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

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...

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Main Authors: Mohammad Effatpanah, Amin Nakhostin-Ansari, Fateme Gorgani, Samaneh Tanhapour Khotbehsara, Shakiba Seifi, Hadis Nasoori, Amir Hossein Memari, Seyed Reza Darijani
Format: Article
Language:English
Published: Galenos Publishing House 2024-03-01
Series:Balkan Medical Journal
Online Access:http://balkanmedicaljournal.org/abstract.php?lang=en&id=2580
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author Mohammad Effatpanah
Amin Nakhostin-Ansari
Fateme Gorgani
Samaneh Tanhapour Khotbehsara
Shakiba Seifi
Hadis Nasoori
Amir Hossein Memari
Seyed Reza Darijani
author_facet Mohammad Effatpanah
Amin Nakhostin-Ansari
Fateme Gorgani
Samaneh Tanhapour Khotbehsara
Shakiba Seifi
Hadis Nasoori
Amir Hossein Memari
Seyed Reza Darijani
author_sort Mohammad Effatpanah
collection DOAJ
description 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%), attention-deficit/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.
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spelling doaj.art-c4e5df760ad94a5d8a4f6a02d37d2ff82024-03-08T06:58:34ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312024-03-0141212112910.4274/balkanmedj.galenos.2024.2023-11-55Burden and Epidemiology of Mental Disorders in the Middle East and North Africa from 1990 to 2019: Findings from the Global Burden of Disease StudyMohammad Effatpanah0https://orcid.org/0000-0001-5344-7699Amin Nakhostin-Ansari1https://orcid.org/0000-0002-1113-9257Fateme Gorgani2https://orcid.org/0000-0002-6938-3447Samaneh Tanhapour Khotbehsara3https://orcid.org/0000-0002-1574-8682Shakiba Seifi4https://orcid.org/0000-0001-8759-5817Hadis Nasoori5https://orcid.org/0000-0003-0348-3768Amir Hossein Memari6https://orcid.org/0000-0002-9639-415XSeyed Reza Darijani7https://orcid.org/0000-0002-9956-9787Research Center for War-Affected People, Tehran University of Medical Sciences, Tehran, IranSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranDigestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranStudent Research Committee, Iran University of Medical Sciences, Tehran, IranClinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, IranFaculty of Pharmacy, Tehran Medical Sciences, Islamic Azad University, Tehran, IranSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences Faculty of Medicine, Tehran, IranBackground: 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%), attention-deficit/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.http://balkanmedicaljournal.org/abstract.php?lang=en&id=2580
spellingShingle Mohammad Effatpanah
Amin Nakhostin-Ansari
Fateme Gorgani
Samaneh Tanhapour Khotbehsara
Shakiba Seifi
Hadis Nasoori
Amir Hossein Memari
Seyed Reza Darijani
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
Balkan Medical Journal
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url http://balkanmedicaljournal.org/abstract.php?lang=en&id=2580
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