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Abstract
In recent years, forest therapy has become a popular method for improving human health. However, guided forest therapy is not always easily accessible, and forest walking is a more convenient and feasible alternative. Therefore, it is important to determine whether forest walking has the same effect as guided forest therapy. To investigate this, we conducted a campus forest-based study in which 247 university students were randomly assigned to participate in either forest walking or guided forest therapy activities. The study measured physical and psychological interventions in participants, while controlling for the intensity of physical activity. The findings indicated that both approaches were effective in promoting stress relief and physical and mental recovery among university students. No significant difference in effectiveness was observed between the two approaches. Furthermore, we constructed a mediation model that combines the biophilia hypothesis, stress reduction theory, and attention restoration theory to investigate the psychological mechanisms underlying the restorative effects of forest activities. Our findings indicate that an increase in nature connectedness significantly predicts a reduction in state anxiety. This effect is mediated by perceived restorativeness and a combination chain of mediators from perceived restorativeness to mood. This study presents a justification for selecting forest walking as a means of stress relief when guided forest therapy is unavailable. Additionally, it enhances our comprehension of how forests contribute to the restorative effects experienced by individuals.
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Background
Before the pandemic, research had already established the potential impact of perceived life stress and social support on the mental health status of Chinese students. However, in the Post-COVID Era, the specific mechanisms linking these variables and the distinct role of online social support remain relatively unexplored.
Methods
After the cessation of China’s dynamic zeroing policy, a total of 1180 university students from Northwestern China participated in this study by completing a demographic questionnaire, as well as self-report measures assessing mental health, perceived life stress, and online social support.
Results
Approximately 25% of students exhibited psychological symptoms. When examining different categories of perceived life stress, males reported experiencing a significantly greater impact in terms of punishment and interpersonal relationships compared to females. Females experienced significantly higher levels of learning pressure compared to males. Specific types of perceived life stress were found to be significant predictors of students’ mental health status. Moreover, online social support was identified as a significant moderator in the relationship between all types of perceived life stress and mental health, irrespective of gender.
Conclusion
Our study findings unveiled two significant aspects: Firstly, the impact of perceived life stress on the mental health of students was identified as a risk factor. Secondly, the role of online social support emerged as a protective factor, particularly in the post-pandemic context. Additionally, gender-specific patterns were observed in these relationships.
This study aims to explore the effects of forest travel activities on university students’ stress affection. Forty volunteer university students participated in this study. All participants were asked to complete physiological (Heart Rate Variability) and psychological (Brief Profile of Mood State and State–Trait Anxiety Inventory) tests before and after the travel activities. The results reported that students’ heart rates were significantly lower after the forest travel activities than before. All domains of negative mood and anxiety decreased from the pre-test to the post-test. This study found that university students could feel less stressed if they went on forest travel activities.
With the progress of science and technology, humans’ ability to transform and create has been greatly enhanced, but so have the physical and mental ailments associated with environmental degradation and urbanization. Human survival and health are strongly linked to nature, and there is growing evidence that exposure to nature promotes health and well-being. However, there is currently a lack of synthesis among empirical studies on these aspects for the findings to be sufficient for informing public health strategies and social policy. Here, following basic guidelines for systematic review and meta-analysis, we searched PubMed, Web of Science, ScienceDirect, and Scopus databases in January 2023. The results of our search and analysis show that nature can improve people’s health and well-being from two aspects: physical (reduces CVDs, increases immunity, improves autonomic nervous system function, and improves sleep quality) and psychological (restores attention, improves mood, reduces stress, and improves cognitive development). The ways in which people derive health from nature are varied, and tailored, personalized, symptom-specific exposure can further increase the health benefits. More importantly, it seems that people can gain the health benefits of nature by only being exposed to it for a short time. We incorporate the existing scientific evidence in our review and develop a new heuristic point of view on the necessity of exposure to natural environments for the health of individuals.
The COVID-19 pandemic required higher education institutions to rapidly transition to Emergency Remote Instruction (ERI) with little preparation. Discussions are now underway globally to learn the lessons of COVID-19 and to use this knowledge to shape the future of learning science in higher education. In this study, we examined the experiences of instructors and students to ERI in three universities across three continents–America, Europe, and Australia. We measured the instructional strategies used by instructors including assessment types, and interaction opportunities during and outside class schedules. We also measured the learning challenges experienced by students including planning, distractions, technology, learning resources, their views on educational quality and what characterized quality interactions during ERI. Our findings suggest that most instructional strategies used by instructors changed little during ERI, although the nature of instructor and student interactions during class relied more heavily on technology. Students reported significant learning challenges which included distractions from their physical and social media environments and access to technology. Both instructors and students reported that interactions with each other and their peers were concerningly low, albeit similar to pre COVID-19 pandemic levels. There were differences in the perceptions of instructors and students on whether instructor-student interactions were better or worse online. Common among all universities, there was a large proportion of students reporting mental health and work-related stress. Lessons to be learned from the COVID-19 pandemic include ensuring more support for instructors to implement effective and equitable pedagogies and an increased recognition of the importance of practicals, and the social, interactive and hands-on aspects of learning science in higher education. We predict that the incorporation of active learning pedagogies and strategies which increase student engagement and foster a sense of belonging will be ongoing global challenges for learning science in a post COVID-19 campus.
Contact with nature may benefit, not only the bodily organism, but also the psychological self. We proposed that, assuming humans’ innate affinity for nature (the biophilia hypothesis), nature would be conducive to a sense of environment-self fit, which would be experienced as authenticity (being aligned with one’s true self). We formulated several hypotheses: (a) nature fosters authenticity, and it does so through at least four plausible mechanisms: self-esteem, basic needs satisfaction (autonomy, competence, relatedness), mindfulness, and positive affect; (b) self-esteem is the strongest mechanism overall, and autonomy is the strongest mechanism of the three basic needs; (c) self-esteem and authenticity mediate sequentially the positive impact of nature on current psychological well-being (higher life satisfaction and meaning in life); and (d) authenticity mediates the positive influence of nature on longer term psychological well-being (higher life satisfaction and meaning in life, lower depression, anxiety, and stress). We obtained support for these hypotheses across 12 studies (N = 5,512). These were diverse in terms of setting (field, laboratory), design (cross-sectional, experimental, longitudinal), methodology (varying manipulations of nature and assessment of mediators and/or dependent measures), and sampling (university/community, East Asian/Western). The findings establish nature as a correlate and determinant of authenticity, chiefly via the mechanism of self-esteem, and further establish authenticity (preceded by self-esteem) as a mediator of the positive influence of nature on psychological well-being. The findings are also generative and have policy implications.
Recently, many studies have been conducted on the impact of various elements of the natural environment, including forests, on human physical and mental health. However, little is known about the level of health benefits resulting from contact with forests depending on the type of physical activity undertaken. Therefore, in order to measure the impact of physical activity on the level of mental relaxation, a randomized experiment was conducted, which took into account three types of human physical activity: walking, cycling, and passive (without movement) observation of the forest. The study was carried out in the same forest and at the same time. Forty young people studying in Warsaw took part in the study. Four psychological questionnaires were used in the project before and after the experiment (Profile of Mood States, Schedule of Positive and Negative Affects, Recovery Scale, Subjective Vitality Scale). A pre-test was also performed in a university classroom. Research has shown that staying in the forest, regardless of the type of physical activity, brings positive health benefits in the form of an increase in positive feelings while reducing negative feelings. The results indicate that people who walk have the broadest range of benefits (cumulative benefits), in the form of less tension, reduced anger, fatigue, depression, increased concentration and greater vigor. Cyclists experienced significant benefits only in the form of reduced depression and greater vigor. The group passively observing the forest achieved statistically significant benefits only in terms of reducing fatigue and improving concentration. However, overall, the between-group results showed no statistically significant differences between the restorative effects of walking, cycling, and viewing the forest landscape. Each analyzed form of contact with the forest has a regenerating/regenerating effect (ROS scale) and contributes to the increase in vitality (SVS scale).
Background
Engineering students encounter high levels of stress, which may negatively impact their mental health. Nevertheless, engineering students who experience mental health distress are less likely than their peers to seek professional help, even when controlling for gender and race/ethnicity.
Purpose
We examined beliefs that undergraduate engineering students have about barriers and facilitators to seeking professional help for their mental health. We also sought to identify cultural and systemic factors within and beyond engineering that might affect help‐seeking. Together, these beliefs influence students' sense of personal agency around seeking mental health care.
Method
We implemented a pragmatic qualitative design that incorporated the integrated behavioral model to investigate engineering students' ( N = 33) professional mental health help‐seeking beliefs. We used thematic analysis to analyze help‐seeking beliefs and perceived barriers and facilitators that students described during interviews.
Results
We identified four themes: Navigating the system impacts personal agency; sacrifices associated with help‐seeking act as a barrier; engineering culture acts as a barrier to help‐seeking; and student confidence in help‐seeking varies significantly. These themes portray the effect of perceived barriers and facilitators on students' personal agency for accessing mental health care. Our findings have implications for engineering departments and university counseling centers that want to minimize barriers to help‐seeking.
Conclusions
Engineering stakeholders must improve access to professional help for engineering students. Implementing changes to normalize help‐seeking behaviors, enhance personal agency, and facilitate engagement with mental health resources will create better conditions for engineers. Further research is necessary to understand how other beliefs (e.g., attitudes, perceived norms) inform the relationships between student mental health, professional help seeking, and engineering culture.
Research on forest therapy and health outcomes is insufficient and involves the limited unification of various health indicators. Information on the natural therapeutic elements of forests and forest-therapy programs is insufficient. We investigated forest-therapy programs, the natural therapeutic elements of the forest environment, and health-outcome measures to standardize the health indicators of forest therapy. A systematic review was conducted on the health outcomes of forest therapy from 2010 to 2021. We summarized natural therapeutic elements and forest-therapy sites, characteristics, and health outcomes. Twenty-nine articles were analyzed. Among them, forest therapies of walking and physical activity were conducted most frequently. Additionally, a positive improvement in general sentiment condition was substantial in all vegetation environments, and a reduction in depression, psychological enhancement, stress alleviation; and an enhancement in the cardiovascular system and the endocrine system occurred in both narrow- and broad-leaved forests. Walking, five-senses stimulation, physical activities, and meditation benefited psychological and physiological outcomes. We evaluated natural therapeutic elements of the forest-environment program and health outcomes. This systematic review can be used as a reference for the planning and operation of forest-therapy programs.
Background: Based on the increasing evidence of forest on health, a research project assessed the structural certification criteria of recreational and therapeutic forests in 15 Bavarian pilot sites. The main project objectives were (1) to develop a certification standard for recreational and therapeutic forests and (2) to establish a certification and designation process. Methods: Relevant criteria were identified by a literature review. The findings, in conjunction with landscape planning principles, were used to develop a catalog of certification criteria, which was then tested and amended in field testing in the pilot sites. Results: The criteria catalog for recreational and therapeutic forests was structured into four sections: general requirements, forest-specific requirements, safety and infrastructure, and preventive and/or therapeutic interventions. At 13 pilot sites, 13 recreational forests and 3 therapeutic forests were designated, 47 professionals were trained, the designation process and a certification body were established, and the results were published in a manual (BayKK KuH). Conclusions: This newly developed Bavarian certification standard for recreational and therapeutic forests represents an innovative synthesis of science and empirical on-site experience. It enables interested parties to develop a recreational or therapeutic forest on the basis of transparently published standards in order to use the health-promoting effects of the forest in prevention and therapy.
Forest healing, also known as forest therapy, has been documented as preventive therapy to enhance health. Primarily, many studies have indicated the benefits of a guided forest-healing program operated under the guidance of a forest therapist. However, little is known about the benefits of a self-guided forest healing program carried out alone, without a guide. Therefore, the purpose of the current study was to investigate the psychological benefits of a self-guided forest healing program. We designed a randomized 3 × 3 crossover study. Twenty-three university students were randomly exposed to three different conditions: a self-guided forest healing program, a guided forest-healing program, and routine activities. Measures included the Profile of Mood State (POMS) and the State-Trait Anxiety Inventory-X1 (STAI-X1). As a result, self-guided and guided forest-healing programs significantly improved subjects’ mood states and anxiety symptoms compared to routine activities. Participating in a forest healing program with guides and participating in a self-guided forest healing program both provided psychological benefits for subjects, showing that self-guided programs can be effectively combined with forest healing. These findings suggest new ways to utilize forest healing to improve mental health. Therefore, the self-guided forest healing program proposes a complementary use of the guided forest-healing program in a modern urbanized society.
Forest therapy is an emerging holistic health practice that uses multisensory immersive engagements in forest settings to achieve health and wellbeing outcomes. Many forest therapy engagements take place via slow walks along a trail to optimally experience the array of sensory phenomena afforded along the route, yet surprisingly few forest therapy studies to date have investigated the characteristics of forest sites and trails that give rise to healthful experiences. In this research, we employ a hybrid approach to understand the conditions and features that contribute to a good forest therapy trail, using interviews with forest therapy guides to identify and highlight concepts for further refinement and structuring via a broad, integrative review of the relevant research and planning literature. Through this iterative approach, we identify and describe three site-related criteria (landscape character and quality, tranquility, and accessibility) and two trail-related criteria (design and construction and key features and qualities), each with a number of sub-criteria detailing specific conditions and considerations. This effort helps build a conceptual foundation and evidence base for assessment procedures that can be used to identify existing trails and design new ones that meet the needs of forest planners, managers, guides, and participants for the growing international practice of forest therapy.
Although many studies have suggested that nature-based activities have a healing effect on human beings, there is little research on the underlying mechanism. This study investigated the role of nature connectedness in the relationship between the perception of nature and individuals’ physical and psychological health. We recruited essential workers who participated in disease prevention and control during the COVID-19 pandemic and their family members as the subjects for this study. The stress levels experienced by this group made them an ideal sample. The results of a survey-based study showed that nature-based activities had a positive effect on alleviating state anxiety levels. The results also showed that nature-based activities affected perceived restoration via the feeling of nature connectedness. This study examined the healing effect of nature-based activities that stimulate the five senses and nature connectedness and explored the potential of nature-based treatments for people experiencing high levels of stress.
The effects of urbanization on the health of city dwellers have spurred research on the health-promoting benefits of forest exposure, and potential health-promoting benefits of human-nature relationships. In this meta-analysis, meta-regression, and systematic review, we aimed to analyze how forest-based interventions improved overall well-being through psychological and physiological changes by examining psychological scores and biomarkers. In December 2021, systematic searches were conducted on bibliographic databases (PubMed, Embase, and Cochrane) for studies involving psychological scores and physiological indicators. Data from 17 studies with 1418 participants showed that psychological symptoms (anxiety, depression, anger, fatigue, confusion, vigor), systolic blood pressure (BP), and malondialdehyde levels significantly improved in the forest-exposed group compared to in the nonexposed group, with high heterogeneity (I2 = 66%–93%). Well-being-related psychological symptoms (friendliness, well-being, attention deficit hyperactivity disorder, self-esteem) and physiological markers (diastolic BP and cortisol) exhibited better tendencies in the forest-exposed group, with high heterogeneity (I2 = 16%–91%), and meta-regression showed that moderators (age, country group, number of participants, study design, female participation rate, BMI) were significantly associated with forest-related therapeutic effects. In conclusion, forest visits have health-promoting effects that reduce the incidence of stress and lifestyle-related diseases, and are positively associated with psychological and physiological health.
Forest therapy bases are essential ecological recreational locations to promote mental and physical health while at the same time allowing people to enjoy and appreciate the forest. The article took Japan, where the development of forest therapy is in a mature stage, as the research object. Using multi-data and the methodologies of Kernel Density Analysis in ArcGIS and GeoDetector, the spatial distribution characteristics of Japan’s forest therapy bases were investigated, as well as the influencing factors. The results reveal that the spatial distribution of forest therapy bases in Japan is unbalanced, with an aggregated distribution in economically developed and densely populated areas. The spatial density of natural landscape resources, Gross Domestic Product (GDP), the spatial density of population, distance from three major metropolitan areas, rail transit ridership, and spatial density of tourism resources are factors influencing the distribution of forest therapy bases in Japan. The factors interact with each other, forming the spatial distribution pattern. Among these factors, GDP has the greatest explanatory power for the spatial distribution of forest therapy bases in Japan, followed by the distance from Japan’s three major metropolitan areas and spatial density of tourism resources, while the spatial density of population, spatial density of natural landscape resources, and rail transit ridership have a relatively weaker influence on forest therapy bases in Japan. The findings provide some insight into the macroscopic layout of forest therapy bases in various regions of different countries, demonstrating that excellent transportation facilities and good natural resources are the fundamental considerations for the location of forest therapy bases and that densely populated urban areas with a strong economic foundation are key areas for the development of forest therapy bases. Additionally, to take advantage of industrial agglomeration and synergize regional development, considerations for merging with existing resources, such as national parks, forest parks, and recreation forests, should be made.
To explore the effects of forest therapy in the Kranjska Gora tourist destination, experimental research on 50 tourists was implemented. By designing and following a specific forest therapy protocol, the physiological stress markers and psychological effects on tourists were measured. The results provide clear evidence of positive effects and health benefits on tourists. Additionally, the forest therapy experience is presented through the tourists’ fit-back and perception. The research results could be very useful for destination management, tourist providers, and the development of a forest therapy tourism activities, as well as the well-being forest tourism.
Since living in cities is associated with an increased risk for mental disorders such as anxiety disorders, depression, and schizophrenia, it is essential to understand how exposure to urban and natural environments affects mental health and the brain. It has been shown that the amygdala is more activated during a stress task in urban compared to rural dwellers. However, no study so far has examined the causal effects of natural and urban environments on stress-related brain mechanisms. To address this question, we conducted an intervention study to investigate changes in stress-related brain regions as an effect of a one-hour walk in an urban (busy street) vs. natural environment (forest). Brain activation was measured in 63 healthy participants, before and after the walk, using a fearful faces task and a social stress task. Our findings reveal that amygdala activation decreases after the walk in nature, whereas it remains stable after the walk in an urban environment. These results suggest that going for a walk in nature can have salutogenic effects on stress-related brain regions, and consequently, it may act as a preventive measure against mental strain and potentially disease. Given rapidly increasing urbanization, the present results may influence urban planning to create more accessible green areas and to adapt urban environments in a way that will be beneficial for citizens’ mental health.
Objective
Nature Connectedness, an individual’s cognitive, affective, and behavioral connection with the natural world, has been linked to various health and well-being outcomes. As Nature Connectedness can be elicited and strengthened through direct contact with nature, in the past decade studies have investigated whether similar effects can be achieved through technologies that simulate highly immersive and realistic experiences of nature, such as Immersive Virtual Nature. This protocol describes the methodology for a systematic review that will summarize the existing evidence on the effects of Immersive Virtual Nature on Nature Connectedness in non-clinical populations.
Methods
The review will be conducted following the guidelines of Preferred Reporting Items for Systematic Reviews and MetaAnalyses. Terms such as “immersive virtual environment,” “natural setting*,” and “contact with nature” were searched in Scopus, WebOfScience, GoogleScholar, Medline, and GreenFILE (22–28 November 2021). Papers in English, describing experimental studies, with or without control/comparison, and testing the effects of Immersive Virtual Nature interventions on Nature Connectedness outcomes in non-clinical populations were included. The risk of bias will be assessed using Cochrane’s Risk of Bias 2 for randomized studies, and the Risk Of Bias In Non-randomized Studies - of Interventions. The data synthesis will be performed through meta-analysis, assuming that the Cochrane Consumers and Communication Group guidelines are met.
Conclusion
The findings will be relevant for understanding the potential and challenges of Immersive Virtual Nature as a tool to promote health and well-being in the general population, providing information on the consistency and limitations of the existing literature and recommendations for future research.
The important contributions of urban trees and green spaces to for example, climate moderation and public health are widely recognized. This paper discusses guidelines and norms that promote the benefits of viewing green, living amongst green, and having easy access to green spaces for recreational use. Having trees and other vegetation in sight from one’s home, place of work, or school has important mental health and performance benefits. Local tree canopy cover is positively associated with cooling and other aspects of climate moderation. The availability of public green spaces in proximity to one’s home stimulates regular use of these areas and results in positive impacts on mental, physical, and social health. After analyzing existing guidelines and rules for urban green space planning and provision, a new, comprehensive guideline is presented, known as the ‘3–30–300 rule’ for urban forestry. This guideline aims to provide equitable access to trees and green spaces and their benefits by setting the thresholds of having at least 3 well-established trees in view from every home, school, and place of work; no less than a 30% tree canopy in every neighbourhood; and no more than 300 m to the nearest public green space from every residence. Current implementation of this new evidence-based guideline is discussed, as well as the advantages and disadvantages of using it.
Forests have provided support for human health and survival since ancient times. With improved public awareness of health issues and the importance of forest ecological functions, forest therapy has gradually gained momentum. Forest therapies have been applied around the world as preventive and alternative therapies to promote human health. As a safe, side-effect-free, low-cost, preventive, and alternative therapy, forest therapy has been scientifically proven to promote physical and mental health in humans. However, the forest therapy service system is still underdeveloped, and forest therapy has not become a mainstream part of clinical medical treatment methods in most countries worldwide. Therefore, in order to better present the development path and current situation of forest therapy in different countries and provide guidance for how other countries can develop similar interventions and clinical sites to base these activities, this study uses Germany, Japan, and China as examples to systematically tease out how forest therapy has developed and the status of forest therapy services in different countries, as well as the health benefits of forest therapy. Furthermore, the key components and traditional cultural and socioeconomic backgrounds related to forest therapy are discussed. Finally, based on published empirical research, we believe that forest therapy can be a solution to public health problems thanks to its multiple, medically proven health benefits. Forest therapy facilitates the return of people to the forest and nature to achieve health and well-being effects. However, there is a need for more research on the mechanisms (such as the immune system, endocrine system, nervous system, etc.) underlying forest therapy’s effectiveness, which should include strengthened collaborations between disciplines. In addition, the role of forest therapy services in promoting human health needs to be emphasized.
Exposure to forest environments promotes human health. The number of relevant studies in this area has increased rapidly. However, an overall review of relevant analyses from the perspectives of bibliometrics and visualization is lacking. A scientometric analysis of 2,545 publications from 2007 to 2021 via the Web of Science database was conducted to identify the knowledge structure and frontiers objectively. The publications were subsequently analyzed in terms of the distribution of journals and countries, citation bursts, major subject areas, and evolutionary stages. The findings showed that the knowledge foundation of forest therapy was multidisciplinary with most published in the fields of environmental sciences and ecology but lacking input from social disciplines. The research hotspots evolved from the early focus on individual benefits obtained from nature to increasing attention on human well-being at the social-ecological scale. More rigorous experiments with strict randomized controlled trials and blinding are needed to accommodate the trend of forest therapy toward non-pharmacological treatments. According to Shneider’s four-stage theory, forest therapy research is in the third stage of the scientific research process. More future studies utilizing novel technologies and decision-making frameworks to solve practical issues are needed for introducing health into policies and promoting human well-being.
Background
Few studies on anxiety in China have used the full version of the Spielberger State-Trait Anxiety Inventory (STAI) due to its length, despite its numerous advantages. The goal of this study was to develop a short Chinese version of the STAI and examine its reliability and validity among the general Chinese population and psychiatric patients diagnosed with anxiety.
Method
A total of 1,142 participants were invited to test the short Chinese version of the STAI; item analysis, validity testing and internal consistency reliability analysis were performed. Subsequently, 40 participants were enrolled to assess retest reliability 1 week later. Finally, 330 participants, including 33 psychiatric patients with anxiety, were used to assess the criterion and empirical validity. The Self-Rating Anxiety Scale (SAS) and Satisfaction with Life Scale (SWLS) were used as criteria, and receiver operating characteristic (ROC) analysis was conducted to evaluate the discrimination of the short version of the STAI between the groups with and without anxiety disorders.
Result
The short Chinese version of the STAI contains six items for each subscale (STAI-S-6 and STAI-T-6). The Pearson correlation coefficients between the two shortened Chinese versions of the STAI and the full-length STAI were 0.970 and 0.962, the Cronbach’s α coefficients were 0.871 and 0.842, and the retest reliability values were 0.728 and 0.813 (p < 0.001). Confirmatory factor analysis showed that the 2-factor model achieved an adequate model fit: for the STAI-S-6, CFI = 0.986, TLI = 0.974, and RMSEA = 0.075, and for the STAI-T-6, CFI = 0.994, TLI = 0.988, and RMSEA = 0.052. The short Chinese version of the STAI had a significant positive correlation with the SAS score (r = 0.289, 0.313; p < 0.001) and a negative correlation with the SWLS score (r = −0.476, 0.554; p < 0.001). A significant difference in the level of anxiety was found between participants with and without anxiety disorders. The diagnostic accuracy of the STAI-S-6 and STAI-T-6 for major anxiety disorder was acceptable, with areas under the ROC curves of 0.798 and 0.745, respectively.
Conclusion
The short Chinese version of the STAI demonstrates sound psychometric properties and is applicable in evaluating the level of anxiety in Chinese populations.
This study aimed to test the mediating effects of nature restorativeness, stress, and nature connectedness in the association between nature exposure and quality of life (QoL). Urban and rural Lithuanian inhabitants (n = 924; 73.6% were women), mean age of 40.0 ± 12.4 years (age range of 18–79) participated in the study. In total, 31% of the respondents lived in rural areas. Study participants completed an online survey form with measures on sociodemographic factors, nature proximity, nature exposure, nature connectedness, and nature restorativeness, stress, and QoL assessed by the abbreviated version of the World Health Organization’s Quality of Life Questionnaire’s (WHOQOL-BREF). Path analysis was conducted to test the mediating effects of nature restorativeness, stress, and nature connectedness in the model of nature exposure and QoL. Nature exposure was directly associated with a greater QoL (β = 0.14; B = 2.60; SE = 0.57; p < 0.001) and mediated the association between nature proximity and QoL. Nature restorativeness and lower stress levels were mediators between nature exposure and QoL. Nature connectedness was a mediator between nature exposure and QoL. A path model was invariant across genders and the urban and rural place of residence groups: patterns of loadings of the pathways were found to be similar. Nature restorativeness (β = 0.10–0.12; p < 0.01) had a positive effect on the psychological, physical, social, and environmental domains of QoL. Connectedness to nature positively predicted psychological (β = 0.079; p < 0.05) and environmental (β = 0.082; p < 0.05) domains of QoL. Enhancing nature exposure and nature connectedness might help strengthen QoL in urban and rural inhabitants.
Large populations worldwide have been deprived from nature experiences due to mass quarantines and lockdowns during the COVID-19 pandemic, and face a looming mental health crisis. Virtual reality offers a safe and practical solution to increase nature exposure. This research examined the effects of virtual nature using a within-subject design with young adults (Study 1) and senior citizens (Study 2). Results from the young adult sample showed that walking in a virtual forest reduced negative affect due to enhanced nature connectedness, and reduced stress measured by heart rate. Consistently, the senior citizen sample reported improved positive affect due to enhanced nature connectedness after the virtual nature walk. Our findings unveil the underlying mechanism of how virtual nature may improve psychological well-being and demonstrated how virtual nature can be used as an intervention to promote mental health.
Supplementary information:
The online version contains supplementary material available at 10.1007/s10055-021-00604-4.
Many studies have proved that having nature experiences in forests is conducive to human physiological and psychological health. However, currently there is little research focusing on the effects of forest characteristics and the experiential characteristics of nature experiences on changes in health. In the study, three types of forest (mixed forest; deciduous forest; coniferous forest) and an urban site were used to measure the effects of these environments on participants’ physiological and psychological restoration after nature experience activities (sitting and walking activities). The study participants were 30 young adult students from Beijing Forestry University. Restorative effects were measured by physiological indicators (blood pressure and heart rate) and four psychological questionnaires (Profile of Mood States (POMS); Restorative Outcome Scale (ROS); Subjective Vitality Scale (SVS); Warwick-Edinburgh Mental Well-being Scale (WEMWBS)). Results demonstrated that all types of forest were beneficial to lower blood pressure and heart rate as well as to reduce negative feelings while boosting positive emotions. The mixed forest was more effective in lowering blood pressure and heart rate as well as increasing vitality. The levels of restoration and positive mental health increased significantly, while all subscales of the POMS (with the exception of vigor) decreased greatly in the coniferous forest. Relative to the sitting activity, obvious decreases in blood pressure and negative emotions were observed, while significant increases in restoration, vitality and positive mental health were observed after the walking activity. In conclusion, the impact on subjects’ health restoration varied with different forest characteristics, and the experiential characteristics of exposure may be helpful for creating supportive interventions and lifting the benefits of forest therapy as people interact with the forest.
Existing studies have demonstrated the restorative benefits of being in forests. However, most studies have designed participants to engage individually in forest walking and viewing, which neglects the social aspect of conversation. Researchers suggested that social context should be studied in order to have a better understanding how forests foster human health. To this end, we examined the role of social context using three types of forest therapy programs: a guided program, a self-guided program, and a walk alone program. A between-subject, pretest–posttest field experimental design was employed to evaluate restorative effects by measuring the physiological responses and mood states incurred in different forest therapy programs. Our findings showed, that the walk alone group exhibited a significant systolic blood pressure decrease and a significant increase in sympathetic nervous activity; the self-guided group showed a significant increase in heart rate values and significant decreases in systolic blood pressure and diastolic blood pressure; and the guided group revealed a significant decrease in systolic blood pressure. Further, the three forest therapy programs had positive effects on improving mood states, except a nonsignificant vigor–activity increase in the walk alone group. The three programs did not exhibit significant differences in changes of restorative benefits in physiological and psychological measures except for a significant difference in changes in sympathetic nervous activity between the walk alone group and guided group. The results showed the restorative benefits of forest therapy are apparent regardless of the program type. The management team should continue promoting forest therapy for public health by providing different types of forest therapy programs and experiences.
Background
The importance of health literacy in dealing with the COVID-19 epidemic has been emphasized but scarcely addressed empirically. In this study, the association of health literacy with mental health, compliance with COVID-19 preventive measures and health prospects was assessed in a Belgian context.
Methods
Data were extracted from the third of a series of cross-sectional online COVID-related surveys ( n = 32,794). Data collection took place for 1 week starting the 28th of May 2020. People residing in Belgium and aged 18 years or older could participate. Data were collected on sociodemographic background, health literacy, multimorbidity, mental health (depression, anxiety, sleeping disorder, vitality), knowledge about COVID-19, compliance with COVID-19 measures (hygiene, physical distance, covering mouth and nose on public transport and in places where physical distance cannot be respected), and health prospects (risk for health when returning to normal life and possibility of infection). Prevalence Ratio (PR) of poor mental health, non-compliance with the measures and health prospects in relation to health literacy were calculated using Poisson regressions.
Results
People showing sufficient health literacy were less likely to suffer from anxiety disorders (PR = 0.47, 95% CI = [0.42–0.53]), depression (PR = 0.46, 95% CI = [0.40–0.52]) and sleeping disorders (PR = 0.85, 95% CI = [0.82–0.87]), and more likely to have optimal vitality (PR = 2.41, 95% CI = [2.05–2.84]) than people with low health literacy. They were less at risk of not complying with the COVID-19 measures (PR between 0.60 and 0.83) except one (covering mouth and nose in places where physical distance cannot be respected). Finally, they were less likely to perceive returning to normal life as threatening (PR = 0.70, 95% CI = [0.65–0.77]) and to consider themselves at risk of an infection with COVID-19 (PR = 0.75, 95% CI = [0.67–0.84]). The associations remained significant after controlling for COVID-19 knowledge and multimorbidity.
Conclusions
These results suggest that health literacy is a crucial factor in managing the COVID-19 epidemic and offer a perspective for future studies that target health literacy in the context of virus outbreaks.
There are generally two types of forest therapy. One is to walk or view the forest alone without a guide, and the other is to be accompanied by a guide. This study aimed to investigate the healing factors and health benefits of self-guided forest therapy and guided forest therapy programs and examine the differences in characteristics between interventions. Thirty-seven undergraduate students participated in a randomized experiment (19 in the self-guided forest therapy and 18 in the guided forest therapy program). Data were collected from 111 self-reported essays after each intervention (three essays per person). Results revealed that the forest healing factors contained four categories in common: auditory element, visual element, tactile element, and olfaction element. Forest therapy’s health benefits included five categories in common: change of mind and body, introspection, change of emotion, cognitive change, and social interaction. Among the typical differences, the self-guided forest therapy group mentioned more keywords related to introspection than the guided forest therapy program group. On the other hand, the guided forest therapy program group mentioned more keywords associated with the change of emotion and social interaction than the self-guided forest therapy. Our findings show that self-guided forest therapy provides an opportunity for self-reflection to focus on and think about one’s inner self. On the other hand, guided forest therapy programs provide positive emotional changes and promoting social bonds through interaction with others. Therefore, because the effects that can be obtained vary depending on the type of forest therapy, participants can utilize forest healing to suit the desired outcomes.
Background: The aim of this systematic review of systematic reviews was to identify, summarise, and synthesise the available evidence of systematic reviews (SRs) and meta-analyses (MAs) on the preventative and therapeutic psychological and physical effects of forest-based interventions. Methods: Both bibliographic databases and grey literature sources were searched for SRs and MAs published until May 2020. Eight databases were searched for relevant articles: MEDLINE, Embase, Web of Science, Cochrane Library, PsycInfo, CiNii, EBSCO, and Scopus. Grey literature was sourced from Google Scholar and other web-based search tools. SRs and MAs that included randomised controlled (RCT), non-randomised controlled (NRCT), and non-controlled trials (NCT) on health-related effects of forest-based interventions were eligible if they had searched at least two databases. The methodological quality of eligible reviews was assessed by AMSTAR-2. Results: We evaluated 11 systematic reviews covering 131 different primary intervention studies, mostly from Asian countries, three of which included supplementary meta-analyses. The quality assessment resulted in moderate confidence in the results of two reviews, low confidence in six, and critically low confidence in three. The results of the eight moderate and low-rated reviews indicated that forest-based interventions are beneficial to the cardiovascular system, immune system, and mental health (in the areas of stress, depression, anxiety, and negative emotions). Evidence for the effectiveness of forest-based interventions on metabolic parameters in adults, the severity of atopic dermatitis in children and adolescents, and social skills and sociality in healthy primary school children was weak. Discussion/Conclusions: Evidence suggests beneficial therapeutic effects of forest-based interventions on hypertension, stress, and mental-health disorders, such as depression and anxiety. Changes in immunological and inflammatory parameters after forest therapy should be verified in bio-geographically native forests. In the future, more attention should be paid to careful planning, implementation, and reporting of primary studies and to systematic reviews on the effects of forest-based interventions.
Here we investigate whether perceived biodiversity is linked to emotional wellbeing, taking into account the individual level of connection to nature, and whether such relationship is mediated by perceived restorativeness. We exposed participants to urban trails of different biodiversity levels and analysed the data using linear mixed-effects and structural equation models. Our results show that animal diversity and nature relatedness are positively linked to perceived restorativeness that, in turn, increases positive affect and decreases negative affect; thus suggesting that restoration mediates the effect of biodiversity on emotional wellbeing. We also found walk duration is linked to increased positive affect and reduced negative affect while crowdedness level in the trail has the opposite effect. Our results show an important link between urban biodiversity conservation and public mental health.
Do people classify nature in ways that can be described as archetypes? Could it be that these can be interpreted as health promotive? More and more researchers today suggest that archetypes can be used to analyze, describe, and develop green spaces. In parallel, an increasing number of research results since the 1980s have shown that human health and well-being are positively affected by stays in certain nature areas. The qualities in these nature areas which stand out to be most health-promoting are interpreted to be properties of nature that humans through evolution are prepared to perceive in a positive way. In this study, 547 respondents in southern Sweden answered a questionnaire on properties in natural areas. Through cluster analysis, these properties have been grouped into 10 types of nature and landscape. The 10 clusters are related to specific phenomena and places in Scandinavian nature, which could be described as archetypal. These natural phenomena and places are discussed, partly based on references to archaic Scandinavian mythology, Scandinavian lifestyle, and cultural canon, and partly on research on evolution, human preferences, and how nature can affect human health. We discuss how these nature archetypes evoke anxiety, fear, and distancing as well as calmness, tranquility, and connection. However, researchers have so far focused on how visits to natural environments have affected the sympathetic nervous system, and not realized the possibility of including the calm and connection system as well as the oxytocin in their explanatory models. In a follow-up article, we intend to develop a model for how the nature archetypes can interact with the calm and connection system.
Exposure to ‘real’ nature can increase positive affect and decrease negative affect, but direct access is not always possible, e.g. for people in health/care settings who often experience chronic boredom. In these settings ‘virtual’ forms of nature may also have mood-related benefits (e.g. reducing boredom) but it has been difficult to separate effects of nature content from those of delivery mode. The present laboratory-based study explored whether exposure to three different delivery modes of virtual nature could reduce negative affect (including boredom) and/or increase positive affect. Adult volunteer participants (n = 96) took part in a boredom induction task (to simulate the emotional state of many people in health/care settings) before being randomly assigned to view/interact with a virtual underwater coral reef in one of three experimental conditions: (a) 2D video viewed on a high-definition TV screen; (b) 360⁰ video VR (360-VR) viewed via a head mounted display (HMD); or (c) interactive computer-generated VR (CG-VR), also viewed via a HMD and interacted with using a hand-held controller. Visual and auditory content was closely matched across conditions with help from the BBC's Blue Planet II series team. Supporting predictions, virtual exposure to a coral reef reduced boredom and negative affect and increased positive affect and nature connectedness. Although reductions in boredom and negative affect were similar across all three conditions, CG-VR was associated with significantly greater improvements in positive affect than TV, which were mediated by greater experienced presence and increases in nature connectedness. Results improve our understanding of the importance of virtual nature delivery mode and will inform studies in real care settings.
Nature exposure has been renowned for its positive physiological and psychological benefits. Recent years have seen a rise in nature immersion programs that make use of Guided Forest Therapy walks in a standard sequence of sensory awareness activities to expose participants to natural environments in a safe but effective manner. The study aimed to compare the efficacy of guided versus unguided nature immersion, upon three dependent variables of mood, nature connectedness and heartrate. 51 participants were assigned to either guided or unguided nature immersion. Nature connectedness (Connectedness to Nature Scale, CNS), Environmental Identity Scale, EID short form) and mood (Positive and Negative Affect Scale, PANAS) were assessed before and after nature immersion, while heart rate was tracked continuously by a wristwatch heart rate tracker throughout the 2-h experience. Demographics and general health practice (GHP) information were also collected. A mixed model ANOVA revealed that nature connectedness and mood (but not heart rate) improved post-immersion for all participants. Comparing the guided/unguided conditions, there were no significant differences in the change in nature connectedness, mood or heart rate. Comparing within the five segments within the standard sequence in the guided condition, the third and fifth segments revealed a significantly lower heart rate compared to the baseline heart rate.
Shinrin-yoku (forest-bathing), immersing oneself in nature using one's senses, has been receiving increased attention internationally. While most of the existing studies have focused on physical health, this systematic review and meta-analysis examined the mental health benefits of shinrin-yoku (i.e., depression, anxiety, anger), using the PRISMA guidelines (PROSPERO registery: BLINDED). Articles in English were retrieved on research databases including PubMed/MEDLINE, PsycINFO, Science Direct, and Google Scholar. Of 481 articles retrieved, twenty met the inclusion criteria (eight non-randomised and twelve randomised controlled trials). All studies were conducted in Asia and Europe and used a variety of different bathing approaches (e.g., breathing, walking, yoga). While noting a need for more rigorous research and more extensive follow-up assessments, the findings indicate that shinrin-yoku can be effective in reducing negative mental health symptoms in the short-term (large effects, g> .80); particularly, the effects on anxiety were largest. Overall, forest bathing improved depression, anxiety and anger in the short-term but there were a number of moderators of the effects. More careful examination of shinrin-yoku practices are needed; longer follow-up with participants from a range of countries along with greater examination of potential mechanisms of action are needed for shinrin-yoku to be accepted into mainstream interventions.
The aim in this literature review was (1) to explore the physiologically and psychologically therapeutic benefits of forest bathing on adults suffering from pre-hypertension or hypertension, and (2) to identify the type, duration, and frequency of an effective forest bathing intervention in the management of pre-hypertension and hypertension, so as to provide directions for future interventions or research. The electronic databases PubMed, Cochrane Library, CINAHL, PsyINFO, and the China Academic Journals (CAJ) offered through the Full-text Database (CNKI) were searched for relevant studies published from the inception of the databases to April 2019. Of the 364 articles that were identified, 14 met the criteria for inclusion in this review. The synthesis of the findings in the included studies revealed that forest bathing interventions were effective at reducing blood pressure, lowering pulse rate, increasing the power of heart rate variability (HRV), improving cardiac-pulmonary parameters, and metabolic function, inducing a positive mood, reducing anxiety levels, and improving the quality of life of pre-hypertensive or hypertensive participants. Forest walking and forest therapy programs were the two most effective forest bathing interventions. Studies reported that practicing a single forest walking or forest therapy program can produce short-term physiological and psychological benefits. It is concluded that forest bathing, particularly forest walking and therapy, has physiologically and psychologically relaxing effects on middle-aged and elderly people with pre-hypertension and hypertension.
Background
Many adolescents in special education are affected by anxiety in addition to their behavioral problems. Anxiety leads to substantial long-term problems and may underlie disruptive behaviors in the classroom as a result of the individual’s inability to tolerate anxiety-provoking situations. Thus, interventions in special needs schools that help adolescents cope with anxiety and, in turn, diminish disruptive classroom behaviors are needed.
Objective
This study aimed to evaluate the effect of a virtual reality biofeedback game, DEEP, on daily levels of state-anxiety and disruptive classroom behavior in a clinical sample. In addition, the study also aimed to examine the duration of the calm or relaxed state after playing DEEP.
MethodsA total of 8 adolescents attending a special secondary school for students with behavioral and psychiatric problems participated in a single-case experimental ABAB study. Over a 4-week period, participants completed 6 DEEP sessions. In addition, momentary assessments (ie, 3 times a day) of self-reported state-anxiety and teacher-reported classroom behavior were collected throughout all A and B phases.
ResultsFrom analyzing the individual profiles, it was found that 6 participants showed reductions in anxiety, and 5 participants showed reductions in disruptive classroom behaviors after the introduction of DEEP. On a group level, results showed a small but significant reduction of anxiety (d=–0.29) and a small, nonsignificant reduction of disruptive classroom behavior (d=−0.16) on days when participants played DEEP. Moreover, it was found that the calm or relaxed state of participants after playing DEEP lasted for about 2 hours on average.
Conclusions
This study demonstrates the potential of the game, DEEP, as an intervention for anxiety and disruptive classroom behavior in a special school setting. Future research is needed to fully optimize and personalize DEEP as an intervention for the heterogeneous special school population.
As a result of rapid urbanization and urban sprawl, natural ecosystems are shrinking or are fragmented, affecting people’s health and quality of life. Modern people prefer to live in large cities rather than rural areas because of greater convenience and more comfortable living conditions. As a consequence, people are suffering from many psycho-physiological health problems and have a longing for natural environments to escape the concrete jungle. Forest therapy has emerged as a preventive and alternative therapy to cope with stress and enhance people’s health and wellbeing as a result of spending time in a green and healthy environment. Here, we review the activities related to forest therapy in China and discuss the commonalities and differences between the forest therapy types. Furthermore, we summarize the current achievements of forest therapy in basic research and the development of the forest therapy industry. We also describe the challenges that forest therapy has been facing. Finally, we provide suggestions for further development in research and industry.
Nature prescriptions are gaining popularity as a form of social prescribing in support of sustainable health care. This systematic review and meta-analysis aims to synthesise evidence on the effectiveness of nature prescriptions and determine the factors important for their success. We searched five databases from inception up to July 25, 2021. Randomised and non-randomised controlled studies featuring a nature prescription (ie, a referral or an organised programme, by a health or social professional, to encourage spending time in nature) were included. Two reviewers independently conducted all steps of study selection; one reviewer collected summary data from published reports and conducted the risk of bias assessment. Random-effect DerSimonian-Laird meta-analyses were conducted for five key outcomes. We identified 92 unique studies (122 reports), of which 28 studies contributed data to meta-analyses. Compared with control conditions, nature prescription programmes resulted in a greater reduction in systolic blood pressure (mean difference –4·82 mm Hg [–8·92 to –0·72]) and diastolic blood pressure (mean difference –3·82 mm Hg [–6·47 to –1·16). Nature prescriptions also had a moderate to large effect on depression scores (post-intervention standardised mean difference –0·50 [–0·84 to –0·16]; change from baseline standardised mean difference –0·42 [–0·82 to –0·03]) and anxiety scores (post-intervention standardised mean difference –0·57 [–1·12 to –0·03]; change from baseline standardised mean difference –1·27 [–2·20 to –0·33]). Nature prescriptions resulted in a greater increase in daily step counts than control conditions (mean difference 900 steps [790 to 1010]) but did not improve weekly time of moderate physical activity (mean difference 25·90 min [–10·26 to 62·06]). A subgroup analysis restricted to studies featuring a referring institution showed stronger effects on depression scores, daily step counts, and weekly time of moderate physical activity than the general analysis. Beneficial effects on anxiety and depression scores were mainly provided by interventions involving social professionals whereas beneficial effects on blood pressures and daily step counts were provided mainly by interventions involving health professionals. Most studies have a moderate to high risk of bias. Nature prescription programmes showed evidence of cardiometabolic and mental health benefits and increases in walking. Effective nature prescription programmes can involve a range of natural settings and activities and can be implemented via social and community channels, in addition to health professionals.
There is a growing awareness that spending time in nature is associated with improvement of well-being; nevertheless, the prescription of forest bathing is still limited. The aim of this systematic review was to explore the physiological and psychological benefits of different forest therapies on healthy and pathological elderly populations (>60 years) to identify the most-effective type, duration, and frequency of these interventions. A search for literature was carried out in December 2021 using PubMed, EMBASE, ResearchGate, Google Scholar and Web of Science. Grey literature was searched as well. After removal of the duplicates, within the 214 articles identified, ten met the inclusion criteria. The methodological quality of the selected studies was rated. Forest walking, alone and in combination with other activities is the most effective intervention. The selected studies reported a positive impact on physical components, including reduction in blood pressure and heart rate and improvements in cardiopulmonary and neurochemical parameters. Favorable modifications have also been noted in the psychological field, with improvements in depression, stress levels and in quality of life perception. In conclusion, forest walking may play an important role in promoting physical and mental health in healthy and pathological elderly populations. However, the lack of high-quality studies limits the strength of the results, calling for more trials.
Due to intense urbanization in the last decade, high-density city has become a major type of human habitat globally. In those cities, oppressiveness has been recognized as a dominating environmental perception. Stress Reduction Theory is a leading theory that explains the relationship between environmental exposure and mental stress. However, the theory missed that perceived oppressiveness may substantially explain impacts of environmental exposure on mental stress in the context of high-density city. This study aimed to address that significant theoretical deficiency. A new pathways model was proposed to investigate whether and to what extent environmental exposure impacts mental stress through perceived oppressiveness.
To test this pathways model, we conducted an online photo-based experiment with Hong Kong city residents. Firstly, we used a grid method to randomly choose 90 street spots in the city area. We created one GIF image by integrating nine Google Street photos to cover the full 360° viewshed for each spot. The percentage of all streetscape elements for each GIF image was measured. Then, 1396 participants were randomly assigned to view three of 90 GIF images. After viewing each image, participants reported perceived oppressiveness, perceived environmental quality, and acute mental stress responses. Lastly, participants reported their socioeconomic, demographic, and other background information.
We identified three pathways linking streetscapes to mental stress response. After controlling for covariates, perceived oppressiveness was the major mediator to link streetscapes and mental stress, explaining 50.2% of relationship. Tree canopy and sky had the greatest association with lower level of stress through perceived oppressiveness, while vehicles and billboards had the greatest association with higher level of stress through perceived oppressiveness.
This new pathways model confirms the major role of perceived oppressiveness in interpreting the impact of urban streetscapes on mental stress in high-density cities. The results suggest an update of Stress Reduction Theory is feasible and necessary.
Keywords
Stress reduction theory；High-density city；Mental stress；Oppressiveness；Streetscape；Pathways model
Objectives: Common mental disorders affect high proportions of university students. This systematic review aims to summarize the barriers and facilitators to help-seeking for depression and anxiety among university students and provide evidence to improve mental health services. Methods: EMBASE, MEDLINE, and PsycINFO were searched for eligible papers. Inclusion criteria: (1) published between 1990 and 2021, (2) written in English, (3) had qualitative or quantitative methodology, (4) involved university students, (5) students had depression or anxiety, (6) students were explicitly asked about barriers and facilitators, (7) >60% of study population had mental illness. Results: Ten studies were included into this review. The most common barriers were self-reliance, stigma, and poor mental health literacy. Good mental health literacy and social encouragement were significant facilitators. Conclusions: Universities could encourage help-seeking by targeting stigma and increasing mental health literacy. Future research could explore the role of self-reliance in help-seeking and identify more facilitators.
Background
While walking in nature has been shown to improve affect in adults from the community to a greater extent than walking in urban settings, it is unknown whether such benefits apply to individuals suffering from depression. Using a parallel group design, this randomized controlled trial examined the effects of a single walk in nature versus urban settings on negative and positive affect in adult psychiatric outpatients diagnosed with major depressive disorder (MDD).
Method
Participants recruited from a psychiatric outpatient clinic for adults with MDD were randomly assigned to a nature or urban walk condition. Thirty-seven adults (mean age = 49 years) completed a single 60-minute walk. Negative and positive affect were assessed using The Positive and Negative Affect Schedule or PANAS at 6 time points: before the walk, halfway during the walk, immediately post-walk, at home before bedtime, 24 h post-walk, and 48 h post-walk.
Results
Controlling for baseline levels of affect before the walk, individuals who walked in nature experienced overall lower levels of negative affect, F(1, 35.039) = 4.239, p = .047, compared to those who walked in urban settings. Positive affect did not differ across walk conditions.
Limitations
The generalizability of results are limited by the small sample size and the presence of more female than male participants.
Conclusions
Walking in nature might be a useful strategy to improve negative affect in adults with MDD. Future research should investigate different ways to integrate the beneficial effects of nature exposure into existing treatment plans for psychiatric outpatients with MDD.
Spending time outdoors in natural environments is associated with an array of benefits to individuals’ health and wellbeing, as well as being implicated in the development of connections to the natural world, attachment to place, and environmental stewardship behaviours. Disparities between population subgroups in relation to frequency of nature contact may, however, shape the extent to which natural environments deliver benefits to marginalised population subgroups. In this paper we examine disparities in contact with nature amongst the adult population of Scotland, UK using cross-sectional data from the Scottish Household Survey (N = 19,441). The analysis proceeds to explore whether the observed ‘gender gap’ between men and women in nature contact persists across the intersections of population subgroups and geographies. The findings point to inequalities in contact with nature which should be considered in public policy agendas to promote use of natural environments across urban and rural areas. The findings also highlight the value of adopting intersectional perspectives in the consideration of environmental justice issues surrounding access to natural environments.
Connectedness to Nature (CN) is an antecedent to various positive mental health and behavioural outcomes. Previous research has established nature exposure (NE) to be a key determinant of CN, with higher levels of NE observed to result in higher CN. Thus, the current research tested the effect of nature guided imagery (GI) on CN, to ascertain whether imagined NE may prove to be a viable substitute to real NE in increasing CN. Participants (N = 133, Mage = 38.8, SDage = 15.4) completed a measure of CN, were randomly assigned to complete 10 min of nature GI, urban GI (active control), or no GI (control), and then were reassessed on CN. The nature GI condition showed a significant increase in CN compared to the control condition (p = .001, 95%CI[0.40, 1.82]), and the active control condition (p = .039, 95%CI[0.03, 1.47), indicating that nature GI increased CN significantly more than no GI or urban GI. These results suggest that nature GI has the potential to be an efficient, accessible CN intervention; however, to understand which of its features make it most effective, future research is required.
Green exercise, the combination of exercise and nature exposure, is known to benefit physical and mental health. However, there is a lack of quantitative evidence to support the psychological advantage of green exercise over non-green exercise. Also, it is unclear if there are psychological differences between green exercise in wild environments and urban greenspaces. Therefore, we conducted a systematic literature search for outcomes concerning measures including the Profile of Mood States (POMS), Spielberger State-Trait Anxiety Inventory (STAI), Semantic Differential Method (SDM), Positive and Negative Affect Schedule (PANAS), and Restorative Outcome Scale (ROS). Nineteen studies with 1662 participants were included in a meta-analysis to examine the advantages of green exercise and compare them in the two types of natural environments. The results indicate that green exercise may lower negative affect, including anxiety, tension, anger, depression, and fatigue. Meanwhile, green exercise may lead to higher positive moods and emotions, including vigor, comfort, natural feeling, and relaxation. Nevertheless, the effect on overall positive affect was not statistically significant. The comparative results suggest that wild environments are more effective than urban greenspaces in improving vigor and comfort during green exercise. In conclusion, our findings support the advantages of green exercise over non-green exercise, meanwhile implying the psychological differences between exercises in wild environments and urban greenspaces. Due to the limited number of studies and high heterogeneities, a future review is warranted to re-examine the psychological benefits.
Background
Negative interpretation bias is a potential risk factor for emotional disorders. In this study, we tested a clinically inspired 4-session online Cognitive Bias Modification-Interpretation (CBM-IClin) program to modify negative interpretation biases.
Methods
We randomized one hundred and twenty-one volunteer young adults (Mean age = 21.6 years, SD = 3.5; 85 % women) with varying levels of emotional distress to either an experimental or waitlist control group. Mediation analyses were used to disentangle the associations between the intervention, changes in interpretation biases (assessed by both a self-report and an experimental task), and changes in measures of cognitive vulnerability and symptoms of depression and anxiety.
Results
The results showed that the CBM-IClin could change negative interpretation biases. Also, it had a direct effect on the change in negative memory bias, an indirect effect on the change in depression symptoms via the change in interpretation bias, and both direct and indirect effects on the change in self-reported dysfunctional attitudes.
Limitations
The study included a non-clinical sample of participants and it did not control for some potential confounding factors (e.g., attentional disorders). Furthermore, participants’ engagement during the sessions at home was not supervised.
Conclusions
The CBM-IClin is a potential tool to prevent and intervene in emotional disorders in young adults and could complement other traditional CBM procedures or clinical interventions.
This study investigated the mediator role of cognitive emotion regulation strategies in the relationship between nature connectedness and stress. The stress levels of participants were measured using two different methods: a) perceived stress and b) cumulative cortisol levels, which were analyzed by using the 3 cm segment of hair closest to the scalp. One hundred twenty-three female college students aged between 18 and 25 years old were included in this study. After controlling the influence of negative reactivity as a temperamental characteristic, nature connectedness predicted adaptive emotion regulation strategies of emerging adults, which in turn predicted a decline in their perceived stress. However, nature connectedness was not linked to non-adaptive regulation strategies and hair cortisol concentration (HCC). These findings highlight the importance of investigating different features of stress and suggest the restorative power of nature connectedness, which particularly bolsters positive outcomes, such as adaptive regulation skills.
There is growing evidence that ecosystem services and especially the exposure to the natural world (blue-green spaces) have potential benefits for mental health and well-being. The COVID-19 pandemic and the measures adopted to control it provide a natural experiment to investigate the links between nature exposure and mental health under extreme conditions. Using a survey distributed online, we tested the following hypotheses: 1) People will show greater symptoms of depression and anxiety under lockdown conditions that did not allow contact with outdoor nature spaces; 2) Where access to public outdoor nature spaces was strictly restricted, (2a) those with green/blue nature view or (2b) access to private outdoor spaces such as a garden or balcony will show fewer symptoms of depression and anxiety, and a more positive mood. Based on 5,218 responses from 9 countries, we found that lockdown severity significantly affected mental health, while contact with nature helped people to cope with these impacts, especially for those under strict lockdown. People under strict lockdown in Spain (3,403 responses), perceived that nature helped them to cope with lockdown measures; and emotions were more positive among J o u r n a l P r e-p r o o f Journal Pre-proof individuals with accessible outdoor spaces and blue-green elements in their views. These findings can help decision-makers in developing potential future lockdown measures to mitigate the negative impacts, helping people to be more resilient and maintain better mental health, using the benefits that ecosystem services are providing us. Keywords Ecosystem services, nature"s contributions to people, anxiety, depression, green-blue infrastructure J o u r n a l P r e-p r o o f Journal Pre-proof
Urban beaches and parks are providers of numerous ecosystem services. In the cultural sphere, place bonding and psychological restoration might significantly contribute to the health and well-being of citizens. In this manuscript, we present a study aimed to evaluate the extent to which three urban beaches and three urban parks offered these advantages to a sample of users (n = 429) in the city of Donostia-San Sebastián (Spain). A second aim was to build a predictive model of restoration through both objective and subjective measures. We assessed the design and physical features of the settings using the Natural Environment Scoring Tool (NEST) and gathered a range of information about the users via a paper & pencil questionnaire. The survey included socio-demographics, questions regarding the frequency and patterns of use, and four different psycho-environmental scales: Perceived Restorativeness Scale (PRS), Place Attachment and Identification Scale, and Restoration Outcome Scales (ROS). We found differences regarding the profile of users and the activities carried out in each of the settings. Users of beaches reported higher levels of attachment, identification, and experienced restoration than the participants surveyed in urban parks (p < .001). Regression analyses revealed that the main predictors of experienced restoration where perceived restorativeness (β = 0.49), attachment (β = 0.22), and identification (β = 0.15), whereas the physical/design features of the environment and the routines of use made a negligible contribution in this regard. The results of the regression analyses were extended by conducting dominance and relative weight analyses.