Burden and Epidemiology of Mental Disorders in the Middle East and North Africa from 1990 to 2019: Findings from the Global Burden of Disease Study

IF 1.9 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Balkan Medical Journal Pub Date : 2024-03-01 Epub Date: 2024-02-09 DOI:10.4274/balkanmedj.galenos.2024.2023-11-55
Mohammad Effatpanah, Amin Nakhostin-Ansari, Fateme Gorgani, Samaneh Tanhapour Khotbehsara, Shakiba Seifi, Hadis Nasoori, Amir Hossein Memari, Seyed Reza Darijani
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引用次数: 0

Abstract

Background: Previous studies have mainly focused on individual mental disorders, and there is no study addressing the total burden of mental disorders in the Middle East and North Africa (MENA).

Aims: To evaluate the burden of mental disorders in the MENA region from 1990 to 2019.

Study design: A cross-sectional study.

Methods: We utilized global burden of disease data to examine the burden of 12 mental disorders from 1990 to 2019 across age groups, genders, and the 21 MENA countries. We collected data on prevalence, incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years (DALY), including both crude and age-standardized rates per 100,000 people.

Results: The DALY rate of mental disorders in MENA countries increased by 13.88% from 1,747.92 per 100,000 people in 1990 to 1990.5 per 100,000 people in 2019. The highest percentage increases in the DALY rates of mental disorders were observed for bulimia nervosa (35.69%), other mental health disorders (34.58%), and schizophrenia (33.02%) from 1990 to 2019. However, the DALY rates for idiopathic developmental intellectual disability (-26.48%), conduct disorder (-23.91%), attentiondeficit/ hyperactivity disorder (-16.46%), and autism spectrum disorders (-4.12%) decreased in the MENA region from 1990 to 2019. In 2019, the highest DALY rates for idiopathic developmental intellectual disability, anxiety disorders, and major depressive disorder were observed in age groups ≤ 4 years, 5-19 years, and ≥ 20 years, respectively. The age-standardized DALY rate of mental disorders was the highest in Palestine (2,396.9 per 100,000), Iran (2,295.8 per 100,000), and Lebanon (2,126.0 per 100,000) compared with other MENA countries in 2019.

Conclusion: There has been a slight increase in the burden of mental disorders in the MENA region between 1990 and 2019. National policies should prioritize evidence-based preventive measures and ensure accessible treatment options for mental health disorders in the population, especially in the MENA region.

1990 至 2019 年中东和北非精神疾病的负担和流行病学:全球疾病负担研究的发现》。
背景:以往的研究主要集中在个别精神障碍上,还没有针对中东和北非地区精神障碍总体负担的研究:目的:本研究评估了 1990 年至 2019 年中东和北非地区精神障碍的负担:研究设计:流行病学:我们利用全球疾病负担数据,研究了 1990 年至 2019 年期间 12 种精神障碍在不同年龄组、性别和 21 个中东和北非国家造成的负担。我们收集了有关流行率、发病率、死亡率、生命损失年数、残疾生活年数和残疾调整寿命年数(DALY)的数据,包括每 10 万人的粗略比率和年龄标准化比率:中东和北非国家的精神障碍残疾调整寿命年率从 1990 年的每 10 万人 1747.92 增加到 2019 年的每 10 万人 1990.5,增幅为 13.88%。从 1990 年到 2019 年,神经性贪食症(35.69%)、其他精神疾病(34.58%)和精神分裂症(33.02%)的精神障碍残疾调整寿命年数增长率最高。然而,从 1990 年到 2019 年,中东和北非地区特发性发育性智力障碍(-26.48%)、品行障碍(-23.91%)、注意力缺陷/多动症(-16.46%)和自闭症谱系障碍(-4.12%)的残疾调整寿命年数率有所下降。2019年,特发性发育性智障、焦虑症和重度抑郁症的残疾调整寿命率最高的年龄组分别为≤4岁、5-19岁和≥20岁。与其他中东和北非国家相比,2019年巴勒斯坦(每10万人中有2396.9人)、伊朗(每10万人中有2295.8人)和黎巴嫩(每10万人中有2126.0人)的精神障碍年龄标准化残疾调整寿命年率最高:从 1990 年到 2019 年,中东和北非地区的精神障碍负担略有增加。我们的研究结果有力地证实了这样一种观点,即精神疾病应被视为 21 世纪的核心健康挑战。因此,国家政策必须优先考虑以证据为基础的预防措施,并确保民众(尤其是中东和北非地区的民众)能够获得精神疾病的治疗方案。
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来源期刊
Balkan Medical Journal
Balkan Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
4.10
自引率
6.70%
发文量
76
审稿时长
6-12 weeks
期刊介绍: The Balkan Medical Journal (Balkan Med J) is a peer-reviewed open-access international journal that publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports and clinical images, invited reviews, editorials, letters, comments and letters to the Editor including reports on publication and research ethics. The journal is the official scientific publication of the Trakya University Faculty of Medicine, Edirne, Turkey and is printed six times a year, in January, March, May, July, September and November. The language of the journal is English. The journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. Balkan Medical Journal does not accept multiple submission and duplicate submission even though the previous one was published in a different language. The authors are responsible for the scientific content of the material to be published. The Balkan Medical Journal reserves the right to request any research materials on which the paper is based. The Balkan Medical Journal encourages and enables academicians, researchers, specialists and primary care physicians of Balkan countries to publish their valuable research in all branches of medicine. The primary aim of the journal is to publish original articles with high scientific and ethical quality and serve as a good example of medical publications in the Balkans as well as in the World.
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