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

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Charara, RaghidInstitute for Health Metrics and Evaluation (author)

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

Article/chapterEnglish2017

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2017-01-17
Public Library of Science (PLoS),2017

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LIBRIS-ID:oai:lup.lub.lu.se:e3c9cfb9-69f4-4444-82cc-38020f47f9e2
https://lup.lub.lu.se/record/e3c9cfb9-69f4-4444-82cc-38020f47f9e2URI
https://doi.org/10.1371/journal.pone.0169575DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:135042819URI

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Language:English
Summary in:English

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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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Forouzanfar, MohammadInstitute for Health Metrics and Evaluation (author)
Naghavi, MohsenInstitute for Health Metrics and Evaluation (author)
Moradi-Lakeh, MaziarInstitute for Health Metrics and Evaluation (author)
Afshin, AshkanKarolinska Institutet (author)
Vos, TheoInstitute for Health Metrics and Evaluation (author)
Daoud, FarahInstitute for Health Metrics and Evaluation (author)
Wang, HaidongInstitute for Health Metrics and Evaluation (author)
El Bcheraoui, CharbelInstitute for Health Metrics and Evaluation (author)
Khalil, IbrahimInstitute for Health Metrics and Evaluation (author)
Hamadeh, Randah RArabian Gulf University (author)
Khosravi, ArdeshirMinistry of Health and Medical Education, Iran (author)
Rahimi-Movaghar, VafaTehran University of Medical Sciences (author)
Khader, YousefJordan University of Science and Technology (author)
Al-Hamad, NawalPublic Authority for Food and Nutrition, Kuwait (author)
Makhlouf Obermeyer, CarlaAmerican University of Beirut (author)
Rafay, AnwarContech International Health Consultants, Lahore (author)
Asghar, RanaSouth Asian Public Health Forum (author)
Rana, Saleem MContech International Health Consultants, Lahore (author)
Shaheen, AmiraAn-Najah National University (author)
Abu-Rmeileh, Niveen M EBirzeit University (author)
Husseini, AbdullatifBirzeit University (author)
Abu-Raddad, Laith JHarvard University (author)
Khoja, TawfikExecutive Board of the Health Ministers' Council for Cooperation Council States (author)
Al Rayess, Zulfa AThe Saudi Center for Evidence Based Healthcare (author)
AlBuhairan, Fadia SKing Saud bin Abdulaziz University for Health Sciences (author)
Hsairi, MohamedMinistry of Health Tunisia (author)
Alomari, Mahmoud AJordan University of Science and Technology (author)
Ali, RaghibUniversity of Oxford (author)
Roshandel, GholamrezaGolestan University of Medical Sciences (author)
Terkawi, Abdullah SuliemanUniversity of Virginia (author)
Hamidi, SamerHamdan Bin Mohammed Smart University (author)
Refaat, Amany HSuez Canal University (author)
Westerman, RonnyFederal Institute for Population Research (author)
Kiadaliri, Aliasghar AhmadLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups(Swepub:lu)med-ald (author)
Akanda, Ali SUniversity of Rhode Island (author)
Ali, Syed DanishSIR Consultants, Sindh, Pakistan. (author)
Bacha, UmarUniversity of Management and Technology, Lahore (author)
Badawi, AlaaPublic Health Agency of Canada (author)
Bazargan-Hejazi, ShahrzadCharles R. Drew University of Medicine and Science (author)
Faghmous, Imad A DTehran University of Medical Sciences (author)
Fereshtehnejad, Seyed-MohammadKarolinska Institutet,Karolinska Institute (author)
Fischer, FlorianBielefeld University (author)
Jonas, Jost BHeidelberg University (author)
Kuate Defo, BarthelemyUniversity Of Quebec In Montreal (author)
Mehari, AlemHoward University (author)
Omer, Saad BEmory University (author)
Pourmalek, FarshadSimon Fraser University (author)
Uthman, Olalekan AUniversity of Warwick (author)
Mokdad, Ali AUniversity of Texas Southwestern Medical Center (author)
Maalouf, Fadi TAmerican University of Beirut (author)
Abd-Allah, FoadCairo University (author)
Akseer, NadiaUniversity of Toronto (author)
Arya, DineshNorthern Territory Department of Health (author)
Borschmann, RohanMurdoch Children's Research Institute (author)
Brazinova, AlexandraUniversity of Trnava (author)
Brugha, Traolach SUniversity of Leicester (author)
Catalá-López, FerránUniversity of Valencia (author)
Degenhardt, LouisaUniversity of New South Wales (author)
Ferrari, AlizeInstitute for Health Metrics and Evaluation (author)
Haro, Josep MariaCIBER Salud Mental (CIBERSAM) (author)
Horino, MasakoNevada Division of Behavior and Public Health (author)
Hornberger, John CNational Institutes of Health, United States (author)
Huang, HsiangCambridge Health Alliance (author)
Kieling, ChristianFederal University of Rio Grande do Sul (author)
Kim, DanielNortheastern University (author)
Kim, YunjinSouthern University College, Malaysia (author)
Knudsen, Ann KristinNorwegian Institute of Public Health (author)
Mitchell, Philip BUniversity of New South Wales (author)
Patton, GeorgeUniversity of Melbourne (author)
Sagar, RajeshAll India Institute of Medical Sciences (author)
Satpathy, MaheswarUtkal University (author)
Savuon, KimMinistry of Health, Cambodia (author)
Seedat, SorayaStellenbosch University (author)
Shiue, IvyNorthumbria University (author)
Skogen, Jens ChristofferNorwegian Institute of Public Health (author)
Stein, Dan JUniversity of Cape Town (author)
Tabb, Karen MUniversity of Illinois at Urbana-Champaign (author)
Whiteford, Harvey AUniversity of Queensland (author)
Yip, PaulUniversity of Hong Kong (author)
Yonemoto, NaohiroKyoto University (author)
Murray, Christopher J LInstitute for Health Metrics and Evaluation (author)
Mokdad, Ali HInstitute for Health Metrics and Evaluation (author)
Karolinska InstitutetInstitute for Health Metrics and Evaluation (creator_code:org_t)

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By the author/editor: Charara, Raghid; Forouzanfar, Moh ...; Naghavi, Mohsen; Moradi-Lakeh, Ma ...; Afshin, Ashkan; Vos, Theo; show more...; Daoud, Farah; Wang, Haidong; El Bcheraoui, Ch ...; Khalil, Ibrahim; Hamadeh, Randah ...; Khosravi, Ardesh ...; Rahimi-Movaghar, ...; Khader, Yousef; Al-Hamad, Nawal; Makhlouf Obermey ...; Rafay, Anwar; Asghar, Rana; Rana, Saleem M; Shaheen, Amira; Abu-Rmeileh, Niv ...; Husseini, Abdull ...; Abu-Raddad, Lait ...; Khoja, Tawfik; Al Rayess, Zulfa ...; AlBuhairan, Fadi ...; Hsairi, Mohamed; Alomari, Mahmoud ...; Ali, Raghib; Roshandel, Ghola ...; Terkawi, Abdulla ...; Hamidi, Samer; Refaat, Amany H; Westerman, Ronny; Kiadaliri, Alias ...; Akanda, Ali S; Ali, Syed Danish; Bacha, Umar; Badawi, Alaa; Bazargan-Hejazi, ...; Faghmous, Imad A ...; Fereshtehnejad, ...; Fischer, Florian; Jonas, Jost B; Kuate Defo, Bart ...; Mehari, Alem; Omer, Saad B; Pourmalek, Farsh ...; Uthman, Olalekan ...; Mokdad, Ali A; Maalouf, Fadi T; Abd-Allah, Foad; Akseer, Nadia; Arya, Dinesh; Borschmann, Roha ...; Brazinova, Alexa ...; Brugha, Traolach ...; Catalá-López, Fe ...; Degenhardt, Loui ...; Ferrari, Alize; Haro, Josep Mari ...; Horino, Masako; Hornberger, John ...; Huang, Hsiang; Kieling, Christi ...; Kim, Daniel; Kim, Yunjin; Knudsen, Ann Kri ...; Mitchell, Philip ...; Patton, George; Sagar, Rajesh; Satpathy, Mahesw ...; Savuon, Kim; Seedat, Soraya; Shiue, Ivy; Skogen, Jens Chr ...; Stein, Dan J; Tabb, Karen M; Whiteford, Harve ...; Yip, Paul; Yonemoto, Naohir ...; Murray, Christop ...; Mokdad, Ali H; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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