Majumder Joydeep, Saha Indranil, Bagepally Bhavani Shankara, Kalita Manoj, Munikrishnappa Devaraja, Ray Sujoy, Saha Asim, Chakrabarti Amit
Scientist E, ICMR-Centre for Ageing and Mental Health, Kolkata, West Bengal, India.
Scientist E, Health Systems Research Division, ICMR-National Institute of Epidemiology, Chennai, India and Associate Professor (Honorary), Faculty of Medical Research, Academy of Scientific and Innovative Research (AcSIR) (An Institution of National Importance Established by an Act of Parliament).
Indian J Psychiatry. 2024 Aug;66(8):683-694. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_348_24. Epub 2024 Aug 19.
Exposure to extreme weatherly events potentially develops mental disorders among affected individuals.
To synthesize the burden of mental disorders following impact of extreme weather events in South-east Asian (SEA) countries.
Proposal was registered in PROSPERO register [CRD42023469788] and reported as per PRISMA-2020 guidelines. Studies reporting prevalence of mental health disorders following extreme weather events from SEA countries during 1990 and 2023 were searched on Embase, PubMed, and Scopus databases. Study quality was assessed using Appraisal tool for Cross-Sectional Studies. Overall pooled prevalence was computed using DerSimonian-Laird method for random-effects model and reported as 95% confidence intervals.
On screening 12,046 records, we included 155 studies (2,04,474 participants) for analysis. Overall burden of mental disorders was 35.31% (95%CI: 30.42%-40.21%). In subgroup analysis, studies on cyclones, India, local residents, children and adolescents, rural settings, and community settings reported higher burden of mental disorders. Depression (28.58%; 95%CI: 24.05%-33.1%) and PTSD (29.36%; 95%CI: 26.26%-32.46%) had similar prevalence. Visiting tourists to SEA region experienced fear, fear of recurrence of tsunami, nightmares, and sense of helplessness. Mental health outcomes were relatively higher in studies conducted within 1 year of events. Heterogeneity and possibility of publication bias exists among the reported studies.
With the significant rise in episodes of extreme weather events in SEA region over the last three decades, mental disorders are documented in different proportions. We suggest prioritizing well-informed policies to formulate inclusive and resilient strategies on effectively identifying and treating mental health concerns among victims of extreme weather events.
暴露于极端天气事件可能会使受影响个体患上精神障碍。
综合东南亚（SEA）国家极端天气事件影响后精神障碍的负担情况。
该研究计划已在国际前瞻性系统评价注册库[CRD42023469788]中登记，并按照PRISMA - 2020指南进行报告。在Embase、PubMed和Scopus数据库中检索了1990年至2023年期间报道东南亚国家极端天气事件后心理健康障碍患病率的研究。使用横断面研究评估工具对研究质量进行评估。总体合并患病率采用随机效应模型的DerSimonian - Laird方法计算，并报告为95%置信区间。
在筛选的12046条记录中，我们纳入了155项研究（204474名参与者）进行分析。精神障碍的总体负担为35.31%（95%置信区间：30.42% - 40.21%）。在亚组分析中，关于气旋、印度、当地居民、儿童和青少年、农村地区以及社区环境的研究报告了更高的精神障碍负担。抑郁症（28.58%；95%置信区间：24.05% - 33.1%）和创伤后应激障碍（29.36%；95%置信区间：26.26% - 32.46%）的患病率相似。前往东南亚地区的游客经历了恐惧、对海啸再次发生的恐惧、噩梦和无助感。在事件发生后1年内进行的研究中，心理健康结果相对较高。报告的研究之间存在异质性和发表偏倚的可能性。
在过去三十年中，东南亚地区极端天气事件的发生次数显著增加，不同比例的精神障碍被记录下来。我们建议优先制定明智的政策，以制定包容性和有韧性的策略，有效地识别和治疗极端天气事件受害者中的心理健康问题。
