Evidence map›Paper›PMID 35957633›Full record

SynthesisEuropean journal of psychotraumatology2022

The long-term impact of bushfires on the mental health of Australians: a systematic review and meta-analysis.

Yanqin Zhang, Annabelle Workman, Melissa A Russell, Michelle Williamson, Haotai Pan, Lennart Reifels

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of psychotraumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Health Effects of Wildfire Smoke Exposure.Annual review of medicine · 2024
    Pooled it
  3. Article
  4. Approach to wildfire-related health impacts.Canadian family physician Medecin de famille canadien · 2026
    Review
  5. Article
  6. Observational
  7. Preparing to Play With Fire: Exploring Bushfire Preparedness and Risk Communication Among University Students in Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  8. Review
  9. Extreme Weather, Vulnerable Populations, and Mental Health: The Timely Role of AI Interventions.International journal of environmental research and public health · 2025
    Article
  10. Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis: A Call for Strategic Research and Advocacy.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. A Review of Artificial Neural Network Models Applied to Predict Indoor Air Quality in Schools.International journal of environmental research and public health · 2023
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yanqin ZhangMelbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.
Annabelle WorkmanMelbourne Climate Futures, Melbourne Law School, The University of Melbourne, Parkville, Australia.
Melissa A RussellCentre of Epidemiology and Biostatics, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.
Michelle WilliamsonCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.
Haotai PanMelbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.
Lennart ReifelsCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.ORCID 0000-0001-7844-5163
The University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The long-term health effects of bushfires include the potential to trigger new and exacerbate existing mental health problems. Objective: This review aimed to determine the prevalence of long-term mental health issues in Australian populations exposed to bushfires. Method: A systematic search was conducted in five databases (Embase, Medline, PsycINFO, Scopus, and Web of Science) to identify studies focusing on Australian populations impacted by bushfires with the prevalence of mental health issues reported at 2+ years after bushfire. The Joanna Briggs Institute prevalence critical appraisal tool was utilised. We conducted meta-analyses to determine the prevalence of general psychological distress in the general population, and a narrative synthesis. Results: We included 21 articles based on 5 studies and conducted on 3 bushfire events. Meta-analyses showed a pooled prevalence of 14% (95% CI 12%-16%) for psychological distress in the general population at 2-4 years post bushfire. The overall prevalence of long-term psychological problems in firefighters at 2-7 years ranged from 28% to 47.6%. The prevalence of some psychological issues decreased with time and was directly proportional to the level of bushfire impact. Conclusions: As the magnitude of long-term bushfire-related mental health impacts in Australia is severe, it is important to monitor psychological problems and assist communities in future. Future research needs include: (a) more studies on the full range of long-term psychological impacts of bushfires, and (b) consensus on instruments and diagnostic criteria to define mental health issues. HIGHLIGHTS: First systematic review of long-term bushfire mental health issues in Australia.Indicating substantial mental health problems among affected populations.Long-term issues were linked to bushfire impact and elevated among firefighters.Highlighting need for further rigorous research on long-term disaster sequalae.

Indexed as

DisastersMental HealthAustraliaHumansmental healthmeta-analysispsychological distressPTSDsystematic reviewWildfire

Identifiers

PMID35957633
PMCPMC9359172
OpenAlexW4283644292

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.