Climate Change Perception and Mental Health. Results from a Systematic Review of the Literature
Open accessAbstract
Climate change is one of the main global challenges and influences various aspects of human health. Numerous studies have indeed demonstrated an association between extreme climate-related events and physical and mental health outcomes, but little is still known about the association between the perception/awareness of climate change and mental health. In accordance with the PRISMA 2020 guidelines, a search was conducted on PubMed and Scopus. The protocol was registered on PROSPERO. The included studies were original observational studies published in English, reporting the association between the perception/awareness of climate change and mental health. A total of 3018 articles were identified. A total of 10 observational studies were included. The period covered in the included studies ranged between 2012 and 2022. Climate change perception is consistently associated with adverse mental health effects across different types of estimates. In particular, the studies identified an association between a higher level of perception/awareness of climate change and depression, anxiety, eco-anxiety, stress, adjustment disorder, substance use, dysphoria, and even thoughts of suicide. Qualitative data underscore the impact on daily activities, contributing to feelings of loss and suicidal ideation. Moreover, climate change perception correlates with lower well-being and resilience. The association between awareness of climate change and mental health is a complex and still poorly explored phenomenon. The main limitations are the high heterogeneity in terms of exposure assessment and data reporting, which hinders quantitative analysis. These results show that climate change perception impacts mental health. Better understanding the phenomenon represents an opportunity to inform public health interventions that promote mental well-being.
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Existing reviews are limited by inclusion of studies that utilise non-validated assessments of mental health.
“Most critically, existing reviews are further limited by inclusion of studies that utilise non-validated assessments of mental health e.g., [22, 23, 29–31], limiting understanding of mental health outcomes and psychiatric burden associated with eco-anxiety and resulting in uncertainty on the potential vicarious impacts of climate change on clinically-relevant distress.”
Recent systematic and scoping reviews have explored diverse concepts such as climate change perceptions or emotions, reported only on direct impacts, or focused on adolescents.
“Recent systematic and scoping reviews have explored diverse concepts such as climate change perceptions or emotions [22, 23], reported only on the direct impacts of climate change [24–28], or have focused on adolescents [29].”
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- Authors
- Gianfredi, V., Mazziotta, F., Clerici, G., Astorri, E., Oliani, F., Cappellina, M., Catalini, A., Dell’Osso, B. M., Pregliasco, F. E., Castaldi, S., & Benatti, B.
- Affiliations
- University of Milan (IT)
- Marche Polytechnic University (IT)
- ORCID
- Venue
- European Journal of Investigation in Health, Psychology and Education
- Publisher
- MDPI AG
- Published
- 2024-01-12
- Volume
- 14
- Issue
- 1
- Pages
- 215-229
- ISSN
- 2174-8144 (ISSN-L)
- 2254-9625
- PMC
- PMC10814599
- OpenAlex
- W4390817857
- Cited by
- 53
- References
- 42
- Citations by year
- 2026: 19 · 2025: 17 · 2024: 17
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- European Journal of Investigation in Health Psychology and Education (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Dialnet (Universidad de la Rioja) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Social Sciences › Sociology and Political Science › Climate Change Communication and Perception
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- climate change perception, climate change awareness, mental health, climate anxiety, depression, anxiety, stress, adjustment disorder, substance use, suicidal ideation, well-being, resilience, climate change and health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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