Load shedding and mental health in South Africa: Methodological challenges of establishing causal links

Abstract

Significance: We critically interrogate assertions that load shedding has a deleterious impact on mental health and explore the  methodological challenges of establishing causal links empirically. We highlight the lack of empirical data to support a causal link and the  problem of conflating psychological distress with psychopathology. In addition, we set out the methodological problems associated  with collecting data to show that load shedding impacts the prevalence of mental disorders. While it may make superficial strategic sense  for activists to link load shedding to mental health as a political strategy to raise awareness, this approach could have long-term   negative consequences.