Prevalence, Correlates, and Public Health Implications of Mental Disorders in Uzbekistan and Indonesia: A Systematic Review
DOI:
https://doi.org/10.26555/eshr.v8i2.16030Keywords:
Comparative epidemiology, Depression, Indonesia, Mental disorders, Public mental health, UzbekistanAbstract
Background: Mental disorders represent a growing public health challenge in low- and middle-income countries. This study aimed to comparatively investigate the prevalence, sociodemographic correlates, and public health implications of mental disorders in Uzbekistan and Indonesia, two lower-middle-income nations sharing structural mental health system challenges despite differing geographic and cultural contexts.
Methods: A comparative epidemiological study was conducted using secondary data from publicly available sources, including the World Health Organization, Global Burden of Disease database, Indonesian national health surveys, the Uzbekistan Ministry of Health, and Scopus-indexed literature (2013–2024). No primary data were collected.
Results: Indonesia reports that 14.7% of adults experience anxiety and depression symptoms, yet most remain untreated despite an annual economic burden of USD 29.22 billion. Uzbekistan lacks national prevalence data, with mental health services heavily reliant on inpatient care and a limited psychiatric workforce. Both countries face substantial treatment gaps, workforce shortages, and slow progress in deinstitutionalization.
Conclusion: Both countries face substantial unmet mental health burdens requiring urgent investment in community-based care, workforce expansion, primary care integration, and evidence-based policy implementation to reduce treatment gaps and improve population mental health outcomes.
References
Maerlender A, Bray PG. Adolescent Mental Health in the Twenty-First Century. In: Adolescent Public Mental Health. Springer Nature Switzerland; 2024:11-33. doi:10.1007/978-3-031-68294-0_2
Nie P, Zhao K, Ma D, Liu H, Amin S, Yasin I. Global Climate Change, Mental Health, and Socio-Economic Stressors: Toward Sustainable Interventions across Regions. Sustainability. 2024;16(19):8693. doi:10.3390/su16198693
McGorry P, Gunasiri H, Mei C, Rice S, Gao CX. The youth mental health crisis: analysis and solutions. Front Psychiatry. 2025;15. doi:10.3389/fpsyt.2024.1517533
Sullivan MA. Drug Use and Mental Health: Comorbidity between Substance Use and Psychiatric Disorders. In: Substance and Non-Substance Related Addictions. Springer International Publishing; 2022:3-17. doi:10.1007/978-3-030-84834-7_1
Gebeyehu DT, East L, Wark S, Islam MS. Disability-adjusted life years (DALYs) based COVID-19 health impact assessment: a systematic review. BMC Public Health. 2023;23(1):334. doi:10.1186/s12889-023-15239-0
Poulsen Nautrup B. Disability-Adjusted Life Year (DALY). In: Outcomes Research in Animal Health Care. Springer Nature Switzerland; 2026:141-148. doi:10.1007/978-3-032-12587-3_14
Pedro Costa A, da Silva Brito I, Mestre TD, Matos Pires A, José Lopes M. Meshing Anxiety, Depression, Quality of Life, and Functionality in Chronic Disease. Healthcare. 2025;13(5):539. doi:10.3390/healthcare13050539
Alwhaibi M, Balkhi B, AlRuthia Y. Anxiety and depression and health-related quality of life among adults with migraine: a National Population-Based Study. Front Public Health. 2023;11. doi:10.3389/fpubh.2023.1241800
Minjie Z, Zhijuan X, Xinxin S, Xinzhu B, Shan Q. The effects of cognitive behavioral therapy on health-related quality of life, anxiety, depression, illness perception, and in atrial fibrillation patients: a six-month longitudinal study. BMC Psychol. 2023;11(1):431. doi:10.1186/s40359-023-01457-z
Puerto-Casasasnovas E, Galiana-Richart J, Mastrantonio-Ramos MP, López-Muñoz F, Rocafort-Nicolau A. Direct and Indirect Management Models in Public Health in the Framework of Mental Health. Int J Environ Res Public Health. 2023;20(3):2279. doi:10.3390/ijerph20032279
Setiawan HH, Aldyan RA, Susantyo B, et al. Climate Change and Mental Health Resilience in Northern Coast of Java’s Island, Indonesia Coastal Communities: Challenges and Adaptations. In: 2025:49-70. doi:10.1007/978-3-031-99132-5_3
Sebong PH, Pardosi J, Goldman RE, Suryo AP, Susianto IA, Meliala A. Identifying Physician Public Health Competencies to Address Healthcare Needs in Underserved, Border, and Outer Island Areas of Indonesia: A Rapid Assessment. Teach Learn Med. 2025;37(3):363-374. doi:10.1080/10401334.2024.2353573
Arulsamy K, Effendy E, Mardhiyah S, et al. The economic burden of anxiety and depression in Indonesia: evidence from a cross-sectional web panel survey. Front Public Health. 2025;13. doi:10.3389/fpubh.2025.1667726
Idaiani S, Fikaris MF, Chairunnisa G, et al. Individual and area-level factors associated with depression in Indonesia: a multilevel analysis using the 2018 national basic health research. BMC Public Health. 2025;25(1):3298. doi:10.1186/s12889-025-23434-4
Kurniati Y, Abdillah A. Comparative Labor Law Studies in Indonesia and Malaysia: Social–Economic Inequality and Governance of Migrant Workers. Laws. 2025;14(6):79. doi:10.3390/laws14060079
Kunze C, Preugschat B, Arndt R, Kandzia F, Wiens B, Altfelder S. Development of a UAV-Based Gamma Spectrometry System for Natural Radionuclides and Field Tests at Central Asian Uranium Legacy Sites. Remote Sens (Basel). 2022;14(9):2147. doi:10.3390/rs14092147
Quireyns M, Boogaerts T, Giraldo JSP, et al. Comparing the applicability of de facto population markers for spatiotemporal trend analysis in wastewater-based epidemiology. J Hazard Mater. 2025;496:139332. doi:10.1016/j.jhazmat.2025.139332
Ghanem AS, Bata R, Kovács N, Nagy AC. Sociodemographic inequalities in the global burden trends and machine learning-based projections of periodontitis from 1990 to 2030 across different development levels. Frontiers in Oral Health. 2025;6. doi:10.3389/froh.2025.1609961
Wolf K, Schmitz J. Scoping review: longitudinal effects of the COVID-19 pandemic on child and adolescent mental health. Eur Child Adolesc Psychiatry. 2024;33(5):1257-1312. doi:10.1007/s00787-023-02206-8
McNab SE, Dryer SL, Fitzgerald L, et al. The silent burden: a landscape analysis of common perinatal mental disorders in low- and middle-income countries. BMC Pregnancy Childbirth. 2022;22(1):342. doi:10.1186/s12884-022-04589-z
Ravshanov AX, Suhail M, Komilova N, Ravshanov S. Medical geographical zoning in part of Uzbekistan – A regional synthesis. Regional Science Policy & Practice. 2024;16(12):100142. doi:10.1016/j.rspp.2024.100142
Fahlevi M, Ahmad M, Balbaa ME, Wu T, Aljuaid M. The efficiency of petroleum and government health services to benefit life expectancy during the inefficiencies of hydroelectricity consumption. Environmental and Sustainability Indicators. 2023;19:100289. doi:10.1016/j.indic.2023.100289
Pham MD, Wulan NR, Sawyer SM, et al. Mental Health Problems Among Indonesian Adolescents: Findings of a Cross-Sectional Study Utilizing Validated Scales and Innovative Sampling Methods. Journal of Adolescent Health. 2024;75(6):929-938. doi:10.1016/j.jadohealth.2024.07.016
Rahman FF. Indonesia’s healthcare landscape: embracing innovation in the new health regime. Curr Med Res Opin. 2024;40(6):929-933. doi:10.1080/03007995.2024.2349732
Cooper RE, Saunders KRK, Greenburgh A, et al. The effectiveness, implementation, and experiences of peer support approaches for mental health: a systematic umbrella review. BMC Med. 2024;22(1):72. doi:10.1186/s12916-024-03260-y
Laureano CD, Laranjeira C, Querido A, Dixe MA, Rego F. Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review. Healthcare. 2024;12(4):445. doi:10.3390/healthcare12040445
Ghizlane C, Zougrar I, Benayad A, et al. Prevalence of suicidal thoughts and behaviors among individuals with mental disorders in Africa: a systematic review and meta-analysis of the past 25 years. BMC Psychiatry. 2026;26(1):158. doi:10.1186/s12888-025-07453-4
Luo W, Gao J, Guo Z, et al. Trends and cross-country inequalities in schizophrenia from 1990 to 2021, with prediction to 2035: a systematic analysis of the global burden of disease study 2021. BMC Psychiatry. 2025;25(1):928. doi:10.1186/s12888-025-07273-6
Bhattarai K, Yousef M. Demography, Language, Ethnicity, Religion, and Refugee Crises. In: 2025:45-81. doi:10.1007/978-3-031-83967-2_3
Okoroafor SC, Christmals C Dela. Task Shifting and Task Sharing Implementation in Africa: A Scoping Review on Rationale and Scope. Healthcare. 2023;11(8):1200. doi:10.3390/healthcare11081200
Sood B. Investing in a Resilient and Responsive Healthcare System During COVID-19 Pandemic. In: Health Dimensions of COVID-19 in India and Beyond. Springer Nature Singapore; 2022:27-52. doi:10.1007/978-981-16-7385-6_2
Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry. 2022;9(2):137-150. doi:10.1016/S2215-0366(21)00395-3
Freeman M. Investing for population mental health in low and middle income countrieswhere and why? Int J Ment Health Syst. 2022;16(1):38. doi:10.1186/s13033-022-00547-6
Chen‐Florea ALQ, Luksic I, Boskovic B. From Disruption to Stabilization: A Functional Governance Perspective on the Renewable Energy Transition in Montenegro. Environmental Policy and Governance. Published online February 24, 2026. doi:10.1002/eet.70057
Katanging DG, Nabila N, Putri SA, Viona M, Sinaga LSB. Implementation of the Job Creation Law: Severance Pay from the Perspective of Pressman and Wildavsky’s Theory. Journal Governance Bureaucratic Review. 2025;2(2):79-92. doi:10.31629/jgbr.v2i2.7743
Meyer-Krahmer F, Reger G. New perspectives on the innovation strategies of multinational enterprises: lessons for technology policy in Europe. Res Policy. 1999;28(7):751-776. doi:10.1016/S0048-7333(99)00019-0
Kuhlmann S. Future governance of innovation policy in Europe three scenarios. Res Policy. 2001;30(6):953-976. doi:10.1016/S0048-7333(00)00167-0
Raviola G, Naslund JA, Smith SL, Patel V. Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap. Curr Psychiatry Rep. 2019;21(6):44. doi:10.1007/s11920-019-1028-x
Hoeft TJ, Fortney JC, Patel V, Unützer J. Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review. The Journal of Rural Health. 2018;34(1):48-62. doi:10.1111/jrh.12229
Stangl AL, Earnshaw VA, Logie CH, et al. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med. 2019;17(1):31. doi:10.1186/s12916-019-1271-3
Corrigan PW, Druss BG, Perlick DA. The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care. Psychological Science in the Public Interest. 2014;15(2):37-70. doi:10.1177/1529100614531398
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sardorbek Ibragimov, Sinthia Nurhabibah, Muhammad Hisyam Syafii, Dzaka Ogan Amirudin Lutfi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with ESHR agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.






