{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:15:16Z","timestamp":1780496116671,"version":"3.54.1"},"reference-count":49,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Although the concepts of meteoropathy and meteosensitivity are not included in official classifications, such as the ICD-11 or DSM-5, they are increasingly being studied as potential symptom complexes linking weather variability to health status. The METEO-Q questionnaire, originally developed in Italy, has been adapted in Japan and Turkey, where it has demonstrated satisfactory reliability parameters, although the authors emphasized the need for further verification of the tool\u2019s temporal stability. The present study aimed to adapt METEO-Q to the Polish language and conduct a critical assessment of its factor structure, measurement invariance, and validity in clinical groups. Methods: This cross-sectional study involved 1128 adults: healthy individuals (n = 711), cardiac outpatients (n = 194), and subclinical group with diagnosed mental disorders (n = 223). Data from healthy participants were divided into a training sample (n = 426) for exploratory factor analysis (EFA) and a test sample (n = 285) for confirmatory factor analysis (CFA). Measurement invariance was assessed in the clinical groups. Validity was verified through correlations with a list of 21 symptoms and measures of anxiety and worry about climate change. Results: A two-factor model (meteoropathy and meteosensitivity) was better fitted to the data than a one-factor model, which is consistent with findings from Italian, Japanese, and Turkish studies. However, absolute fit indices in the test sample indicated significant model misfit [CFA: \u03c72 (43) = 210.192, p &lt; 0.001, RMSEA = 0.120, CFI = 0.927], suggesting the presence of local errors in the tool\u2019s structure. The reliability of the subscales was high (\u03b1 from 0.86 to 0.93). Multi-group analyses suggested metric and scalar invariance. Patients with mental disorders obtained the highest scores, while cardiac outpatients reported a lower level of meteoropathy (M = 6.13) than healthy individuals (M = 7.24). Conclusions: METEO-Q demonstrates a stable two-factor structure and high internal consistency. The obtained RMSEA index (0.12), although indicative of some misfit, is similar to results obtained in other adaptations, such as the Japanese (RMSEA = 0.10) and the Turkish (RMSEA = 0.11), which suggests it is a consistent feature of this tool across different cultural contexts. Accordingly, the instrument is suitable for research purposes; however, its clinical application requires considerable caution and further work to optimize the model.<\/jats:p>","DOI":"10.3390\/jcm15082853","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:21:32Z","timestamp":1775737292000},"page":"2853","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Polish Adaptation and Psychometric Validation of the METEO-Q in Healthy, Cardiac, and Psychiatric Samples"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9779-0947","authenticated-orcid":false,"given":"Krystian","family":"Konieczny","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychoprophylaxis, Institute of Psychology, University of Szczecin, 71-017 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Karasiewicz","sequence":"additional","affiliation":[{"name":"Department Social and Developmental Psychology, Institute of Psychology, University of Szczecin, 71-017 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Rachubi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychoprophylaxis, Institute of Psychology, University of Szczecin, 71-017 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5689-1493","authenticated-orcid":false,"given":"Krzysztof","family":"Wietrzy\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, Pomeranian Medical University in Szczecin, 71-460 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3007-8162","authenticated-orcid":false,"given":"Marianna","family":"Mazza","sequence":"additional","affiliation":[{"name":"Unit of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Department of Neurosciences, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0565-2011","authenticated-orcid":false,"given":"Monika","family":"Mak","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, Pomeranian Medical University in Szczecin, 71-460 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"ref_1","first-page":"45","article-title":"Meteoropathy A New Disease","volume":"Volume 3","author":"Janiri","year":"2009","journal-title":"Advances in Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/01.CIR.100.1.e1","article-title":"Unhealthy Effects of Atmospheric Temperature and Pressure on the Occurrence of Myocardial Infarction and Coronary Deaths: A 10-Year Survey: The Lille-World Health Organization MONICA Project (Monitoring Trends and Determinants in Cardiovascular Disease)","volume":"100","author":"Danet","year":"1999","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1854","DOI":"10.1253\/circj.CJ-12-0916","article-title":"Relationship Between Cold Temperature and Cardiovascular Mortality, with Assessment of Effect Modification by Individual Characteristics: Ibaraki Prefectural Health Study","volume":"77","author":"Atsumi","year":"2013","journal-title":"Circ. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.ijcard.2016.11.155","article-title":"Relationship between Ambient Temperature and Frequency and Severity of Cardiovascular Emergencies: A Prospective Observational Study Based on out-of-Hospital Care Data","volume":"228","author":"Hensel","year":"2017","journal-title":"Int. J. Cardiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1016\/j.scitotenv.2016.01.154","article-title":"Ambient Temperature and Risk of Cardiovascular Hospitalization: An Updated Systematic Review and Meta-Analysis","volume":"550","author":"Phung","year":"2016","journal-title":"Sci. Total Environ."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"10863","DOI":"10.1038\/s41598-021-90352-x","article-title":"Weather Temperature and the Incidence of Hospitalization for Cardiovascular Diseases in an Aging Society","volume":"11","author":"Yoneyama","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s00484-023-02575-4","article-title":"Perceptions of Weather-Based Pain Forecasts and Their Effect on Daily Activities","volume":"68","author":"Elcik","year":"2024","journal-title":"Int. J. Biometeorol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Timmermans, E.J., Van Der Pas, S., Schaap, L.A., S\u00e1nchez-Mart\u00ednez, M., Zambon, S., Peter, R., Pedersen, N.L., Dennison, E.M., Denkinger, M., and Castell, M.V. (2014). Self-Perceived Weather Sensitivity and Joint Pain in Older People with Osteoarthritis in Six European Countries: Results from the European Project on OSteoArthritis (EPOSA). BMC Musculoskelet. Disord., 15.","DOI":"10.1186\/1471-2474-15-66"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2042","DOI":"10.1016\/j.joca.2016.07.016","article-title":"The Influence of Weather on the Risk of Pain Exacerbation in Patients with Knee Osteoarthritis\u2014A Case-Crossover Study","volume":"24","author":"Ferreira","year":"2016","journal-title":"Osteoarthr. Cartil."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Hyrk\u00e4s-Palmu, H., Jaakkola, M.S., M\u00e4kikyr\u00f6, E.M.S., and Jaakkola, J.J.K. (2022). Subtypes of Asthma and Cold Weather-Related Respiratory Symptoms. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19148790"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s00484-014-0890-9","article-title":"The Association between Weather Conditions and Stroke Admissions in Turkey","volume":"59","author":"Ahmedali","year":"2015","journal-title":"Int. J. Biometeorol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Hayashi, K., Miki, K., Hayashi, N., Hashimoto, R., and Yukioka, M. (2021). Weather Sensitivity Associated with Quality of Life in Patients with Fibromyalgia. BMC Rheumatol., 5.","DOI":"10.1186\/s41927-021-00185-4"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Elser, H., Parks, R.M., Moghavem, N., Kiang, M.V., Bozinov, N., Henderson, V.W., Rehkopf, D.H., and Casey, J.A. (2021). Anomalously Warm Weather and Acute Care Visits in Patients with Multiple Sclerosis: A Retrospective Study of Privately Insured Individuals in the US. PLoS Med., 18.","DOI":"10.1371\/journal.pmed.1003580"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1007\/s00415-017-8485-0","article-title":"Seasonal Variation in Multiple Sclerosis Relapse","volume":"264","author":"Harding","year":"2017","journal-title":"J. Neurol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1002\/eat.10077","article-title":"Does Warm Weather Climate Affect Eating Disorder Pathology?","volume":"32","author":"Sloan","year":"2002","journal-title":"Int. J. Eat. Disord."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"100539","DOI":"10.1016\/j.gfs.2021.100539","article-title":"Climate Change and Obesity: A Global Analysis","volume":"29","author":"Trentinaglia","year":"2021","journal-title":"Glob. Food Secur."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Rizzo Pesci, N., Teobaldi, E., Maina, G., and Rosso, G. (2024). Climate Change and Psychiatry: The Correlation between the Mean Monthly Temperature and Admissions to an Acute Inpatient Unit. Int. J. Environ. Res. Public Health, 21.","DOI":"10.20944\/preprints202405.0551.v1"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Di Nicola, M., Mazza, M., Panaccione, I., Moccia, L., Giuseppin, G., Marano, G., Grandinetti, P., Camardese, G., De Berardis, D., and Pompili, M. (2020). Sensitivity to Climate and Weather Changes in Euthymic Bipolar Subjects: Association with Suicide Attempts. Front. Psychiatry, 11.","DOI":"10.3389\/fpsyt.2020.00095"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.puhe.2018.01.032","article-title":"Effect of Increasing Temperature on Daily Hospital Admissions for Schizophrenia in Hefei, China: A Time-Series Analysis","volume":"159","author":"Wang","year":"2018","journal-title":"Public Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5455\/msm.2012.24.94-99","article-title":"Admission Rate of Patients with Most Common Psychiatric Disorders in Relation to Seasons and Climatic Factors During 2010\/2011","volume":"24","author":"Licanin","year":"2012","journal-title":"Mater. Socio Medica"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1016\/j.scitotenv.2018.12.434","article-title":"Long-Term Exposure to High Temperature Associated with the Incidence of Major Depressive Disorder","volume":"659","author":"Chen","year":"2019","journal-title":"Sci. Total Environ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"10953","DOI":"10.1073\/pnas.1801528115","article-title":"Empirical Evidence of Mental Health Risks Posed by Climate Change","volume":"115","author":"Obradovich","year":"2018","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.comppsych.2011.02.002","article-title":"Description and Validation of a Questionnaire for the Detection of Meteoropathy and Meteorosensitivity: The METEO-Q","volume":"53","author":"Mazza","year":"2012","journal-title":"Compr. Psychiatry"},{"key":"ref_24","first-page":"215","article-title":"Development of the Japanese version of the Questionnaire for Meteoropathy and Meteorosensitivity, and examination of its reliability and validity","volume":"31","author":"Okabayashi","year":"2025","journal-title":"Jpn. J. Dev. Psychol. Clin. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"139","DOI":"10.24193\/jebp.2024.2.15","article-title":"Adaptation and Validation of the Meteoropathy Questionnaireto the Turkish Sample","volume":"24","author":"Mazza","year":"2024","journal-title":"J. Evid.-Based Psychother."},{"key":"ref_26","unstructured":"Oniszczenko, W. (2019). Validation of the Polish Version of the METEO-Q Questionnaire, Unpublished Raw Data."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"101434","DOI":"10.1016\/j.jenvp.2020.101434","article-title":"Development and Validation of a Measure of Climate Change Anxiety","volume":"69","author":"Clayton","year":"2020","journal-title":"J. Environ. Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Larionow, P., So\u0142tys, M., Izdebski, P., Mud\u0142o-G\u0142agolska, K., Golonka, J., Demski, M., and Rosi\u0144ska, M. (2022). Climate Change Anxiety Assessment: The Psychometric Properties of the Polish Version of the Climate Anxiety Scale. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.870392"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Stewart, A.E. (2021). Psychometric Properties of the Climate Change Worry Scale. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18020494"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Larionow, P., Gawrych, M., Mackiewicz, J., Michalak, M., Mud\u0142o-G\u0142agolska, K., Preece, D.A., and Stewart, A.E. (2024). The Climate Change Worry Scale (CCWS) and Its Links with Demographics and Mental Health Outcomes in a Polish Sample. Healthcare, 12.","DOI":"10.3390\/healthcare12111128"},{"key":"ref_31","unstructured":"Howell, D.C. (2007). Statistical Methods for Psychology, Thomson\/Wadsworth. [6th ed.]. [International Student Ed.]."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Van De Schoot, R., Schmidt, P., De Beuckelaer, A., Lek, K., and Zondervan-Zwijnenburg, M. (2015). Editorial: Measurement Invariance. Front. Psychol., 6.","DOI":"10.3389\/fpsyg.2015.01064"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2637","DOI":"10.1108\/IMDS-02-2021-0082","article-title":"HTMT2\u2013an Improved Criterion for Assessing Discriminant Validity in Structural Equation Modeling","volume":"121","author":"Roemer","year":"2021","journal-title":"Ind. Manag. Data Syst."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1161\/CIRCULATIONAHA.108.815860","article-title":"Air Temperature and the Occurrence of Myocardial Infarction in Augsburg, Germany","volume":"120","author":"Wolf","year":"2009","journal-title":"Circulation"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s00484-012-0575-1","article-title":"The Effects of Daily Weather Variables on Psychosis Admissions to Psychiatric Hospitals","volume":"57","author":"McWilliams","year":"2013","journal-title":"Int. J. Biometeorol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2045","DOI":"10.1007\/s00484-014-0805-9","article-title":"Daily Weather Variables and Affective Disorder Admissions to Psychiatric Hospitals","volume":"58","author":"McWilliams","year":"2014","journal-title":"Int. J. Biometeorol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.scitotenv.2011.09.028","article-title":"Relationship between Mean Daily Ambient Temperature Range and Hospital Admissions for Schizophrenia: Results from a National Cohort of Psychiatric Inpatients","volume":"410\u2013411","author":"Sung","year":"2011","journal-title":"Sci. Total Environ."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s00127-012-0542-5","article-title":"A Positive Relationship between Ambient Temperature and Bipolar Disorder Identified Using a National Cohort of Psychiatric Inpatients","volume":"48","author":"Sung","year":"2013","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"H1793","DOI":"10.1152\/ajpheart.00199.2015","article-title":"Cardiovascular Response to Thermoregulatory Challenges","volume":"309","author":"Liu","year":"2015","journal-title":"Am. J. Physiol. Heart Circ. Physiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1016\/j.envpol.2018.06.045","article-title":"Effects of Ambient Temperature on Myocardial Infarction: A Systematic Review and Meta-Analysis","volume":"241","author":"Sun","year":"2018","journal-title":"Environ. Pollut."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1007\/s00484-020-01942-9","article-title":"Weather-Related Subjective Well-Being in Patients with Coronary Artery Disease","volume":"65","author":"Martinaitiene","year":"2021","journal-title":"Int. J. Biometeorol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"108800","DOI":"10.1016\/j.envres.2019.108800","article-title":"What Is the Role of Meteorological Variables on Involuntary Admission in Psychiatric Ward? An Italian Cross-Sectional Study","volume":"180","author":"Aguglia","year":"2020","journal-title":"Environ. Res."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Cianconi, P., Betr\u00f2, S., and Janiri, L. (2020). The Impact of Climate Change on Mental Health: A Systematic Descriptive Review. Front. Psychiatry, 11.","DOI":"10.3389\/fpsyt.2020.00074"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"102313","DOI":"10.1016\/j.janxdis.2020.102313","article-title":"Anxiety Disorders, Climate Change, and the Challenges Ahead: Introduction to the Special Issue","volume":"76","author":"Taylor","year":"2020","journal-title":"J. Anxiety Disord."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1192\/j.eurpsy.2024.1800","article-title":"Positive Associations between Mean Ambient Temperature and Involuntary Admissions to Psychiatric Facilities","volume":"68","author":"Joore","year":"2025","journal-title":"Eur. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Vrouva, S., Sopidou, V., Sifakis, E., Ntoulaveris, I., Papamarkos, G., Tse, G., Chanopoulos, K., and Koumantakis, G. (2023). Chronic Sufferers and Environmental Conditions. Safety, 9.","DOI":"10.3390\/safety9040085"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/s00484-017-1485-z","article-title":"Weather Conditions Influence the Number of Psychiatric Emergency Room Patients","volume":"62","author":"Brandl","year":"2018","journal-title":"Int. J. Biometeorol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s00484-011-0518-2","article-title":"Atmospheric Pressure and Suicide Attempts in Helsinki, Finland","volume":"56","author":"Hiltunen","year":"2012","journal-title":"Int. J. Biometeorol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1111\/1556-4029.12471","article-title":"The Relationship between Meteorological Conditions and Homicide, Suicide, Rage, and Psychiatric Hospitalization","volume":"59","author":"Talaei","year":"2014","journal-title":"J. Forensic Sci."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/8\/2853\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:44:37Z","timestamp":1775738677000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/8\/2853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":49,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["jcm15082853"],"URL":"https:\/\/doi.org\/10.3390\/jcm15082853","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]}}}