Health Promot Perspect. 2022;12(3): 301-309.
doi: 10.34172/hpp.2022.39
PMID: 36686044
PMCID: PMC9808901
  Abstract View: 54
  PDF Download: 50

Original Article

Epidemiological status of depressive disorders in the Middle East and North Africa from 1990 to 2019

Mehdi Moradinazar 1, Parmida Mirzaei 2, Saied Moradivafa 1, Mahdieh Saeedi 1, Mona Basiri 1, Mohammad Shakiba 1*

1 Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
2 Department of Psychology, Faculty of Psychology, Kermanshah branch Islamic Azad University, Kermanshah, Iran
*Corresponding Author: Corresponding Author: Mohammad Shakiba, Email: , Email: m.shakiba_d91@gmail.com


Background: Depressive disorders are one of the most common mental health diseases, which are associated with adverse life events such as increased risk of self-injury. This study was aimed to measure the epidemiological status and the burden of depressive disorders in the Middle East and North Africa (MENA) countries.

Methods: The study population included 21 countries in the MENA region, covering a population of about 600 million. The Global Burden of Disease (GBD) 2019 database was used. The disability-adjusted life years (DALYs) were estimated by the years lived with disability (YLDs) component. The prevalence, incidence, and the DALYs rates per 100000 people by age-standardized rate (ASR) were measured.

Results: In 2019, the highest prevalence 6198.95 (95% uncertainty interval [UI], 5402.41- 7108.39), incidence 7864.2 (95% UI, 6719.71-9216.83), and DALYs 1168.68 (95% UI, 802.95- 1624.31) per 100,000 were in Palestine by ASR. Between 1990 and 2019, the depressive disorders-related prevalence, incidence, and DALYs rates in the MENA region increased by 0.004%, 0.006%, and 0.005%. The highest increment of the prevalence, incidence, and DALYs rates was related to Saudi Arabia by 0.05%, 0.064%, and 0.055%. The highest percentage of major depressive disorder (MDD)-related DALYs attributed to intimate partner violence was related to Iran (101.1). Also, the highest percentage of MDD-related DALYs attributed to childhood sexual abuse (34.26) and bullying victimization (49.81) was related to Palestine.

Conclusion: Given the increasing trend of depressive disorders in MENA region, mental health programs should be prioritized across the MENA countries, with significant contributions and involvement of the governments.

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Submitted: 26 Dec 2021
Revision: 26 Sep 2022
Accepted: 16 Oct 2022
ePublished: 10 Dec 2022
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