{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:35:21Z","timestamp":1790228121559,"version":"4.1.0"},"reference-count":33,"publisher":"BMJ","issue":"1","funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"crossref","award":["ES\/P010962\/1"],"award-info":[{"award-number":["ES\/P010962\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100011272","name":"FP7 Health","doi-asserted-by":"publisher","award":["602536"],"award-info":[{"award-number":["602536"]}],"id":[{"id":"10.13039\/100011272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Evid Based Mental Health"],"accepted":{"date-parts":[[2020,1,10]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The burden of mental health disorders in Europe is well above the world average and has increased from 11.5% to 13.9% of the total disease burden in 2000 and 2015. That from dementia has increased rapidly, and overtaken that from depression as the leading component. There have been no analyses of the research activity in Europe to combat this burden.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methodology<\/jats:title>\n                  <jats:p>We identified research papers in the Web of Science (WoS) with a complex mental health disorders filter based on title words and journal names in the years 2001-18, and downloaded their details for analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>European mental health disorders research represented less than 6% of the total biomedical research. We estimate that research expenditure in Europe on mental health disorders amounted to about \u20ac5.4\u2009billion in 2018. The Scandinavian countries, with Croatia and Estonia, published the most relative to their wealth, but the outputs of France and Romania were less than half the amounts expected.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and conclusions<\/jats:title>\n                  <jats:p>The burden from mental health disorders is increasing rapidly in Europe, but research was only half what would have been proportional. Suicide &amp; self-harm, and alcohol misuse, were also neglected by researchers, particularly since the latter also causes many physical burdens, such as foetal alcohol syndrome, interpersonal violence, and road traffic accidents. Other relatively neglected subjects are sexual disorders, obsessive compulsive disorder, post-traumatic stress disorder, attention-deficit hyperactivity and sleep disorders. There is an increasing volume of research on alternative (non-drug) therapies, particularly for post-traumatic stress and eating disorders, notably in Germany.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/ebmental-2019-300130","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T11:35:20Z","timestamp":1581420920000},"page":"15-20","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Mental health disorders research in Europe, 2001\u20132018"],"prefix":"10.1136","volume":"23","author":[{"given":"Mursheda","family":"Begum","sequence":"first","affiliation":[{"name":"Business Studies, Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4493-1216","authenticated-orcid":false,"given":"Grant","family":"Lewison","sequence":"additional","affiliation":[{"name":"Cancer Policy Unit, Guy's Hospital, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"W\u00f6lbert","sequence":"additional","affiliation":[{"name":"MQ Transforming Mental Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Berg Brigham","sequence":"additional","affiliation":[{"name":"URC ECO, AP-HP, Paris, France"},{"name":"UPEC, Creteil, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8029-1925","authenticated-orcid":false,"given":"Meryl","family":"Darlington","sequence":"additional","affiliation":[{"name":"URC ECO, AP-HP, Paris, France"},{"name":"UPEC, Creteil, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Durand-Zaleski","sequence":"additional","affiliation":[{"name":"URC ECO, AP-HP, Paris, France"},{"name":"UPEC, Creteil, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Cancer Policy Unit, Guy's Hospital, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,11]]},"reference":[{"key":"2025082701542416000_23.1.15.1","doi-asserted-by":"crossref","DOI":"10.1002\/gps.2650","article-title":"Over- and under-diagnosis of dementia in ethnic minorities: a nationwide register-based study","volume":"26","author":"Nielsen","year":"2011","journal-title":"Int J Geriatr Psychiatry"},{"key":"2025082701542416000_23.1.15.2","first-page":"S129","article-title":"Can we prevent under-diagnosis and misdiagnosis of bipolar affective disorder? repeat audits to assess the epidemiological change in the caseload of a community mental health team when bipolar disorder is accurately assessed and diagnosed","volume":"25","author":"Bongards","year":"2013","journal-title":"Psychiatr Danub"},{"key":"2025082701542416000_23.1.15.3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/appy.12208","article-title":"Underdiagnosis of depression in an economically deprived population in Macao, China: underdiagnosis of depression among the poor","volume":"8","author":"Lao","year":"2016","journal-title":"Asia-Pac Psychiatry"},{"key":"2025082701542416000_23.1.15.4","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1080\/13651500600579084","article-title":"Minimising the risk of diabetes in patients with schizophrenia and bipolar disorder","volume":"10","author":"Chue","year":"2006","journal-title":"Int J Psychiatry Clin Pract"},{"key":"2025082701542416000_23.1.15.5","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711002698"},{"key":"2025082701542416000_23.1.15.6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.2190\/PM.41.2.c","article-title":"Treatment of co-morbid mental illness in primary care: how to minimize weight gain, diabetes, and metabolic syndrome","volume":"41","author":"Gibson","year":"2011","journal-title":"Int J Psychiatry Med"},{"key":"2025082701542416000_23.1.15.7","first-page":"664","article-title":"Estimating the burden of disease attributable to alcohol use in South Africa in 2000","volume":"97","author":"Schneider","year":"2007","journal-title":"South Afr Med J Suid-Afr Tydskr Vir Geneeskd"},{"key":"2025082701542416000_23.1.15.8","unstructured":"Markle WH , Fisher MA . 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