College of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
Second Clinical Medical College, Nanchang University, Nanchang, Jiangxi, China.
Sci Rep. 2024 May 29;14(1):12346. doi: 10.1038/s41598-024-62381-9.
Depression has been reported as one of the most prevalent psychiatric illnesses globally. This study aimed to obtain information on the global burden of depression and its associated spatiotemporal variation, by exploring the correlation between the global burden of depression and the social development index (SDI) and associated risk factors. Using data from the Global Burden of Disease study from 1990 to 2019, we described the prevalence and burden of disease in 204 countries across 21 regions, including sex and age differences and the relationship between the global disease burden and SDI. The age-standardized rate and estimated annual percentage change were used to assess the global burden of depression. Individuals with documented depression globally ranged from 182,183,358 in 1990 to 290,185,742 in 2019, representing an increase of 0.59%. More patients experienced major depressive disorder than dysthymia. The incidence and disability-adjusted life years of depression were the highest in the 60-64 age group and much higher in females than in males, with this trend occurring across all ages. The age-standardized incidence and adjusted life-years-disability rates varied with different SDI levels. Relevant risk factors for depression were identified. National governments must support research to improve prevention and treatment interventions.
抑郁症是全球最普遍的精神疾病之一。本研究旨在通过探讨全球抑郁症负担与社会发展指数(SDI)及相关危险因素之间的相关性,获取全球抑郁症负担及其时空变化的相关信息。本研究使用了 1990 年至 2019 年全球疾病负担研究的数据,描述了 21 个地区 204 个国家的疾病负担,包括性别和年龄差异以及全球疾病负担与 SDI 之间的关系。使用年龄标准化率和估计的年变化百分比来评估抑郁症的全球负担。全球范围内有记录的抑郁症患者人数从 1990 年的 182,183,358 人增加到 2019 年的 290,185,742 人,增长率为 0.59%。患有重度抑郁症的患者多于心境恶劣障碍患者。抑郁症的发病率和残疾调整生命年在 60-64 岁年龄组最高,女性显著高于男性,这种趋势在所有年龄段均存在。年龄标准化发病率和调整生命年残疾率随 SDI 水平的不同而变化。确定了与抑郁症相关的风险因素。各国政府必须支持研究以改善预防和治疗干预措施。