ArticleThe Lancet. Global health2024
National and subnational burden of mental disorders in Iran (1990-2019): findings of the Global Burden of Disease 2019 study.
Article in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Burden of Tension-Type Headache Among Older Adults in the Middle East and North Africa Region, 1990-2023.Health science reports · 2026Article
- Psychological distress in urban Iran: a multilevel analysis of socioeconomic position and context.BMC psychology · 2026Article
- Tea and coffee consumption in relation to depression and anxiety symptoms: findings from the multicentric LIPOKAP study.Scientific reports · 2026Article
- Challenges and solutions of building trust in mental health services: hearing the voices of Iranian medical students through community participation.BMC psychiatry · 2026Article
- A Closer Look at Adolescent Mental Health: Prevalence of Internalizing and Externalizing Problems Across Educational and Gender Groups.Iranian journal of psychiatry · 2026Article
- Forty Years of Primary Health Care (PHC) in Iran: Achievements, Lessons and Future Directions.Medical journal of the Islamic Republic of Iran · 2026Article
- Community-based care for patients with severe mental illness: A comparative study in Iran and selected countries.Journal of education and health promotion · 2026Review
- Global, regional, and national burden of schizophrenia: epidemiological trends, decomposition, joinpoint analysis, and projections to 2036 based on GBD 2021.Frontiers in psychiatry · 2026Article
- Maternal, paternal, and peer attachment and adolescent behavior problems: a validation study of the Inventory of Parent and Peer Attachment (IPPA-45).BMC psychology · 2025Article
- Understanding functioning in schizophrenia through the lens of social cognition: a phenomenological study.BMC psychiatry · 2025Article
- Global, regional, and national burden of maternal hypertensive disorder: 1990-2021 analysis and future projections.BMC public health · 2025Article
- The Association of Exposure to Urban Greenspace and Depression in Women.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- The dynamics of mental health policy in Iran over the last century.BMC psychology · 2025Article
- Global, regional, and national trends in the burden of bipolar disorder among women of reproductive age from 1990 to 2021, and projections to 2041: a systematic analysis from the Global Burden of Disease Study 2021.Frontiers in psychiatry · 2025Article
- Global burden and trends of major mental disorders in individuals under 24 years of age from 1990 to 2021, with projections to 2050: insights from the Global Burden of Disease Study 2021.Frontiers in public health · 2025Article
- Trends in incidence, prevalence, and disability-adjusted life years of schizophrenia in China from 1990 to 2021, with projections for 2022-2050.Frontiers in psychiatry · 2025Article
- Trends in prevalence and burden of depressive disorders in Iran at national and subnational levels: estimates based on sex and age groups.General psychiatry · 2025Article
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Abstract
backgroundMental and behavioural disorders account for a large proportion of the burden of diseases in Iran. Identifying the pattern of change can help in policy making and provision of mental health services. We aimed to analyse the burden of mental disorders (excluding substance use disorders) in Iran at national and subnational levels with data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019.
methodsWe used data from 1990 to 2019 on anxiety disorders, attention-deficit hyperactivity disorder, autism spectrum disorders, bipolar disorder, conduct disorder, depressive disorders, eating disorders, idiopathic developmental intellectual disability, schizophrenia, and other mental disorders in Iran and its 31 provinces. We calculated total disability-adjusted life-years (DALYs), age-standardised DALYs, and prevalence rates in 1990 and 2019, as well as the percentage change between these time periods.
findingsMental disorders accounted for 1 159 410 (4·6%) of 25 007 732 all-cause DALYs in Iran in 1990 and 2 053 871 (10·3%) of 19 828 721 in 2019. Although total DALYs for mental disorders increased by 77·1% (95% uncertainty interval 76·7 to 77·6%) during this period, age-standardised DALY rate increased by 1·8% (-4·1 to 7·7%). The overall patterns of change were similar at the subnational level as the national level, although the rates differed between provinces with a highest-to-lowest ratio of 1·22 for age-standardised DALY rates in 2019.
interpretationThe increase in the burden of mental disorders in Iran is higher than the general trend in the world. The slight change in age-standardised DALYs suggests that the increase is mainly attributable to changes in the size and structure of the population. Considering the absolute and relative increase in the burden of mental disorders during the past 30 years at national and provincial levels, there is an urgent need to address the determinants of mental health and upgrade mental health services across all levels of care in Iran.
fundingBill & Melinda Gates Foundation.
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