Burden and trends of mental disorders in China from 1990 to 2019: findings from the Global Burden of Disease Study 2019.

IF 3.6 2区 医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-09-01 Epub Date: 2023-12-13 DOI:10.1007/s00127-023-02594-x
Yang Deng, Siwei Sun, Shixing Wu, Kun Chen, Yan Liu, Wannian Wei, Ning Bei, Chengjun Qiu, Xiaomei Li
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Abstract

Purpose: Mental disorders remain the leading causes of disability worldwide. We aimed to determine the burden and trends of mental disorders in China from 1990 to 2019.

Methods: The incidence, prevalence, and disability-adjusted life years (DALYs) of mental disorders at national level of China were examined by age, sex, and subcategories. Temporal trends in the age-standardized rates for incidence, prevalence, and DALYs were assessed by the average annual percentage change (AAPC). All estimates are presented as numbers and age-standardized rates, with 95% uncertainty intervals (UIs).

Results: The number of incident cases due to mental disorders increased from 42.90 million to 52.72 million, the number of prevalent cases increased from 132.63 million to 160.16 million, and the number of DALYs increased from 15.64 million to 20.29 million during 1990-2019. Decreasing trends were observed in the age-standardized rates for incidence, prevalence and DALYs. Anxiety and depressive disorders were more frequent in women, while ADHD, conduct disorder, and autism spectrum disorders were more common in men. Compared with 1990, the age-specific incidence rates were higher in individuals under 14 years and over 55 years, whereas rates were lower in those aged 15-49 years in 2019.

Conclusion: The number of incident cases, prevalent cases, and DALYs due to mental disorders gradually increased in China from 1990 to 2019. Anxiety and depressive disorders were the leading causes of burden due to mental disorders, which affected women more than men. Mental disorders deserve greater attention in health policy decision making.

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1990-2019年中国精神障碍的负担和趋势:2019年全球疾病负担研究的结果。
目的:精神障碍仍然是导致全球残疾的主要原因。我们旨在确定 1990 年至 2019 年中国精神障碍的负担和趋势:方法:我们按年龄、性别和亚类研究了中国全国精神障碍的发病率、流行率和残疾调整生命年(DALYs)。发病率、患病率和残疾调整寿命年数的年龄标准化比率的时间趋势通过年均百分比变化(AAPC)进行评估。所有估计值均以数字和年龄标准化比率的形式呈现,并附有 95% 的不确定性区间(UIs):结果:1990-2019年间,精神障碍的发病人数从4290万增至5272万,患病人数从1.3263亿增至1.6016亿,残疾调整寿命年数从1564万增至2029万。按年龄标准化的发病率、患病率和残疾调整寿命年数呈下降趋势。焦虑症和抑郁症在女性中更为常见,而多动症、行为障碍和自闭症谱系障碍在男性中更为常见。与 1990 年相比,2019 年 14 岁以下和 55 岁以上人群的特定年龄发病率较高,而 15-49 岁人群的发病率较低:结论:从 1990 年到 2019 年,中国精神障碍的发病人数、患病人数和残疾调整寿命年数逐渐增加。焦虑症和抑郁症是造成精神障碍负担的主要原因,对女性的影响大于男性。在制定卫生政策时,应更多地关注精神障碍。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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