This slide deck summarizes the global patterns and societal impact of Major Depressive Disorder (MDD). It covers prevalence trends by sex, age, time, and location, as well as the effects of the COVID-19 pandemic. The distribution of MDD within the population is influenced by a complex interplay of individual- and population-level ‘stressors’. In addition to addressing the immediate medical needs of people with MDD, social interventions are necessary to tackle MDD risk factors, strengthen community resilience, and promote self-help and support within the community. This slide deck discusses strategies for addressing its global burden, including treatment costs and the benefits of investing in care. 

This slide deck was developed by Dr. Alize Ferrari, School of Public Health, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Australia; and Professor Dr. Lakshmi Yatham, Department of Psychiatry, University of British Columbia, Canada, in collaboration with Cambridge (a division of Prime, Cambridge, UK).

Index for
slide deck

Introduction

Epidemiology and burden
Epidemiology and burden
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Major depressive disorder (MDD)
Major depressive disorder (MDD)

Depression can be defined based on the World Health Organization’s ICD-11 classification system or the American Psychiatric Association’s DSM-5-TR system.2,3

References:

1.National Institute for Health and Care Excellence. Depression in adults: treatment and management. G…

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Epidemiology of MDD

Epidemiology of MDD
Epidemiology of MDD
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The global prevalence of MDD by sex and time
The global prevalence of MDD by sex and time

GBD 2021 is a comprehensive international effort that includes the estimation of prevalence, incidence and health burden for 371 diseases and injuries for 204 countries and territories. One iteration of the study was conducted in 2021 – the GBD 2021 – estimating the preva…

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The global prevalence of MDD by sex and age
The global prevalence of MDD by sex and age
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The prevalence of MDD by location
The prevalence of MDD by location

The slide shows the prevalence of major depressive disorder across the world.

Reference:

Institute for Health Metrics and Evaluation (IHME), 2022. Available at https://vizhub.healthdata.org/gbd-results.

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Burden of MDD

Burden of MDD
Burden of MDD
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Estimating the global burden of MDD
Estimating the global burden of MDD

One approach to estimating the burden of disease is to calculate disability-adjusted life years – the sum of the non-fatal burden of a disease or condition, and the fatal burden of that disease or condition.1,2

References:

1.GBD 2021 Diseases and Injuries Collaborators. G…

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Variation in MDD burden by age and sex in 2021
Variation in MDD burden by age and sex in 2021
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Variations in MDD burden by location in 2021
Variations in MDD burden by location in 2021

The slide shows the variation in DALYs attributable to major depressive disorder across the world.1,2

References:

1.GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and …

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Variations in MDD DALYs across time
Variations in MDD DALYs across time

Globally, MDD DALY counts and age-standardized rates increased between 1990 and 2021.1,2 However, between 1990–2019, this increase appears to be largely driven by population growth with very little change in the age standardized DALY rate.1,2 In the years 2020 and 2021 th…

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Impact of COVID-19 on the prevalence and burden of MDD
Impact of COVID-19 on the prevalence and burden of MDD

The COVID-19 pandemic had a profound global impact on healthcare systems, as shown by this analysis of the Global Burden of Disease study data.1

References:

1.GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), d…

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MDD DALY ranking by world region in 2021
MDD DALY ranking by world region in 2021

The slide shows DALYs attributable to major depressive disorder ranked within the top 20 leading causes of DALYs across the world.1.2

References:

1.GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-a…

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MDD YLD ranking by world region in 2021
MDD YLD ranking by world region in 2021

The slide shows YLDs from major depressive disorder ranked within the top 7 leading cause of YLDs across world regions.1,2

References:

1.GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted lif…

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Other societal impacts of MDD
Other societal impacts of MDD

Beyond the burden that major depressive disorder places on the individual, there is a wider societal impact as described on the slide.1-4

References:

1.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition – text revision. …

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Drivers of prevalence and burden of MDD
Drivers of prevalence and burden of MDD

GBD 2021 explored intimate partner violence, childhood sexual abuse, and bullying victimization as risk factors for MDD.9 Combined, these explained 16.1% (8.6–24.5%) of total MDD DALYs globally in 2021.9 But not all individual- and population-level stressors of MDD have b…

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Emerging drivers of MDD for further research
Emerging drivers of MDD for further research

Assessing the changes in the global prevalence of disease, including major depressive disorder, that may occur because of various emerging risk factors such as those shown on the slide, is a priority area within the GBD framework, as well as more broadly within psychiatri…

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