Keywords
pain
distress
hazard
smog
climate
cognition
air quality index
meteorological psychology
ecopsychology
Pakistani context
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Abstract
Aims. The goal of this meteorological psychology study is to understand the behavioral implications on the professional lives of medical professionals in one of the most polluted regions of the world with a compromised air quality index. There is a paucity of literature to explore climate ethics as to how behavioral aspects of morals may alter related to climate change. Methods. The study is a cross-sectional correlational quantitative study formulated through purposive sampling. Research took place during the smog season of the world’s most polluted city. The research instruments of Climate anxiety, pain and distress, and cognitive failure were administered to a sample of 211 medical professionals. Confirmatory factor analysis was conducted and resulted in robust model fitness with indices between .80 and .90. Item loadings for three factors were statistically ideal of greater than. 30. Barron and Kenny’s approach was applied to conduct mediation through path analysis in which climate anxiety significantly mediates between pain distress and cognitive failure (β = .51; p < .0001). Multiple regression results using bootstrap confidence showed that climate anxiety (β = .993; p < .0001), and pain distress result in cognitive failure. The independent sample t-test was carried out to explore if nurses and doctors are different in terms of experiencing climate anxiety, pain distress, and cognitive failure. Results. There is a strong significant association among climate anxiety, pain distress, and cognitive failure with strong to moderate correlation values, p < .001. Confirmatory factor analysis was conducted and resulted in robust model fitness with indices between .80 and .90. Item loadings for three factors were statistically ideal at .30. 102 Nurses (M = 85.216; SD = 4.94) were more painfully distressed, prone to cognitive failure, and have climate anxiety as compared to 109 doctors (M = 71.211; SD = 9.23).
References
Aoki P. M., Honicky R. J., Mainwaring A., Myers C., Paulos E., Subramanian S., & Woodruff A. 2008. “Common Sense: Mobile Environmental Sensing Platforms to Support Community Action and Citizen Science,” Proceedings of UBICOMP 2008 Adjunct Program (pp. 59–60). Seoul.
Baron R. M. & Kenny D. A. 1986. “The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations,” Journal of Personality and Social Psychology 51(6):1173–1182. DOI: https://doi.org/10.1037//0022-3514.51.6.1173
Boyd C., Parr H., & Philo C. 2023. “Climate Anxiety as Posthuman Knowledge,” Wellbeing, Space and Society 4, article no. 100120. DOI: https://doi.org/10.1016/j.wss.2022.100120
Broadbent D. E., Cooper P. F., FitzGerald P., & Parkes K. R. 1982. “The Cognitive Failures Questionnaire (CFQ) and Its Correlates,” British Journal of Clinical Psychology 21(1):1–16. DOI: https://doi.org/10.1111/j.2044-8260.1982.tb01421.x
Bingley W. J., Tran A., Boyd C. P., Gibson K., Kalokerinos E. K., Koval P., Kashima Y., McDonald D., & Greenaway K. H. 2022. “A Multiple Needs Framework for Climate Change Anxiety Interventions,” American Psychologist 77(7):812–821. DOI: https://doi.org/10.1037/amp0001012
Cao C., Jiang W., Wang B., Fang J., Lang J., Tian G., Jiang J., & Zhu T. 2014. “Inhalable Microorganisms in Beijing’s PM2.5 and PM10 Pollutants during a Severe Smog Event,” Environmental Science & Technology 48:1499–1507. DOI: https://doi.org/10.1021/es4048472
Chen S., Kong J., Yu F., & Peng K. 2018. “Psychopathological Symptoms under Smog: The Role of Emotion Regulation,” Frontiers in Psychology 8, article no. 2274. DOI: https://doi.org/10.3389/fpsyg.2017.02274
Chen J. C. & Schwartz J. 2009. “Neurobehavioral Effects of Ambient Air Pollution on Cognitive Performance in US Adults,” Neurotoxicology 30:231–239. DOI: https://doi.org/10.1016/j.neuro.2008.12.011
Clayton S. & Karazsia B. T. 2020. “Development and Validation of a Measure of Climate Change Anxiety,” Journal of Environmental Psychology 69, article no. 101434. DOI: https://doi.org/10.1016/j.jenvp.2020.101434
Coffey Y., Bhullar N., Durkin J., Islam M. S., & Usher K. 2021. “Understanding Eco-Anxiety: A Systematic Scoping Review of Current Literature and Identified Knowledge Gaps,” The Journal of Climate Change and Health 3, article no. 100047. DOI: https://doi.org/10.1016/j.joclim.2021.100047
Dai L., Kloog I., Coull B. A., Sparrow D., Spiro III A., Vokonas P. S., & Schwartz J. D. 2016. “Cognitive Function and Short-Term Exposure to Residential Air Temperature: A Repeated Measures Study Based on Spatiotemporal Estimates of Temperature,” Environmental Research 150:446–451. DOI: https://doi.org/10.1016/j.envres.2016.06.036
Efimova N. V. & Rukavishnikov V. S. 2021. “Assessment of Smoke Pollution Caused by Wildfires in the Baikal Region (Russia),” Atmosphere 12(12), article no. 1542. DOI: https://doi.org/10.3390/atmos12121542
Elsom D. 1996. Smog Alert: Managing Urban Air Quality. London: Routledge.
Faul F., Erdfelder E., Lang A. G., & Buchner A. 2007. “G* Power 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and Biomedical Sciences,” Behavior Research Methods 39(2):175–191. DOI: https://doi.org/10.3758/BF03193146
Goeppert A., Czaun M., Jones J. P., Prakash G. S., & Olah G. A. 2014. “Recycling of Carbon Dioxide to Methanol and Derived Products – Closing the Loop,” Chemical Society Reviews 43(23):7995–8048. DOI: https://doi.org/10.1039/C4CS00122B
Gorchakov G. I., Karpov A. V., Gorchakova I. A., Gushchin R. A., & Datsenko O. I. 2019. “Smog and Smoke Haze over the North China Plain in June 2007,” Atmospheric and Oceanic Optics 32:643–649. DOI: https://doi.org/10.1134/S102485601906006X
Grzywa-Celińska A., Krusiński A., & Milanowski J. 2020. “‘Smoging Kills’ – Effects of Air Pollution on Human Respiratory System,” Annals of Agricultural and Environmental Medicine 27(1):1–5. DOI: https://doi.org/10.26444/aaem/110477
Hardy J. D. 1956. “The Nature of Pain,” Journal of Chronic Diseases 4(1):22–51. DOI: https://doi.org/10.1016/0021-9681(56)90005-4
Hair Jr J. F., Hult G. T. M., Ringle C. M., Sarstedt M., Danks N. P., & Ray S. 2021. An Introduction to Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook. a Workbook (pp. 1–29). Springer. DOI: https://doi.org/10.1007/978-3-030-80519-7_1
Hines S. E., Brown C., Oliver M., Gucer P., Frisch M., Hogan R., ... & McDiarmid M. 2019. “User Acceptance of Reusable Respirators in Health Care,” American Journal of Infection Control 47(6):648–655. DOI: https://doi.org/10.1016/j.ajic.2018.11.021
Hussain N., Khan B. N., Bashir A., Ali R. M., Mukhtar M. T., & Awan E. A. 2024. “Public Awareness and Behavioral Patterns During Smog: Public Awareness During Smog,” Pakistan BioMedical Journal 07(2):45–50. DOI: https://doi.org/10.54393/pbmj.v7i02.1043
Janarthanan R. P., Partheeban K. Somasundaram, & Navin Elamparithi P. 2021. “A Deep Learning Approach for Prediction of Air Quality Index in a Metropolitan City,” Sustainable Cities and Society 67: article no. 102720. DOI: https://doi.org/10.1016/j.scs.2021.102720
Iannetti G., Salomons T., Moayedi M., Mouraux A., & Davis K. 2013. “Beyond Metaphor: Contrasting Mechanisms of Social and Physical Pain,” Trends in Cognitive Sciences 17:371–378. DOI: https://doi.org/10.1016/j.tics.2013.06.002
Jordan R. C., Gray S. A., Howe D. V., Brooks W. R., & Ehrenfeld J. G. 2011. “Knowledge Gain and Behavioral Change in Citizen-Science Programs,” Conservation Biology 25(6):1148–1154. DOI: https://doi.org/10.1111/j.1523-1739.2011.01745.x
Kent S. T., McClure L. A., Crosson W. L., Arnett D. K., Wadley V. G., & Sathiakumar N. 2009. “Effect of Sunlight Exposure on Cognitive Function among Depressed and Non-depressed Participants: A REGARDS Cross-sectional Study,” Environmental Health 8(1):1–14. DOI: https://doi.org/10.1186/1476-069X-8-34
Kotcher J., Maibach E., Miller J., Campbell E., Alqodmani L., Maiero M., & Wyns A. 2021. “Views of Health Professionals on Climate Change and Health: A Multinational Survey Study,” The Lancet Planetary Health 5(5), e316-e323. DOI: https://doi.org/10.1016/S2542-5196(21)00053-X
Kuvadia M., Cummis C. E., Liguori G., & Wu C. L. 2020. “’Green-gional’ Anesthesia: The Non-Polluting Benefits of Regional Anesthesia to Decrease Greenhouse Gases and Attenuate Climate Change,” Regional Anesthesia and Pain Medicine 45(9):744–745. DOI: https://doi.org/10.1136/rapm-2020-101452
Knox E. 2008. “Atmospheric Pollutants and Mortalities in English Local Authority Areas,” Journal of Epidemiology & Community Health 62:442–447. DOI: https://doi.org/10.1136/jech.2007.065862
Kim J. S., Kaye J., & Wright L. K. 2001. “Moderating and Mediating Effects in Causal Models,” Issues in Mental Health Nursing 22(1):63–75. DOI: https://doi.org/10.1080/016128401750158768
Lavie N. 1995. “Perceptual Load as a Necessary Condition for Selective Attention,” Journal of Experimental Psychology: Human Perception and Performance 21(3):451–468. https://psycnet.apa.org/doi/10.1037/0096-1523.21.3.451 DOI: https://doi.org/10.1037//0096-1523.21.3.451
Lim A. S. P., Gaiteri C., Yu L., Sohail S., Swardfager W., Tasaki S., & Black S. E. 2018. “Seasonal Plasticity of Cognition and Related Biological Measures in Adults with and without Alzheimer Disease: Analysis of Multiple Cohorts,” PLoS Med. 15, e1002647. DOI: https://doi.org/10.1371/journal.pmed.1002647
Ma S., Cheng H., Li J., Xu M., Liu D., & Ostrikov K. 2020. “Large-scale Ion Generation for Precipitation of Atmospheric Aerosols,” Atmospheric Chemistry and Physics 20(20):11717–11727. DOI: https://doi.org/10.5194/acp-20-11717-2020
Malcherek-Łabiak J., Olszewska A., & Sobków A. 2018. „W jaki sposób komunikować ryzyko związane ze smogiem? Wpływ formatu oraz treści komunikatu na percepcję ryzyka oraz działań zapobiegawczych,” Psychologia Ekonomiczna 13:49–65. DOI: https://doi.org/10.15678/PJOEP.2018.13.04
Mendez D., Colorado J., Rodriguez L., Chacon A., & Hernandez M. 2018. “Monitoring Air Pollution by Combining a Static Infrastructure with a Participatory Sensing Approach: Design and Performance Evaluation,” International Journal of Sustainable Development and Planning 13(4):638–652. DOI: https://doi.org/10.2495/SDP-V13-N4-638-652
Narita D., Gavrilyeva T., & Isaev A. 2021. “Impacts and Management of Forest Fires in the Republic of Sakha, Russia: A Local Perspective for a Global Problem,” Polar Science 27, article no. 100573. DOI: https://doi.org/10.1016/j.polar.2020.100573
Norman D. A. 1981. “Categorization of Action Slips,” Psychological Review 88(1):1–15. https://psycnet.apa.org/doi/10.1037/0033-295X.88.1.1 DOI: https://doi.org/10.1037//0033-295X.88.1.1
Newman M. G. & Llera S. J. 2011. “A Novel Theory of Experiential Avoidance in Generalized Anxiety Disorder: A Review and Synthesis of Research Supporting a Contrast Avoidance Model of Worry,” Clinical Psychology Review 31(3):371–382. DOI: https://doi.org/10.1016/j.cpr.2011.01.008
Petty T. & Ashbaugh D. 1971. “The Adult Respiratory Distress Syndrome. Clinical Features, Factors Influencing Prognosis and Principles of Management,” Chest 60(3):233–239. DOI: https://doi.org/10.1378/chest.60.3.233
Puett R. C., Hart J. E., Yanosky J. D., Spiegelman D., Wang M., Fisher J. A., ... & Laden F. 2014. “Particulate Matter Air Pollution Exposure, Distance to Road, and Incident Lung Cancer in the Nurses’ Health Study Cohort,” Environmental Health Perspectives 122(9):926–932. DOI: https://doi.org/10.1289/ehp.1307490
Pun V. C., Hart J. E., Kabrhel C., Camargo Jr C. A., Baccarelli A. A., & Laden F. 2015. “Prospective Study of Ambient Particulate Matter Exposure and Risk of Pulmonary Embolism in the Nurses’ Health Study Cohort,” Environmental Health Perspectives 123(12):1265–1270. DOI: https://doi.org/10.1289/ehp.1408927
Power M. C., Kioumourtzoglou M. A., Hart J. E., Okereke O. I., Laden F., & Weisskopf M. G. 2015. “The Relation between Past Exposure to Fine Particulate Air Pollution and Prevalent Anxiety: Observational Cohort Study,” BMJ 350, article no. h1111. DOI: https://doi.org/10.1136/bmj.h1111
Qudrat-Ullah H. 2022. “A Review and Analysis of Renewable Energy Policies and CO2 Emissions of Pakistan,” Energy 238, article no. 121849. DOI: https://doi.org/10.1016/j.energy.2021.121849
Rebeiro-Hargrave A., Fung P. L., Varjonen S., Huertas A., Sillanpää S., Luoma K., ... & Tarkoma S. 2021. “City Wide Participatory Sensing of Air Quality,” Frontiers in Environmental Science 9, article no. 773778. DOI: https://doi.org/10.3389/fenvs.2021.773778
Royce J. R. 1963. “Factors as Theoretical Constructs,” American Psychologist 18(8):522–528. DOI: https://doi.org/10.1037/h0044493
Sajjad A., Chu J., Anwar M., & Asmi F. 2020. “Between Green and Gray: Smog Risk and Rationale Behind Vehicle Switching,” Journal of Cleaner Production 244, article no. 118674. 4 DOI: https://doi.org/10.1016/j.jclepro.2019.118674
Schwela D. H. & Haq G. 2020. “Strengths and Weaknesses of the WHO Urban Air Pollutant Database,” Aerosol and Air Quality Research 20(5):1026–1037. DOI: https://doi.org/10.4209/aaqr.2019.11.0605
Schwartz J. & Morris R. 1995. “Air Pollution and Hospital Admissions for Cardiovascular Disease in Detroit, Michigan,” American Journal of Epidemiology 142(1):25–35. DOI: https://doi.org/10.1093/oxfordjournals.aje.a117541
Schwartz J. 1994. “Air Pollution and Daily Mortality: A Review and Meta-Analysis,” Environmental Research 64(1):36–52. DOI: https://doi.org/10.1006/enrs.1994.1005
Sedjo R. & Sohngen B. 2012. “Carbon Sequestration in Forests and Soils,” Annual Review of Resource Economics 4(1):127–144. DOI: https://doi.org/10.1146/annurev-resource-083110-115941
Sehrawat N. & Chauhan R. 2023. “Investigatory Studies on Pattern in Enhancement in Fine Particulate Matter in the Delhi During Einters,” International Journal of Pharmaceutical and Bio-Medical Science 3(3):98–101. DOI: https://doi.org/10.47191/ijpbms/v3-i3-02
Shabbir M., Junaid A., & Zahid J. 2019. “A Snapshot of Smog in India and Pakistan,” Sustainable Development Policy Institute SDPI, Policy Brief 67. Available online at: https://sdpi.org/sdpiweb/publications/files/smog-atransboundary-issue-and-its-implications-in-India-and-Pakistan(PB-67).pdf
Shaparev N., Tokarev A., & Yakubailik O. 2020. “The State of the Atmosphere in the City of Krasnoyarsk (Russia) in Indicators of Sustainable Development,” International Journal of Sustainable Development & World Ecology 27(4):349–357. DOI: https://doi.org/10.1080/13504509.2019.1699879
Shen X., Zhang H., Li Y., Qu K., Zhao L., Kong G., & Jia W. 2023. “Building a Satisfactory Indoor Environment for Healthcare Facility Occupants: A Literature Review,” Building and Environment 228, article no. 109861. DOI: https://doi.org/10.1016/j.buildenv.2022.109861
Sun B., Wu J., Hu Z., Wang R., Gao F., & Hu X. 2022. “Human Mood and Cognitive Function After Different Extreme Cold Exposure,” International Journal of Industrial Ergonomics 91, article no. 103336. DOI: https://doi.org/10.1016/j.ergon.2022.103336
Swee M. B., Hudson C. C., & Heimberg R. G. 2021. “Examining the Relationship between Shame and Social Anxiety Disorder: A Systematic Review,” Clinical Psychology Review 90, article no. 102088. DOI: https://doi.org/10.1016/j.cpr.2021.102088
Tavakol M. & Wetzel A. 2020. “Factor Analysis: A Means for Theory and Instrument Development in Support of Construct Validity,” International Journal of Medical Education 11, article no. 245. DOI: https://doi.org/10.5116/ijme.5f96.0f4a
Tesser A. & Schwarz N. (Eds.) 2008. Blackwell Handbook of Social Psychology: Intraindividual Processes. Oxford, UK: John Wiley & Sons.
Tokarev A. & Shaparev N. 2020. “The Influence of Weather Conditions on the Concentration of PM2.5 in the Surface Layer of the Atmosphere of Krasnoyarsk,” Atmospheric Physics 11560:606–610. Proceedings of 26th International Symposium on Atmospheric and Ocean Optics. DOI: https://doi.org/10.1117/12.2573837
Trashko M. D., Volkova E. A., Muratchaev S. S., Gorelik A. V., & Solodkov A. V. 2022. “Development of an Environmental Monitoring System for Predicting and Preventing Photochemical Smog,” in Conference of Russian Young Researchers in Electrical and Electronic Engineering 2022 (ElConRus) (pp. 1624–1627), IEEE. DOI: https://doi.org/10.1109/ElConRus54750.2022.9755857
Ware L. & Matthay M. 1996. “The Acute Respiratory Distress Syndrome,” The New England Journal of Medicine 342(18):1334–1349. DOI: https://doi.org/10.1056/NEJM200005043421806
Windfeld E. S. & Brooks M. S. L. 2015. “Medical Waste Management – A Review,” Journal of Environmental Management 163:98–108. DOI: https://doi.org/10.1016/j.jenvman.2015.08.013
Wichmann H., Mueller W., Allhoff P., Beckmann M., Bocter N., Csicsaky M., Jung M., Molik B., & Schoeneberg G. 1989. “Health Effects During a Smog Episode in West Germany in 1985,” Environmental Health Perspectives 79:89–99. DOI: https://doi.org/10.1289/ehp.897989
Wong T. 2017. “Smog Induces Oxidative Stress and Microbiota Disruption,” Journal of Food and Drug Analysis 25:235–244. DOI: https://doi.org/10.1016/j.jfda.2017.02.003
Wu Y. 2023. “Urban Smog in the Process of Industrialization-Take Xi’an, China, for Example,” Revista Internacional de Contaminación Ambiental 38:13–19. DOI: https://doi.org/10.20937/RICA.54577
Xing Y., Xu Y., Shi M., & Lian Y. 2016. “The Impact of PM2.5 on the Human Respiratory System,” Journal of Thoracic Disease 8(1):E69–E74.
Yao H., Peng Z., & Sha X. 2023. “Association between Cognitive Function and Dusty Weather: A Propensity Score Matching Study,” BMC Geriatrics 23(1), article no. 777. DOI: https://doi.org/10.1186/s12877-023-04466-0
Zung W. W. 1983. “A Self-Rating Pain and Distress Scale,” Psychosomatics 24(10):887–894. DOI: https://doi.org/10.1016/S0033-3182(83)73140-3
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