Université Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé Publique), Paris, France; Centre du Sommeil et de la Vigilance-Pathologie professionnelle, APHP, Hôtel-Dieu, F-75004 Paris, France.
Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), F-75004 Paris, France; Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, F-75004 Paris, France.
J Psychosom Res. 2024 Dec;187:111937. doi: 10.1016/j.jpsychores.2024.111937. Epub 2024 Sep 18.
Individuals need greater climate change awareness in order to mitigate and adapt to climate changes but this awareness can lead to negative health outcomes including climate change anxiety.
To explore the associations between climate change anxiety, idiopathic environmental intolerances and somatic symptom distress, after accounting for modern health worries, anxiety and depression.
A non-representative sample of healthy volunteers completed a cross-sectional online survey that included the Climate Change Anxiety scale (CCA-13), single questions about idiopathic intolerance to five environmental agents, the Somatic Symptoms scale (SSS-8), the Modern Health Worries scale (MHW-12), and the Patient Health Questionnaire for symptoms of anxiety and depression (PHQ-4). Participants also reported their sex, age and subjective socioeconomic status. Bivariate analyses investigated associations between variables and path analyses explored potential mediating factors.
432 participants completed the questionnaire, 421 of whom were included in analyses (67 % women, mean age: 32.7 standard deviation: 12.4). Climate change anxiety, idiopathic environmental intolerances, somatic symptom distress, modern health worries, and symptoms of anxiety and depression were positively correlated in bivariate analyses (Pearson's ranging from 0.22 to 0.57, all p < 0.001). In path analyses, modern health worries (R = 9.9 %) partially mediated the relation between climate change anxiety (R = 20.3 %) and two correlated outcome variables, idiopathic environmental intolerances (R = 36.8 %) and somatic symptom distress (R = 32.4 %).
Climate change anxiety may negatively affect perceived physical health. Stakeholders should aim at promoting climate change awareness while addressing modern health worries to avoid negative health outcomes.
为了减轻和适应气候变化，人们需要增强对气候变化的认识，但这种认识可能会导致负面的健康结果，包括气候变化焦虑。
探讨气候变化焦虑、特发性环境不耐受和躯体症状困扰之间的关联，同时考虑到现代健康担忧、焦虑和抑郁。
一组非代表性的健康志愿者完成了一项横断面在线调查，其中包括气候变化焦虑量表（CCA-13）、对五种环境因素的特发性不耐受的单一问题、躯体症状量表（SSS-8）、现代健康担忧量表（MHW-12）以及用于焦虑和抑郁症状的患者健康问卷（PHQ-4）。参与者还报告了他们的性别、年龄和主观社会经济地位。采用双变量分析调查变量之间的关联，采用路径分析探讨潜在的中介因素。
432 名参与者完成了问卷，其中 421 名被纳入分析（67%为女性，平均年龄：32.7 标准差：12.4）。在双变量分析中，气候变化焦虑、特发性环境不耐受、躯体症状困扰、现代健康担忧以及焦虑和抑郁症状呈正相关（皮尔逊相关系数范围为 0.22 至 0.57，均 P<0.001）。在路径分析中，现代健康担忧（R=9.9%）部分中介了气候变化焦虑（R=20.3%）与两个相关结果变量之间的关系，即特发性环境不耐受（R=36.8%）和躯体症状困扰（R=32.4%）。
气候变化焦虑可能会对感知到的身体健康产生负面影响。利益相关者应致力于提高气候变化意识，同时解决现代健康担忧，以避免负面健康结果。
