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Depression in women.

C J Krulewitch

    Journal of Midwifery & Women'S Health
    |August 2, 2001
    PubMed
    Summary

    Depression is the leading cause of disease burden for women globally. Mental illnesses, including depression, are underestimated when only mortality is considered, not disability.

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    Area of Science:

    • Global Health
    • Epidemiology
    • Mental Health Research

    Background:

    • Depression is the primary cause of disease burden among women in both developing and developed countries.
    • Traditional measures of disease burden, focusing on mortality, underestimate the impact of mental illnesses.
    • Psychiatric conditions contribute significantly to global disease burden, despite low mortality rates.

    Purpose of the Study:

    • To highlight the significant and underestimated burden of depression and other mental illnesses, particularly for women.
    • To emphasize the importance of considering disability alongside mortality in assessing disease burden.
    • To advocate for a more comprehensive understanding of mental health's impact on global health.

    Main Methods:

    • Analysis of global disease burden data, differentiating between mortality and disability.
    • Review of traditional epidemiological approaches to disease burden measurement.
    • Comparative analysis of mortality vs. disability-adjusted life years (DALYs) for psychiatric conditions.

    Main Results:

    • Depression identified as the leading cause of disease burden for women worldwide.
    • Mental illnesses account for approximately 11% of the global disease burden.
    • Psychiatric conditions represent a small fraction of deaths (around 1%) but a substantial portion of disability.

    Conclusions:

    • The global disease burden attributed to mental illnesses, especially depression in women, is significantly underestimated by mortality-focused metrics.
    • Accurate assessment of mental health's impact requires incorporating disability metrics.
    • A paradigm shift in disease burden evaluation is needed to fully address the global mental health crisis.

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