Abstract：
:We argue that the global burden of mental illness is underestimated and examine the reasons for under-estimation to identify five main causes: overlap between psychiatric and neurological disorders; the grouping of suicide and self-harm as a separate category; conflation of all chronic pain syndromes with musculoskeletal disorders; exclusion of personality disorders from disease burden calculations; and inadequate consideration of the contribution of severe mental illness to mortality from associated causes. Using published data, we estimate the disease burden for mental illness to show that the global burden of mental illness accounts for 32·4% of years lived with disability (YLDs) and 13·0% of disability-adjusted life-years (DALYs), instead of the earlier estimates suggesting 21·2% of YLDs and 7·1% of DALYs. Currently used approaches underestimate the burden of mental illness by more than a third. Our estimates place mental illness a distant first in global burden of disease in terms of YLDs, and level with cardiovascular and circulatory diseases in terms of DALYs. The unacceptable apathy of governments and funders of global health must be overcome to mitigate the human, social, and economic costs of mental illness.
journal_name
Lancet Psychiatryjournal_title
The lancet. Psychiatryauthors
Vigo D,Thornicroft G,Atun Rdoi
10.1016/S2215-0366(15)00505-2subject
Has Abstractpub_date
2016-02-01 00:00:00pages
171-8issue
2eissn
2215-0366issn
2215-0374pii
S2215-0366(15)00505-2journal_volume
3pub_type
杂志文章,评审abstract：BACKGROUND:People living in group situations or with dementia are more vulnerable to infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Older people and those with multimorbidity have higher mortality if they become infected than the general population. However, no systematic study exists of C...
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journal_title：The lancet. Psychiatry
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更新日期：2015-08-01 00:00:00
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更新日期：2020-06-01 00:00:00
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更新日期：2018-01-01 00:00:00
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更新日期：2016-03-01 00:00:00
