Mental Health

Climate change and mental health: A multinational study of climate-anxiety, coping, and psychosocial responses.

TL;DR

Climate change is associated with substantial emotional and functional burden, particularly among vulnerable groups, supporting integration of mental health screening and psychosocial interventions into climate adaptation policies.

Key Findings

The majority of participants reported exposure to at least one extreme climate event in the past five years.

  • 83.5% of participants reported exposure to at least one extreme climate event in the past five years
  • The most commonly reported events were heatwaves, floods, and severe storms
  • The study included 388 adults from 44 countries
  • A multinational cross-sectional survey design was used

Climate anxiety differed significantly by gender across multiple symptom dimensions.

  • Gender differences were found in affective symptoms, rumination, and personal impact anxiety
  • Statistical significance was established using Kruskal-Wallis tests (p ≤ .007)
  • The Hogg Climate Anxiety Scale (HCAS) was used to measure climate anxiety
  • Additional items assessed climate-related experiences, functional disruption, coping strategies, and access to essential resources

Participants exposed to extreme climate events reported higher climate anxiety across affective, behavioral, and personal impact dimensions.

  • Affective anxiety was significantly higher in those exposed to extreme events (p = .017)
  • Behavioral anxiety was significantly higher in those exposed to extreme events (p = .001)
  • Personal impact anxiety was significantly higher in those exposed to extreme events (p = .045)
  • Non-parametric tests were used for these comparisons

Climate-related functional disruption was the strongest predictor of total climate anxiety scores in the regression model.

  • The regression model explained 25% of the variance in total HCAS scores (R² = 0.25, p < .001)
  • Climate-related functional disruption emerged as the strongest predictor among variables tested
  • Multiple linear regression was used alongside descriptive statistics, non-parametric tests, and thematic analysis of open-ended responses
  • The model incorporated data on coping strategies and perceived psychosocial support within a geopsychiatry framework

The study examined psychological and functional impacts of climate change across diverse populations using a geopsychiatry framework.

  • The sample comprised 388 adults from 44 countries
  • A cross-sectional survey design was employed
  • Measures included the Hogg Climate Anxiety Scale (HCAS) and additional items on emotional responses, coping strategies, and access to essential resources
  • Data analysis included descriptive statistics, non-parametric tests, multiple linear regression, and thematic analysis of open-ended responses

The authors conclude that mental health screening and brief psychosocial interventions should be integrated into climate adaptation policies, primary care, and community-based resilience programs.

  • Findings highlight the unequal distribution of environmental risks and the need for cross-cultural evidence
  • Vulnerable groups were identified as particularly affected by the emotional and functional burden of climate change
  • The emergence of climate-anxiety was noted as an increasingly important determinant of global mental health
  • Climate change was described as affecting emotional, cognitive, behavioral, and social functioning

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Citation

Torales J, Barrios I, Ventriglio A, Castaldelli-Maia J, Lashley M, Campbell M, et al.. (2026). Climate change and mental health: A multinational study of climate-anxiety, coping, and psychosocial responses.. Asian journal of psychiatry. https://doi.org/10.1016/j.ajp.2026.104859