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dc.contributor.authorCharara, Raghidpt_BR
dc.contributor.authorForouzanfar, Mohammadpt_BR
dc.contributor.authorNaghavi, Mohsenpt_BR
dc.contributor.authorMoradi-Lakeh, Maziarpt_BR
dc.contributor.authorAfshin, Ashkanpt_BR
dc.contributor.authorVos, Theopt_BR
dc.contributor.authorDaoud, Farahpt_BR
dc.contributor.authorWang, Haidongpt_BR
dc.contributor.authorEl Bcheraoui, Charbelpt_BR
dc.contributor.authorKhalil, Ibrahimpt_BR
dc.contributor.authorHamadeh, Randah Ribhipt_BR
dc.contributor.authorKhosravi, Ardeshirpt_BR
dc.contributor.authorRahimi-Movaghar, Vafapt_BR
dc.contributor.authorKhader, Yousef Salehpt_BR
dc.contributor.authorAl-Hamad, Nawalpt_BR
dc.contributor.authorObermeyer, Carla Makhloufpt_BR
dc.contributor.authorRafay, Anwarpt_BR
dc.contributor.authorAsghar, Ranapt_BR
dc.contributor.authorRana, Saleem M.pt_BR
dc.contributor.authorShaheen, Amirapt_BR
dc.contributor.authorAbu-Rmeileh, Niveen M. E.pt_BR
dc.contributor.authorAbu-Raddad, Laith J.pt_BR
dc.contributor.authorKhoja, Tawfik Ahmed Muthaferpt_BR
dc.contributor.authorAl Rayess, Zulfa A.pt_BR
dc.contributor.authorAlBuhairan, Fadia S.pt_BR
dc.contributor.authorHsairi, Mohamedpt_BR
dc.contributor.authorAlomari, Mahmoud A.pt_BR
dc.contributor.authorAli, Raghibpt_BR
dc.contributor.authorRoshandel, Gholamrezapt_BR
dc.contributor.authorTerkawi, Abdullah Suliemanpt_BR
dc.contributor.authorHamidi, Samerpt_BR
dc.contributor.authorRefaat, Amany H.pt_BR
dc.contributor.authorWesterman, Ronnypt_BR
dc.contributor.authorKiadaliri, Aliasghar Ahmadpt_BR
dc.contributor.authorAkanda, Ali S.pt_BR
dc.contributor.authorAli, Syed Danishpt_BR
dc.contributor.authorBacha, Umarpt_BR
dc.contributor.authorBadawi, Alaapt_BR
dc.contributor.authorBazargan-Hejazi, Shahrzadpt_BR
dc.contributor.authorFaghmous, Imad A. D.pt_BR
dc.contributor.authorFereshtehnejad, Seyed-Mohammadpt_BR
dc.contributor.authorFischer, Florianpt_BR
dc.contributor.authorJonas, Jost B.pt_BR
dc.contributor.authorDefo, Barthelemy Kuatept_BR
dc.contributor.authorMehari, Alempt_BR
dc.contributor.authorOmer, Saad B.pt_BR
dc.contributor.authorPourmalek, Farshadpt_BR
dc.contributor.authorUthman, Olalekan A.pt_BR
dc.contributor.authorMokdad, Ali A.pt_BR
dc.contributor.authorMaalouf, Fadi T.pt_BR
dc.contributor.authorAbd-Allah, Foadpt_BR
dc.contributor.authorAkseer, Nadiapt_BR
dc.contributor.authorArya, Dineshpt_BR
dc.contributor.authorBorschmann, Rohanpt_BR
dc.contributor.authorBrazinova, Alexandrapt_BR
dc.contributor.authorBrugha, Traolach S.pt_BR
dc.contributor.authorCatalá-López, Ferránpt_BR
dc.contributor.authorDegenhardt, Louisapt_BR
dc.contributor.authorFerrari, Alizept_BR
dc.contributor.authorHaro, Josep Mariapt_BR
dc.contributor.authorHorino, Masakopt_BR
dc.contributor.authorHornberger, John C.pt_BR
dc.contributor.authorHuang, Hsiangpt_BR
dc.contributor.authorKieling, Christian Costapt_BR
dc.contributor.authorKim, Danielpt_BR
dc.contributor.authorKim, Yunjinpt_BR
dc.contributor.authorKnudsen, Ann Kristinpt_BR
dc.contributor.authorMitchell, Philip B.pt_BR
dc.contributor.authorPatton, Georgept_BR
dc.contributor.authorSagar, Rajeshpt_BR
dc.contributor.authorSatpathy, Maheswarpt_BR
dc.contributor.authorSavuon, Kimpt_BR
dc.contributor.authorSeedat, Sorayapt_BR
dc.contributor.authorShiue, Ivypt_BR
dc.contributor.authorSkogen, Jens Christofferpt_BR
dc.contributor.authorStein, Dan J.pt_BR
dc.contributor.authorTabb, Karen M.pt_BR
dc.contributor.authorWhiteford, Harvey A.pt_BR
dc.contributor.authorYip, Paulpt_BR
dc.contributor.authorYonemoto, Naohiropt_BR
dc.contributor.authorMurray, Christopher J. L.pt_BR
dc.contributor.authorMokdad, Ali H.pt_BR
dc.date.accessioned2017-06-08T02:31:48Zpt_BR
dc.date.issued2017pt_BR
dc.identifier.issn1932-6203pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/159381pt_BR
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
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofPLoS ONE. San Francisco. Vol. 12, no. 1 (Jan. 2017), e0169575, 17 p.pt_BR
dc.rightsOpen Accessen
dc.subjectTranstornos mentaispt_BR
dc.subjectDepressãopt_BR
dc.titleThe burden of mental disorders in the Eastern Mediterranean Region, 1990-2013pt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001016191pt_BR
dc.type.originEstrangeiropt_BR


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