Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts

Climate change can adversely affect mental health, but the association of ambient temperature with psychiatric symptoms remains poorly understood. To assess the association of ambient temperature exposure with internalizing, externalizing, and attention problems in adolescents from 2 population-base...

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Autores: Esmée Essers, Michelle Kusters, Laura Granés, Joan Ballester, Sami Petricola, Nerea Lertxundi, Ane Arregi, Ferran Ballester, Martine Vrijheid, Hanan El Marroun, Carmen Iñiguez, Henning Tiemeier, Mònica Guxens
Tipo de recurso: conjunto de datos
Fecha de publicación:2025
País:España
Institución:Consorci de Serveis Universitaris de Catalunya (CSUC)
Repositorio:CORA.Repositori de Dades de Recerca
OAI Identifier:oai:dnet:cora.rdr____::3e5b0b6abdd920cb841b9e8946ae1093
Acceso en línea:https://doi.org/10.34810/DATA2431
Access Level:acceso abierto
Palabra clave:Medicine, Health and Life Sciences
Climate change
Mental health
Cohort study
Environmental health
Adolescents
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spelling Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth CohortsEsmée EssersMichelle KustersLaura GranésJoan BallesterSami PetricolaNerea LertxundiAne ArregiFerran BallesterMartine VrijheidHanan El MarrounCarmen IñiguezHenning TiemeierMònica GuxensMedicine, Health and Life SciencesClimate changeMental healthCohort studyEnvironmental healthAdolescentsClimate change can adversely affect mental health, but the association of ambient temperature with psychiatric symptoms remains poorly understood. To assess the association of ambient temperature exposure with internalizing, externalizing, and attention problems in adolescents from 2 population-based birth cohorts in Europe. This cohort study analyzed data from the Dutch Generation R Study and the Spanish INMA (Infancia y Medio Ambiente) Project. Generation R recruited 9898 women during pregnancy or shortly after birth, with children born between 2002 and 2006. INMA recruited 2270 pregnant women from Gipuzkoa, Sabadell, and Valencia, Spain, with children born between 2003 and 2008. Individuals born from live singleton births with available outcome and exposure data were included in the study. Data were analyzed between October 2023 and November 2024. Daily ambient temperature 2 weeks, 1 month, and 2 months preceding outcome assessment was calculated between December 2015 and November 2022 at the residence at 100 × 100 m resolution utilizing the UrbClim model. The primary outcomes were internalizing, externalizing, and attention problems, measured with the maternal-reported Child Behavioral Checklist for ages 6 to 18 years; raw scores were square-root transformed, with higher scores indicating more problems. Distributed lag nonlinear models evaluated the associations of temperature exposure with problem scores in each country and region. For Spain, results from the 3 INMA regions were combined using random-effects meta-analysis. Results show the accumulated temperature association over each exposure period. A total of 3934 participants from Generation R (mean [SD] age at assessment, 13.6 [0.4] years; 1971 female [50%]) and 885 from INMA (mean [SD] age at assessment, 14.9 [1.0] years; 458 female [52%]) were included. Most parents in both cohorts were native to the respective countries of each cohort and had relatively high socioeconomic status. Daily temperatures ranged from -5.2 °C to 32.6 °C in the Netherlands and 3.3 °C to 33.9 °C in Spain. In Generation R, the mean (SD) square-root transformed scores were 2.0 (1.2) for internalizing problems, 1.6 (1.3) for externalizing problems, and 1.5 (1.0) for attention problems, while in INMA these were 2.4 (1.2), 2.1 (1.3), and 1.5 (1.1), respectively. In the Netherlands, cumulative exposure to cold was associated with more internalizing problems (eg, 0.76 [95% CI, 0.20-1.32] higher square-root points at 5.5 °C exposure over a 2-month exposure). In Spain, cumulative exposure to heat was associated with more attention problems (eg, 1.52 [95% CI, 0.39-2.66] higher square-root points at 21.7 °C exposure over a 2-month exposure). In this cohort study, exposure to cold in the Netherlands and heat in Spain were associated with more psychiatric symptoms, highlighting distinct temperature exposure and mental health associations among adolescents. Future studies should explore this across diverse climates to further quantify the intricate and multifactorial association of climate change with mental health.CORA.Repositori de Dades de Recerca2025info:eu-repo/semantics/datasethttps://doi.org/10.34810/DATA2431reponame:CORA.Repositori de Dades de Recercainstname:Consorci de Serveis Universitaris de Catalunya (CSUC)Inglésinfo:eu-repo/semantics/openAccessCC BY-NC-SA 4.0oai:dnet:cora.rdr____::3e5b0b6abdd920cb841b9e8946ae10932026-06-17T12:20:17Z
dc.title.none.fl_str_mv Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
title Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
spellingShingle Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
Esmée Essers
Medicine, Health and Life Sciences
Climate change
Mental health
Cohort study
Environmental health
Adolescents
title_short Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
title_full Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
title_fullStr Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
title_full_unstemmed Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
title_sort Temperature Exposure and Psychiatric Symptoms in Adolescents From 2 European Birth Cohorts
dc.creator.none.fl_str_mv Esmée Essers
Michelle Kusters
Laura Granés
Joan Ballester
Sami Petricola
Nerea Lertxundi
Ane Arregi
Ferran Ballester
Martine Vrijheid
Hanan El Marroun
Carmen Iñiguez
Henning Tiemeier
Mònica Guxens
author Esmée Essers
author_facet Esmée Essers
Michelle Kusters
Laura Granés
Joan Ballester
Sami Petricola
Nerea Lertxundi
Ane Arregi
Ferran Ballester
Martine Vrijheid
Hanan El Marroun
Carmen Iñiguez
Henning Tiemeier
Mònica Guxens
author_role author
author2 Michelle Kusters
Laura Granés
Joan Ballester
Sami Petricola
Nerea Lertxundi
Ane Arregi
Ferran Ballester
Martine Vrijheid
Hanan El Marroun
Carmen Iñiguez
Henning Tiemeier
Mònica Guxens
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Medicine, Health and Life Sciences
Climate change
Mental health
Cohort study
Environmental health
Adolescents
topic Medicine, Health and Life Sciences
Climate change
Mental health
Cohort study
Environmental health
Adolescents
description Climate change can adversely affect mental health, but the association of ambient temperature with psychiatric symptoms remains poorly understood. To assess the association of ambient temperature exposure with internalizing, externalizing, and attention problems in adolescents from 2 population-based birth cohorts in Europe. This cohort study analyzed data from the Dutch Generation R Study and the Spanish INMA (Infancia y Medio Ambiente) Project. Generation R recruited 9898 women during pregnancy or shortly after birth, with children born between 2002 and 2006. INMA recruited 2270 pregnant women from Gipuzkoa, Sabadell, and Valencia, Spain, with children born between 2003 and 2008. Individuals born from live singleton births with available outcome and exposure data were included in the study. Data were analyzed between October 2023 and November 2024. Daily ambient temperature 2 weeks, 1 month, and 2 months preceding outcome assessment was calculated between December 2015 and November 2022 at the residence at 100 × 100 m resolution utilizing the UrbClim model. The primary outcomes were internalizing, externalizing, and attention problems, measured with the maternal-reported Child Behavioral Checklist for ages 6 to 18 years; raw scores were square-root transformed, with higher scores indicating more problems. Distributed lag nonlinear models evaluated the associations of temperature exposure with problem scores in each country and region. For Spain, results from the 3 INMA regions were combined using random-effects meta-analysis. Results show the accumulated temperature association over each exposure period. A total of 3934 participants from Generation R (mean [SD] age at assessment, 13.6 [0.4] years; 1971 female [50%]) and 885 from INMA (mean [SD] age at assessment, 14.9 [1.0] years; 458 female [52%]) were included. Most parents in both cohorts were native to the respective countries of each cohort and had relatively high socioeconomic status. Daily temperatures ranged from -5.2 °C to 32.6 °C in the Netherlands and 3.3 °C to 33.9 °C in Spain. In Generation R, the mean (SD) square-root transformed scores were 2.0 (1.2) for internalizing problems, 1.6 (1.3) for externalizing problems, and 1.5 (1.0) for attention problems, while in INMA these were 2.4 (1.2), 2.1 (1.3), and 1.5 (1.1), respectively. In the Netherlands, cumulative exposure to cold was associated with more internalizing problems (eg, 0.76 [95% CI, 0.20-1.32] higher square-root points at 5.5 °C exposure over a 2-month exposure). In Spain, cumulative exposure to heat was associated with more attention problems (eg, 1.52 [95% CI, 0.39-2.66] higher square-root points at 21.7 °C exposure over a 2-month exposure). In this cohort study, exposure to cold in the Netherlands and heat in Spain were associated with more psychiatric symptoms, highlighting distinct temperature exposure and mental health associations among adolescents. Future studies should explore this across diverse climates to further quantify the intricate and multifactorial association of climate change with mental health.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/dataset
format dataset
dc.identifier.none.fl_str_mv https://doi.org/10.34810/DATA2431
url https://doi.org/10.34810/DATA2431
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
CC BY-NC-SA 4.0
eu_rights_str_mv openAccess
rights_invalid_str_mv CC BY-NC-SA 4.0
dc.publisher.none.fl_str_mv CORA.Repositori de Dades de Recerca
publisher.none.fl_str_mv CORA.Repositori de Dades de Recerca
dc.source.none.fl_str_mv reponame:CORA.Repositori de Dades de Recerca
instname:Consorci de Serveis Universitaris de Catalunya (CSUC)
instname_str Consorci de Serveis Universitaris de Catalunya (CSUC)
reponame_str CORA.Repositori de Dades de Recerca
collection CORA.Repositori de Dades de Recerca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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