Yli kolmasosallako väestöstä mielen sairauksia?

[Psykopatologia]

http://www.ecnp.eu/en/publications/repo ... urden.aspx

Wittchen, H. U. [et al.; 18] (2011): The size and burden of mental disorders and other disorders of the brain in Europe 2010.
European Neuropsychopharmacology (2011) 21, 655 - 679 (25 p.)

[Psykopatologia]

http://www.ecnp.eu/en/publications/reports/sizeandburden.aspx

Wittchen, H. U. [et al.; 18] (2011): The size and burden of mental disorders and othet disorders of the brain in Europe 2010.
European Neuropsychopharmacology (2011) 21, 655 - 679 (25 p.)

Major depression (12 kk prevalenssi) on 6,9 % ("best estimate") (p. 663).

Tämä vain osoittaa tautiluokitusten depressio-kriteerien "löysyyttä".
Kuuluu (nimeämääni) depressio-huijaukseen.

[Psykopatologia]

HS-verkkokeskustelu:
http://www.hs.fi/keskustelu/aihealue/Ul ... perPage=20

[Maria]

Toisaalta laajan määrittelyspektrin takia luvun voi kuvitella olevan hyvin korkea. Jos mukaan luetaan kaikki ne sairaudet, joissa on jokin mielenterveyteen tai hermoston toimintaan liittyvä pienikin sivuoire. Miksi on käytetty termiä mielen sairaus?

[Mirri]

Ihmettelen samaa kuin Maria. Tutkimuksessa on näköjään pantu samaan läjään vaikka mitä aina Parkinsonin tautia myöten. Hermostoperäiset sairaudet ovat kuitenkin eri asia kuin mielenterveysongelmat ja psykiatriset sairaudet.

Toki parkinson-potilaallakin voi olla vaikka mitä mielen sairauksia, niin vakavasta neurologisesta sairaudestaan johtuvia kuin muutenkin. Mutta se kai on eri asia...

[Psykopatologia]

http://www.ecnp.eu/en/publications/reports/sizeandburden.aspx

Wittchen, H. U. [et al.; 18] (2011): The size and burden of mental disorders and other disorders of the brain in Europe 2010.
European Neuropsychopharmacology (2011) 21, 655 - 679 (25 p.)

H.U. Wittchen et al.

A b s t r a c t

Aims:
To provide 12-month prevalence and disability burden estimates of a broad range of
mental and neurological disorders in the European Union (EU) and to compare these findings to
previous estimates. Referring to our previous 2005 review, improved up-to-date data for the
enlarged EU on a broader range of disorders than previously covered are needed for basic, clinical
and public health research and policy decisions and to inform about the estimated number of
persons affected in the EU.

M e t h o d:
Stepwise multi-method approach, consisting of systematic
literature reviews, reanalyses of existing data sets, national surveys and expert consultations.
Studies and data from all member states of the European Union (EU-27) plus Switzerland, Iceland
and Norway were included. Supplementary information about neurological disorders is provided,
although methodological constraints prohibited the derivation of overall prevalence estimates
for mental and neurological disorders. Disease burden was measured by disability adjusted life
years (DALY).

R e s u l t s:
Prevalence: It is estimated that each year 38.2% of the EU population
suffers from a mental disorder. Adjusted for age and comorbidity, this corresponds to
164.8 million persons affected. Compared to 2005 (27.4%) this higher estimate is entirely due
to the inclusion of 14 new disorders also covering childhood/adolescence as well as the elderly.
The estimated higher number of persons affected (2011: 165 m vs. 2005: 82 m) is due to coverage
of childhood and old age populations, new disorders and of new EU membership states. The most
frequent disorders are anxiety disorders (14.0%), insomnia (7.0%), major depression (6.9%),
somatoform (6.3%), alcohol and drug dependence (N4%), ADHD (5%) in the young, and dementia
(1 – 30%, depending on age). Except for substance use disorders and mental retardation, there
were no substantial cultural or country variations. Although many sources, including national
health insurance programs, reveal increases in sick leave, early retirement and treatment rates
due to mental disorders, rates in the community have not increased with a few exceptions (i.e.
dementia). There were also no consistent indications of improvements with regard to low
treatment rates, delayed treatment provision and grossly inadequate treatment.

D i s a b i l i t y:
Disorders of the brain and mental disorders in particular, contribute 26.6% of the total all cause
burden, thus a greater proportion as compared to other regions of the world. The rank order of
the most disabling diseases differs markedly by gender and age group; overall, the four most
disabling single conditions were: depression, dementias, alcohol use disorders and stroke.

C o n c l u s i o n:
In every year over a third of the total EU population suffers from mental disorders.
The true size of “disorders of the brain” including neurological disorders is even considerably
larger. Disorders of the brain are the largest contributor to the all cause morbidity burden as
measured by DALY in the EU. No indications for increasing overall rates of mental disorders were
found nor of improved care and treatment since 2005; less than one third of all cases receive any
treatment, suggesting a considerable level of unmet needs. We conclude that the true size and
burden of disorders of the brain in the EU was significantly underestimated in the past. Concerted
priority action is needed at all levels, including substantially increased funding for basic, clinical
and public health research in order to identify better strategies for improved prevention and
treatment for disorders of the brain as the core health challenge of the 21st century.

© 2011 Published by Elsevier B.V.

KEYWORDS
Prevalence;
Disability;
Mental disorders;
Neurological disorders;
Disorders of the brain;
Europe

[Maria]

Ottaen huomioon Euroopan väestöpyramidin rakenteen ei ole ihme,
että depressio, dementiat, alkoholisairaudet ja aivohalvaukset/veritulpat ovat
neljän kärjessä.

The rank order of
the most disabling diseases differs markedly by gender and age group; overall, the four most
disabling single conditions were: depression, dementias, alcohol use disorders and stroke.

Yllä lainaus julkaisusta, joka kokonaisuutena vaikuttaa maallikon mielestä hienolta EU-jargonilta. Toisaalta on hyvä, että
ongelmat edes jollain tasolla tunnustetaan.