Journal of affective disorders · 2025
Trends in the global burden of disease for mental disorders among children aged 0-14 years, 1990-2021.
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Liu Zhuoqiong, Liu Yangyang, Yan Liru, Li Qiushi
Аннотация
BACKGROUND: We aimed to scrutinize the global burden of mental disorders (MD) among children aged 0-14 years from 1990 to 2021.
METHODS: The GBD 2021 provided indicators for Autism Spectrum Disorders (ASD), Conduct Disorder (CD), Attention-Deficit/Hyperactivity Disorder (AD/HD), and Idiopathic Developmental Intellectual Disability (IDID). Additionally, the burden of these disorders was evaluated using the Estimated Annual Percentage Change (EAPC).
RESULTS: Globally, ASD showed an increasing trend in ASIR (EAPC: 0.05) and ASDR (EAPC: 0.12), with the most significant rise in high-middle SDI regions. AD/HD exhibited a decline in ASIR (EAPC: -0.33) and ASDR (EAPC: -0.42), except in high SDI regions, where both surged. CD displayed upward trends in all SDI regions, with the largest increases in middle SDI areas. IDID's ASDR decreased globally, least in high SDI regions. Among countries, Guatemala, the UK, and Canada had the highest ASIR for ASD, AD/HD, and CD, respectively, while Japan, the UK, Canada, and Australia led in ASDR rates. Males consistently showed higher ASIR and ASDR rates than females.
CONCLUSION: The study revealed a significant rise in ASD and CD burdens globally, with AD/HD surging in high SDI regions and CD more prevalent in middle SDI areas. However, low SDI regions bore a disproportionately high burden of these disorders.
METHODS: The GBD 2021 provided indicators for Autism Spectrum Disorders (ASD), Conduct Disorder (CD), Attention-Deficit/Hyperactivity Disorder (AD/HD), and Idiopathic Developmental Intellectual Disability (IDID). Additionally, the burden of these disorders was evaluated using the Estimated Annual Percentage Change (EAPC).
RESULTS: Globally, ASD showed an increasing trend in ASIR (EAPC: 0.05) and ASDR (EAPC: 0.12), with the most significant rise in high-middle SDI regions. AD/HD exhibited a decline in ASIR (EAPC: -0.33) and ASDR (EAPC: -0.42), except in high SDI regions, where both surged. CD displayed upward trends in all SDI regions, with the largest increases in middle SDI areas. IDID's ASDR decreased globally, least in high SDI regions. Among countries, Guatemala, the UK, and Canada had the highest ASIR for ASD, AD/HD, and CD, respectively, while Japan, the UK, Canada, and Australia led in ASDR rates. Males consistently showed higher ASIR and ASDR rates than females.
CONCLUSION: The study revealed a significant rise in ASD and CD burdens globally, with AD/HD surging in high SDI regions and CD more prevalent in middle SDI areas. However, low SDI regions bore a disproportionately high burden of these disorders.