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

Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, Vos T, Whiteford HA - PLoS Med. (2013)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: University of Queensland, School of Population Health, Herston, Queensland, Australia ; Queensland Centre for Mental Health Research, Wacol, Queensland, Australia.

ABSTRACT

Background: 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.

Methods and findings: 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.

Conclusions: 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.

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YLDs by age and sex for MDD and dysthymia in 1990 and 2010.
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pmed-1001547-g001: YLDs by age and sex for MDD and dysthymia in 1990 and 2010.

Mentions: Figure 1 shows the composition of YLDs by age and sex for MDD and dysthymia in 1990 and 2010. YLDs were consistently higher for MDD compared to dysthymia and also in females compared to males. There were changes across the lifespan with YLDs peaking in the twenties and gradually decreasing into the older ages. Globally in 2010, the largest proportion of YLDs from depressive disorders occurred at working ages (15 to 64 years) with 60.4 million YLDs, followed by the 0 to 14 year age group with 7.8 million YLDs, and the 65 and over age group with 6.1 million YLDs.


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

Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, Vos T, Whiteford HA - PLoS Med. (2013)

YLDs by age and sex for MDD and dysthymia in 1990 and 2010.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3818162&req=5

pmed-1001547-g001: YLDs by age and sex for MDD and dysthymia in 1990 and 2010.
Mentions: Figure 1 shows the composition of YLDs by age and sex for MDD and dysthymia in 1990 and 2010. YLDs were consistently higher for MDD compared to dysthymia and also in females compared to males. There were changes across the lifespan with YLDs peaking in the twenties and gradually decreasing into the older ages. Globally in 2010, the largest proportion of YLDs from depressive disorders occurred at working ages (15 to 64 years) with 60.4 million YLDs, followed by the 0 to 14 year age group with 7.8 million YLDs, and the 65 and over age group with 6.1 million YLDs.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: University of Queensland, School of Population Health, Herston, Queensland, Australia ; Queensland Centre for Mental Health Research, Wacol, Queensland, Australia.

ABSTRACT

Background: 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.

Methods and findings: 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.

Conclusions: 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.

Show MeSH
Related in: MedlinePlus