Restorativeness in Natural and Urban Environments: A Meta-Analysis

2019 ◽  
pp. 003329411988406 ◽  
Author(s):  
Elisa Menardo ◽  
Margherita Brondino ◽  
Rob Hall ◽  
Margherita Pasini

In recent decades, there has been an increasing volume of research aimed out quantifying the extent to which the natural environment can assist in restoring mental, emotional, and physical well-being. It is commonly assumed that natural environments are more restorative than urban environments. However, studies addressing this issue use a variety of methods for data collection making it difficult to compare the findings of different studies. The research reported here uses a meta-analysis aimed at estimating how much natural environments are perceived as being more restorative than urban environments. We investigated the role of moderator variables such as research design, kind of natural environment, participants, measurement instruments used or the context in which the data were collected. PsycINFO, PsycARTICLES, Scopus, SpringerLINK, Web of Science online databases were used to identity all peer-review articles on restorativeness published to date ( k = 167). Reference sections of obtained papers were examined for additional studies. Only 22 studies met inclusion criteria (direct exposure to environment, comparison between one outdoor environment with natural element and one without natural element, and restorativeness measured by self-report scale) and were included in meta-analysis. Results show that natural environments are perceived to be more restorative than urban environments (Cohen’s d (confidence interval) = 1.99 (1.38–2.61)). Significant heterogeneity between the study was found ( Q(19) = 503.16, p < .001) and variability within studies was very high ( I2 = 97%). However, subsequent univariate moderator analyses were not significant. Other methodological differences (e.g., lighting conditions) could explain this variability. We concluded that the variability in studies is more likely to be due to individual differences (e.g., age, connections to nature, and environmental attitude) than the methodological differences.

2021 ◽  
Vol 9 ◽  
Author(s):  
Wenfei Yao ◽  
Fei Chen ◽  
San Wang ◽  
Xiaofeng Zhang

There is increasing evidence that the natural environment provides substantial benefits to human emotional well-being. The current study synthesized this body of research using the meta-analysis and assessed the positive and negative effects of exposure to both the natural and built environments. We searched four databases and 20 studies were included in the review. The meta-analysis results showed the most convincing evidence that exposure to the natural environment could increase positive affect (standardized mean difference, SMD = 0.61, 95% CI 0.41, 0.81) and decreased negative affect (SMD = −0.47, 95% CI −0.71, −0.24). However, there was extreme heterogeneity between the studies, and the risk of bias was high. According to the subgroup analysis, study region, study design, mean age of the sample, sample size, and type of natural and built environment were found to be important factors during exposure to the natural environment. The implications of these findings for the existing theory and research are discussed. These findings will help convince the health professionals and policymakers to encourage the residents to increase their time spent in the natural environment. These findings of this systematic review also suggested that the creation, maintenance, and enhancement of accessible greenspaces or existing natural environments may form part of a multidimensional approach to increasing emotional well-being of the local populations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fariba Mostajeran ◽  
Jessica Krzikawski ◽  
Frank Steinicke ◽  
Simone Kühn

AbstractA large number of studies have demonstrated the benefits of natural environments on people’s health and well-being. For people who have limited access to nature (e.g., elderly in nursing homes, hospital patients, or jail inmates), virtual representations may provide an alternative to benefit from the illusion of a natural environment. For this purpose and in most previous studies, conventional photos of nature have been used. Immersive virtual reality (VR) environments, however, can induce a higher sense of presence compared to conventional photos. Whether this higher sense of presence leads to increased positive impacts of virtual nature exposure is the main research question of this study. Therefore, we compared exposure to a forest and an urban virtual environment in terms of their respective impact on mood, stress, physiological reactions, and cognition. The environments were presented via a head-mounted display as (1) conventional photo slideshows or (2) 360$$^{\circ }$$ ∘ videos. The results show that the forest environment had a positive effect on cognition and the urban environment disturbed mood regardless of the mode of presentation. In addition, photos of either urban or forest environment were both more effective in reducing physiological arousal compared to immersive 360$$^{\circ }$$ ∘ videos.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017173 ◽  
Author(s):  
Jinghui Wang ◽  
Xiaohang Wu ◽  
Weiyi Lai ◽  
Erping Long ◽  
Xiayin Zhang ◽  
...  

ObjectivesDepression and depressive symptoms are common mental disorders that have a considerable effect on patients’ health-related quality of life and satisfaction with medical care, but the prevalence of these conditions varies substantially between published studies. The aim of this study is to conduct a systematic review and meta-analysis to provide a precise estimate of the prevalence of depression or depressive symptoms among outpatients in different clinical specialties.DesignSystematic review and meta-analysis.Data sources and eligibility criteriaThe PubMed and PsycINFO, EMBASE and Cochrane Library databases were searched to identify observational studies that contained information on the prevalence of depression and depressive symptoms in outpatients. All studies included were published before January 2016. Data characteristics were extracted independently by two investigators. The point prevalence of depression or depressive symptoms was measured using validated self-report questionnaires or structured interviews. Assessments were pooled using a random-effects model. Differences in study-level characteristics were estimated by meta-regression analysis. Heterogeneity was assessed using standard χ2tests and the I2statistic. The study protocol has been registered with PROSPERO under number CRD42017054738.ResultsEighty-three cross-sectional studies involving 41 344 individuals were included in this study. The overall pooled prevalence of depression or depressive symptoms was 27.0% (10 943/41 344 individuals; 95% CI 24.0% to 29.0%), with significant heterogeneity between studies (p<0.0001, τ2=0.3742, I2=96.7%). Notably, a significantly higher prevalence of depression and depressive symptoms was observed in outpatients than in the healthy controls (OR 3.16, 95% CI 2.66 to 3.76, I2=72.0%, χ2=25.33). The highest depression/depressive symptom prevalence estimates occurred in studies of outpatients from otolaryngology clinics (53.0%), followed by dermatology clinics (39.0%) and neurology clinics (35.0%). Subgroup analyses showed that the prevalence of depression and depressive symptoms in different specialties varied from 17.0% to 53.0%. The prevalence of depression and depressive symptoms was higher among outpatients in developing countries than in outpatients from developed countries. Moreover, the prevalence of depression and depressive symptoms in outpatients slightly decreased from 1996 to 2010. Regarding screening instruments, the Beck Depression Inventory led to a higher estimate of the prevalence of depression and depressive symptoms (1316/4702, 36.0%, 95% CI 29.0% to 44.0%, I2=94.8%) than the Hospital Anxiety and Depression Scale (1003/2025, 22.0%, 95% CI 12.0% to 35.0%, I2=96.6%).ConclusionOur study provides evidence that a significant proportion of outpatients experience depression or depressive symptoms, highlighting the importance of developing effective management strategies for the early identification and treatment of these conditions among outpatients in clinical practice. The substantial heterogeneity between studies was not fully explained by the variables examined.


2018 ◽  
Author(s):  
Cecilia Stenfors ◽  
Stephen Charles Van Hedger ◽  
Kathryn E Schertz ◽  
Francisco Calvache Meyer ◽  
Karen Smith ◽  
...  

Interactions with natural environments and nature-related stimuli have been found to be beneficial to cognitive performance, in particular on executive cognitive tasks with high demands on directed attention processes. However, results vary across different studies.The aim of the present study was to perform a meta-analysis of all our published and unpublished studies testing the effect of different interactions with nature versus urban/built control environments, on an executive test with high demands on directed attention: the backwards digit span (BDS) task. Specific aims were to evaluate the effect of nature versus urban environment interactions on BDS across different exposure types (e.g. being in real environments, or viewing videos, images, or listening to sounds) and disentangle the effects of testing order (i.e. practice with repeated testing) and the role of affective changes on BDS performance. We also reviewed the literature and compared and contrasted our meta-analysis with results from other studies. Results from our meta-analysis comprising 12 studies (N=567 participants) showed significant environment-by-time interactions with beneficial effects of nature compared to urban environments on BDS performance. This effect was magnified after parceling out initial practice effects on the BDS. Changes in positive or negative affect did not mediate the beneficial effects of nature on BDS performance. These results mirrored effects that we reviewed from outside of our laboratories. Uncontrolled and confounding order effects may explain some of the inconsistent findings in the literature. In all, these results highlight the robustness of the effects of natural environments on cognition when confounding order effects have been considered, and also provide a more nuanced account of when a nature intervention will be most effective.


2020 ◽  
Author(s):  
Douglas Parry ◽  
Brittany I Davidson ◽  
Craig Sewall ◽  
Jacob T. Fisher ◽  
Hannah Mieczkowski ◽  
...  

The influence of digital media on personal and social well-being is a question of immense public and academic interest. Scholars in this domain often use retrospective self-report measures of the quantity or duration of media use as a proxy for more objective measures, but the validity of these self-report measures remains unclear. Recent advancements in log-based data collection techniques have produced a growing collection of studies indexing both self-reported media use and device-logged measurements. Herein, we report a meta-analysis of this body of research. Based on 104 effect sizes, we found that self-reported media use was only moderately correlated with device-logged measurements, and that these self-report measures were rarely an accurate reflection of logged media use. These results demonstrate that self-reported measures of the quantity or duration of media use are not a valid index of the amount of time people actually spend using media. These findings have serious implications for the study of media use and well- being, suggesting that cautiousness is warranted in drawing conclusions regarding media effects from studies relying solely on self-reported measures of media use.


2018 ◽  
Vol 11 (3) ◽  
pp. 234 ◽  
Author(s):  
Jacqueline Beam ◽  
Nawari O. Nawari ◽  
Bill Tilson

Sustainable design trends have historically wended down a road that supports the idea of densely populated urban planning as a strategy for mitigating sprawl. Creation of dense urban areas aims at the reduction of carbon emissions. However, studies show that densely populated areas often come with a panacea of mental health, resiliency, and quality of life ails for a community.The following research explores the possibility of combining densely populated design approaches with ancient community planning methods that encourage relationship building: close contact with natural environments and social interchange. Community planning that also creates a day to day contact with nature could be a crucial strategy for both sustaining healthy ecosystems and the development of sustainable communities. The potential for integrating dependence upon nature within built urban environments, as well as the possibility of positive place-making by harvesting nature dependent cultural and social assets in communities and neighborhoods, is, therefore, a wealthy area worthy of exploration.To explore these areas, mental health research on the effects of nature on the brain, as well as the three leading determinants of social, environmental and economic well-being, worldwide, and the founding cultures of these determinants were reviewed. Resilient indigenous groups and case studies of the happiest nation, of Norway and two leading environmentally sustainable and resilient countries, Costa Rica, Cuba, and New Mexico are examined. The paper provides recommendations for improving mental health and resilience by integrating strategies for nature and community needs in urban planning and built environments design.


Author(s):  
Philip James

If the health and well-being benefits attributable to contact with nature are to be realized, there needs to be a change in the framing of nature within urban environments. The way nature is perceived and valued and the way that it is incorporated in policy and practice need to be re-positioned. The discourse around that challenge and the resulting re-framing are set out. There is a discussion of the changing relationship between humans and the natural environment. Ideas around nature apart from, or in spite of, or for, or and people are considered. These paradigm shifts affect conservation policies and associated practices. The ecosystem services and disservices attributable to urban environments are assessed. The importance of cultural services within urban environments is highlighted. Tensions that exist within this changing relationship are causing humans to forget the natural world and its benefits, with knock-on ill effects to human health.


COSMOS ◽  
2013 ◽  
Vol 08 (02) ◽  
pp. 153-166 ◽  
Author(s):  
JUSTIN DILLON

Policies designed to increase public engagement with biodiversity advocate increased education across a range of educational contexts. Evidence of the benefits of learning in natural environments (LINE) continues to be amassed. LINE affords direct benefits as diverse as educational, health and psychological and indirect benefits ranging from social to financial. Research into the value of LINE has failed to address the full range of benefits. Instead, there has been a narrow focus on easily measurable outcomes and a desire to seek answers to simplistic questions such as "does LINE raise standards more than learning in the classroom?" An attempt is made to outline the full range of benefits which are available to all school students. The outcomes include: benefits to individual participants (knowledge and understanding; skills; attitudes and behaviours; health and well-being; self-efficacy and self-worth); benefits to teachers, schools and the wider community, and benefits to the natural environment sector. Several barriers exist to the effective delivery of LINE. These barriers can be grouped into those that challenge the natural environment sector and those that challenge schools. The challenges facing the sector include a lack of a coordinated effective approach to working with schools at a local level. The challenges facing schools include those frequently mentioned such as the risk of accidents, cost and curriculum pressures. However, another set of challenges exists, at local, institutional and personal levels. These challenges include teachers' confidence, self-efficacy and their access to training in using natural environments close to the school and further afield.


2020 ◽  
Author(s):  
Susette Alanna Moyers ◽  
Martin S Hagger

The salutogenic model of health proposes that sense of coherence, a multi-dimensional construct representing individuals’ perceptions that their environment is comprehensible, manageable, and meaningful, is a key determinant of stress management and well-being. Generalized resistance resources such as preventive health orientation, material resources, and social support are proposed as determinants of sense of coherence. Health behaviors, particularly physical activity, are proposed as indicators of a preventive health orientation and predictors of sense of coherence. We synthesized research on the relationship between physical activity and sense of coherence using three-level meta-analysis, and tested effects of key moderators of the relationship. Database and manual searches identified 52 studies meeting inclusion criteria with 73 effect sizes testing the relationship. The analysis revealed a small non-zero physical activity-sense of coherence correlation with significant heterogeneity. Demographic variables, version of sense of coherence scale, physical activity measure, study design and quality, physical activity intensity, and time lag did not moderate the correlation. Findings suggest a robust but small correlation between physical activity participation and sense of coherence across studies. Studies that test the relationship using experimental or intervention designs, adopt more precise measures, and include measures of other health behaviors and generalized resistance resources are needed.


2021 ◽  
Author(s):  
Giuliana Brancato ◽  
Kathryne Van Hedger ◽  
Marc Berman ◽  
Stephen Charles Van Hedger

Compared to urban environments, interactions with natural environments have been associated with several health benefits including psychological restoration and improved emotional well-being. However, classifying environments dichotomously as either natural or urban may emphasize between-category differences and minimize potentially important within-category variation (e.g., forests versus fields of crops; neighborhoods versus city centers). Therefore, the current experiment assessed how viewing brief videos of different environments, ranging along a continuum from stereotypically natural to stereotypically urban, influenced subjective ratings of mood, restoration, and well-being. Participants were randomly assigned to one of four video conditions, which depicted a simulated walk through a pine forest, a farmed field, a tree-lined urban neighborhood, or a bustling city center essentially devoid of greenery. Immediately before and after the videos, participants rated their current emotional states. Participants additionally rated the perceived restorativeness of the video. The results supported the idea that the virtual walks differentially influenced affect and perceived restoration, even when belonging to the same nominal category of natural or urban. The pine forest walk significantly improved happiness relative to both urban walks, whereas the farmed field walk did not. The bustling city center walk decreased feelings of calmness compared to all other walks, including the tree-lined neighborhood walk. The walks also differed on two perceived restorativeness measures (daydreaming and being away) in a graded fashion; however, the farmed field walk was found to be less fascinating than all other walks, including both urban walks. Taken together, these results suggest that categorizing environments as “natural versus urban” may gloss over meaningful within-category variability regarding the restorative potential of different physical environments.


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