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气候变化与心理健康:实证证据、机制及影响综述

Climate Change and Mental Health: A Review of Empirical Evidence, Mechanisms and Implications.

作者信息

Crane Katelin, Li Linda, Subramanian Pearl, Rovit Elizabeth, Liu Jianghong

机构信息

School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, USA.

Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, CA 90095, USA.

出版信息

Atmosphere (Basel). 2022 Dec;13(12). doi: 10.3390/atmos13122096. Epub 2022 Dec 13.

Abstract

Anthropogenic climate change is an existential threat whose influences continue to increase in severity. It is pivotal to understand the implications of climate change and their effects on mental health. This integrative review aims to summarize the relevant evidence examining the harm climate change may have on mental health, suggest potential mechanisms and discuss implications. Empirical evidence has begun to indicate that negative mental health outcomes are a relevant and notable consequence of climate change. Specifically, these negative outcomes range from increased rates of psychiatric diagnoses such as depression, anxiety and post-traumatic stress disorder to higher measures of suicide, aggression and crime. Potential mechanisms are thought to include neuroinflammatory responses to stress, maladaptive serotonergic receptors and detrimental effects on one's own physical health, as well as the community wellbeing. While climate change and mental health are salient areas of research, the evidence examining an association is limited. Therefore, further work should be conducted to delineate exact pathways of action to explain the mediators and mechanisms of the interaction between climate change and mental health.

摘要

人为气候变化是一种生存威胁,其影响的严重程度持续加剧。了解气候变化的影响及其对心理健康的作用至关重要。本综合综述旨在总结有关气候变化可能对心理健康造成危害的相关证据,提出潜在机制并进行讨论。实证证据已开始表明,负面心理健康结果是气候变化的一个相关且显著的后果。具体而言,这些负面结果包括诸如抑郁症、焦虑症和创伤后应激障碍等精神疾病诊断率的上升,以及自杀、攻击和犯罪等行为的增加。潜在机制被认为包括对应激的神经炎症反应、适应性不良的血清素能受体以及对自身身体健康和社区福祉的有害影响。虽然气候变化和心理健康是研究的重要领域,但检验两者关联的证据有限。因此,应进一步开展工作以明确确切的作用途径,从而解释气候变化与心理健康之间相互作用的中介因素和机制。

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