{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:45:20Z","timestamp":1792147520901,"version":"4.4.0"},"reference-count":75,"publisher":"American Medical Association (AMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Psychiatry"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec id=\"ab-yoi260003-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-5\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess associations of climate-related and nature-based mental health interventions with mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-6\">\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, PsycINFO, Web of Science, and Cochrane databases were searched from inception to November 17, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-7\">\n                    <jats:title>Study Selection<\/jats:title>\n                    <jats:p>Systematic reviews with meta-analyses (SRMAs) with controlled climate-related or nature-based mental health interventions and mental health outcomes were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-8\">\n                    <jats:title>Data Extraction and Synthesis<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-9\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Outcomes were mental disorders, psychiatric symptoms, and positive mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-10\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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, \u22120.87; 95% CI, \u22121.31 to \u22120.43), fatigue (SMD, \u22120.80; 95% CI, \u22121.16 to \u22120.44), confusion (SMD, \u22120.65; 95% CI, \u22121.12 to \u22120.19), and negative affect (SMD, \u22120.51; 95% CI, \u22120.85 to \u22120.16), as well as increases in positive affect (SMD, 0.98; 95% CI, 0.65 to 1.30), vigor (SMD, 0.83; 95% CI, 0.37 to 1.28), and well-being (SMD, 0.40; 95% CI, 0.07 to 0.73), with moderate credibility of evidence and not addressing climatic impact drivers. Older participants and study locations with lower tree cover, better health care access and quality, and lower systemic vulnerability to climate change were associated with stronger improvements in negative affect following nature-based interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-yoi260003-11\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>There is limited evidence for mental health interventions to reduce adverse mental health impacts of climatic impact drivers, but there is promising potential for future research in this field based on evidence from contexts other than climate change. Currently, strategies for mental health interventions in the context of climate change, such as those for implementing and scaling interventions, need to rely largely on global evidence from contexts other than climate change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamapsychiatry.2026.0037","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T16:30:44Z","timestamp":1772641844000},"page":"499","source":"Crossref","is-referenced-by-count":12,"title":["Climate-Related and Nature-Based Interventions for Mental Health"],"prefix":"10.1001","volume":"83","author":[{"given":"Lasse","family":"Brandt","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Charit\u00e9 Campus Mitte, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Berlin, Germany"},{"name":"German Center for Mental Health - partner site Berlin-Potsdam, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"De Prisco","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, Institute of Neurosciences, University of Barcelona, Barcelona, Spain"},{"name":"Bipolar and Depressive Disorders Unit, Hosp\u00ectal Clinic de Barcelona, Barcelona, Spain"},{"name":"Programa de Recerca Multidisciplinar en trastorns del cervell Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer, Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Nocera","sequence":"additional","affiliation":[{"name":"School of Medicine, Vita-Salute San Raffaele University, Milan, Italy"},{"name":"Schizophrenia Research and Clinical Unit, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Scientific Institute, Milan, Italy"},{"name":"Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie C.","family":"Rehm","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Charit\u00e9 Campus Mitte, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Berlin, Germany"},{"name":"German Center for Mental Health - partner site Berlin-Potsdam, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sem","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doga Nur","family":"Kosker","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Hacettepe University, Ankara, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"von Luxburg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Augsburg, Germany"},{"name":"German Center for Mental Health - partner site Munich-Augsburg, Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorottya","family":"Ori","sequence":"additional","affiliation":[{"name":"Institute of Behavioral Sciences, Semmelweis University, Budapest, Hungary"},{"name":"Department of Mental Health, Heim Pal National Pediatric Institute, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justo","family":"Pinz\u00f3n-Espinosa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, the Netherlands"},{"name":"School of Medicine, University of Panama, Panam\u00e1, Panam\u00e1"},{"name":"Center of Population Sciences and Health Equity, Florida State University, Tallahassee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Scheuber","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Charit\u00e9 Campus Mitte, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Berlin, Germany"},{"name":"German Center for Mental Health - 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