Climate-Related and Nature-Based Interventions for Mental Health

作者：Lasse Brandt, Michele De Prisco, Daniela Nocera, Marie C Rehm, Sem E Cohen, Doga Nur Kosker, Sofia von Luxburg, Dorottya Őri, Justo Pinzón-Espinosa, Pauline Scheuber, Natalie Sonntag, Joaquim Raduà, Alkomiet Hasan, Jurjen J. Luykx, Global Evidence on Planetary Mental Health Study Group, Mazda Adli, Kristina Adorjan, John Jamir Benzon R. Aruta, Jura Augustinavicius, Malek Bajbouj, Till Bärnighausen, Marta Bosia, Hilgo Bruining, Joao Mauricio Castaldelli-Maia, Kirsten Catthoor, Eka Chkonia, Geert Dom, Erik Van der Eycken, Andrea Fiorillo, Eva Friedel, Paolo Fusar-Poli, Tomasz Gondek, Renzo R. Guinto, Andreas Heinz, Elke Hertig, Xanthe Hunt, Simone Kühn, Martina Rojnić Kuzman, Emma L. A. Lawrance, Stefan Leucht, S Liu, Alessandro Massazza, Andreas Meyer-Lindenberg, David M. Ndetei, R Ernst Nielsen, Tarek Okasha, Lisa Page, Vikram Harshad Patel, Elizabeth Ryznar, Gunter Schumann, Sheikh Shoib, Judit Simon, Heiner Stuke, Tin Tin Su, Paul Summergrad, Jessica Newberry Le Vay, Eduard Vieta, Elias M. Wagner, Henrik Walter, Siqi Xue · 发表于：JAMA Psychiatry · 年份：2026 · DOI：10.1001/jamapsychiatry.2026.0037 · 被引用次数：4 · 研究领域：Climate Change and Health Impacts、Climate Change Communication and Perception、Urban Green Space and Health

Importance: Climate change is associated with increasing mental health morbidity and mortality. However, an umbrella review to classify and quantify the global evidence on climate-related and nature-based mental health interventions is lacking. Objective: To assess associations of climate-related and nature-based mental health interventions with mental health outcomes. Data Sources: PubMed, PsycINFO, Web of Science, and Cochrane databases were searched from inception to November 17, 2024. Study Selection: Systematic reviews with meta-analyses (SRMAs) with controlled climate-related or nature-based mental health interventions and mental health outcomes were included. Data Extraction and Synthesis: Standardized mean differences (SMDs; intervention vs control) and 95% CIs were synthesized, evidence was stratified according to the level of credibility, and associations were assessed using meta-regression. Main Outcomes and Measures: Outcomes were mental disorders, psychiatric symptoms, and positive mental health. Results: Twenty-eight SRMAs were included that examined 344 studies and 91 associations between psychosocial or nature-based interventions and outcomes. Of the 91 associations, 10 (11%) had a moderate credibility of evidence and 81 (89%) had low or very low credibility. Psychosocial interventions addressing climatic impact drivers were associated with very low credibility, based on limited data. Nature-based interventions were associated with reductions in tension (SMD, ...