON, Canada

[44] Debre Markos Univ, Dept Publ Hlth, Debre Markos, Ethiopia

[45] Ohio State Univ, Columbus, OH 43210 USA

[46] Al Shifa Trust Eye Hosp, Rawalpindi, Pakistan

[47] Univ Valencia, INCLIVA Hlth Res Inst, Dept Med, Valencia, Spain

[48] CIBERSAM, Valencia, Spain

[49] Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada

[50] Walden Univ, Minneapolis, MN USA

来源：

INTERNATIONAL JOURNAL OF PUBLIC HEALTH | 2018年 / 63卷

关键词：

Mental health; Eastern Mediterranean region; Burden of disease; Depressive disorders; Anxiety disorders; SYSTEMATIC ANALYSIS; HEALTH; INJURIES;

D O I：

10.1007/s00038-017-1006-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Mental disorders are among the leading causes of nonfatal burden of disease globally. 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. 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. 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.

引用

页码：25 / 37

页数：13

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