Mental disorders as risk factors: assessing the evidence for the global burden of disease study
Open accessAbstract
BACKGROUND: Mental disorders are associated with a considerable burden of disease as well as being risk factors for other health outcomes. The new Global Burden of Disease (GBD) Study will make estimates for both the disability and mortality directly associated with mental disorders, as well as the burden attributable to other health outcomes. Herein we discuss the process by which health outcomes in which mental disorders are risk factors are selected for inclusion in the GBD Study. We make suggestions for future research to strengthen the body of evidence for mental disorders as risk factors. METHODS: We identified a list of potential associations between mental disorders and subsequent health outcomes based on a review of the literature and consultation with mental health experts. A two-stage filter was applied to identify mental disorders and health outcomes that meet the criteria for inclusion in the GBD Study. Major limitations in the current literature are discussed and illustrated with examples identified during our review. RESULTS AND DISCUSSION: Only two associations are included in the new GBD Study. These associations are the increased risk of ischemic heart disease with major depression and mental disorders as a risk factor for suicide. There is evidence that mental disorders are independent risk factors for cardiovascular disease (CVD), type 2 diabetes and injuries. However, these associations were unable to be included because of insufficient data. The most common reasons for exclusion were inconsistent identification of 'cases', uncertain validity of health outcomes, lack of generalizability, insufficient control for confounding factors and lack of evidence for temporality. CONCLUSIONS: CVD, type 2 diabetes and injury are important public health policy areas. Prospective community studies of outcomes in patients with mental disorders are required, and their design must address a range of confounding factors.
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There was sufficient evidence for causal effects to quantify the burden attributable to MDD as a risk factor for suicide and ischemic heart disease.
“Out of the comprehensive list of health outcomes originally investigated for mental disorders [32], there was sufficient evidence for causal effects to quantify the burden attributable to MDD as a risk factor for suicide and ischemic heart disease.”
From Burden of depressive disorders by country, sex, age, and year: findings from the Global Burden of Disease Study 2010 (2013) · cites this paper as [32]
There was insufficient evidence at the time of review for a causal relationship between MDD and stroke, diabetes, and vascular dementia/Alzheimer's disease.
“Although there is literature linking stroke, diabetes, and vascular dementia/Alzheimer's disease to MDD, there was insufficient evidence at the time of our review for a causal relationship and more studies are needed to support these tentative associations [32].”
From Burden of depressive disorders by country, sex, age, and year: findings from the Global Burden of Disease Study 2010 (2013) · cites this paper as [32]
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“25,26 Meta-analyses have shown a 1.95× [95% CI: 1.41–2.70] increased hazard of CVD and 2.45× [95% CI: 1.64–3.65] increased hazard of CVD associated mortality among patients with schizophrenia compared with those without schizophrenia.”
InfluentialThe Temporal Dynamic of Emotional Emergence, Surprise and Depression
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Effectiveness of Community Mental Health Service in Oman: A Pilot Study
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Increased Psychological Disorders among Pediatric Population during Covid
AlQaatri, H. A. J. H. (2021) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2021.94174 · Cited by 1 · see citing works
Body composition, nutrient intake and MTHFR genotype in patients with peripheral arterial disease
Brostow, D. P. (2014) · University of Minnesota Digital Conservancy (University of Minnesota)
The effects of the presence of a psychiatric outpatient clinic in a district on suicides
Akpınar, A., Yumrukçal, H., Bağcıoğlu, E., & Aksoy, U. M. (2013) · Journal of Mood Disorders · doi:10.5455/jmood.20130909122703
Police response to mental health crises: examining a new partnership
Saligari, J. (2018) · Own your potential (DEAKIN)
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comparative study of depression in elderly men and women following major fractures
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“Depression has also been found to predispose an individual to various chronic diseases like osteoporosis, stroke, diabetes, and dementia [5].”
BackgroundAhmed, S. F., Alghamdi, G. A., Albalawi, A. A., AlQahtani, M., Ghonim, I. M., Elhady, H. M., Abdelhamid, S. A., & Eldesouky, A. A. (2021) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2021.94189
Ballaji, W. K., & Hadadi, H. M. (2021) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2021.94186
Barriers to Compliance of Hypertensive Patients in Abha City, Saudi Arabia
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Role of SGLT2 Inhibitors and GLP-1 Analogs in Cardiovascular Risk Reduction in Type 2 Diabetes
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Environmental Triggers in Migraine patients in Riyadh: A Cross-Sectional Study
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Diagnostic approach to eosinophilia in children
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Knowledge, Attitude and Practice of Non-Psychiatric Physicians about Addiction
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SUICÍDIO POR TRANSTORNOS MENTAIS E COMPORTAMENTAIS ENTRE MÉDICOS
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“It is associated with increased risk of suicide, type-2 diabetes, and heart disease [4, 38, 64] with over 50% of suicide victims having depression [64].”
Psychological resilience and clinical depression on bone loss and fracture
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Psychological distress in urban Iran: a multilevel analysis of socioeconomic position and context
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“Mental disorders substantially contribute to the global burden of disease, functioning both as non-communicable diseases (NCDs) and as risk factors for other health conditions [1–3].”
- Authors
- Baxter, A. J., Charlson, F. J., Somerville, A. J., & Whiteford, H. A.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Baxter, Amanda J
- Venue
- BMC Medicine
- Published
- 2011-12
- Volume
- 9
- Issue
- 1
- Pages
- 134-134
- ISSN
- 1741-7015 (ISSN-L)
- PMC
- PMC3305628
- OpenAlex
- W1980214914
- Cited by
- 58
- References
- 53
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 16 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 5 · 2013: 9 · 2012: 2
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- mental illness, risk factors, Global Burden of Disease Study, ischemic heart disease, major depressive disorder, suicide, cardiovascular disease, type 2 diabetes, injuries, disability, mortality, confounding, temporality, case definition, quality of evidence
- MeSH terms
- Mental Disorders, Humans, Risk Factors, Suicide, Epidemiologic Research Design, Myocardial Ischemia
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