Jennifer L. Barkin, PhD, Mercer University School of Medicine, Macon, GA, USA.
Rebecca P. Philipsborn, MD, Emory University, Atlanta, GA, USA.
J Am Psychiatr Nurses Assoc. 2024 May-Jun;30(3):683-689. doi: 10.1177/10783903221139831. Epub 2022 Dec 8.
In this discussion, we build the case for why climate change is an emerging threat to perinatal mental health.
A search of current literature on perinatal and maternal mental health and extreme weather events was conducted in PubMed/MEDLINE and Web of Science databases. Only articles focusing on maternal mental health were included in this narrative review.
The perinatal period represents a potentially challenging timeframe for women for several reasons. Necessary role adjustments (reprioritization), changes in one's ability to access pre-birth levels (and types) of social support, fluctuating hormones, changes in body shape, and possible complications during pregnancy, childbirth, or postpartum are just a few of the factors that can impact perinatal mental health. Trauma is also a risk factor for negative mood symptoms and can be experienced as the result of many different types of events, including exposure to extreme weather/natural disasters.
While the concepts of "eco-anxiety," "climate despair," and "climate anxiety" have garnered attention in the mainstream media, there is little to no discussion of how the climate crisis impacts maternal mental health. This is an important omission as the mother's mental health impacts the family unit as a whole.
在本次讨论中,我们将阐述为什么气候变化是围产期心理健康的一个新出现的威胁。
在 PubMed/MEDLINE 和 Web of Science 数据库中对围产期和孕产妇心理健康以及极端天气事件的现有文献进行了搜索。本叙述性综述仅纳入了关注孕产妇心理健康的文章。
围产期对女性来说是一个极具挑战性的时间段,原因有几个。必要的角色调整(重新优先排序)、获得产前水平(和类型)社会支持的能力变化、荷尔蒙波动、体型变化以及怀孕、分娩或产后可能出现的并发症,只是可能影响围产期心理健康的几个因素。创伤也是负面情绪症状的一个风险因素,可能是由于许多不同类型的事件引起的,包括暴露于极端天气/自然灾害。
虽然“生态焦虑”、“气候绝望”和“气候焦虑”等概念在主流媒体中引起了关注,但几乎没有讨论气候危机如何影响孕产妇心理健康。这是一个重要的遗漏,因为母亲的心理健康会影响整个家庭。