The size and burden of mental disorders and other disorders of the brain in Europe 2010

• Main Authors: Wittchen, Hans-Ulrich, Jacobi, Frank, Rehm, Jürgen, Gustavsson, Anders, Svensson, Mikael, Jönsson, Bengt, Olesen, Jes, Allgulander, Christer, Alonso, Jordi, Faravelli, Carlo, Fratiglioni, Laura, Jennum, Poul, Lieb, Roselind, Maercker, Andreas, van Os, Jim, Preisig, Martin, Salvador-Carulla, Luis, Simon, Roland, Steinhausen, Hans-Christoph
• Format: Article in Journal/Newspaper
• Language: English
• Published: Technische Universität Dresden 2013
• Subjects: info:eu-repo/classification/ddc/150; ddc:150; Prävalenz; Behinderung; psychische Störungen; neurologische Störungen; Gehirnerkrankungen; Europa; Prevalence; Disability; Mental disorders; Neurological disorders; Disorders of the brain; Europe; Daly; Norway; Iceland
• Online Access: https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa-112831; https://tud.qucosa.de/id/qucosa%3A26870; https://tud.qucosa.de/api/qucosa%3A26870/attachment/ATT-0/

Aims: To provide 12-month prevalence and disability burden estimates of a broad range of mental and neurological disorders in the European Union (EU) and to compare these findings to previous estimates. Referring to our previous 2005 review, improved up-to-date data for the enlarged EU on a broader range of disorders than previously covered are needed for basic, clinical and public health research and policy decisions and to inform about the estimated number of persons affected in the EU. Method: Stepwise multi-method approach, consisting of systematic literature reviews, reanalyses of existing data sets, national surveys and expert consultations. Studies and data from all member states of the European Union (EU-27) plus Switzerland, Iceland and Norway were included. Supplementary information about neurological disorders is provided, although methodological constraints prohibited the derivation of overall prevalence estimates for mental and neurological disorders. Disease burden was measured by disability adjusted life years (DALY). Results: Prevalence: It is estimated that each year 38.2% of the EU population suffers from a mental disorder. Adjusted for age and comorbidity, this corresponds to 164.8 million persons affected. Compared to 2005 (27.4%) this higher estimate is entirely due to the inclusion of 14 new disorders also covering childhood/adolescence as well as the elderly. The estimated higher number of persons affected (2011: 165 m vs. 2005: 82 m) is due to coverage of childhood and old age populations, new disorders and of new EU membership states. The most frequent disorders are anxiety disorders (14.0%), insomnia (7.0%), major depression (6.9%), somatoform (6.3%), alcohol and drug dependence (> 4%), ADHD (5%) in the young, and dementia (1–30%, depending on age). Except for substance use disorders and mental retardation, there were no substantial cultural or country variations. Although many sources, including national health insurance programs, reveal increases in sick leave, early retirement and ...