Pub Date : 2026-01-29DOI: 10.1016/j.ajp.2026.104875
Zhan-Ming Shi , Zhi-Ang Su , Ting Ning , Wei Zheng
{"title":"Corrigendum to “Magnetic seizure therapy versus electroconvulsive therapy for major mental disorders: A systematic review” [Asian J. Psychiatry 103 (2025) 104336]","authors":"Zhan-Ming Shi , Zhi-Ang Su , Ting Ning , Wei Zheng","doi":"10.1016/j.ajp.2026.104875","DOIUrl":"10.1016/j.ajp.2026.104875","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104875"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: School-based mental health programs in India predominantly employ didactic approaches. While effective for knowledge transfer, these methods rarely reduce stigma. This pilot study evaluated whether short-duration experiential methods could induce attitudinal change among adolescents in a resource-constrained rural setting.
Methods: A quasi-experimental study was conducted in two comparable rural schools in Tamil Nadu (9th-10th grade). School 1 received a two-hour didactic session, while School 2 received a two-hour experiential session. Pre- and post-session attitudes were assessed using a 10-item Likert questionnaire. Within-group changes were analysed using the Wilcoxon signed-rank test.
Results: Significant attitudinal improvements were observed exclusively in girls receiving experiential teaching. Specifically, stigma-related perceptions regarding "unfair treatment" (Z = -2.970, p = 0.003) and "fear of seeking help" (Z = -2.034, p = 0.042) showed significant positive shifts. Didactic groups showed minimal change.
Conclusion: Brief experiential modules are feasible and superior to didactic methods for reducing stigma among rural adolescent girls. Integrating participatory activities into school mental health curricula may be essential for behavioural change.
{"title":"Utilizing short experiential teaching methods for school mental health awareness among adolescents from Rural India - A Quasi experimental pilot study.","authors":"Velprashanth Venkatesan, Barath Ramanathan, Souganya Vijayan, Perarul Sivakumar, Arun Selvaraj, Harish Kumar Jaikumar, Parvathy Valalan","doi":"10.1016/j.ajp.2026.104872","DOIUrl":"https://doi.org/10.1016/j.ajp.2026.104872","url":null,"abstract":"<p><strong>Introduction: </strong>School-based mental health programs in India predominantly employ didactic approaches. While effective for knowledge transfer, these methods rarely reduce stigma. This pilot study evaluated whether short-duration experiential methods could induce attitudinal change among adolescents in a resource-constrained rural setting.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in two comparable rural schools in Tamil Nadu (9th-10th grade). School 1 received a two-hour didactic session, while School 2 received a two-hour experiential session. Pre- and post-session attitudes were assessed using a 10-item Likert questionnaire. Within-group changes were analysed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>Significant attitudinal improvements were observed exclusively in girls receiving experiential teaching. Specifically, stigma-related perceptions regarding \"unfair treatment\" (Z = -2.970, p = 0.003) and \"fear of seeking help\" (Z = -2.034, p = 0.042) showed significant positive shifts. Didactic groups showed minimal change.</p><p><strong>Conclusion: </strong>Brief experiential modules are feasible and superior to didactic methods for reducing stigma among rural adolescent girls. Integrating participatory activities into school mental health curricula may be essential for behavioural change.</p>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"104872"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1016/j.ajp.2026.104869
Amrita Roy , Hareesh Angothu
The mental health legislation in India has evolved over the years from its emphasis on custodial care to community-based care. The Mental HealthCare Act (MHCA) 2017 significantly transformed the conceptualization of mental healthcare, adopting a rights-based stance and incorporating rehabilitation as an integral part of mental healthcare services. MHCA provides a legal framework that supports and reinforces rehabilitation for Persons with Mental Illness (PwMI), assisting them to achieve their full potential and integrating them into the community. MHCA mandates the provision of residential rehabilitation facilities such as halfway homes and supported and sheltered accommodations, and it endorses community-based rehabilitation services. Additionally, the Act mandates the involvement of families and stakeholders in the mental health review boards and state mental health authorities, which can help safeguard the rights and interests of PwMI. This article critically analyzes the implications of various MHCA provisions on the rehabilitation of PwMI.
{"title":"Mental Healthcare Act 2017: Implications for rehabilitation of persons with mental illness in India","authors":"Amrita Roy , Hareesh Angothu","doi":"10.1016/j.ajp.2026.104869","DOIUrl":"10.1016/j.ajp.2026.104869","url":null,"abstract":"<div><div>The mental health legislation in India has evolved over the years from its emphasis on custodial care to community-based care. The Mental HealthCare Act (MHCA) 2017 significantly transformed the conceptualization of mental healthcare, adopting a rights-based stance and incorporating rehabilitation as an integral part of mental healthcare services. MHCA provides a legal framework that supports and reinforces rehabilitation for Persons with Mental Illness (PwMI), assisting them to achieve their full potential and integrating them into the community. MHCA mandates the provision of residential rehabilitation facilities such as halfway homes and supported and sheltered accommodations, and it endorses community-based rehabilitation services. Additionally, the Act mandates the involvement of families and stakeholders in the mental health review boards and state mental health authorities, which can help safeguard the rights and interests of PwMI. This article critically analyzes the implications of various MHCA provisions on the rehabilitation of PwMI.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104869"},"PeriodicalIF":4.5,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1016/j.ajp.2026.104876
Yelu Zhang, Matcheri Keshavan
Fear is an evolutionarily adaptive mechanism that enables organisms to detect and respond to potential threats. Over the past century, theories of fear have evolved from Pavlovian and behavioral frameworks to neuroscientific models that emphasize specific neural circuits, neurotransmission, and plasticity. This pictorial review synthesizes key concepts underlying the neuroscience of fear, starting with a historical narrative of fear as conceptualized by conditioning and behaviorism theories, to the roles of different neurobiology structures, networks, to concepts of memory consolidation, reconsolidation, and plasticity. We highlight how pathological fear is implicated in disease, integrating evidence from conditioning theories, neuroscience, and additional considerations (ie. Culture and psychosocial context). Finally, we outline therapeutic approaches that leverage neuroscience to target maladaptive fear circuits. Understanding these mechanisms provides a foundation for advancing personalized treatments for fear-related psychopathology.
{"title":"Neuroscience in pictures: Neuroscience of fear.","authors":"Yelu Zhang, Matcheri Keshavan","doi":"10.1016/j.ajp.2026.104876","DOIUrl":"https://doi.org/10.1016/j.ajp.2026.104876","url":null,"abstract":"<p><p>Fear is an evolutionarily adaptive mechanism that enables organisms to detect and respond to potential threats. Over the past century, theories of fear have evolved from Pavlovian and behavioral frameworks to neuroscientific models that emphasize specific neural circuits, neurotransmission, and plasticity. This pictorial review synthesizes key concepts underlying the neuroscience of fear, starting with a historical narrative of fear as conceptualized by conditioning and behaviorism theories, to the roles of different neurobiology structures, networks, to concepts of memory consolidation, reconsolidation, and plasticity. We highlight how pathological fear is implicated in disease, integrating evidence from conditioning theories, neuroscience, and additional considerations (ie. Culture and psychosocial context). Finally, we outline therapeutic approaches that leverage neuroscience to target maladaptive fear circuits. Understanding these mechanisms provides a foundation for advancing personalized treatments for fear-related psychopathology.</p>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"104876"},"PeriodicalIF":4.5,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-26DOI: 10.1016/j.ajp.2026.104874
Shirley Pat Fong, Simmi Kumari, Vicknesan Marimuttu
{"title":"Psychosomatic Symptoms in Singaporean children and adolescents: A retrospective case series.","authors":"Shirley Pat Fong, Simmi Kumari, Vicknesan Marimuttu","doi":"10.1016/j.ajp.2026.104874","DOIUrl":"https://doi.org/10.1016/j.ajp.2026.104874","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"104874"},"PeriodicalIF":4.5,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-25DOI: 10.1016/j.ajp.2026.104873
Warut Aunjitsakul , Kanthee Anantapong , Nisan Werachattawan , Kreuwan Jongbovonwiwat , Rasmon Kalayasiri , Daruj Aniwattanapong , Poom Chompoosri , Andre Teck Sng Tay , Samuel Eng Teck Cheng , Sanjiv Sasidharan Nair , David Choon Liang Teo , Petrin Redayani Lukman , Sylvia Detri Elvira , Alfi Fajar Almasyhur , Nik Ruzyanei Nik Jaafar , Farah Nabila binti Abd Majid , Jiann Lin Loo , Nuur Asyikin binti Mohd Shukor , Eric Bui , Thi Tuong Vi Vu , César A. Alfonso
Background
Psychotherapy's integration into Southeast Asia (SEA) clinical practice is limited despite its recognized effectiveness. This study examined psychiatrists’ and psychiatry trainees’ perspectives on barriers to accessing psychotherapy, expectations for its future delivery, and attitudes toward digital mental health.
Methods
A cross-national survey was conducted between March and August 2024 among 253 psychiatrists and psychiatry trainees from Indonesia (n = 121), Malaysia (n = 39), Singapore (n = 6), Thailand (n = 74), and Vietnam (n = 13). The questionnaire explored perspectives on delivering psychotherapy including barriers, provider roles, therapy formats, and digital delivery. Data were analyzed descriptively and comparatively.
Results
Key barriers to delivering psychotherapy included time constraints, cost concerns, systemic limitations, and insufficient psychotherapy skills, respectively. Regarding preferences for psychotherapy providers, trainees rated psychiatrists as most suitable, while psychiatrists preferred psychologists. Crisis intervention and individual therapy were the top priorities for training. Although videoconferencing and mobile apps were favored for future delivery, concerns about clinical effectiveness and system-level limitations hindered wider acceptance of digital psychotherapy.
Conclusion
A major barrier was that psychotherapy is too time-consuming, and a lack of skills was a significant challenge for healthcare professionals. Both psychiatrists and trainees agreed that training should prioritize crisis intervention and individual therapy. For internet-based psychotherapy, the primary challenge was concern over its low clinical effectiveness, as many felt face-to-face interaction was necessary. The findings highlight the need for enhanced psychotherapy training, systemic support, and digital infrastructure to improve psychotherapy accessibility in SEA. These insights can inform the development of targeted interventions and policies to promote the effective integration of psychotherapy into mental health services in the region.
{"title":"Perspectives on psychotherapy in Southeast Asia: Insights from psychiatrists and trainees (Part II: Barriers to access and future directions)","authors":"Warut Aunjitsakul , Kanthee Anantapong , Nisan Werachattawan , Kreuwan Jongbovonwiwat , Rasmon Kalayasiri , Daruj Aniwattanapong , Poom Chompoosri , Andre Teck Sng Tay , Samuel Eng Teck Cheng , Sanjiv Sasidharan Nair , David Choon Liang Teo , Petrin Redayani Lukman , Sylvia Detri Elvira , Alfi Fajar Almasyhur , Nik Ruzyanei Nik Jaafar , Farah Nabila binti Abd Majid , Jiann Lin Loo , Nuur Asyikin binti Mohd Shukor , Eric Bui , Thi Tuong Vi Vu , César A. Alfonso","doi":"10.1016/j.ajp.2026.104873","DOIUrl":"10.1016/j.ajp.2026.104873","url":null,"abstract":"<div><h3>Background</h3><div>Psychotherapy's integration into Southeast Asia (SEA) clinical practice is limited despite its recognized effectiveness. This study examined psychiatrists’ and psychiatry trainees’ perspectives on barriers to accessing psychotherapy, expectations for its future delivery, and attitudes toward digital mental health.</div></div><div><h3>Methods</h3><div>A cross-national survey was conducted between March and August 2024 among 253 psychiatrists and psychiatry trainees from Indonesia (n = 121), Malaysia (n = 39), Singapore (n = 6), Thailand (n = 74), and Vietnam (n = 13). The questionnaire explored perspectives on delivering psychotherapy including barriers, provider roles, therapy formats, and digital delivery. Data were analyzed descriptively and comparatively.</div></div><div><h3>Results</h3><div>Key barriers to delivering psychotherapy included time constraints, cost concerns, systemic limitations, and insufficient psychotherapy skills, respectively. Regarding preferences for psychotherapy providers, trainees rated psychiatrists as most suitable, while psychiatrists preferred psychologists. Crisis intervention and individual therapy were the top priorities for training. Although videoconferencing and mobile apps were favored for future delivery, concerns about clinical effectiveness and system-level limitations hindered wider acceptance of digital psychotherapy.</div></div><div><h3>Conclusion</h3><div>A major barrier was that psychotherapy is too time-consuming, and a lack of skills was a significant challenge for healthcare professionals. Both psychiatrists and trainees agreed that training should prioritize crisis intervention and individual therapy. For internet-based psychotherapy, the primary challenge was concern over its low clinical effectiveness, as many felt face-to-face interaction was necessary. The findings highlight the need for enhanced psychotherapy training, systemic support, and digital infrastructure to improve psychotherapy accessibility in SEA. These insights can inform the development of targeted interventions and policies to promote the effective integration of psychotherapy into mental health services in the region.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104873"},"PeriodicalIF":4.5,"publicationDate":"2026-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.1016/j.ajp.2026.104871
Jie Pang, Xinyan Sun
{"title":"From “Looking” to “Deciding”: Making POV-glasses–based autism signals clinically actionable in the gray zone","authors":"Jie Pang, Xinyan Sun","doi":"10.1016/j.ajp.2026.104871","DOIUrl":"10.1016/j.ajp.2026.104871","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104871"},"PeriodicalIF":4.5,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safe and effective use of domiciliary oral ketamine for recurrent agitated depression in an older adult: A case report","authors":"Titir Surai, Abhiram Purohith Narasimhan, Meha Sharma, Sonia Shenoy, PSVN Sharma","doi":"10.1016/j.ajp.2026.104868","DOIUrl":"10.1016/j.ajp.2026.104868","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104868"},"PeriodicalIF":4.5,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-20DOI: 10.1016/j.ajp.2026.104867
Vikas Menon , Subashree Kathatharan, Malavika Pradeep, Natarajan Varadharajan, Ravi Philip Rajkumar, Chittaranjan Andrade
{"title":"Successful use of adjunctive oral racemic ketamine in a woman with treatment-resistant major depressive disorder and marked hypercortisolemia","authors":"Vikas Menon , Subashree Kathatharan, Malavika Pradeep, Natarajan Varadharajan, Ravi Philip Rajkumar, Chittaranjan Andrade","doi":"10.1016/j.ajp.2026.104867","DOIUrl":"10.1016/j.ajp.2026.104867","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104867"},"PeriodicalIF":4.5,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-20DOI: 10.1016/j.ajp.2026.104859
Julio Torales , Iván Barrios , Antonio Ventriglio , João Mauricio Castaldelli-Maia , Myrna Lashley , Mike Campbell , Michael Liebrenz , Padmavati Ramachandran , Neil Krishan Aggarwal , Rowalt Alibudbud , Egor Chumakov , Joana Corrêa de Magalhães Narvaez , Afzal Javed , Dinesh Bhugra , Albert Persaud , on behalf of the World Psychiatric Association Special Interest Group on Geopsychiatry
Background
Climate change is an increasingly important determinant of global mental health, affecting emotional, cognitive, behavioral, and social functioning. The emergence of climate-anxiety and the unequal distribution of environmental risks highlight the need for cross-cultural evidence to inform equitable adaptation strategies.
Aim
To examine the psychological and functional impacts of climate change across diverse populations, focusing on climate-anxiety, emotional responses, coping strategies, and perceived psychosocial support within a geopsychiatry framework.
Methods
A multinational cross-sectional survey was conducted among 388 adults from 44 countries using the Hogg Climate Anxiety Scale (HCAS) and additional items on climate-related experiences, functional disruption, coping strategies, and access to essential resources. Data were analyzed using descriptive statistics, non-parametric tests, multiple linear regression, and thematic analysis of open-ended responses.
Results
Overall, 83.5 % of participants reported exposure to at least one extreme climate event in the past five years, most commonly heatwaves, floods, and severe storms. Climate anxiety differed by gender in affective symptoms, rumination, and personal impact anxiety (Kruskal–Wallis, p ≤ .007). Participants exposed to extreme events reported higher affective (p = .017), behavioral (p = .001), and personal impact anxiety (p = .045). The regression model explained 25 % of the variance in total HCAS scores (R² = 0.25, p < .001), with climate-related functional disruption as the strongest predictor.
Conclusions
Climate change is associated with substantial emotional and functional burden, particularly among vulnerable groups. Findings support integrating mental health screening and brief psychosocial interventions into climate adaptation policies, primary care, and community-based resilience programs.
{"title":"Climate change and mental health: A multinational study of climate-anxiety, coping, and psychosocial responses","authors":"Julio Torales , Iván Barrios , Antonio Ventriglio , João Mauricio Castaldelli-Maia , Myrna Lashley , Mike Campbell , Michael Liebrenz , Padmavati Ramachandran , Neil Krishan Aggarwal , Rowalt Alibudbud , Egor Chumakov , Joana Corrêa de Magalhães Narvaez , Afzal Javed , Dinesh Bhugra , Albert Persaud , on behalf of the World Psychiatric Association Special Interest Group on Geopsychiatry","doi":"10.1016/j.ajp.2026.104859","DOIUrl":"10.1016/j.ajp.2026.104859","url":null,"abstract":"<div><h3>Background</h3><div>Climate change is an increasingly important determinant of global mental health, affecting emotional, cognitive, behavioral, and social functioning. The emergence of climate-anxiety and the unequal distribution of environmental risks highlight the need for cross-cultural evidence to inform equitable adaptation strategies.</div></div><div><h3>Aim</h3><div>To examine the psychological and functional impacts of climate change across diverse populations, focusing on climate-anxiety, emotional responses, coping strategies, and perceived psychosocial support within a geopsychiatry framework.</div></div><div><h3>Methods</h3><div>A multinational cross-sectional survey was conducted among 388 adults from 44 countries using the Hogg Climate Anxiety Scale (HCAS) and additional items on climate-related experiences, functional disruption, coping strategies, and access to essential resources. Data were analyzed using descriptive statistics, non-parametric tests, multiple linear regression, and thematic analysis of open-ended responses.</div></div><div><h3>Results</h3><div>Overall, 83.5 % of participants reported exposure to at least one extreme climate event in the past five years, most commonly heatwaves, floods, and severe storms. Climate anxiety differed by gender in affective symptoms, rumination, and personal impact anxiety (Kruskal–Wallis, p ≤ .007). Participants exposed to extreme events reported higher affective (p = .017), behavioral (p = .001), and personal impact anxiety (p = .045). The regression model explained 25 % of the variance in total HCAS scores (R² = 0.25, p < .001), with climate-related functional disruption as the strongest predictor.</div></div><div><h3>Conclusions</h3><div>Climate change is associated with substantial emotional and functional burden, particularly among vulnerable groups. Findings support integrating mental health screening and brief psychosocial interventions into climate adaptation policies, primary care, and community-based resilience programs.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104859"},"PeriodicalIF":4.5,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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