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The global burden of mental and substance use disorders: changes in estimating burden between GBD1990 and GBD2010

Part of: Special Articles

Published online by Cambridge University Press:  23 April 2014

A. J. Baxter ,
A. J. Ferrari ,
H. E. Erskine ,
F. J. Charlson ,
L. Degenhardt  and
H. A. Whiteford
A. J. Baxter
Affiliation:
University of Queensland, School of Population Health, Herston, Australia Queensland Centre for Mental Health Research, Wacol, Australia
A. J. Ferrari
Affiliation:
University of Queensland, School of Population Health, Herston, Australia Queensland Centre for Mental Health Research, Wacol, Australia
H. E. Erskine
Affiliation:
University of Queensland, School of Population Health, Herston, Australia Queensland Centre for Mental Health Research, Wacol, Australia
F. J. Charlson
Affiliation:
University of Queensland, School of Population Health, Herston, Australia Queensland Centre for Mental Health Research, Wacol, Australia
L. Degenhardt
Affiliation:
University of New South Wales, National Drug and Alcohol Research Centre, Sydney, Australia University of Melbourne, Melbourne School of Population and Global Health, Centre for Health Policy, Programs and Economics, Melbourne, Australia
H. A. Whiteford*
Affiliation:
University of Queensland, School of Population Health, Herston, Australia Queensland Centre for Mental Health Research, Wacol, Australia
*
*Address for correspondence: Professor H. Whiteford, Queensland Centre for Mental Health Research, The University of Queensland, The Park Centre for Mental Health, Wacol Q 4076, Australia. (Email: [email protected])
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Abstract

Background.

The main aim of this paper is to compare and contrast the methodological approaches of the new Global Burden of Disease 2010 Study (GBD 2010) with the original study conducted for 1990 (GBD 1990), in terms of calculating burden for mental and substance use disorders.

Methods.

We reviewed the conceptual and methodological changes to GBD burden calculations in the GBD 2010 study, compared with previous studies. We then discuss the possible implications of these changes with respect to burden estimates for mental and substance use disorders.

Results.

It is not possible to compare burden estimates arising from the GBD 1990 study with the most recent burden estimates. There have been important advances in the categorisation and definition of mental disorders, and the input and computation of epidemiological models for disease distribution. There have also been major changes to conceptual and social value choices aimed at addressing concerns that arose following publication of earlier GBD studies.

Conclusion.

Advancements to the GBD conceptual framework and method of calculating burden estimates has led to more accurate and equitable consideration of the burden for mental and substance use disorders. Proposed annual updates of GBD estimates by the Institute of Health Metrics and Evaluation provide an opportunity to continue to advance the evidence base that underpins the quantification of disease burden.

Keywords

global burden of diseasehealth metricsmental disorderspublic health
Type
Special Article
Information
Epidemiology and Psychiatric Sciences , Volume 23 , Issue 3 , September 2014 , pp. 239 - 249
Copyright
Copyright © Cambridge University Press 2014 

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