The relationship between climate change and mental health: a systematic review of the association between eco-anxiety, psychological distress, and symptoms of major affective disorders
Abstract
BACKGROUND AND OBJECTIVES: The adverse impacts of climate change on mental health is a burgeoning area, although findings are inconsistent. The emerging concept of eco-anxiety represents distress in relation to climate change and may be related to mental health. The aim of this study was to explore the relationship between eco-anxiety with validated mental health outcomes, specifically psychological distress and symptoms of major affective disorders.
DESIGN: Systematic review.
METHODS: EBSCO, ProQuest, and Web of Science databases were searched to February 2024 for studies of adult samples quantifying eco-anxiety (exposure, i.e. fear, worry or anxiety in relation to climate change) and symptoms of psychological distress and major affective disorders (outcomes), as assessed by validated measures.
RESULTS: Full text review of 83 studies was performed, and k = 35 studies were included in the review (N = 45 667, 61% female, Mage 31.2 years). Consistently, eco-anxiety showed small to large positive correlations with mental health outcomes of psychological distress, depression symptoms, anxiety symptoms, and stress symptoms. However, results regarding post-traumatic stress disorder symptoms and pathological worry were mixed. Stronger associations were observed where eco-anxiety was operationalised as 'anxiety' rather than 'worry'.
CONCLUSIONS: Findings underscore that eco-anxiety is related to psychological burden. Greater consideration of eco-anxiety in assessment and treatment…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 45 participants or records.
Read the paper
Related studies
- Climate Change Impacts on Marine Ecosystems
- Assisted Gene Flow to Facilitate Local Adaptation to Climate Change
- Climate Change Effects on Plant Disease: Genomes to Ecosystems
- Biodiversity and Climate Change: Integrating Evolutionary and Ecological Responses of Species and Communities
- A systematic review of climate change education: giving children and young people a ‘voice’ and a ‘hand’ in redressing climate change
- Global Monsoon Dynamics and Climate Change
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.