Mengesha Netsanet Ayele, Sarnyai Zoltan
Laboratory of Psychiatric Neuroscience, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, Australia.
Australas Psychiatry. 2025 Apr;33(2):220-227. doi: 10.1177/10398562241312865. Epub 2025 Jan 3.
ObjectiveThis systematic review investigates the impact of climate change on the mental health of Pacific Island Nations (PINs), with a focus on identifying culturally tailored interventions and appropriate research methodologies to address these impacts.MethodA systematic review of peer-reviewed literature up to May 18, 2024, was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol and the Population, Interest Area, and Context (PICo) framework. Empirical studies on the impact of climate change on mental health in PINs were evaluated by using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD).ResultsSix studies from the Solomon Islands, Cook Islands, and Tuvalu were identified, indicating significant mental health impacts from sea level rise (SLR) and extreme weather events with compounding and mitigating effects across diverse groups. The Skills for Life Adjustment and Resilience (SOLAR) program was highlighted as a promising culturally adapted intervention.ConclusionClimate change significantly impacts mental health, particularly in PIN communities facing SLR and Extreme Weather Events (EWE). Culturally sensitive interventions, local knowledge, and further research are vital to mitigate these effects and support well-being.
目的
本系统评价研究气候变化对太平洋岛国（PINs）心理健康的影响，重点是确定针对这些影响的文化适应性干预措施和适当的研究方法。
方法
采用系统评价与Meta分析的首选报告项目（PRISMA）方案和人群、兴趣领域及背景（PICo）框架，对截至2024年5月18日的同行评审文献进行系统评价。使用不同设计研究质量评估工具（QATSDD）对气候变化对太平洋岛国心理健康影响的实证研究进行评估。
结果
确定了来自所罗门群岛、库克群岛和图瓦卢的六项研究，表明海平面上升（SLR）和极端天气事件对心理健康有重大影响，对不同群体有复合和缓解作用。生活调整与复原力技能（SOLAR）项目被强调为一种有前景的文化适应性干预措施。
结论
气候变化对心理健康有重大影响，特别是在面临海平面上升和极端天气事件（EWE）的太平洋岛国社区。文化敏感的干预措施、当地知识和进一步研究对于减轻这些影响和支持福祉至关重要。
