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Impact of Stress and Eco-anxiety on Rheumatic Disease: A Growing Concern in the Climate Crisis
Markus Ploesser1, Jose D Lomeli Diaz2, Miriam Tanja Zincke3
1Department of Psychiatry & Neuroscience, UC Riverside School of Medicine, 900 University Avenue Riverside, CA 92521, USA; Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of British Columbia, Detwiller Pavilion, 2255 Wesbrook Mall, Vancouver, British Columbia V6T 2A1, Canada.
Abstract:
Eco-anxiety, or persistent worry about environmental degradation, has emerged as a chronic psychological stressor in the context of the climate crisis. In more severe cases, this distress may manifest as climate trauma, characterized by sustained emotional, cognitive, and physiologic symptoms following direct or indirect exposure to environmental catastrophe. While the effects of psychological stress on autoimmune rheumatic diseases (ARDs) are well-documented, the potential impact of eco-anxiety and climate trauma remains unexplored. This narrative review synthesizes established stress-immunity pathways and applies them hypothetically to climate-related distress, highlighting the urgent need for interdisciplinary research and climate-informed care models for ARD populations.
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