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Flood exposure associated with elevated odds of PTSD, depression, and anxiety in affected populationsFlood exposure linked to higher odds of PTSD, depression, and anxiety

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider mental health screening and support for populations affected by flooding.

This systematic review and meta-analysis examined the prevalence of flood-related mental health outcomes and associated risk factors. The review included 107 studies, with 18 providing data suitable for meta-analysis of populations affected by flooding. The exposure was flood exposure, with no specific comparator detailed in the abstract.

The main results from the meta-analysis showed flood exposure was associated with significantly elevated odds of PTSD (OR=3.01), depression (OR=2.38), and anxiety (OR=2.84). The abstract notes that 95% confidence intervals were reported for these pooled odds ratios, but specific values are not provided. Absolute numbers were not reported. Key vulnerability factors identified included female gender, unemployment, pre-existing mental illness, repeated flood exposure, and severe housing damage.

Safety and tolerability data were not reported in the abstract. The certainty assessment notes pooled odds ratios came from random-effects meta-analysis, with prediction intervals and I² reported, and publication bias was assessed where k≥10. The abstract does not specify the exact comparator for the odds ratios.

For clinical practice, these observational findings highlight the importance of integrating mental health support into disaster preparedness, response, and long-term recovery planning. The evidence reports associations, not causation, and the findings are based on a synthesis of 18 studies from a review of 107.

Researchers reviewed 107 studies to understand how flooding affects mental health. They specifically looked at how common PTSD, depression, and anxiety were in people who had experienced a flood. The analysis combined data from 18 of those studies to get a clearer picture.

The main finding was that flood exposure was strongly linked to higher odds of having these mental health conditions. People who experienced flooding were about three times more likely to have PTSD, over two times more likely to have depression, and nearly three times more likely to have anxiety compared to people not exposed. The review also found that being female, unemployed, having a prior mental illness, experiencing repeated floods, or having severe damage to your home made people more vulnerable.

It's important to understand what this study can and cannot tell us. This research shows a clear association or link, but it is based on observational studies. This means it cannot prove that the flooding itself caused the mental health problems. The findings are a synthesis of many different studies, and the specific confidence ranges for the odds were not provided in the summary. The results highlight why mental health support should be a key part of planning for and recovering from floods, but more research is needed to understand the full story.

What this means for you:
Flooding is strongly linked to mental health challenges, highlighting the need for support in disaster planning.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
BACKGROUND: Flooding, intensified by climate change, poses serious risks to lives, infrastructure, and mental health. Conditions such as post-traumatic stress disorder (PTSD), depression, and anxiety are among the most prevalent consequences for affected populations. This study systematically reviews and meta-analyses the evidence on the prevalence of flood-related mental health outcomes and associated risk factors. METHODS: A systematic review and meta-analysis were conducted in accordance with PRISMA 2020. We searched PubMed, ScienceDirect, Scopus, Web of Science, and Embase for studies published 1 January 2004 - 3 June 2024 reporting flood-related PTSD, depression, or anxiety. On 24 September 2025, we performed a citation search of all studies included after the primary search (and key relevant reviews) to identify additional eligible articles published since June 2024. Eligible quantitative studies reporting (or permitting derivation of) odds ratios were synthesised using random-effects meta-analysis to estimate pooled ORs with 95% CIs; where multiple models were available, fully adjusted estimates were prioritised. Subgroup/meta-regression analyses examined sociodemographic and contextual moderators (e.g., time since flood, instrument, region), and sensitivity analyses included leave-one-out and influence diagnostics. Prediction intervals and I were reported; publication bias was assessed where k≥10. RESULTS: Of the 107 studies included in the review, 18 provided data suitable for meta-analysis. Flood exposure was associated with significantly elevated odds of PTSD (OR = 3.01), depression (OR = 2.38), and anxiety (OR = 2.84). Key vulnerability factors included female gender, unemployment, pre-existing mental illness, repeated flood exposure, and severe housing damage. Longitudinal evidence suggested that mental health impacts often persist for years beyond the acute disaster period. CONCLUSIONS: Flood exposure was associated with substantially higher odds of adverse mental health outcomes, with disproportionate effects on vulnerable groups. These findings highlight the importance of integrating mental health support into disaster preparedness, response, and long-term recovery planning.
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