4.4 Review

Global Burden of Disease and the Impact of Mental and Addictive Disorders

Journal

CURRENT PSYCHIATRY REPORTS
Volume 21, Issue 2, Pages -

Publisher

SPRINGER
DOI: 10.1007/s11920-019-0997-0

Keywords

Mental disorders; Substance-use disorders; Global burden of disease; Excess mortality; Deaths of despair; Life expectancy

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Purpose of ReviewThis contribution reviews the newest empirical evidence regarding the burden of mental and addictive disorders and weighs their importance for global health in the first decades of the twenty-first century.Recent FindingsMental and addictive disorders affected more than 1 billion people globally in 2016. They caused 7% of all global burden of disease as measured in DALYs and 19% of all years lived with disability. Depression was associated with most DALYs for both sexes, with higher rates in women as all other internalizing disorders, whereas other disorders such as substance use disorders had higher rates in men.SummaryMental and addictive disorders affect a significant portion of the global population with high burden, in particular in high- and upper-middle-income countries. The relative share of these disorders has increased in the past decades, in part due to stigma and lack of treatment. Future research needs to better analyze the role of mental and addictive disorders in shifts of life expectancy.

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