Nausicaa Christodoulou , Karine Laaidi , Gregory Fifre , Michel Lejoyeux , Marine Ambar Akaoui , Pierre A. Geoffroy
{"title":"热浪与精神障碍:国家应急和气象服务数据研究","authors":"Nausicaa Christodoulou , Karine Laaidi , Gregory Fifre , Michel Lejoyeux , Marine Ambar Akaoui , Pierre A. Geoffroy","doi":"10.1016/j.ejpsy.2023.100249","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><p>Heatwaves pose an increasing threat. However, there is a significant gap in understanding the impact of extreme temperatures on mental health. This study aimed to examine the associations between extreme temperatures and emergency visits for psychiatric disorders.</p></div><div><h3>Method</h3><p>We conducted quasi-Poisson regressions on emergency visits’ rate for psychiatric reasons in French hospitals on days exceeding the percentiles 90, 95, 97.5, 99.5, and 99.9, between June 1st and September 15th, from 2015 to 2022, compared to days whose temperatures were below the 50th percentile during the two fortnights before and after our period of interest. We also examined the cumulative effect of three consecutive days exceeding the specified percentiles.</p></div><div><h3>Results</h3><p>Among the analyzed 1,198,953 psychiatric visits, we found an increased relative risk (RR) for dementia ranging from 5 % to 17 % on days exceeding percentiles 90 (RR=1.05, CI=1.02–1.07), 95 (RR=1.05, CI=1.02–1.08), 97.5 (RR=1.07, CI=1.03–1.11), 99.5 (RR=1.09, CI=1.01–1.17), and 99.9 (RR=1.17, CI=1.03–1.32). The cumulative heat effect also showed an increased risk ranging from 4 % to 44 %. For psychoses, we observed increases from 5 % to 7 % for the cumulative heat effect of percentiles 90 (RR=1.05, CI=1.01–1.08), 95 (RR=1.06, CI=1.02–1.11), and 97.5 (RR=1.07, CI=1.01–1.15). Conversely, mood disorders exhibited a decreased RR from 14 % to 7 % for percentiles 90 (RR=0.93, CI=0.91–0.95), 95 (RR=0.92, CI=0.89–0.94), and 97.5 (RR=0.90, CI=0.87–0.93), as well as for the cumulative effects.</p></div><div><h3>Conclusion</h3><p>This study highlights the associations between weather conditions, extreme temperatures and psychiatric disorders and emphasize the importance of considering mental health management during future heatwaves.</p></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Heatwaves and mental disorders: A study on national emergency and weather services data\",\"authors\":\"Nausicaa Christodoulou , Karine Laaidi , Gregory Fifre , Michel Lejoyeux , Marine Ambar Akaoui , Pierre A. Geoffroy\",\"doi\":\"10.1016/j.ejpsy.2023.100249\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objectives</h3><p>Heatwaves pose an increasing threat. However, there is a significant gap in understanding the impact of extreme temperatures on mental health. This study aimed to examine the associations between extreme temperatures and emergency visits for psychiatric disorders.</p></div><div><h3>Method</h3><p>We conducted quasi-Poisson regressions on emergency visits’ rate for psychiatric reasons in French hospitals on days exceeding the percentiles 90, 95, 97.5, 99.5, and 99.9, between June 1st and September 15th, from 2015 to 2022, compared to days whose temperatures were below the 50th percentile during the two fortnights before and after our period of interest. We also examined the cumulative effect of three consecutive days exceeding the specified percentiles.</p></div><div><h3>Results</h3><p>Among the analyzed 1,198,953 psychiatric visits, we found an increased relative risk (RR) for dementia ranging from 5 % to 17 % on days exceeding percentiles 90 (RR=1.05, CI=1.02–1.07), 95 (RR=1.05, CI=1.02–1.08), 97.5 (RR=1.07, CI=1.03–1.11), 99.5 (RR=1.09, CI=1.01–1.17), and 99.9 (RR=1.17, CI=1.03–1.32). The cumulative heat effect also showed an increased risk ranging from 4 % to 44 %. For psychoses, we observed increases from 5 % to 7 % for the cumulative heat effect of percentiles 90 (RR=1.05, CI=1.01–1.08), 95 (RR=1.06, CI=1.02–1.11), and 97.5 (RR=1.07, CI=1.01–1.15). Conversely, mood disorders exhibited a decreased RR from 14 % to 7 % for percentiles 90 (RR=0.93, CI=0.91–0.95), 95 (RR=0.92, CI=0.89–0.94), and 97.5 (RR=0.90, CI=0.87–0.93), as well as for the cumulative effects.</p></div><div><h3>Conclusion</h3><p>This study highlights the associations between weather conditions, extreme temperatures and psychiatric disorders and emphasize the importance of considering mental health management during future heatwaves.</p></div>\",\"PeriodicalId\":12045,\"journal\":{\"name\":\"European Journal of Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-02-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0213616323000629\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0213616323000629","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Heatwaves and mental disorders: A study on national emergency and weather services data
Background and objectives
Heatwaves pose an increasing threat. However, there is a significant gap in understanding the impact of extreme temperatures on mental health. This study aimed to examine the associations between extreme temperatures and emergency visits for psychiatric disorders.
Method
We conducted quasi-Poisson regressions on emergency visits’ rate for psychiatric reasons in French hospitals on days exceeding the percentiles 90, 95, 97.5, 99.5, and 99.9, between June 1st and September 15th, from 2015 to 2022, compared to days whose temperatures were below the 50th percentile during the two fortnights before and after our period of interest. We also examined the cumulative effect of three consecutive days exceeding the specified percentiles.
Results
Among the analyzed 1,198,953 psychiatric visits, we found an increased relative risk (RR) for dementia ranging from 5 % to 17 % on days exceeding percentiles 90 (RR=1.05, CI=1.02–1.07), 95 (RR=1.05, CI=1.02–1.08), 97.5 (RR=1.07, CI=1.03–1.11), 99.5 (RR=1.09, CI=1.01–1.17), and 99.9 (RR=1.17, CI=1.03–1.32). The cumulative heat effect also showed an increased risk ranging from 4 % to 44 %. For psychoses, we observed increases from 5 % to 7 % for the cumulative heat effect of percentiles 90 (RR=1.05, CI=1.01–1.08), 95 (RR=1.06, CI=1.02–1.11), and 97.5 (RR=1.07, CI=1.01–1.15). Conversely, mood disorders exhibited a decreased RR from 14 % to 7 % for percentiles 90 (RR=0.93, CI=0.91–0.95), 95 (RR=0.92, CI=0.89–0.94), and 97.5 (RR=0.90, CI=0.87–0.93), as well as for the cumulative effects.
Conclusion
This study highlights the associations between weather conditions, extreme temperatures and psychiatric disorders and emphasize the importance of considering mental health management during future heatwaves.
期刊介绍:
The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.