Moroccan national study on prevalence of mental disorders: a community‐based epidemiological study

Kadri, N.; Agoub, Mohamed; Assouab, F.; Tazi, M. A.; Didouh, A.; Stewart, Robert; Moussaoui, Driss

doi:10.1111/j.1600-0447.2009.01431.x

Cited by 52 publications

(39 citation statements)

References 8 publications

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“…Loss of a marriage was associated with CMD as reported elsewhere in Africa [57,58] as was increasing age [57,59]. Although low social support was associated with CMD only in the univariate model, it was associated with suicidal behaviour in the full model.…”

Section: Discussionsupporting

confidence: 65%

Population level mental distress in rural Ethiopia

et al. 2014

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BackgroundAs part of a situational analysis for a research programme on the integration of mental health care into primary care (Programme for Improving Mental Health Care-PRIME), we conducted a baseline study aimed at determining the broad indicators of the population level of psychosocial distress in a predominantly rural community in Ethiopia.MethodsThe study was a population-based cross-sectional survey of 1497 adults selected through a multi-stage random sampling process. Population level psychosocial distress was evaluated by estimating the magnitude of common mental disorder symptoms (CMD; depressive, anxiety and somatic symptoms reaching the level of probable clinical significance), harmful use of alcohol, suicidality and psychosocial stressors experienced by the population.ResultsThe one-month prevalence of CMD at the mild, moderate and severe threshold levels was 13.8%, 9.0% and 5.1% respectively. The respective one-month prevalence of any suicidal ideation, persistent suicidal ideation and suicide attempt was 13.5%, 3.8% and 1.8%. Hazardous use of alcohol was identified in 22.4%, significantly higher among men (33.4%) compared to women (11.3%). Stressful life events were widespread, with 41.4% reporting at least one threatening life event in the preceding six months. A similar proportion reported poor social support (40.8%). Stressful life events, increasing age, marital loss and hazardous use of alcohol were associated with CMD while stressful life events, marital loss and lower educational status, and CMD were associated with suicidality. CMD was the strongest factor associated with suicidality [e.g., OR (95% CI) for severe CMD = 60.91 (28.01, 132.48)] and the strength of association increased with increase in the severity of the CMD.ConclusionIndicators of psychosocial distress are prevalent in this rural community. Contrary to former assumptions in the literature, social support systems seem relatively weak and stressful life events common. Interventions geared towards modifying general risk factors and broader strategies to promote mental wellbeing are required.

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Section: Discussionsupporting

confidence: 65%

Population level mental distress in rural Ethiopia

et al. 2014

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“…Large scale community surveys conducted in the region report rates of psychological distress between 15·6% and 35·5%, with higher rates in countries with complex emergency situations. The 12-month prevalence of mental disorders ranges between 11·0% and 40·1% [12–23]. Depression and anxiety disorders are the most frequent mental disorders, and rates in women are up to double those in men [10].…”

Section: Introductionmentioning

confidence: 99%

The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

et al. 2017

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The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost–YLLs) and nonfatal outcomes (years lived with disability–YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100,000 population): 2519 DALYS/100,000 (2590/100,000 males, 2426/100,000 females) in high-income countries, 1884 DALYS/100,000 (1618/100,000 males, 2157/100,000 females) in middle-income countries, 1607 DALYS/100,000 (1500/100,000 males, 1717/100,000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25–49 age group, with a peak in the 35–39 years age group (5344 DALYs/100,000). The burden of mental disorders in EMR increased from 1726 DALYs/100,000 in 1990 to 1912 DALYs/100,000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of diseases in the region.

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“…A transformation of the mental health care system towards a multidisciplinary, coordinated and holistic approach is required. It should be noted, however, there have been several recent reports on mental health in the Arab countries [43][44][45][46][47][48][49][50][51][52][53][54][55]. This trend highlights a change in attitudes among health professionals as well as the public concerning mental health and wellness.…”

Section: Coordination Of Carementioning

confidence: 99%

Health services to groups with special needs in the Arab world: a review

Kronfol¹

2012

Easter Mediterr Health J

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This paper examines the health services provided to the older population (especially those with physical limitations) and the people with mental illnesses in Arab countries and their evolution over the past 3 decades. The paper reviews utilization issues related to morbidity, transportation, patient-provider relationship, cost, stigma and organizational barriers that often impede access and compliance with the care provided or recommended. Health systems in the region need to acknowledge the specific needs of these patients in their national programmes. Raising awareness is an important step in this regard. RÉSUMÉ Le présent article a examiné les services de santé fournis à la population de personnes âgées (en particulier celles affectées par des handicaps physiques) et aux personnes souffrant de maladies mentales dans les pays arabes, ainsi que leur évolution au cours des trente dernières années. La recherche a analysé l'utilisation des services en relation avec la morbidité, les transports, la relation patient-prestataire, le coût, la stigmatisation et les obstacles d'ordre organisationnel qui empêchent souvent l'accès aux soins fournis ou recommandés et leur observance. Les systèmes de santé dans la région doivent prendre en compte les besoins particuliers de ces patients dans leurs programmes nationaux. La sensibilisation est une étape importante à cet égard.

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Moroccan national study on prevalence of mental disorders: a community‐based epidemiological study

Abstract: Mental disorders are common in the Moroccan general population, particularly mood and anxiety disorders.

Cited by 52 publications

References 8 publications

Population level mental distress in rural Ethiopia

Population level mental distress in rural Ethiopia

The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

Health services to groups with special needs in the Arab world: a review

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