The burden of mental disorders in the Eastern Mediterranean Region, 1990-2013

dc.contributor.authorCharara, Raghiden_ZA
dc.contributor.authorForouzanfar, Mohammaden_ZA
dc.contributor.authorNaghavi, Mohsenen_ZA
dc.contributor.authorMoradi-Lakeh, Maziaren_ZA
dc.contributor.authorAfshin, Ashkanen_ZA
dc.contributor.authorVos, Theoen_ZA
dc.contributor.authorDaoud, Farahen_ZA
dc.contributor.authorWang, Haidongen_ZA
dc.contributor.authorEl Bcheraoui, Charbelen_ZA
dc.contributor.authorKhalil, Ibrahimen_ZA
dc.contributor.authorHamadeh, Randah R.en_ZA
dc.contributor.authorKhosravi, Ardeshiren_ZA
dc.contributor.authorRahimi-Movaghar, Vafaen_ZA
dc.contributor.authorKhader, Yousefen_ZA
dc.contributor.authorAl-Hamad, Nawalen_ZA
dc.contributor.authorObermeyer, Carla Makhloufen_ZA
dc.contributor.authorRafay, Anwaren_ZA
dc.contributor.authorAsghar, Ranaen_ZA
dc.contributor.authorRana, Saleem M.en_ZA
dc.contributor.authorShaheen, Amiraen_ZA
dc.contributor.authorAbu-Rmeileh, Niveen M. E.en_ZA
dc.contributor.authorHusseini, Abdullatifen_ZA
dc.contributor.authorAbu-Raddad, Laith J.en_ZA
dc.contributor.authorKhoja, Tawfiken_ZA
dc.contributor.authorAl Rayess, Zulfa A.en_ZA
dc.contributor.authorAlBuhairan, Fadia S.en_ZA
dc.contributor.authorHsairi, Mohameden_ZA
dc.contributor.authorAlomari, Mahmoud A.en_ZA
dc.contributor.authorAli, Raghiben_ZA
dc.contributor.authorRoshandel, Gholamrezaen_ZA
dc.contributor.authorTerkawi, Abdullah Suliemanen_ZA
dc.contributor.authorHamidi, Sameren_ZA
dc.contributor.authorRefaat, Amany H.en_ZA
dc.contributor.authorWesterman, Ronnyen_ZA
dc.contributor.authorKiadaliri, Aliasghar Ahmaden_ZA
dc.contributor.authorAkanda, Ali S.en_ZA
dc.contributor.authorAli, Syed Danishen_ZA
dc.contributor.authorBacha, Umaren_ZA
dc.contributor.authorBadawi, Alaaen_ZA
dc.contributor.authorBazargan-Hejazi, Shahrzaden_ZA
dc.contributor.authorFaghmou, Imad A. D.en_ZA
dc.contributor.authorFereshtehnejad, Seyed-Mohammaden_ZA
dc.contributor.authorFischer, Florianen_ZA
dc.contributor.authorJonas, Jost B.en_ZA
dc.contributor.authorDefo, Barthelemy Kuateen_ZA
dc.contributor.authorMehari, Alemen_ZA
dc.contributor.authorOmer, Saad B.en_ZA
dc.contributor.authorPourmalek, Farshaden_ZA
dc.contributor.authorUthman, Olalekan A.en_ZA
dc.contributor.authorMokdad, Ali A.en_ZA
dc.contributor.authorMaalouf, Fadi T.en_ZA
dc.contributor.authorAbd-Allah, Foaden_ZA
dc.contributor.authorAkseer, Nadiaen_ZA
dc.contributor.authorArya, Dineshen_ZA
dc.contributor.authorBorschmann, Rohanen_ZA
dc.contributor.authorBrazinova, Alexandraen_ZA
dc.contributor.authorBrugha, Traolach S.en_ZA
dc.contributor.authorCatala-Lopez, Ferranen_ZA
dc.contributor.authorDegenhardt, Louisaen_ZA
dc.contributor.authorFerrari, Alizeen_ZA
dc.contributor.authorHaro, Josep Mariaen_ZA
dc.contributor.authorHorino, Masakoen_ZA
dc.contributor.authorHornberger, John C.en_ZA
dc.contributor.authorHuang, Hsiangen_ZA
dc.contributor.authorKieling, Christianen_ZA
dc.contributor.authorKim, Danielen_ZA
dc.contributor.authorKim, Yunjinen_ZA
dc.contributor.authorKnudsen, Ann Kristinen_ZA
dc.contributor.authorMitchell, Philip B.en_ZA
dc.contributor.authorPatton, Georgeen_ZA
dc.contributor.authorSagar, Rajeshen_ZA
dc.contributor.authorSatpathy, Maheswaren_ZA
dc.contributor.authorSavuon, Kimen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.contributor.authorShiue, Ivyen_ZA
dc.contributor.authorSkogen, Jens Christofferen_ZA
dc.contributor.authorStein, Dan J.en_ZA
dc.contributor.authorTabb, Karen M.en_ZA
dc.contributor.authorWhiteford, Harvey A.en_ZA
dc.contributor.authorYip, Paulen_ZA
dc.contributor.authorYonemoto, Naohiroen_ZA
dc.contributor.authorMurray, Christopher J. L.en_ZA
dc.contributor.authorMokdad, Ali H.en_ZA
dc.descriptionCITATION: Charara, R., et al. 2017. The burden of mental disorders in the Eastern Mediterranean Region, 1990-2013. PLoS ONE, 12(1):e0180145, doi:10.1371/journal.pone.0169575.
dc.descriptionThe original publication is available at
dc.description.abstractThe 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.en_ZA
dc.description.versionPublisher's version
dc.format.extent17 pages ; illustrations
dc.identifier.citationCharara, R., et al. 2017. The burden of mental disorders in the Eastern Mediterranean Region, 1990-2013. PLoS ONE, 12(1):e0180145, doi:10.1371/journal.pone.0169575
dc.identifier.citation1932-6203 (online)
dc.publisherPublic Library of Science
dc.rights.holderAuthors retain copyright
dc.subjectMental illness -- Incidence -- Middle Easten_ZA
dc.titleThe burden of mental disorders in the Eastern Mediterranean Region, 1990-2013en_ZA
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
1.05 MB
Adobe Portable Document Format
Download article
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
1.95 KB
Item-specific license agreed upon to submission