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    Mental health in a warming world, with Kim Meidenbauer, PhD, and Amruta Nori-Sarma, PhD

    enJune 19, 2024

    Podcast Summary

    • Heat and mental healthExtreme heat poses risks to mental health, including emotional distress, cognitive impairment, and increased aggression. Studies link hot days to mental health-related ER visits, highlighting the need for further research.

      Extreme heat not only poses physical dangers such as heat exhaustion and heat stroke, but it also significantly impacts mental health. During the discussion on Speaking of Psychology podcast, doctors Kim Meidenbauer and Amruta Noori Sarma highlighted the consequences of extreme heat on emotions, cognitive abilities, and even aggression. Doctor Meidenbauer, a psychologist with a background in environmental psychology, expressed her concern about the psychological effects of heat as the planet continues to warm. Doctor Noori Sarma, an assistant professor in environmental health, approached the topic from a public health perspective, focusing on the mental health implications of climate-related extreme weather events, particularly in underserved communities. Together, they emphasized the importance of understanding the link between heat and mental health, as research in this area is still emerging. Doctor Noori Sarma shared a study that found a correlation between hot days and mental health-related emergency room visits, emphasizing the need for further investigation into the mental health impacts of extreme heat.

    • Extreme heat and mental healthExtreme heat leads to increased mental health issues such as emergency department visits for various conditions, aggression, altered social perception, and sleep disruption, particularly in higher latitude regions.

      Extreme heat can significantly impact mental health outcomes, leading to increased rates of emergency department visits for various mental health conditions. This effect was observed across different regions, age groups, and genders. Interestingly, people living in higher latitudes showed higher rates of emergency department visits as summertime temperatures increased, suggesting a potential role of community adaptation. Additionally, heat has been linked to aggression and violence through various mechanisms, including increased anger and altered social perception. Furthermore, heat can affect cognitive function, potentially contributing to aggression. Sleep disruption is another biological pathway through which heat may impact mental health. Overall, these findings underscore the importance of considering the impact of extreme heat on mental health and well-being.

    • Mental health impacts of extreme heatExtreme heat waves, fueled by climate change, disrupt sleep, increase aggression and behavioral disruptions, and exacerbate mental health issues, particularly for those with lower socioeconomic status, urban residents, and those with neurotic personality traits. Access to mental health services is also a concern.

      Extreme heat waves, which are becoming more frequent, severe, and longer-lasting due to climate change, can lead to sleep disruption and contribute to increases in aggression and behavioral disruptions. Socioeconomic status is a significant factor in vulnerability to extreme heat, as people with lower means have fewer resources to adapt and cope, and may also live in urban areas with urban heat islands that exacerbate the inability to regulate temperature. Additionally, access to mental health services is a growing problem, particularly for those without regular care or preventative treatment. Individual differences, such as personality traits like neuroticism, also play a role in how people respond to extreme heat, with those higher in neuroticism being more likely to experience negative emotions and be affected by uncomfortable heat. Overall, the structural and individual factors intersect to predict vulnerability to mental health impacts from extreme heat.

    • Heat psychological consequencesHeat can negatively impact mental health, particularly for older adults and young children, and may lead to decreased productivity in occupational settings.

      Heat, even if it's not physically dangerous, can have significant psychological consequences, particularly for individuals who are more prone to negative emotions or discomfort. Older adults and young children are more susceptible to heat-related issues due to their inefficient thermoregulation abilities. The relationship between gender and heat reaction is unclear, with mixed evidence from research. A new area of research is exploring the connection between extreme heat and neurological disorders, such as Alzheimer's disease and related dementia. Heat can also impact productivity, especially in occupationally exposed environments, leading to loss of productivity and a need to prioritize worker well-being and health.

    • Heat and mental healthExtreme heat can worsen mental health issues, particularly during summer, affecting those on psychotropic meds and with chronic illnesses, increasing risks for cardiovascular diseases and cardiometabolic outcomes. Controlled heat exposure, like saunas, may have health benefits but more research is needed.

      Extreme heat exposure in the workplace can exacerbate mental health issues, particularly during summer months. This phenomenon, often referred to as "summer sad," is understudied compared to seasonal affective disorder (SAD) associated with winter. While some research suggests that subclinical cases of summer SAD may go unnoticed, extreme heat can also impact people taking psychotropic medications and those with chronic illnesses, increasing risks for cardiovascular disease and cardiometabolic outcomes. On the other hand, some research indicates that controlled heat exposure, like using saunas, can have health benefits. However, more research is needed to fully understand the complex relationship between heat and mental and physical health.

    • Extreme Heat and Mental HealthExtreme heat exposure through saunas or infrared light can benefit mental health, but chronic exposure can lead to negative effects. Policy makers can invest in green spaces and implement heat mitigation measures to improve mental health and reduce negative effects.

      Acute exposure to intense heat, such as through saunas or infrared light, may have restorative effects on mental health and well-being. However, chronic exposure to extreme heat can lead to a loss of the body's ability to cope and adapt, with some places already experiencing the negative effects of consistently rising temperatures. Policy makers and governments can address this complex issue by investing in green space infrastructure to reduce heat and improve mental health, as well as implementing measures to mitigate the physical and mental health effects of extreme heat, particularly in urban areas. It's important to keep in mind that there are different discussions to be had regarding the ideal temperature for human thriving and the threshold beyond which we lose our ability to cope with extreme heat exposure. As the world continues to experience the effects of climate change, addressing the health risks of extreme heat will become increasingly important.

    • Heat wave vulnerability and green solutionsGreen solutions like trees and parks offer benefits but extreme heat days still pose a risk to vulnerable populations, particularly the disability community and low-income populations. Providing access to publicly available cooling spaces can help ensure equitable access to cooling during heat waves.

      Green space infrastructure, such as trees and parks, offers numerous benefits including reducing temperatures, mitigating climate change effects, cleaning the air, and improving mental health. However, even with these solutions in place, extreme heat days can still pose a risk to vulnerable populations who may not have access to cooling methods. The disability community and low-income populations are particularly vulnerable and often overlooked in discussions about accessibility to nature-based solutions. Additionally, the implementation of green solutions can lead to gentrification and price vulnerable communities out of their homes. Providing access to publicly available cooling spaces, such as libraries and community centers, is a potential solution to ensure equitable access to cooling during heat waves. It's essential to consider the intersectionality of vulnerability factors, including socio-economic status and access to transportation, when implementing cooling solutions.

    • Mental health effects of extreme heatResearch is needed to understand mental health effects of extreme heat and explore solutions beyond cooling centers, including personal cooling devices and emotional regulation strategies.

      Addressing extreme heat and protecting vulnerable populations requires considering various contexts and adapting solutions accordingly. Cooling centers, while effective in some communities, may not be feasible or translatable in others. Research is needed to understand the effects of uncomfortable temperatures and explore potential solutions, such as personal cooling devices and emotional regulation strategies. However, the complexity of this issue requires a collaborative effort from a village of scientists to fully comprehend and cope with the mental health effects of a changing climate.

    • Mental health impacts of extreme heatResearching mental health effects of extreme heat on vulnerable populations, clinicians can identify and intervene before emergency care is required, collaboration and conversation are essential to mitigate adverse effects.

      As we face the reality of climate change and its impact on extreme heat, it's crucial to focus on building resilient strategies and adaptation methods to protect communities and vulnerable populations. Research is being conducted to understand the mental health impacts of extreme heat on various populations, including those without health insurance or experiencing homelessness. Clinicians may be on the front lines of addressing these mental health issues, and partnerships with them can help identify and protect those most at risk before they require emergency care. It's essential to continue the conversation and collaborate to develop interventions and resources to mitigate the adverse effects of extreme heat on mental health. For more information on this topic, check out the article "How Heat Affects the Mind" in the June issue of APA's magazine, Monitor on Psychology.

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