Cited by 123COVID-19 and Mental HealthClimate Change Communication and PerceptionClimate Change and Health Impacts

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index; 17 of the 27 sources its claims cite were checked for support.

Psychological responses, mental health, and sense of agency for the dual challenges of climate change and the COVID-19 pandemic in young people in the UK: an online survey study

Open access

Abstract

Background The COVID-19 pandemic and climate change are both significant and pressing global challenges, posing threats to public health and wellbeing. Young people are particularly vulnerable to the distress both crises can cause, but understanding of the varied psychological responses to both issues is poor. We aimed to investigate these responses and their links with mental health conditions and feelings of agency. Methods We conducted an online survey between Aug 5 and Oct 26, 2020, targeting a diverse sample of young people (aged 16–24 years, n=530) in the UK. The survey was distributed using a combination of a survey panel (panel sample) and direct approaches to youth groups and schools who shared the survey with young people in their networks (community sample). We collected data on respondents' psychological responses to both climate change and the COVID-19 pandemic, their sense of agency to respond to each crisis, and the range of impacts on their lives. We also collected demographics data and screened for mental health and wellbeing indicators. We used non-parametric tests for most statistical comparisons. For paired samples, we used Wilcoxon's signed-rank test, and used Mann-Whitney U-tests or Kruskal-Wallis tests for two or more independent samples. Summed scale scores were considered as interval-level data and analysed with Student's t tests and ANOVAs. Effect sizes are reported as Cohen's d and partial eta-squared (η· 2 p ), respectively. Findings After excluding 18 suspected bots and 94 incomplete responses, 530 responses were retained for analysis. Of the 518 respondents who provided demographic data, 63% were female, 71·4% were White, and the mean family affluence score was 8·22 (SD 2·29). Most participants (n=343; 70%) did not report a history of diagnosis or treatment for a mental health disorder, but mental health scores indicated a common experience of (relatively mild) symptoms of anxiety, depression, and stress. Although UK youth reported more life disruption and concern for their future due to the COVID-19 pandemic, climate change was associated with significantly greater distress overall, particularly for individuals with low levels of generalised anxiety. The COVID-19 pandemic was more associated with feelings of anxiety, isolation, disconnection, and frustration; distress around loss and grief; and effects on quality of life. Climate change was more likely to evoke emotions such as interest and engagement, guilt, shame, anger, and disgust. The greater distress attributed to climate change overall was due, in particular, to higher levels of guilt, sense of personal responsibility, and greater distress triggered by upsetting media coverage. Agency to address climate change was associated with greater climate distress, but pandemic-related distress and agency were unrelated. Interpretation The COVID-19 pandemic and climate change are affecting the wellbeing of UK young people in distinct ways, with implications for health service, policy, and research responses. There is a need for mental health practitioners, policy makers, and other societal actors to account for the complex relationship between climate agency, distress, and mental wellbeing in young people. Funding Imperial College London.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In an online survey of 530 UK young people aged 16–24, climate change elicited significantly greater overall distress than the COVID-19 pandemic, even though the pandemic caused more reported disruption to daily life. Climate distress was associated with greater sense of agency, whereas pandemic-related distress and agency were unrelated.

Key findings

  • Climate distress was slightly but significantly higher than pandemic distress (mean 13·08, SD 6·60 vs 11·55, SD 5·85; t(523)=–6·27, p<0·0001, d=0·27), despite the pandemic having greater perceived negative impact (77% at least moderate vs 64% reporting no/a little for climate; Z –13·821, p<0·0001, r=0·60).
  • The crises evoked distinct emotional patterns: the pandemic was more associated with anxiety, isolation, disconnection, and frustration; climate change was more associated with interest/engagement, guilt, shame, anger, and disgust.
  • Climate distress was linked to guilt, personal responsibility, and distress from upsetting media coverage; pandemic distress was linked to loss/grief and quality-of-life concerns.
  • High climate agency was associated with higher climate distress (13·79, SD 6·29 vs 9·43, SD 6·97; t(523)=–5·854, p<0·0001, d=0·68), while pandemic distress did not differ by pandemic-related agency (11·59 vs 11·11; p=0·534, d=0·08).

Methods

  • Online survey conducted Aug 5–Oct 26, 2020, targeting UK residents aged 16–24 years; 530 responses retained after excluding 18 suspected bots and 94 incomplete responses. Recruitment combined a Prolific survey panel and direct approaches to youth groups and schools.
  • Measures included demographics, Family Affluence Scale-III, GAD-7, PHQ-9, Perceived Stress Scale-4, life satisfaction, adapted COVID-19 and climate impact questionnaires, climate/pandemic distress scales, emotion items, and agency/activism items.
  • Analyses used non-parametric tests for ordinal data (Wilcoxon signed-rank, Mann-Whitney U, Kruskal-Wallis) and t tests/ANOVAs for summed scale scores, with Bonferroni corrections and effect sizes reported as r, ε², Cohen’s d, and partial eta-squared.

Limitations

  • The paper states the study is a single-country UK snapshot from the early pandemic period, so results might not generalise outside the UK and may vary with pandemic severity, duration, and restrictions.
  • The paper states the sample was modest and partly recruited through convenience sampling, with possible self-selection bias; a larger representative study is needed to examine demographic groups and intersecting vulnerabilities.
  • The paper notes that interference with daily life was probed with a single question, and future research should use multidimensional assessments; the text also makes evident that the cross-sectional design cannot establish causal or directional relationships, and the analyses were exploratory and not formally preregistered.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/s2542-5196(22)00172-3

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

68 Own result · 15 Own interpretation · 13 No basis given · 12 Own method · 8 Supported · 6 Partly supported · 4 Sources not found · 3 No full text of the sources · accuracy not yet measured

Show all 58 claims

  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 35
  • The quote only partly states this claim. 7
71 of 71
  • The authors state this as an assumption.

    Summed scale scores can be treated as interval-level data.

    “Summed scale scores were considered as interval-level data and analysed with Student's t tests and ANOVAs.”
  • The paper relies on this without support.

    The adapted pandemic distress scale is equivalent to the climate change distress scale.

    “We used the climate change distress scale, which was developed and validated by Reser and colleagues,31 and adapted this scale to create an equivalent measure of pandemic distress.”
  • The paper relies on this without support.

    The sample of UK young people recruited via panel and community sampling is representative of UK young people for the purpose of generalising the findings.

    “The survey was distributed using Qualtrics between Aug 5 and Oct 26, 2020, using a combination of a survey panel (panel sample) accessed through Prolific and direct approaches to youth groups and schools who shared the survey with young people in their networks (community sample).”
  • The paper relies on this without support.

    Research to date has not yet explored the relationships between specific pandemic-related distress and emotions, a sense of agency to respond to the pandemic, and general mental health.

    “Research to date has not yet explored the relationships between specific pandemic-related distress and emotions, a sense of agency to respond to the pandemic, and general mental health.”
  • The paper relies on this without support.

    We do not know how similar or different the psychological responses (thoughts and feelings) are across crises and how they contribute to distress.

    “We do not know how similar or different the psychological responses (thoughts and feelings) are across crises and how they contribute to distress.”
  • The paper relies on this without support.

    The link between agency and distress in the context of the pandemic and climate change remains unexplored.

    “To our knowledge, the link between agency and distress in the context of the pandemic and climate change remains unexplored.”
  • The paper relies on this without support.

    The panel and community samples can be combined and treated as a single sample.

    “The survey was distributed using Qualtrics between Aug 5 and Oct 26, 2020, using a combination of a survey panel (panel sample) accessed through Prolific and direct approaches to youth groups and schools who shared the survey with young people in their networks (community sample).”
  • The authors state this as an assumption.

    The ANOVA is robust against violations of normality and uneven sample sizes.

    “The ANOVA was assumed to be robust against violations of normality and uneven sample sizes (which were n=161, n=171, n=110, n=79, for no, low, moderate, and severe anxiety symptoms, respectively).”
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Percentages, sums and reported differences re-computed from the paper’s own numbers.

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2 of 2

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Metadata

Authors
Lawrance, E. L., Jennings, N., Kioupi, V., Thompson, R., Diffey, J., & Vercammen, A.
Affiliations
  • Imperial College London (GB)
  • The University of Queensland (AU)
Corresponding author
Lawrance, Emma L
Venue
The Lancet Planetary Health
Publisher
Elsevier BV
Published
2022-09
Volume
6
Issue
9
Pages
e726-e738
ISSN
2542-5196 (ISSN-L)
OpenAlex
W4295457303
Cited by
123
References
41
Citations by year
2026: 29 · 2025: 36 · 2024: 29 · 2023: 25 · 2022: 3
FWCI
9.36
Type
journal article
Language
en
Open access
Locations
  • The Lancet Planetary Health (publishedVersion, cc-by-nc-nd)
  • SSRN Electronic Journal (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
Funders
Imperial College London
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Sociology and Political Science › Climate Change Communication and Perception
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
Keywords
climate change, COVID-19 pandemic, youth, mental health, psychological distress, sense of agency, anxiety, depression, stress, loneliness, grief, quality of life, youth well-being, climate anxiety, 2022 Russia-Ukraine war, 2022 floods
MeSH terms
COVID-19, Adolescent, Female, United Kingdom, Humans, Male, Mental Health, Quality of Life, Surveys and Questionnaires, Young Adult, Climate Change, Pandemics

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