Xue Siqi, Massazza Alessandro, Akhter-Khan Samia C, Wray Britt, Husain M Ishrat, Lawrance Emma L
Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Centre for Global Mental Health, The London School of Hygiene & Tropical Medicine, London, UK.
Npj Ment Health Res. 2024 Mar 12;3(1):10. doi: 10.1038/s44184-024-00054-1.
The evidence on the impacts of climate change on mental health and wellbeing is growing rapidly. The objective of this scoping review is to understand the extent and type of existing mental health and psychosocial interventions aimed at addressing the mental health and psychosocial impacts of climate change. A scoping review methodology was followed. MEDLINE, PsycINFO, and Web of Science databases were searched from inception to May 2022. Comprehensive gray literature search, including expert consultation, was conducted to identify interventions for which peer-reviewed academic literature may not yet be available. Data on intervention type, setting, climate stressor, mental health outcome, evaluation, and any other available details were extracted, and results were summarized narratively. Academic literature search identified 16 records and gray literature search identified a further 24 records. Altogether, 37 unique interventions or packages of interventions were identified. The interventions act at the levels of microsystem, mesosystem, exosystem, and macrosystem through diverse mechanisms. While most interventions have not been formally evaluated, promising preliminary results support interventions in low- and middle-income-country settings disproportionately affected by climate disasters. Interventions from multidisciplinary fields are emerging to reduce psychological distress and enhance mental health and wellbeing in the context of climate change. This scoping review details existing evidence on the interventions and summarizes intervention gaps and lessons learned to inform continued intervention development and scale-up interventions.
气候变化对心理健康和幸福影响的证据正在迅速增加。本范围综述的目的是了解旨在应对气候变化对心理健康和社会心理影响的现有心理健康和社会心理干预措施的范围和类型。采用了范围综述方法。检索了MEDLINE、PsycINFO和科学网数据库，时间跨度从建库至2022年5月。进行了全面的灰色文献检索，包括专家咨询，以确定可能尚未有同行评审学术文献的干预措施。提取了关于干预类型、环境、气候压力源、心理健康结果、评估及任何其他可用细节的数据，并对结果进行了叙述性总结。学术文献检索确定了16条记录，灰色文献检索又确定了24条记录。总共确定了37种独特的干预措施或干预措施组合。这些干预措施通过多种机制在微观系统、中观系统、外部系统和宏观系统层面发挥作用。虽然大多数干预措施尚未经过正式评估，但有前景的初步结果支持在受气候灾害影响尤为严重的低收入和中等收入国家环境中开展干预措施。多学科领域的干预措施正在涌现，以减少气候变化背景下的心理困扰，增进心理健康和幸福。本范围综述详细介绍了关于这些干预措施的现有证据，并总结了干预措施的差距和经验教训，以为持续的干预措施开发和扩大干预措施提供参考。
