{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:56:16Z","timestamp":1791186976489,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","award":["227749\/Z\/23\/Z"],"award-info":[{"award-number":["227749\/Z\/23\/Z"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Against a backdrop of entrenched structural inequalities, poverty, and limited healthcare resources, climate change represents a major public health challenge in South Africa, with significant yet under\u2010recognized consequences for mental health. Expert perspectives on these impacts remain limited, highlighting a critical gap in informing transdisciplinary responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore stakeholder perspectives (researchers\/academics, research ethics committee members, employees of organization that funds climate or health research) on transdisciplinary responses to the mental health impacts of climate change in South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This exploratory qualitative study examined expert perspectives on the mental health impacts of climate change. Twelve purposively sampled stakeholders participated in in\u2010depth semi\u2010structured interviews. Data collection continued until data saturation was reached (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). Data were analyzed using an inductive thematic approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Three overarching themes were identified. First, direct mental health impacts included anxiety, depression, trauma, and exacerbation of pre\u2010existing conditions, with links to severe mental illness, including climate\u2010related delusional symptoms and increased substance use. Second, indirect pathways included socioeconomic vulnerability, community resilience, and the dual role of media in raising awareness and contributing to psychological distress. Third, participants emphasized the need for strengthened transdisciplinary approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Addressing mental health impacts of climate change requires integrated, contextually relevant, transdisciplinary interventions to strengthen resilience among vulnerable communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73111","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:05:12Z","timestamp":1788325512000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Mental Health Impacts of Climate Change in South Africa: Qualitative Insights From Researchers, Practitioners, Ethicists, and Funders on the Need for a Transdisciplinary Approach"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-2317","authenticated-orcid":false,"given":"Andrew","family":"Tomita","sequence":"first","affiliation":[{"name":"Centre for Research in Health Systems, School of Medicine University of KwaZulu\u2010Natal Durban South Africa"},{"name":"KwaZulu\u2010Natal Research and Innovation Sequencing Platform (KRISP), School of Medicine University of KwaZulu\u2010Natal Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5560-0017","authenticated-orcid":false,"given":"Princess","family":"Nyoni","sequence":"additional","affiliation":[{"name":"School of Medicine University of KwaZulu\u2010Natal Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9281-3011","authenticated-orcid":false,"given":"Joyce","family":"Mlay","sequence":"additional","affiliation":[{"name":"Department of Community Health Nursing Kairuki University Dar es Salaam Tanzania"},{"name":"Department of Public Health Medicine, School of Medicine University of KwaZulu\u2010Natal Durban South Africa"},{"name":"Health Economics and HIV and AIDS Research Division (HEARD) University of KwaZulu\u2010Natal Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Garlick","sequence":"additional","affiliation":[{"name":"Discipline of Physiology, School of Medicine University of KwaZulu\u2010Natal Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1322-6078","authenticated-orcid":false,"given":"Rosebub Gugulethu","family":"Gcaba","sequence":"additional","affiliation":[{"name":"Department of Public Health Medicine, School of Medicine University of KwaZulu\u2010Natal Durban South 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