ALVI, Mohsin Hassan, ASHRAF, Tehmina, NAZ, Farah, SARDAR, Asif, ULLAH, Akbar, PATEL, Anita, KIRAN, Tayyeba, GUMBER, Anil and HUSAIN, Nusrat (2023). Burden of mental disorders by gender in Pakistan: analysis of Global Burden of Disease Study data for 1990–2019. BJPsych Bulletin.
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BJPsych Bulletin - Alvi et al 2023.pdf - Published Version
Available under License Creative Commons Attribution.
BJPsych Bulletin - Alvi et al 2023.pdf - Published Version
Available under License Creative Commons Attribution.
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Abstract
Aims and method
We aimed to examine the burden of mental disorders in Pakistan over the past three decades. We used the crude data of disability-adjusted life-years (DALYs) obtained from the Global Burden of Disease Study database (1990–2019) to represent burden. Data were retrieved on 26 January 2021. Data for adults of reproductive age (aged 15–49 years) were analysed to discuss and interpret the disease burden. An analysis was conducted on total DALYs separately for the genders for ten mental disorders reported in Pakistan.
Results
DALYs increased drastically with the onset of reproductive age. Depressive disorder was the most reported mental disorder, contributing 3.13% (95% CI 2.25–4.24) of total DALYs, and varied significantly between genders: females 3.89% (95% CI 2.73–5.29) versus males 2.37% (95% CI 1.62–3.25).
Clinical implications
A nationwide high-quality epidemiological surveillance system should be implemented to monitor mental disorders and offer culturally appropriate preventive services.
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