Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013 Publisher Pubmed



Charara R1 ; Forouzanfar M1 ; Naghavi M1 ; Moradilakeh M1, 2 ; Afshin A1 ; Vos T1 ; Daoud F1 ; Wang H1 ; Bcheraoui CE1 ; Khalil I1 ; Hamadeh RR3 ; Khosravi A4 ; Rahimimovaghar V5 ; Khader Y6 Show All Authors
Authors
  1. Charara R1
  2. Forouzanfar M1
  3. Naghavi M1
  4. Moradilakeh M1, 2
  5. Afshin A1
  6. Vos T1
  7. Daoud F1
  8. Wang H1
  9. Bcheraoui CE1
  10. Khalil I1
  11. Hamadeh RR3
  12. Khosravi A4
  13. Rahimimovaghar V5
  14. Khader Y6
  15. Alhamad N7
  16. Obermeyer CM8
  17. Rafay A9
  18. Asghar R10
  19. Rana SM9
  20. Shaheen A11
  21. Aburmeileh NME12
  22. Husseini A12
  23. Aburaddad LJ13, 14
  24. Khoja T15
  25. Rayess ZAA16
  26. Albuhairan FS17
  27. Hsairi M18
  28. Alomari MA19
  29. Ali R20
  30. Roshandel G21
  31. Terkawi AS22, 23, 24
  32. Hamidi S25
  33. Refaat AH26, 27
  34. Westerman R28
  35. Kiadaliri AA29
  36. Akanda AS30
  37. Ali SD31
  38. Bacha U32
  39. Badawi A33
  40. Bazarganhejazi S34, 35
  41. Faghmous IAD36, 37
  42. Fereshtehnejad SM38
  43. Fischer F39
  44. Jonas JB40
  45. Defo BK41
  46. Mehari A42
  47. Omer SB43
  48. Pourmalek F44
  49. Uthman OA45
  50. Mokdad AA46
  51. Maalouf FT47
  52. Abdallah F48
  53. Akseer N49
  54. Arya D50
  55. Borschmann R51
  56. Brazinova A52
  57. Brugha TS53
  58. Catalalopez F54
  59. Degenhardt L55
  60. Ferrari A56, 57
  61. Haro JM58
  62. Horino M59
  63. Hornberger JC60, 61
  64. Huang H62
  65. Kieling C63
  66. Kim D64
  67. Kim Y65
  68. Knudsen AK66
  69. Mitchell PB67
  70. Patton G68
  71. Sagar R69
  72. Satpathy M70
  73. Savuon K71, 72
  74. Seedat S73
  75. Shiue I74
  76. Skogen JC75, 76
  77. Stein DJ77, 78
  78. Tabb KM79
  79. Whiteford HA80
  80. Yip P81, 82
  81. Yonemoto N83
  82. Murray CJL1
  83. Mokdad AH1
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, Seattle, WA, United States
  2. 2. Preventive Medicine and Public Health Research Center, Department of Community Medicine, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Arabian Gulf University, Manama, Bahrain, Bahrain
  4. 4. Iranian Ministry of Health and Medical Education, Tehran, Iran
  5. 5. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Jordan University of Science and Technology, Irbid, Jordan
  7. 7. Public Authority for Food and Nutrition, Kuwait, Kuwait
  8. 8. Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  9. 9. Contech International Health Consultants, Lahore, Pakistan
  10. 10. South Asian Public Health Forum, Islamabad, Pakistan
  11. 11. Department of Public Health, An-Najah University, Nablus, Palestine
  12. 12. Institute of Community and Public Health, Birzeit University, Ramallah, Palestine
  13. 13. Harvard University, Boston, MA, United States
  14. 14. Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Doha, Qatar
  15. 15. Health Ministers' Council for Cooperation Council States, Riyadh, Saudi Arabia
  16. 16. Saudi Center for Evidence Based Healthcare, Riyadh, Saudi Arabia
  17. 17. King Abdullah Specialized Children's Hospital, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  18. 18. Ministry of Health-Tunisia, Faculty of Medicine Tunis, Tunis, Tunisia
  19. 19. Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
  20. 20. University of Oxford, Oxford, United Kingdom
  21. 21. Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran
  22. 22. Department of Anesthesiology, University of Virginia, Charlottesville, VA, United States
  23. 23. Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia
  24. 24. OUTCOMES RESEARCH Consortium, Cleveland, OH, United States
  25. 25. Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates
  26. 26. Suez Canal University, Ismailia, Egypt
  27. 27. Walden University, Minneapolis, MN, United States
  28. 28. Federal Institute for Population Research, Wiesbaden, Germany
  29. 29. Clinical Epidemiology Unit, Department of Clinical Sciences Lund Orthopedics, Lund University, Lund, Sweden
  30. 30. University of Rhode Island, Kingston, RI, United States
  31. 31. SIR Consultants, Sindh, Pakistan
  32. 32. School of Health Sciences, University of Management and Technology, Lahore, Pakistan
  33. 33. Public Health Agency of Canada, Toronto, ON, Canada
  34. 34. Department of Psychiatry, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
  35. 35. David Geffen School of Medicine at UCLA, Los Angeles, CA, United States
  36. 36. Tehran University of Medical Sciences, Tehran, Iran
  37. 37. London School of Hygiene and Tropical Medicine, London, United Kingdom
  38. 38. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
  39. 39. Bielefeld University, Bielefeld, Germany
  40. 40. Department of Ophthalmology, Medical Faculty Mannheim, University Heidelberg, Heidelberg, Germany
  41. 41. Department of Social and Preventive Medicine, School of Public Health of the University of Montreal, Montreal, QC, Canada
  42. 42. Howard University College of Medicine, Howard University, Washington, DC, United States
  43. 43. Emory University, Atlanta, GA, United States
  44. 44. University of British Columbia, Vancouver, BC, Canada
  45. 45. Warwick-Centre for Applied Health Research and Delivery (WCAHRD), Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom
  46. 46. Department of Surgery, University of Texas Southwestern, Dallas, TX, United States
  47. 47. Department of Psychiatry, American University of Beirut, Beirut, Lebanon
  48. 48. Department of Neurology, Cairo University, Cairo, Egypt
  49. 49. Hospital for Sick Children, Toronto, ON, Canada
  50. 50. Northern Territory Department of Health, Darwin, NT, Australia
  51. 51. Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia
  52. 52. Trnava University, Trnava, Slovakia
  53. 53. University of Leicester, Leicester, United Kingdom
  54. 54. Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
  55. 55. National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
  56. 56. School of Public Health, University of Queensland, Herston, QLD, Australia
  57. 57. Queensland Centre for Mental Health Research, Wacol, QLD, Australia
  58. 58. Parc Sanitari Sant Joan de Deu-CIBERSAM, Sant Boi de Llobregat, Spain
  59. 59. Nevada Division of Behavior and Public Health, Carson City, NV, United States
  60. 60. National Institutes of Health, Bethesda, MD, United States
  61. 61. Cedar Assoc., Menlo Park, CA, United States
  62. 62. Cambridge Health Alliance, Cambridge, MA, United States
  63. 63. Federal University of Rio Grande Do sul, Porto Alegre, Brazil
  64. 64. Department of Health Sciences, Northeastern University, Boston, MA, United States
  65. 65. Southern University College, Johor, Malaysia
  66. 66. Centre for Disease Burden, Norwegian Institute of Public Health, Bergen, Norway
  67. 67. School of Psychiatry, University of New South Wales, Sydney, NSW, Australia
  68. 68. Murdoch Children's Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
  69. 69. Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
  70. 70. UGC Centre for Advanced Studies in Psychology, Utkal University, Vani Vihar, Bhubaneswar, Odisha, India
  71. 71. Department of Hospital Services, Ministry of Health, Phnom Penh, Cambodia
  72. 72. Mental Health Association of Cambodia, Phnom Penh, Cambodia
  73. 73. Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa
  74. 74. Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
  75. 75. Domain for Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway
  76. 76. Center for Alcohol and Drug Research, Stavanger University Hospital, Stavanger, Norway
  77. 77. Department of Psychiatry, University of Cape Town, Cape Town, South Africa
  78. 78. MRC Unit on Risk and Resilience in Mental Disorders, Cape Town, South Africa
  79. 79. School of Social Work, University of Illinois at Urbana-Champaign, Champaign, IL, United States
  80. 80. University of Queensland, Brisbane, QLD, Australia
  81. 81. Centre for Suicide Research and Prevention, University of Hong Kong, Pok Fu Lam, Hong Kong
  82. 82. Social Work and Social Administration Department, University of Hong Kong, Pok Fu Lam, Hong Kong
  83. 83. Department of Biostatistics, School of Public Health, Kyoto University, Kyoto, Japan

Source: PLoS ONE Published:2017


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 Burden of Mental Disorders in EMR PLOS ONE 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. © 2017 Charara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Experts (# of related papers)
Other Related Docs
23. National and Subnational Mortality of Urological Cancers in Iran, 1990–2015, Asia-Pacific Journal of Clinical Oncology (2019)
34. Mental Health Survey of the Iranian Adult Population in 2015, Archives of Iranian Medicine (2017)