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审视约旦精神障碍的负担:一项历时三十年的生态学研究。

Examining the burden of mental disorders in Jordan: an ecological study over three decades.

作者信息

Altobaishat Obieda, Abouzid Mohamed, Omari Deemah, Sange Walid, Al-Zoubi Ahmad K, Bani-Salameh Abdallah, Al-Ajlouni Yazan A

机构信息

Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Physical Pharmacy and Pharmacokinetics, Faculty of Pharmacy, Poznan University of Medical Sciences, Rokietnicka 3 St, Poznan, 60-806, Poland.

出版信息

BMC Psychiatry. 2025 Mar 11;25(1):218. doi: 10.1186/s12888-025-06658-x.

DOI:10.1186/s12888-025-06658-x
PMID:40069668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11895291/
Abstract

BACKGROUND

Mental disorders are a major public health issue, causing 4.9% of global disability-adjusted life years (DALYs). In Jordan, factors like regional conflicts, economic changes, and population growth contribute to this burden. This study examines the trends and risk factors of mental disorders in Jordan from 1990 to 2021 using Global Burden of Disease (GBD) data.

METHODS

We analyzed prevalence, deaths, and DALYs of mental disorders from the GBD 2021 dataset, reporting both all-age numbers and age-standardized rates. Key risk factors, including behavioral risks, bullying, childhood sexual abuse, and substance use, were assessed.

RESULTS

Mental disorder cases in Jordan rose by 279.8%, from 514,234 in 1990 to 1,953,087 in 2021. Anxiety and depression were the most common in 2021. All-age DALYs increased by 649.6%, while age-standardized DALY rates showed a slight 4.3% rise. Females had higher mental disorder prevalence and DALY rates, while males had higher substance use disorder rates. Behavioral risks, bullying, and childhood sexual abuse were major contributors.

CONCLUSION

The burden of mental disorders in Jordan has grown significantly over three decades. Limited resources, stigma, and regional instability worsen the issue. Policies focusing on stigma reduction, mental health integration, and prevention are essential.

摘要

背景

精神障碍是一个重大的公共卫生问题,导致全球4.9%的伤残调整生命年(DALYs)。在约旦,地区冲突、经济变化和人口增长等因素加重了这一负担。本研究利用全球疾病负担(GBD)数据,考察了1990年至2021年约旦精神障碍的趋势和风险因素。

方法

我们分析了GBD 2021数据集中精神障碍的患病率、死亡人数和伤残调整生命年,报告了全年龄段数据和年龄标准化率。评估了包括行为风险、欺凌、儿童期性虐待和物质使用在内的关键风险因素。

结果

约旦的精神障碍病例增加了279.8%,从1990年的514234例增至2021年的1953087例。2021年,焦虑和抑郁最为常见。全年龄段的伤残调整生命年增加了649.6%,而年龄标准化的伤残调整生命年率略有上升,为4.3%。女性的精神障碍患病率和伤残调整生命年率更高,而男性的物质使用障碍率更高。行为风险、欺凌和儿童期性虐待是主要促成因素。

结论

约旦精神障碍的负担在三十年里显著增加。资源有限、污名化和地区不稳定使问题更加严重。关注减少污名化、精神卫生整合和预防的政策至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/0dd9b96e3805/12888_2025_6658_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/318cf298edbc/12888_2025_6658_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/81e620041175/12888_2025_6658_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/7bf2ebdbe668/12888_2025_6658_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/0dd9b96e3805/12888_2025_6658_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/318cf298edbc/12888_2025_6658_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/81e620041175/12888_2025_6658_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/7bf2ebdbe668/12888_2025_6658_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/11895291/0dd9b96e3805/12888_2025_6658_Fig4_HTML.jpg

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