Dission of Community Psychiatry, Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
J Anxiety Disord. 2020 Dec;76:102295. doi: 10.1016/j.janxdis.2020.102295. Epub 2020 Aug 27.
Climate change is a contributor to extreme weather events and natural disasters. The mental health effects of climate change are multifaceted, with post-traumatic stress disorder and depression predominant. This paper aims to describe the impact of climate change on mental health conditions, including risk and protective factors related to the expression of mental health conditions post-disaster, as well as a discussion of our local experience with a devastating wildfire to our region within Canada. The risk of the development of mental health conditions post-disaster is not equally distributed; research has consistently demonstrated that specific risk factors (e.g., gender, socioeconomic status and education, pre-existing mental health symptomatology), are associated with increased vulnerability to mental health conditions following natural disasters. There are multiple strategies that must be undertaken by communities to enhance adjustment and coping post-disaster, including improved access to care, inter-agency cooperation, enhanced community resiliency, and adequate preparation.
气候变化是极端天气事件和自然灾害的一个促成因素。气候变化对心理健康的影响是多方面的，创伤后应激障碍和抑郁症较为突出。本文旨在描述气候变化对心理健康状况的影响，包括与灾害后心理健康状况表现相关的风险和保护因素，以及讨论我们在加拿大境内一个地区遭受毁灭性野火的当地经验。灾害后心理健康状况发展的风险并非平均分布；研究一直表明，特定的风险因素（例如，性别、社会经济地位和教育、先前存在的心理健康症状）与自然灾害后心理健康状况的易感性增加有关。社区必须采取多种策略来增强灾后的适应和应对能力，包括改善获得护理的机会、机构间合作、增强社区恢复力以及充分准备。
