Title:
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The economic and social burden of mood and anxiety disorders in Northern Ireland
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Previous epidemiological studies suggest that mood and anxiety disorders are highly prevalent
among the general population and are a leading cause of disease burden. Furthermore, mental
health disorders have major economic implications for wider society in terms of elevated
healthcare costs as well as reduced productivity among those who suffer these conditions.
The central aim of the current thesis was to undertake the first comprehensive investigation of
the economic and social burden of mood and anxiety disorders in Northern Ireland, based on
validated diagnostic estimates. This was achieved by 1) an examination of the prevalence and
correlates; 2) and investigation of levels of service use; 3) an estimation of the societal economic
costs; and 4) an examination of the experience, mental health impact and economic costs of
psychological trauma. Analyses were based primarily on data from the Northern Ireland Study of
Health and Stress, the largest epidemiological study of mental health in Northern Ireland based
on validated diagnostic criteria. A range of additional data sources were drawn upon to produce
economic cost-of-illness estimates. All analyses were implemented using Stata.
The current thesis clearly demonstrates that mood and anxiety disorders represent a substantial
public health burden in Northern Ireland. Prevalence rates are among the highest of all estimates
produced around the world. Civil conflict has undoubtedly contributed to high levels of mental
ill health, manifested by the rates of PTSD and other trauma-related disorders. Despite the
elevated burden of mood and anxiety disorders, the majority of individuals do not seek help.
Cost-of-illness estimates suggest that these disorders are associated with an annual economic
burden of around £1.45 billion and £1.35 billion respectively. Evidence presented throughout the
current thesis provides a robust evidence-base to inform the provision of effective services for
these conditions and allocation of resources to those most in need.
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