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Klimawandel, Biodiversitätsverlust und Verschmutzung: Folgen für die Psychiatrie

Climate change, biodiversity loss and pollution: consequences for psychiatry

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Zusammenfassung

Die Klimakrise, der Biodiversitätsverlust und die weltweit zunehmende Verschmutzung gefährden die psychische Gesundheit. Zur Bewältigung dieser Krisen sind umfassende Transformationen notwendig, die auch das psychiatrische Versorgungssystem betreffen. Dabei lassen sich Chancen nutzen, um mit der Bewältigung der Krisen gleichzeitig die psychische Gesundheit zu verbessern. Dazu zählen die Vermeidung von psychiatrischem Behandlungsbedarf durch einen stärkeren Fokus auf Gesundheitsförderung und Prävention und der auch unter Umweltaspekten gezielte Einsatz von Therapieverfahren. Daneben können Patient:innen befähigt werden, in den Bereichen Ernährung, Mobilität und Naturerleben ihre psychische Resilienz zu stärken und negative Effekte auf die Umwelt zu verringern. Gleichzeitig muss sich das psychiatrische Versorgungssystem an veränderte Umweltbedingungen anpassen: Zunehmende Hitzewellen machen Schutzmaßnahmen gerade für Menschen mit psychischen Erkrankungen erforderlich und zunehmende Extremwetterereignisse können zu Verschiebungen im Krankheitsspektrum führen. Hierfür sind entsprechende Fördermaßnahmen notwendig.

Abstract

The climate crisis, loss of biodiversity and increasing global pollution are a threat to mental health. Comprehensive transformations are needed to overcome these crises, which will also affect the mental healthcare system. If done correctly these change processes can seize the chance to improve mental health while at the same time addressing the crises. This includes avoiding the need for psychiatric treatment by strengthening the focus on mental health promotion and prevention, and also considering environmental aspects when targetting therapy procedures. In addition, by focusing on nutrition, mobility and the effects of nature, patients can be empowered to increase their mental resilience whilst reducing the negative effects on the environment. At the same time, the mental healthcare system must adapt to changing environmental conditions: increasing heat waves make protective measures necessary, especially for people with mental illnesses and increasing extreme weather events can lead to shifts in the spectrum of illnesses. Appropriate funding mechanisms will have to be established to support mental healthcare throughout this transformation.

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  1. Zentralinstitut für Seelische Gesundheit, Klinik für Psychiatrie und Psychotherapie, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland

    Sebastian Karl & Andreas Meyer-Lindenberg

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Karl, S., Meyer-Lindenberg, A. Klimawandel, Biodiversitätsverlust und Verschmutzung: Folgen für die Psychiatrie. Nervenarzt 94, 1019–1025 (2023). https://doi.org/10.1007/s00115-023-01523-2

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