Introduction
5. Mental, neurological, and substance use disorders are a
leading cause of the disease burden worldwide. (1). According
to the World Health Report 2001, at any given time
about one person in every 10 is suffering from a mental
disorder, and about one in four families has a member
with a mental disorder, 20% of children and adolescents
worldwide suffer from disabling mental illness, and approximately
50% of mental disorders in adults begin before the
age of 14 years (2). A recent systematic review estimated
life-time prevalence rates of common mental disorders at
29.2% (25.9–32.6%) and a 12 month period prevalence
rate of 17.6% (16.3–18.9%). A consistent gender effect
was also observed with women having higher rates of
anxiety (8.7:4.3%) and mood disorders (7.3:4.0%) (3).
Rates of mental disorder are even higher where there are
complex emergencies. Meta-analysis of the most robust
epidemiological surveys in conflict-affected populations
showed average prevalence of 15.4% for post-traumatic
stress disorder (PTSD) and of 17.3 % for depression.
These rates are substantially higher than the average 7.6%
(any anxiety disorder, including PTSD) and 5.3% (any
mood disorder, including major depressive disorder)
reported from 17 countries which have participated in the
world mental health survey (4).
6. Globally, mental and substance-use disorders account for
22.9% of non-fatal disease burden (measured as years lived
with disability, YLD), and 7.4% of the global burden of disease
(measured by disability adjusted life years (DALYs), a
Introduction5. Mental, neurological, and substance use disorders are aleading cause of the disease burden worldwide. (1). Accordingto the World Health Report 2001, at any given timeabout one person in every 10 is suffering from a mentaldisorder, and about one in four families has a memberwith a mental disorder, 20% of children and adolescentsworldwide suffer from disabling mental illness, and approximately50% of mental disorders in adults begin before theage of 14 years (2). A recent systematic review estimatedlife-time prevalence rates of common mental disorders at29.2% (25.9–32.6%) and a 12 month period prevalencerate of 17.6% (16.3–18.9%). A consistent gender effectwas also observed with women having higher rates ofanxiety (8.7:4.3%) and mood disorders (7.3:4.0%) (3).Rates of mental disorder are even higher where there arecomplex emergencies. Meta-analysis of the most robustepidemiological surveys in conflict-affected populationsshowed average prevalence of 15.4% for post-traumaticstress disorder (PTSD) and of 17.3 % for depression.These rates are substantially higher than the average 7.6%(any anxiety disorder, including PTSD) and 5.3% (anymood disorder, including major depressive disorder)reported from 17 countries which have participated in theworld mental health survey (4).6. Globally, mental and substance-use disorders account for22.9% of non-fatal disease burden (measured as years livedwith disability, YLD), and 7.4% of the global burden of disease(measured by disability adjusted life years (DALYs), a
การแปล กรุณารอสักครู่..
