Testing the properties of the Eco-Anxiety questionnaire (EAQ) for exploring eco-anxiety phenomenon

Authors

  • Giuseppe Forte Department of Dynamic and Clinical Psychology and Health Studies, “Sapienza” University of Rome, Rome
  • Francesca Favieri Department of Psychology, University “G.D’Annunzio” of Chieti and Pescara, Chieti
  • Renata Tambelli Department of Dynamic and Clinical Psychology and Health Studies, “Sapienza” University of Rome, Rome
  • Maria Casagrande Department of Dynamic and Clinical Psychology and Health Studies, “Sapienza” University of Rome, Rome

DOI:

https://doi.org/10.13129/2282-1619/mjcp-5112

Keywords:

Clinical psychology, Eco-anxiety, Factorial analysis, Item analysis, Questionnaire, Validation.

Abstract

Introduction. Eco-anxiety has gained attention in recent years. While anxiety is typically viewed as a disorder, eco-anxiety may also be seen as a rational response to environmental threats, potentially driving pro-environmental behavior. The present study aimed to develop and validate a new brief tool, the Eco-Anxiety Questionnaire (EAQ), to assess psychological symptoms, intrusive thoughts, and a sense of responsibility associated with eco-anxiety.

Methods. An online survey collected data from 228 Italian adults (Mean age= 31.29, SD = 13.71; age range: 18–60; 77% women). The EAQ was developed from an initial pool of 50 items and refined through Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) to a final set of 25 items across three factors, rated on a 5-point Likert scale. Convergent validity was assessed with measures of climate change anxiety, climate change worry, generalized anxiety, and depressive symptoms.

Results. EFA supported a three-factor structure explaining 62% of the variance, with good sampling adequacy (Bartlett’s test p < .001). The EAQ showed excellent internal reliability (α = .95 for the total scale; α = .89–.94 for subscales). CFA confirmed the model’s adequacy (CFI = .966; TLI = .963; NFI = .95; GFI = .969; IFI = .97; SRMR = .07; RMSEA = .09). Strong correlations emerged with the Climate Change Anxiety Scale and the Climate Change Worry Scale, while moderate associations with GAD-7 and PHQ-9 confirmed the distinctiveness of eco-anxiety from general distress.

Conclusions. The EAQ demonstrates strong psychometric properties and offers a multidimensional assessment of eco-anxiety. Its brevity and conceptual breadth represent key strengths. However, the study's non-representative and relatively young sample limits generalizability. Future research should validate the tool in broader populations and explore its predictive value for behavioral and psychological outcomes.

References

Albrecht, G. (2011). Chronic environmental change: Emerging “psychoterratic” syndromes. Climate Change and Human Well-Being: Global Challenges and Opportunities, 43–56. https://doi.org/10.1007/978-1-4419-9742-5_4

Bolgeo, T., Di Matteo, R., Simonelli, N., Dal Molin, A., Lusignani, M., Bassola, B., Vellone, E., Mconi, A., & Iovino, P. (2023). Psychometric properties and measurement invariance of the 7-item General Anxiety Disorder scale (GAD-7) in an Italian coronary heart disease population. Journal of Affective Disorders, 334, 213–219. https://doi.org/10.1016/j.jad.2023.05.059

Boluda-Verdu, I., Senent-Valero, M., Casas-Escolano, M., Matijasevich, A., & Pastor-Valero, M. (2022). Fear for the future: Eco-anxiety and health implications, a systematic review. Journal of Environmental Psychology, 84, 101904. https://doi.org/10.1016/j.jenvp.2022.101904

Clayton, S., & Karazsia, B. T. (2020). Development and validation of a measure of climate change anxiety. Journal of Environmental Psychology, 69, 101434. https://doi.org/10.1016/j.jenvp.2020.101434

Cosh, S. M., Ryan, R., Fallander, K., Robinson, K., Tognela, J., Tully, P. J., & Lykins, A. D. (2024). The relationship between climate change and mental health: A systematic review of the association between eco-anxiety, psychological distress, and symptoms of major affective disorders. BMC Psychiatry, 24(1), 833. https://doi.org/10.1186/s12888-024-06274-1

Crandon, T. J., Dey, C., Scott, J. G., Thomas, H. J., Ali, S., & Charlson, F. J. (2022). The clinical implications of climate change for mental health. Nature Human Behaviour, 6(11), 1474–1481. https://doi.org/10.1038/s41562-022-01474-8

Etkin, A., Büchel, C., & Gross, J. J. (2015). The neural bases of emotion regulation. Nature Reviews Neuroscience, 16(11), 693–700. https://doi.org/10.1038/nrn4044

Forte, G., Favieri, F., Oliha, E. O., Marotta, A., & Casagrande, M. (2021). Anxiety and attentional processes: The role of resting heart rate variability. Brain Sciences, 11(4), 480. https://doi.org/10.3390/brainsci11040480

Fritze, J. G., Blashki, G. A., Burke, S., & Wiseman, J. (2008). Hope, despair and transformation: Climate change and the promotion of mental health and wellbeing. International Journal of Mental Health Systems, 2, 1–10. https://doi.org/10.1186/1752-4458-2-13

Helferich, M., Hanss, D., Doran, R., Köhler, J., Salmela-Aro, K., & Ogunbode, C. (2020, September). Associations between climate change-related efficacy beliefs, social norms, and climate anxiety among young people in Germany. EARA Conference.

Hickman, C. (2020). We need to (find a way to) talk about… Eco-anxiety. Journal of Social Work Practice, 34(4), 411–424. https://doi.org/10.1080/02615479.2020.1844166

Hickman, C., Marks, E., Pihkala, P., Clayton, S., Lewandowski, R. E., Mayall, E. E., Wray, B., Mellor, C., van & van Susteren, L. (2021). Climate anxiety in children and young people and their beliefs about government responses to climate change: A global survey. The Lancet Planetary Health, 5(12), e863–e873. https://doi.org/10.1016/S2542-5196(21)00278-3

Hogg, T. L., Stanley, S. K., O’Brien, L. V., Watsford, C. R., & Walker, I. (2024). Clarifying the nature of the association between eco-anxiety, wellbeing and pro-environmental behaviour. Journal of Environmental Psychology, 95, 102249. https://doi.org/10.1016/j.jenvp.2024.102249

Hogg, T. L., Stanley, S. K., O’Brien, L. V., Wilson, M. S., & Watsford, C. R. (2021). The Hogg Eco-Anxiety Scale: Development and validation of a multidimensional scale. Global Environmental Change, 71, 102391. https://doi.org/10.1016/j.gloenvcha.2021.102391

Hrabok, M., Delorme, A., & Agyapong, V. I. (2020). Threats to mental health and well-being associated with climate change. Journal of Anxiety Disorders, 76, 102295. https://doi.org/10.1016/j.janxdis.2020.102295

Innocenti, M., Santarelli, G., Faggi, V., Castellini, G., Manelli, I., Magrini, G., Galassi, F., & Ricca, V. (2021). Psychometric properties of the Italian version of the Climate Change Anxiety Scale. The Journal of Climate Change and Health, 3, 100080. https://doi.org/10.1016/j.joclim.2021.100080

Innocenti, M., Santarelli, G., Faggi, V., Ciabini, L., Castellini, G., Galassi, F., & Ricca, V. (2022). Psychometric properties of the Italian version of the Climate Change Worry Scale. The Journal of Climate Change and Health, 6, 100140. https://doi.org/10.1016/j.joclim.2021.100140

Kline, R. B. (2013). Exploratory and confirmatory factor analysis. In Applied Quantitative Analysis in Education and the Social Sciences (pp. 171–207). Routledge.

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Kühner, C., Gemmecke, C., Hüffmeier, J., & Zacher, H. (2025). Climate change anxiety: A meta-analysis. Global Environmental Change, 93, 103015. https://doi.org/10.1016/j.gloenvcha.2024.103015

Lazarus, R. S. (1984). Stress, appraisal, and coping. Springer. https://doi.org/10.1007/978-1-4419-1914-4

Léger-Goodes, T., Malboeuf-Hurtubise, C., Mastine, T., Généreux, M., Paradis, P. O., & Camden, C. (2022). Eco-anxiety in children: A scoping review. Frontiers in Psychology, 13, 872544. https://doi.org/10.3389/fpsyg.2022.872544

Lertzman, R. (2015). Environmental melancholia: Psychoanalytic dimensions of engagement. Routledge.

Lutz, P. K., Zelenski, J. M., & Newman, D. B. (2023). Eco-anxiety in daily life: Relationships with well-being and pro-environmental behavior. Current Research in Ecological and Social Psychology, 4, 100110. https://doi.org/10.1016/j.cresp.2023.100110

Manning, C., & Clayton, S. (2018). Threats to mental health and wellbeing associated with climate change. In Psychology and Climate Change (pp. 217–244). Academic Press. https://doi.org/10.1016/B978-0-12-813130-5.00010-7

Mazzotti, E., Fassone, G., Picardi, A., Sagoni, E., Ramieri, L., Lega, I., Camaioni, D., Abeni, D., & Pasquini, P. (2003). Il Patient Health Questionnaire (PHQ) per lo screening dei disturbi psichiatrici: Uno studio di validazione. Italian Journal of Psychopathology, 9(3), 235–242.

Patrick, R., Snell, T., Gunasiri, H., Garad, R., Meadows, G., & Enticott, J. (2023). Prevalence and determinants of mental health related to climate change in Australia. Australian & New Zealand Journal of Psychiatry, 57(5), 710–724. https://doi.org/10.1177/00048674231155915

Pihkala, P. (2020). Anxiety and the ecological crisis: An analysis of eco-anxiety and climate anxiety. Sustainability, 12(19), 7836. https://doi.org/10.3390/su12197836

Pinto, R. S., & Grove-White, S. (2020). From climate anxiety to resilient active citizenship: When primary schools, parents and environmental groups work together. Forum, 62(2), 251–266. https://doi.org/10.15730/forum.2020.62.2.251

Rocchi, G., Pileri, J., Luciani, F., Gennaro, A., & Lai, C. (2023). Insights into eco-anxiety in Italy: Preliminary psychometric properties of the Italian version of the Hogg Eco-Anxiety Scale. Journal of Environmental Psychology, 92, 102180. https://doi.org/10.1016/j.jenvp.2023.102180

Rootes, C. (2004). Environmental movements. In The Blackwell Companion to Social Movements (pp. 608–640). Blackwell.

Searle, K., & Gow, K. (2010). Do concerns about climate change lead to distress? International Journal of Climate Change Strategies and Management, 2(4), 362–379. https://doi.org/10.1108/17568691011089891

Sousa, N. (2016). The dynamics of the stress neuromatrix. Molecular Psychiatry, 21(3), 302–312. https://doi.org/10.1038/mp.2015.89

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092

Stanley, S. K., & Williamson, J. (2021). Attitudes towards climate change aid and climate refugees in New Zealand: An exploration of policy support and ideological barriers. Environmental Politics, 30(7), 1259–1280. https://doi.org/10.1080/09644016.2020.1832585

Stewart, A. E. (2021). Psychometric properties of the Climate Change Worry Scale. International Journal of Environmental Research and Public Health, 18(2), 494. https://doi.org/10.3390/ijerph18020494

Stoknes, P. E. (2015). What we think about when we try not to think about global warming: Toward a new psychology of climate action. Chelsea Green Publishing.

Strife, S. J. (2012). Children's environmental concerns: Expressing ecophobia. The Journal of Environmental Education, 43(1), 37–54. https://doi.org/10.1080/00958964.2011.602131

Wang, H., Safer, D. L., Cosentino, M., Cooper, R., Van Susteren, L., Coren, E., Nosek, G., Lertzman, R., & Sutton, S. (2023). Coping with eco-anxiety: An interdisciplinary perspective for collective learning and strategic communication. The Journal of Climate Change and Health, 9, 100211. https://doi.org/10.1016/j.joclim.2023.100211

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Published

24-12-2025

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Health Psychology