气候变化焦虑及其与躯体症状困扰和特发性环境不耐受的关联:横断面研究

IF 3.5 2区 医学 Q2 PSYCHIATRY Journal of Psychosomatic Research Pub Date : 2024-09-18 DOI:10.1016/j.jpsychores.2024.111937
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引用次数: 0

摘要

目的 探讨在考虑了现代健康问题、焦虑和抑郁之后,气候变化焦虑、特发性环境不耐受与躯体症状困扰之间的关联。方法 非代表性健康志愿者样本完成了一项横断面在线调查,其中包括气候变化焦虑量表(CCA-13)、关于对五种环境因素的特发性不耐受的单个问题、躯体症状量表(SSS-8)、现代健康担忧量表(MHW-12)以及针对焦虑和抑郁症状的患者健康问卷(PHQ-4)。参与者还报告了自己的性别、年龄和主观社会经济地位。双变量分析调查了变量之间的关联,路径分析探讨了潜在的中介因素。结果 432 名参与者填写了问卷,其中 421 人被纳入分析(67 % 为女性,平均年龄:32.7 岁,标准差:12.4)。在双变量分析中,气候变化焦虑、特发性环境不耐受、躯体症状困扰、现代健康担忧以及焦虑和抑郁症状呈正相关(Pearson's 从 0.22 到 0.57 不等,所有 P < 0.001)。在路径分析中,现代健康担忧(R2 = 9.9 %)在气候变化焦虑(R2 = 20.3 %)和两个相关结果变量(特发性环境不耐受(R2 = 36.8 %)和躯体症状困扰(R2 = 32.4 %)之间起到了部分中介作用。利益相关者在解决现代健康问题的同时,应致力于提高对气候变化的认识,以避免对健康造成负面影响。
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Climate change anxiety and its association with somatic symptom distress and idiopathic environmental intolerances: A cross-sectional study

Context

Individuals need greater climate change awareness in order to mitigate and adapt to climate changes but this awareness can lead to negative health outcomes including climate change anxiety.

Objective

To explore the associations between climate change anxiety, idiopathic environmental intolerances and somatic symptom distress, after accounting for modern health worries, anxiety and depression.

Methods

A non-representative sample of healthy volunteers completed a cross-sectional online survey that included the Climate Change Anxiety scale (CCA-13), single questions about idiopathic intolerance to five environmental agents, the Somatic Symptoms scale (SSS-8), the Modern Health Worries scale (MHW-12), and the Patient Health Questionnaire for symptoms of anxiety and depression (PHQ-4). Participants also reported their sex, age and subjective socioeconomic status. Bivariate analyses investigated associations between variables and path analyses explored potential mediating factors.

Results

432 participants completed the questionnaire, 421 of whom were included in analyses (67 % women, mean age: 32.7 standard deviation: 12.4). Climate change anxiety, idiopathic environmental intolerances, somatic symptom distress, modern health worries, and symptoms of anxiety and depression were positively correlated in bivariate analyses (Pearson's ranging from 0.22 to 0.57, all p < 0.001). In path analyses, modern health worries (R2 = 9.9 %) partially mediated the relation between climate change anxiety (R2 = 20.3 %) and two correlated outcome variables, idiopathic environmental intolerances (R2 = 36.8 %) and somatic symptom distress (R2 = 32.4 %).

Conclusions

Climate change anxiety may negatively affect perceived physical health. Stakeholders should aim at promoting climate change awareness while addressing modern health worries to avoid negative health outcomes.

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来源期刊
Journal of Psychosomatic Research
Journal of Psychosomatic Research 医学-精神病学
CiteScore
7.40
自引率
6.40%
发文量
314
审稿时长
6.2 weeks
期刊介绍: The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.
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