Emotional responses and psychological health among young people amid climate change, Fukushima's radioactive water release, and wars in Ukraine and the Middle East, and the mediating roles of media exposure and nature connectedness: a cross-national analysis

IF 24.1 1区 医学 Q1 ENVIRONMENTAL SCIENCES Lancet Planetary Health Pub Date : 2024-06-01 DOI:10.1016/S2542-5196(24)00097-4
Sam S S Lau PhD , Jason W L Fong BSSc , Nicola van Rijsbergen PhD , Laura McGuire PhD , Cherry C Y Ho PhD , Marco C H Cheng MEd , Dorothy Tse PhD
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Coping with climate change, the radioactive water released into the Pacific Ocean subsequent to the Fukushima nuclear accident in Japan, and the wars in Ukraine and the Middle East (hereafter referred to as the wars) as individual crises can negatively affect the psychological health of young people, but little is known about the compounded impact of multiple crises. We aimed to examine: (1) the emotional responses of young people towards each individual crisis, (2) how aggregate levels of emotional engagement in global crises might pose different potential trajectories in psychological health, and (3) the protective or exacerbating role of media exposure and nature connectedness as mediators on psychological health outcomes of young people.</p></div><div><h3>Methods</h3><p>We conducted a cross-national online survey among young people (aged 18–29 years) from China, Portugal, South Africa, the USA, and the UK. 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We assessed the survey results using descriptive statistics, ANOVA tests, cluster analysis for individual emotional responses, and structural equation modelling for the aggregate measure of emotional engagement towards individual global crises.</p></div><div><h3>Findings</h3><p>Between Oct 20 and Nov 3, 2023, 2579 individuals participated in the survey, of whom 400 participants from each country (200 male and 200 female participants) were included in our analysis (mean age 24·36 years [SD 2·86]). The mean emotional engagement varied between the global crises of interest (on a scale from 0 to 68, where 0 indicates no emotional response and 68 indicates strong emotional responses across 17 different emotions; wars: 32·42 [SD 14·57]; climate change: 28·79 [14·17]; radioactive water: 21·26 [16·08]), and emotional engagement also varied by country; for instance, for respondents from China, mean emotional engagement in radioactive water was relatively high (39·15 [10·72]) compared with the other countries, and for respondents from the USA, engagement with the wars was relatively low (29·45 [15·78]). We found significant variations in the level of emotional engagement between different crises, with distinct emotional profiles observed among individual countries. 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引用次数: 0

Abstract

Background

New global crises are emerging, while existing global crises remain unabated. Coping with climate change, the radioactive water released into the Pacific Ocean subsequent to the Fukushima nuclear accident in Japan, and the wars in Ukraine and the Middle East (hereafter referred to as the wars) as individual crises can negatively affect the psychological health of young people, but little is known about the compounded impact of multiple crises. We aimed to examine: (1) the emotional responses of young people towards each individual crisis, (2) how aggregate levels of emotional engagement in global crises might pose different potential trajectories in psychological health, and (3) the protective or exacerbating role of media exposure and nature connectedness as mediators on psychological health outcomes of young people.

Methods

We conducted a cross-national online survey among young people (aged 18–29 years) from China, Portugal, South Africa, the USA, and the UK. We adopted stratified purposive sampling and distributed the survey using online platforms (www.wenjuan.com and www.prolific.com). Individuals were eligible for inclusion in our analysis if they were literate in Chinese or English and had no mental disorders diagnosed within the past 12 months. Participants were asked questions on their demographic characteristics and time spent on social media, including proportion of time exposed to media pertaining to global crises of interest, and they completed surveys based on validated scales that measure depression, anxiety, stress, and wellbeing, as well as emotional responses to each global crisis and nature relatedness. We assessed the survey results using descriptive statistics, ANOVA tests, cluster analysis for individual emotional responses, and structural equation modelling for the aggregate measure of emotional engagement towards individual global crises.

Findings

Between Oct 20 and Nov 3, 2023, 2579 individuals participated in the survey, of whom 400 participants from each country (200 male and 200 female participants) were included in our analysis (mean age 24·36 years [SD 2·86]). The mean emotional engagement varied between the global crises of interest (on a scale from 0 to 68, where 0 indicates no emotional response and 68 indicates strong emotional responses across 17 different emotions; wars: 32·42 [SD 14·57]; climate change: 28·79 [14·17]; radioactive water: 21·26 [16·08]), and emotional engagement also varied by country; for instance, for respondents from China, mean emotional engagement in radioactive water was relatively high (39·15 [10·72]) compared with the other countries, and for respondents from the USA, engagement with the wars was relatively low (29·45 [15·78]). We found significant variations in the level of emotional engagement between different crises, with distinct emotional profiles observed among individual countries. To assess the role of media exposure and nature connectedness on psychological outcomes, using structural equation modelling, we constructed a multi-country model comprising Portugal, South Africa, the USA, and the UK, and a standalone model for China. These models elucidated associations between emotional engagement and psychological distress and wellbeing, explaining substantial portions of the variance in both. Notably, while greater emotional engagement in the ecological crises (ie, climate change and radioactive water) generally predicted worse psychological health outcomes, we found the direction of effect for war crises to have positive outcomes for mental health in the standalone China model. Additionally, we found that media exposure mediated the negative effect of wars on psychological distress in the multi-country model, and positive psychological wellbeing in the standalone China model. Moreover, nature connectedness emerged as a potent mediator, effectively mitigating the adverse mental health effects of emotional engagement with some crises, such as radioactive water and climate change.

Interpretation

Our findings offer valuable insights into the nuanced dynamics of emotional engagement in global crises and its implications for mental health outcomes among young people across diverse global contexts. Further research is needed to understand the contribution of ongoing and new global crises towards a compounded negative future outlook on young people's mental health to identify effective communication and intervention strategies that can mitigate the effect of this global challenge.

Funding

Research Grants Council of Hong Kong, China.

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气候变化、福岛核泄漏、乌克兰和中东战争中青年人的情绪反应和心理健康,以及媒体曝光和自然联系的中介作用:跨国分析
背景新的全球危机正在出现,而现有的全球危机依然有增无减。应对气候变化、日本福岛核事故后排放到太平洋的放射性水、乌克兰和中东战争(以下简称战争)等单个危机会对青少年的心理健康产生负面影响,但人们对多重危机的复合影响却知之甚少。我们旨在研究:(1) 青少年对每场危机的情绪反应;(2) 在全球危机中的总体情绪参与水平如何可能对心理健康造成不同的潜在轨迹;(3) 媒体接触和自然联系作为中介对青少年心理健康结果的保护或加剧作用。我们采用了分层有目的抽样法,并通过在线平台(www.wenjuan.com 和 www.prolific.com)发布了调查问卷。只要能说中文或英文,且在过去 12 个月内未被诊断出患有精神疾病,就有资格参与我们的分析。我们向参与者询问了他们的人口统计学特征和在社交媒体上花费的时间,包括接触与所关注的全球危机相关的媒体的时间比例,他们还完成了基于有效量表的调查,该量表可测量抑郁、焦虑、压力和幸福感,以及对每一次全球危机的情绪反应和与自然的相关性。我们使用描述性统计、方差分析检验、个体情绪反应的聚类分析以及结构方程模型对调查结果进行了评估,并对各个全球危机的情绪参与度进行了综合测量。结果在 2023 年 10 月 20 日至 11 月 3 日期间,共有 2579 人参与了调查,其中来自每个国家的 400 名参与者(200 名男性参与者和 200 名女性参与者)被纳入了我们的分析范围(平均年龄为 24-36 岁 [SD 2-86] )。平均情绪参与度因所关注的全球危机而异(量表从 0 到 68,其中 0 表示无情绪反应,68 表示在 17 种不同情绪中的强烈情绪反应;战争:32-42 [SD 14-57];气候变化:28-79 [14-17];放射性水:21-26 [16-08]):例如,与其他国家相比,中国受访者对放射性水的平均情绪参与度相对较高(39-15 [10-72]),而美国受访者对战争的参与度相对较低(29-45 [15-78])。我们发现,在不同危机中,受访者的情感投入程度存在明显差异,各个国家的受访者的情感特征也各不相同。为了评估媒体接触和自然联系对心理结果的影响,我们使用结构方程模型构建了一个包括葡萄牙、南非、美国和英国在内的多国模型,以及一个针对中国的独立模型。这些模型阐明了情感投入与心理困扰和幸福感之间的关联,解释了两者之间的大部分差异。值得注意的是,虽然在生态危机(即气候变化和放射性水)中更多的情感投入通常预示着更糟糕的心理健康结果,但在独立的中国模型中,我们发现战争危机的效应方向对心理健康有积极的影响。此外,我们还发现,在多国模型中,媒体接触对战争对心理困扰的负面影响起中介作用,而在独立的中国模型中,媒体接触对心理健康的正面影响起中介作用。此外,与大自然的联系也是一种有效的调解因素,它能有效减轻情感参与某些危机(如放射性水和气候变化)对心理健康的不利影响。 解释我们的研究结果为我们提供了宝贵的见解,使我们了解情感参与全球危机的微妙动态及其对全球不同背景下年轻人心理健康结果的影响。我们需要进一步研究,以了解持续的和新的全球危机对青少年心理健康的负面影响,从而确定有效的沟通和干预策略,减轻这一全球性挑战的影响。
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来源期刊
CiteScore
28.40
自引率
2.30%
发文量
272
审稿时长
8 weeks
期刊介绍: The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice. With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.
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