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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Mar 19, 2026; 16(3): 112022
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.112022
Forever chemicals and mental health: A systematic review of per- and polyfluoroalkyl substances-related psychiatric outcomes and mechanistic insights
Yi-Lin Jiang, Narina A Samah, Zhan-Shuo Xiao
Yi-Lin Jiang, Narina A Samah, Faculty of Educational Sciences and Technology, Universiti Teknologi Malaysia, Johor Bahru 81310, Johor, Malaysia
Zhan-Shuo Xiao, Guanganmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Co-corresponding authors: Yi-Lin Jiang and Narina A Samah.
Author contributions: Jiang YL wrote the original draft; Samah NA contributed to conceptualization, writing, reviewing, and editing; Jiang YL, Samah NA, and Xiao ZS participated in drafting the manuscript; Jiang YL and Samah NA contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Corresponding author: Yi-Lin Jiang, PhD, Faculty of Educational Sciences and Technology, Universiti Teknologi Malaysia, Skudai, Johor Bahru 81310, Johor, Malaysia. yilinjiangs@foxmail.com
Received: July 16, 2025
Revised: July 27, 2025
Accepted: November 12, 2025
Published online: March 19, 2026
Processing time: 227 Days and 0.8 Hours
Core Tip

Core Tip: This article synthesizes recent evidence linking per- and polyfluoroalkyl substances (PFAS) exposure to psychiatric disorders. It highlights the growing relevance of PFAS in psychiatric research, especially concerning children, pregnant women, and socioeconomically vulnerable populations. By examining epidemiological trends and biological mechanisms, the review underscores the urgent need for interdisciplinary research and policy action to mitigate the mental health risks posed by these persistent environmental contaminants.