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. 2024 Mar 28;14(1):167.
doi: 10.1038/s41398-024-02864-5.

The burden of mental disorders in Asian countries, 1990-2019: an analysis for the global burden of disease study 2019

Qi Chen #  1   2 , Shu Huang #  3   4 , Huan Xu #  1   2 , Jieyu Peng  1   2 , Ping Wang  1   2 , Shiqi Li  1   2 , Jinxi Zhao  1   2 , Xiaomin Shi  1   2 , Wei Zhang  1   2 , Lei Shi  1   2 , Yan Peng  1   2 , Xiaowei Tang  5   6
Affiliations

The burden of mental disorders in Asian countries, 1990-2019: an analysis for the global burden of disease study 2019

Qi Chen et al. Transl Psychiatry. .

Abstract

Mental disorders are the leading contributors to the globally nonfatal burden of disease. This study was aimed to estimate the burden of mental disorders in Asian countries. Based on GBD 2019, the prevalence and disability-adjusted life of years (DALYs) rates with 95% uncertainty intervals (UI) were estimated in Asian countries. Predictions for the future burden of 8 selected countries, ranks of the burden of mental disorders and correlations with Sociodemographic Index (SDI) were also estimated. During the past 3 decades, while the number of DALYs of mental disorders increased from 43.9 million (95% UI: 32.5-57.2) to 69.0 million (95% UI: 51.0-89.7), the age-standardized rates of DALYs of mental disorders remained largely consistent from 1452.2 (95% UI: 1080.16-1888.53) per 100,000 population in 1990 to 1434.82 (95% UI: 1065.02-1867.27) per 100,000 population in 2019, ranked as the eighth most significant disease burden in Asia in 2019. Depressive disorders (37.2%) were the leading contributors to the age-standardized DALY rates of mental disorders in Asia, followed by anxiety disorders (21.5%). The age-standardized DALY rates in females were higher than their male counterparts, both peaked at 30-34 years. The age-standardized DALY rates were predicted to remain stable, with the number of DALYs presented an upward trend in the future. There was no significant correlation between the burden of mental disorders and SDI. All mental disorders ranked higher in 2019, compared in 1990. To reduce this burden, urgent measures for prevention, treatment, and rehabilitation for mental disorders need to be taken by Asian governments.

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Conflict of interest statement

Q.C., S.H., H.X., J.P., P.W., S.L., J.Z., X.S., W.Z., L.S., Y.P., and X.T. all have no conflicts of interest or financial ties to disclose.

Figures

Fig. 1
Fig. 1. Distribution of DALYs due to mental disorders in Asia in 2019.
DALYs, disability-adjusted life years.
Fig. 2
Fig. 2. Age-standardized rates and numbers of DALYs and prevalence due to mental disorders in Asia for females, males and both sexes combined.
DALYs disability-adjusted life years.
Fig. 3
Fig. 3. Numbers of DALYs due to mental disorders in Asia for both sexes combined.
DALYs, disability-adjusted life years.
Fig. 4
Fig. 4. Numbers of DALYs due to mental disorders in Asia for females (left) and males (right).
DALYs disability-adjusted life years.
Fig. 5
Fig. 5. Distribution of mental disorders categories by age groups.
Rates of DALYs (A) and prevalence (B) due to mental disorders in Asia in different age groups. DALYs disability-adjusted life years.
Fig. 6
Fig. 6. Age-standardized DALY rates in 2019 of mental disorders in 204 countries or territories.
DALYs disability-adjusted life years.
Fig. 7
Fig. 7. Ranking of age-standardized DALY rates for all mental disorders by Asian countries or territories, 2019.
DALYs disability-adjusted life years.
Fig. 8
Fig. 8. Distribution of age-standardized DALY rates in 2019 of mental disorders by Asian countries or territories.
DALYs disability-adjusted life years.
Fig. 9
Fig. 9. Trends in mental disorders over time by gender.
Observed and predicted age-standardized rates and numbers of DALYs due to mental disorders in Palestine (a), Iran (Islamic Republic of) (b), Lebanon (c), Afghanistan (d), Yemen (e), and Bahrain (f), for females, males and both sexes combined. DALYs disability-adjusted life years.
Fig. 10
Fig. 10. Trends in mental disorders over time by gender.
Observed and predicted age-standardized rates and numbers of DALYs due to mental disorders in China (A) and India (B) for females, males and both sexes combined. DALYs disability-adjusted life years.
Fig. 11
Fig. 11
Age-standardized rates of DALYs due to mental disorders for Asia countries and territories by Socio-demographic Index, 1990–2019.
See this image and copyright information in PMC

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