Current research consistently indicates that macro-level environmental and economic conditions have a measurable and significant impact on mental health and psychological distress.
The retrieved literature contains multiple high-quality reviews and empirical studies establishing that macroenvironmental factors, such as economic conditions, societal quality of life, and climate-driven extreme temperatures, have measurable impacts on mental health outcomes. Papers [0], [1], and [11] directly demonstrate these macro-level effects on mental health and distress. Paper [5] supports the broader link between societal quality of life and mental health symptoms. There is no contradictory evidence in the provided set.