The relationship between climate change anxiety and psychotic experiences is mediated by death anxiety

Abstract

Background: As climate change persists, accelerates, and intensifies, and since mitigating factors are absent, mental health impacts are expected to follow the same patterns. Therefore, it appears of utmost importance to deepen and broaden the knowledge and understanding of how and through which mechanisms climate change anxiety (CCA) may interplay with mental health outcomes. Based on the stress-vulnerability model of psychosis, the present study proposed to examine the relationship between CCA and psychotic experiences (PEs), and to test the theoretically-driven hypothesis that death anxiety acts as a mediator in this relationship. Method: This study adopted a cross-sectional approach involving a sample of young adults aged 18 to 35 years (mean age = 24.56 ± 22.49 years; 63.9% females) originating from, and residing in Lebanon. Results: The results of the mediation analysis showed that death anxiety partially mediated the association between CCA and PEs. Higher CCA was significantly associated with higher death anxiety; higher death anxiety was significantly associated with more PEs. Finally, higher CCA was directly and significantly associated with more PEs. Conclusion: Drawing from the present preliminary findings, the key tentative recommendation is that addressing death anxiety might alleviate the association between CCA and PEs. In addition, government decision-makers need to recognize the necessity of considering climate change implications on mental health in policy and decision-making.

Translation and validation to the Arabic language version of the climate change anxiety scale (CCAS)

“…In particular, serious, extensive and cumulative climate change-related consequences on mental health have been predicted [ 11 , 12 ]. For instance, a series of surveys documented that climate change is linked to a range of unpleasant negative emotions, including guilt, anger, helplessness [ 13 ], stress [ 14 ], sadness, hopelessness, fear [ 15 ], worries of being personally harmed [ 16 ], increased anxiety [ 13 , 17 ], death anxiety and psychotic experiences [ 18 ]. It has, therefore, been claimed that the close connection between climate change and health consequences is a sufficiently solid reason why healthcare professionals need to actively participate in climate change preparedness, response and mitigation efforts [ 19 ].…”