Non-fatal burden of disease due to mental disorders in the Netherlands
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To estimate the disease burden due to 15 mental disorders at both individual and population level.
Using a population-based survey (Nemesis, N = 7,056) the number of years lived with disability per one million population were assessed. This was done with and without adjustment for comorbidity.
At individual level, major depression, dysthymia, bipolar disorder, panic disorder, social phobia, eating disorder and schizophrenia are the disorders most markedly associated with health-related quality of life decrement. However, at population level, the number of affected people and the amount of time spent in an adverse health state become strong drivers of population ill-health. Simple phobia, social phobia, depression, dysthymia and alcohol dependence emerged as public health priorities.
From a clinical perspective, we tend to give priority to the disorders that exact a heavy toll on individuals. This puts the spotlight on disorders such as bipolar disorder and schizophrenia. However, from a public health perspective, disorders such as simple phobia, social phobia and dysthymia—which are highly prevalent and tend to run a chronic course—are identified as leading causes of population ill-health, and thus, emerge as public health priorities.
KeywordsQuality of life Public mental health Epidemiology Mental disorders Disease burden
- 1.Murray CJL, Lopez AD (1996) The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. vol 1, Mass: Harvard School of Public Health, on behalf of the World Health Organization and the World Bank, CambridgeGoogle Scholar
- 5.World Health Organization (2006) Dollars, DALYs and Decisions. World Health Organization, GenevaGoogle Scholar
- 6.World Health Organization (2008) Mental Health Gap Action Programme: scaling up for mental, neurological and substance use disorders. World Health Organization, GenevaGoogle Scholar
- 9.World Health Organization (1997) Composite International Diagnostic Interview (CIDI), version 2.1, 12-months. World Health Organization, GenevaGoogle Scholar
- 10.Ter Smitten MH, Smeets RMW, van den Brink W (1998) Composite International Diagnostic Interview (CIDI),Version 2.1, 12-months (in Dutch). World Health Organization, Amsterdam/GenevaGoogle Scholar
- 14.Von Neumann J, Morgenstern O (1953) Theory of games and economic behavior. Wiley, New YorkGoogle Scholar
- 17.Hox JJ (2010) Multilevel Analysis: Techniques and Applications. Taylor and Francis Group, New YorkGoogle Scholar
- 21.ESEMeD (2004) Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand 109(suppl):38–46Google Scholar
- 22.de Graaf R, Tuithof M, van Dorsselaer S, ten Have M (2012) Comparing the effects on work performance of mental and physical disorders. Soc Psychiatry Psychiatr Epidemiol: doi:10.1007/s00127-012-0496-7
- 23.Weehuizen R (2008) Mental capital: the economic significance of mental health. University of Maastricht, DissertationGoogle Scholar
- 28.Stouthard M, Essink-Bot M-L, Bonsel G, Barendregt J, Kramers P, Van de Water H, Gunning-Schepers M-L, Van der Maas P (1997) Disability weights for diseases in the Netherlands. Department of Public Health, Erasmus University, RotterdamGoogle Scholar
- 29.Gmel G, Gutjahr E, Rehm J (2003) How stable is the risk curve between alcohol and all-cause mortality and what factors influence the shape? A precision-weighted hierarchical meta-analysis. Eur J Epidemiol 8:613–642Google Scholar