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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
general
The Epidemiological Modelling of Major Depressive Disorder: Application for the Global Burden of Disease Study 2010
PLoS ONE, Volume 8, No. 7, Article e69637, Year 2013
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Description
Background:Although the detrimental impact of major depressive disorder (MDD) at the individual level has been described, its global epidemiology remains unclear given limitations in the data. Here we present the modelled epidemiological profile of MDD dealing with heterogeneity in the data, enforcing internal consistency between epidemiological parameters and making estimates for world regions with no empirical data. These estimates were used to quantify the burden of MDD for the Global Burden of Disease Study 2010 (GBD 2010).Method:Analyses drew on data from our existing literature review of the epidemiology of MDD. DisMod-MR, the latest version of the generic disease modelling system redesigned as a Bayesian meta-regression tool, derived prevalence by age, year and sex for 21 regions. Prior epidemiological knowledge, study- and country-level covariates adjusted sub-optimal raw data.Results:There were over 298 million cases of MDD globally at any point in time in 2010, with the highest proportion of cases occurring between 25 and 34 years. Global point prevalence was very similar across time (4.4% (95% uncertainty: 4.2-4.7%) in 1990, 4.4% (4.1-4.7%) in 2005 and 2010), but higher in females (5.5% (5.0-6.0%) compared to males (3.2% (3.0-3.6%) in 2010. Regions in conflict had higher prevalence than those with no conflict. The annual incidence of an episode of MDD followed a similar age and regional pattern to prevalence but was about one and a half times higher, consistent with an average duration of 37.7 weeks.Conclusion:We were able to integrate available data, including those from high quality surveys and sub-optimal studies, into a model adjusting for known methodological sources of heterogeneity. We were also able to estimate the epidemiology of MDD in regions with no available data. This informed GBD 2010 and the public health field, with a clearer understanding of the global distribution of MDD. © 2013 Ferrari et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3726670/bin/pone.0069637.s001.tif
https://efashare.b-cdn.net/share/pmc/articles/PMC3726670/bin/pone.0069637.s002.tif
https://efashare.b-cdn.net/share/pmc/articles/PMC3726670/bin/pone.0069637.s003.tif
Authors & Co-Authors
Ferrari, Alize J.
Australia, Brisbane
The University of Queensland
Australia, Wacol
Queensland Centre for Mental Health Research
Charlson, Fiona J.
Australia, Brisbane
The University of Queensland
Pacella, Rosana
Australia, Brisbane
The University of Queensland
Flaxman, Abraham D.
United States, Seattle
Institute for Health Metrics and Evaluation
Patten, Scott B.
Canada, Calgary
University of Calgary
Vos, Theo
Australia, Brisbane
The University of Queensland
United States, Seattle
Institute for Health Metrics and Evaluation
Whiteford, Harvey A.
Australia, Brisbane
The University of Queensland
Australia, Wacol
Queensland Centre for Mental Health Research
Statistics
Citations: 265
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0069637
ISSN:
19326203
Research Areas
Genetics And Genomics
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Systematic review
Participants Gender
Female