Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.

<h4>Background</h4>Depressive disorders were a leading cause of burden in the Global Burden of Disease (GBD) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as...

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Autores principales: Alize J Ferrari, Fiona J Charlson, Rosana E Norman, Scott B Patten, Greg Freedman, Christopher J L Murray, Theo Vos, Harvey A Whiteford
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/8615ad2076e944d2a57d45d12eada308
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spelling oai:doaj.org-article:8615ad2076e944d2a57d45d12eada3082021-11-18T05:43:05ZBurden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.1549-12771549-167610.1371/journal.pmed.1001547https://doaj.org/article/8615ad2076e944d2a57d45d12eada3082013-11-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24223526/pdf/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Depressive disorders were a leading cause of burden in the Global Burden of Disease (GBD) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as burden of depressive disorders as a risk factor for suicide and ischemic heart disease.<h4>Methods and findings</h4>Burden was calculated for major depressive disorder (MDD) and dysthymia. A systematic review of epidemiological data was conducted. The data were pooled using a Bayesian meta-regression. Disability weights from population survey data quantified the severity of health loss from depressive disorders. These weights were used to calculate years lived with disability (YLDs) and disability adjusted life years (DALYs). Separate DALYs were estimated for suicide and ischemic heart disease attributable to depressive disorders. Depressive disorders were the second leading cause of YLDs in 2010. MDD accounted for 8.2% (5.9%-10.8%) of global YLDs and dysthymia for 1.4% (0.9%-2.0%). Depressive disorders were a leading cause of DALYs even though no mortality was attributed to them as the underlying cause. MDD accounted for 2.5% (1.9%-3.2%) of global DALYs and dysthymia for 0.5% (0.3%-0.6%). There was more regional variation in burden for MDD than for dysthymia; with higher estimates in females, and adults of working age. Whilst burden increased by 37.5% between 1990 and 2010, this was due to population growth and ageing. MDD explained 16 million suicide DALYs and almost 4 million ischemic heart disease DALYs. This attributable burden would increase the overall burden of depressive disorders from 3.0% (2.2%-3.8%) to 3.8% (3.0%-4.7%) of global DALYs.<h4>Conclusions</h4>GBD 2010 identified depressive disorders as a leading cause of burden. MDD was also a contributor of burden allocated to suicide and ischemic heart disease. These findings emphasize the importance of including depressive disorders as a public-health priority and implementing cost-effective interventions to reduce its burden. Please see later in the article for the Editors' Summary.Alize J FerrariFiona J CharlsonRosana E NormanScott B PattenGreg FreedmanChristopher J L MurrayTheo VosHarvey A WhitefordPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 10, Iss 11, p e1001547 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Alize J Ferrari
Fiona J Charlson
Rosana E Norman
Scott B Patten
Greg Freedman
Christopher J L Murray
Theo Vos
Harvey A Whiteford
Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
description <h4>Background</h4>Depressive disorders were a leading cause of burden in the Global Burden of Disease (GBD) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as burden of depressive disorders as a risk factor for suicide and ischemic heart disease.<h4>Methods and findings</h4>Burden was calculated for major depressive disorder (MDD) and dysthymia. A systematic review of epidemiological data was conducted. The data were pooled using a Bayesian meta-regression. Disability weights from population survey data quantified the severity of health loss from depressive disorders. These weights were used to calculate years lived with disability (YLDs) and disability adjusted life years (DALYs). Separate DALYs were estimated for suicide and ischemic heart disease attributable to depressive disorders. Depressive disorders were the second leading cause of YLDs in 2010. MDD accounted for 8.2% (5.9%-10.8%) of global YLDs and dysthymia for 1.4% (0.9%-2.0%). Depressive disorders were a leading cause of DALYs even though no mortality was attributed to them as the underlying cause. MDD accounted for 2.5% (1.9%-3.2%) of global DALYs and dysthymia for 0.5% (0.3%-0.6%). There was more regional variation in burden for MDD than for dysthymia; with higher estimates in females, and adults of working age. Whilst burden increased by 37.5% between 1990 and 2010, this was due to population growth and ageing. MDD explained 16 million suicide DALYs and almost 4 million ischemic heart disease DALYs. This attributable burden would increase the overall burden of depressive disorders from 3.0% (2.2%-3.8%) to 3.8% (3.0%-4.7%) of global DALYs.<h4>Conclusions</h4>GBD 2010 identified depressive disorders as a leading cause of burden. MDD was also a contributor of burden allocated to suicide and ischemic heart disease. These findings emphasize the importance of including depressive disorders as a public-health priority and implementing cost-effective interventions to reduce its burden. Please see later in the article for the Editors' Summary.
format article
author Alize J Ferrari
Fiona J Charlson
Rosana E Norman
Scott B Patten
Greg Freedman
Christopher J L Murray
Theo Vos
Harvey A Whiteford
author_facet Alize J Ferrari
Fiona J Charlson
Rosana E Norman
Scott B Patten
Greg Freedman
Christopher J L Murray
Theo Vos
Harvey A Whiteford
author_sort Alize J Ferrari
title Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
title_short Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
title_full Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
title_fullStr Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
title_full_unstemmed Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
title_sort burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/8615ad2076e944d2a57d45d12eada308
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