{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:27:51Z","timestamp":1789432071807,"version":"build-2803163510"},"reference-count":66,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014479","name":"georgia department of public health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014479","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>In this discussion, we build the case for why climate change is an emerging threat to perinatal mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A search of current literature on perinatal and maternal mental health and extreme weather events was conducted in PubMed\/MEDLINE and Web of Science databases. Only articles focusing on maternal mental health were included in this narrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The perinatal period represents a potentially challenging timeframe for women for several reasons. Necessary role adjustments (reprioritization), changes in one\u2019s ability to access pre-birth levels (and types) of social support, fluctuating hormones, changes in body shape, and possible complications during pregnancy, childbirth, or postpartum are just a few of the factors that can impact perinatal mental health. Trauma is also a risk factor for negative mood symptoms and can be experienced as the result of many different types of events, including exposure to extreme weather\/natural disasters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>While the concepts of \u201ceco-anxiety,\u201d \u201cclimate despair,\u201d and \u201cclimate anxiety\u201d have garnered attention in the mainstream media, there is little to no discussion of how the climate crisis impacts maternal mental health. This is an important omission as the mother\u2019s mental health impacts the family unit as a whole.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903221139831","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:05:31Z","timestamp":1670544331000},"page":"683-689","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Climate Change is an Emerging Threat to Perinatal Mental Health"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8364-4260","authenticated-orcid":false,"given":"Jennifer L.","family":"Barkin","sequence":"first","affiliation":[{"name":"Jennifer L. Barkin, PhD, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca P.","family":"Philipsborn","sequence":"additional","affiliation":[{"name":"Rebecca P. Philipsborn, MD, Emory University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolann L.","family":"Curry","sequence":"additional","affiliation":[{"name":"Carolann L. Curry, MLIS, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2152-3997","authenticated-orcid":false,"given":"Saswati","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Saswati Upadhyay, MBBS, MPH, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela A.","family":"Geller","sequence":"additional","affiliation":[{"name":"Pamela A. Geller, PhD, Drexel University, Philadelphia, PA, USA"},{"name":"Pamela A. Geller, PhD, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5667-8783","authenticated-orcid":false,"given":"Madelyn","family":"Pardon","sequence":"additional","affiliation":[{"name":"Madelyn Pardon, PhD, James Cook University, Townsville, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Dimmock","sequence":"additional","affiliation":[{"name":"James Dimmock, Telethon Kids Institute, Western Australia, Australia"},{"name":"James Dimmock, James Cook University, Townsville, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy C.","family":"Bridges","sequence":"additional","affiliation":[{"name":"Christy C. Bridges, PhD, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina A.","family":"Sikes","sequence":"additional","affiliation":[{"name":"Christina A. Sikes, RN, BSN, North Central Health District, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Kondracki","sequence":"additional","affiliation":[{"name":"Anthony J. Kondracki, MD, PhD, Mercer University School of Medicine Savannah, Savannah, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-3191","authenticated-orcid":false,"given":"Massimiliano","family":"Buoli","sequence":"additional","affiliation":[{"name":"Massimiliano Buoli, MD, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"bibr1-10783903221139831","unstructured":"Alliance of Nurses for Healthy Environments. (2021). Climate change & health. https:\/\/envirn.org\/climate-change\/"},{"key":"bibr2-10783903221139831","unstructured":"American Association of Nurse Practitioners. (2019, December 13). Are you considering a career as psychiatric mental health nurse practitioner? https:\/\/www.aanp.org\/news-feed\/are-you-considering-a-career-as-psychiatric-mental-health-nurse-practitioner"},{"key":"bibr3-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1734"},{"key":"bibr4-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2010.01160.x"},{"key":"bibr5-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12463"},{"key":"bibr6-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14856"},{"key":"bibr7-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.13019"},{"key":"bibr8-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.10.001"},{"key":"bibr9-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1893"},{"key":"bibr10-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1038\/s41558-019-0632-4"},{"key":"bibr11-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/9.8.575"},{"key":"bibr12-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22056"},{"key":"bibr13-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1002\/dev.21085"},{"key":"bibr14-10783903221139831","unstructured":"Center for Women\u2019s Mood Disorders. (2022). Perinatal mood and anxiety disorders. https:\/\/www.med.unc.edu\/psych\/wmd\/resources\/mood-disorders\/perinatal\/"},{"key":"bibr15-10783903221139831","unstructured":"Clark-Ginsberg A., Vos S. R., Schwartz S. J. (2021, March 15). For Americans uprooted by climate change, mental health is the next crisis. RAND Corporation. https:\/\/www.rand.org\/blog\/2021\/03\/for-americans-uprooted-by-climate-change-mental-health.html"},{"key":"bibr16-10783903221139831","volume-title":"Mental health and our changing climate: Impacts, implications, and guidance","author":"Clayton S.","year":"2017"},{"key":"bibr17-10783903221139831","unstructured":"Climate Hubs: U.S. Department of Agriculture. (2022). Extreme weather. https:\/\/www.climatehubs.usda.gov\/content\/extreme-weather"},{"key":"bibr18-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/570541"},{"key":"bibr19-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2011.06.007"},{"key":"bibr20-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13291"},{"key":"bibr21-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1693"},{"key":"bibr22-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.12.082"},{"key":"bibr23-10783903221139831","unstructured":"Gaines K. (2022, January 19). Nursing ranked as the most trusted profession for 20th year in a row. Nurse.org. https:\/\/nurse.org\/articles\/nursing-ranked-most-honest-profession\/"},{"key":"bibr24-10783903221139831","unstructured":"Gaynor T. (2020). Climate change is the defining crisis of our time and it particularly impacts the displaced. https:\/\/www.unhcr.org\/en-us\/news\/latest\/2020\/11\/5fbf73384\/climate-change-defining-crisis-time-particularly-impacts-displaced.html"},{"key":"bibr25-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2018.1535600"},{"key":"bibr26-10783903221139831","unstructured":"Greenfield N. (2022). Climate migration and equity. Natural Resources Defense Council. https:\/\/www.nrdc.org\/stories\/climate-migration-equity"},{"key":"bibr27-10783903221139831","volume-title":"Gender and the climate change agenda: The impacts of climate change on women and public policy","author":"Haigh C.","year":"2010"},{"key":"bibr28-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2017.1396301"},{"key":"bibr29-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31820eddbe"},{"key":"bibr30-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2009.10.002"},{"key":"bibr31-10783903221139831","unstructured":"Health Care Without Harm. (2021). https:\/\/noharm.org\/"},{"key":"bibr32-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0539-7"},{"key":"bibr33-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1080\/10253890500108391"},{"key":"bibr34-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-017-0786-x"},{"key":"bibr35-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2015.177"},{"key":"bibr36-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2016.04.039"},{"key":"bibr37-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2019.04.004"},{"key":"bibr38-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000272"},{"key":"bibr39-10783903221139831","unstructured":"New study uncovers the heavy financial toll of untreated maternal mental health conditions. (2019, April 29). Mathematica. https:\/\/mathematica.org\/news\/new-study-uncovers-the-heavy-financial-toll-of-untreated-maternal-mental-health-conditions"},{"key":"bibr40-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579418000652"},{"key":"bibr41-10783903221139831","unstructured":"Nurses Climate Challenge. (2021). https:\/\/nursesclimatechallenge.org\/"},{"key":"bibr42-10783903221139831","unstructured":"Office of the United Nations High Commissioner for Human Rights. (2022). Climate change exacerbates violence against women and girls. https:\/\/www.ohchr.org\/en\/stories\/2022\/07\/climate-change-exacerbates-violence-against-women-and-girls"},{"key":"bibr43-10783903221139831","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.27157.1"},{"key":"bibr44-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.041"},{"key":"bibr45-10783903221139831","unstructured":"Peel J., Bowen K., Workman B., Markey-Towler R., Leahy C. P. (2022, March 7). Women leading the fight against climate change. Pursuit. https:\/\/pursuit.unimelb.edu.au\/articles\/women-leading-the-fight-against-climate-change"},{"key":"bibr46-10783903221139831","unstructured":"Postpartum Support International. (2021). https:\/\/www.postpartum.net\/"},{"key":"bibr47-10783903221139831","doi-asserted-by":"publisher","DOI":"10.4103\/1735-1995.158283"},{"key":"bibr48-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1371\/currents.dis.29e4c0c810db47d7fd8d0d1fb782892c"},{"key":"bibr49-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2018.10.041"},{"key":"bibr50-10783903221139831","unstructured":"Sengupta S. (2021, November 06). Young women are leading climate protests. Guess who runs global talks? The New York Times. https:\/\/www.nytimes.com\/2021\/11\/06\/climate\/climate-activists-glasgow-summit.html"},{"key":"bibr51-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/infa.12166"},{"key":"bibr52-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1002\/dev.21767"},{"key":"bibr53-10783903221139831","unstructured":"Simon J., Schneider C. M. (2022, April 22). Climate change anxiety is real. Here\u2019s how you can manage those feelings. npr. https:\/\/www.npr.org\/2021\/10\/23\/1047753592\/anxiety-from-climate-change-isnt-going-away-heres-how-you-can-manage-it"},{"key":"bibr54-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1007\/s10566-014-9285-7"},{"key":"bibr55-10783903221139831","unstructured":"Substance Abuse | Mental Health Services Administration. (2022). Types of disasters. https:\/\/www.hhs.gov\/about\/news\/2022\/05\/06\/hhs-launches-new-maternal-mental-health-hotline.html"},{"key":"bibr56-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1038\/d41586-021-02582-8"},{"key":"bibr57-10783903221139831","unstructured":"United Nations. (2021). Climate change \u201cbiggest threat modern humans have ever faced,\u201d World-Renowned Naturalist tells Security Council, calls for greater global cooperation. https:\/\/press.un.org\/en\/2021\/sc14445.doc.htm"},{"key":"bibr58-10783903221139831","unstructured":"UN Women. (2022). Explainer: Why women need to be at the heart of climate action. https:\/\/www.unwomen.org\/en\/news-stories\/explainer\/2022\/03\/explainer-why-women-need-to-be-at-the-heart-of-climate-action"},{"key":"bibr59-10783903221139831","unstructured":"U.S. Department of Health & Human Services. HHS launches new maternal mental health hotline. (2022, May 6). HHS.Gov. https:\/\/www.hhs.gov\/about\/news\/2022\/05\/06\/hhs-launches-new-maternal-mental-health-hotline.html"},{"key":"bibr60-10783903221139831","unstructured":"U.S. Environmental Protection Agency. (2022). Terminology services. http:\/\/www.epa.gov\/ts"},{"key":"bibr61-10783903221139831","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.87a.19054"},{"key":"bibr62-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12328"},{"key":"bibr63-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1177\/0706743720970859"},{"key":"bibr64-10783903221139831","unstructured":"Weathers F., Blake D., Schnurr P., Kaloupek D., Marx D., Keane T. (2013). The life events checklist for DSM-5 (LEC-5). National Center for PTSD. https:\/\/www.ptsd.va.gov\/professional\/assessment\/te-measures\/life_events_checklist.asp"},{"key":"bibr65-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2013.87"},{"key":"bibr66-10783903221139831","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-101414-020426"}],"container-title":["Journal of the American Psychiatric Nurses Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10783903221139831","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10783903221139831","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10783903221139831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:44:21Z","timestamp":1777491861000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10783903221139831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,8]]},"references-count":66,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/10783903221139831"],"URL":"https:\/\/doi.org\/10.1177\/10783903221139831","relation":{},"ISSN":["1078-3903","1532-5725"],"issn-type":[{"value":"1078-3903","type":"print"},{"value":"1532-5725","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,8]]}}}