The Burden of Depressive and Anxiety Disorders in Nepal, 1990-2017: An Analysis of Global Burden of Disease Data

Authors

  • Deepa Kumari Bhatta Department of Public Health, Nobel College (affiliated to Pokhara University), Sinamangal, Kathmandu,
  • Kreeti Budhathoki Department of Psychology, Tri-Chandra Multiple Campus, Tribhuvan University, Kathmandu, Nepal
  • Kiran Paudel Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
  • Shishir Paudel Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal
  • Sujan Babu Marhatta Faculty of Science, Health & Technology, Nepal Open University, Lalitpur, Nepal
  • Smritee Mahat Department of Pathology, Bir Hospital, Kathmandu, Nepal
  • Avinaya Banskota School of Arts (Disability Research Center), Kathmandu University, Hattiban, Lalitpur, Nepal
  • Yadav Prasad Joshi Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal

Keywords:

Mental disorders, depression, anxiety, prevalence, incidence, burden

Abstract

Background: Depressive disorders are frequent mental disorders that rank as top contributors of disability
worldwide. Despite their burgeoning concerns, these are still one of the unheeded issues in developing nations.
This study aims to describe the burden of major mental health disorders in Nepal in terms of Year Lived with
Disability and Disability-Adjusted Life Year by age and sex standardization.
Methods: The publicly available Global Burden of Disease (GBD) data from 1990 to 2017 was used for this study.
The age and sex-specific incidence, prevalence rate, YLDs, and DALYs were examined among 100,000
populations.
Results: It was noted that females had the higher prevalence of depressive [4094.4 (95% uncertainty interval [UI]:
3761.9-4470.3 per 100,000)] and anxiety [4496.8 (95% UI: 4171.9-4837.9 per 100,000)] disorders. The prevalence
of major depressive disorders was comparatively higher in females (2766.7) than males (1822.9). Females also had
higher YLDs for both depressive and anxiety disorders. In 2017, higher DALYs of anxiety disorder were found in
the females of 45-49 years (630.1). Childhood sexual abuse was found to be the major risk factor for depressive
disorder, contributing to 32.5 DALYs in both sexes. Bullying, and victimization had contributed to 26.7 DALYs of
anxiety.
Conclusion: There is a high burden of mental disorders in females of Nepal. This finding would support in
identifying major mental health challenges in the country and in developing plans and interventions based on
preventive, curative, and rehabilitative strategies.

Author Biography

Yadav Prasad Joshi, Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal

Deepa Kumari Bhatta1¶, Kreeti Budhathoki2¶, Kiran Paudel3,4, Shishir Paudel5, Sujan Babu Marhatta5,6, Smritee Mahat7, Avinaya Banskota8 and Yadav Prasad Joshi5,6*

1Department of Public Health, Nobel College (affiliated to Pokhara University), Sinamangal, Kathmandu, Nepal; 2Department of Psychology, Tri-Chandra Multiple Campus, Tribhuvan University, Kathmandu, Nepal; 3 Institute of Medicine, Tribhuvan University, Kathmandu, Nepal; 4Nepal Health Frontiers, Tokha, Kathmandu, Nepal; 5Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal; 6Faculty of Science, Health & Technology, Nepal Open University, Lalitpur, Nepal; 7Department of Pathology, Bir Hospital, Kathmandu, Nepal; 8School of Arts (Disability Research Center), Kathmandu University, Hattiban, Lalitpur, Nepal

These authors have contributed equally.

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Published

2022-04-30

How to Cite

1.
Bhatta DK, Budhathoki K, Paudel K, Paudel S, Marhatta SB, Mahat S, Banskota A, Joshi YP. The Burden of Depressive and Anxiety Disorders in Nepal, 1990-2017: An Analysis of Global Burden of Disease Data. Journal of Karnali Academy of Health Sciences [Internet]. 2022Apr.30 [cited 2024Nov.24];5(1). Available from: http://jkahs.org.np/jkahs/index.php/jkahs/article/view/670

Issue

Vol. 5 No. 1 (2022): JKAHS; Jan-Apr Issue (13)

Section

Original Article

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