Nature-Based Activities Can Improve Mood and Reduce Anxiety

Summary: Participating in nature-based activities including exercise, gardening, and conservation, helps improve mood and reduce anxiety for those with mental health problems.

Source: University of York

Outdoor nature-based activities are effective for improving mental health in adults, including those with pre-existing mental health problems, a new study has found.

The research – led by the University of York – showed that taking part in outdoor, nature-based activities led to improved mood, less anxiety, and positive emotions.

The study found that activities lasting for 20 to 90 minutes, sustained for over the course of 8 to 12 weeks, have the most positive outcomes for improving mood and reducing anxiety.

Gardening and exercise were among the activities associated with mental health benefits. Engaging in conservation activities was also reported to make people feel better, as did ‘forest bathing’ (stopping in a forest to take in the atmosphere).

Nature-based interventions (NBIs) support people to engage with nature in a structured way to improve mental health.

As part of the study, researchers screened 14,321 NBI records and analysed 50 studies.

Lead author of the study, Dr Peter Coventry from the Department of Health Sciences, said: “We’ve known for some time that being in nature is good for health and wellbeing, but our study reinforces the growing evidence that doing things in nature is associated with large gains in mental health.

“While doing these activities on your own is effective, among the studies we reviewed it seems that doing them in groups led to greater gains in mental health.”

However, the study found there was less evidence that outdoor activities led to improved physical health. The research suggests that there needs to be more appropriate ways to measure the short and longer-term impact of nature-based activities on physical health.

The paper argues there is a need for substantial, sustained investment in community and place-based solutions such as nature-based interventions, which are likely to play important role in addressing a post-pandemic surge in demand for mental health support.

“One of the key ideas that might explain why nature-based activities are good for us is that they help to connect us with nature in meaningful ways that go beyond passively viewing nature”, Dr Coventry adds.

The research forms part of the new ‘Environment and Health’ research theme, supported by the York Environmental Sustainability Institute (YESI). As part of the sameTom Creese theme, Dr Coventry and co-author Professor Piran White are now working with partners at the University of Central Lancashire to understand the health benefits of green social prescribing, in a study funded by the West Yorkshire and Harrogate Health and Care Partnership.

Academics from the Department of Health Sciences, Department of Environment and Geography, York Environmental Sustainability Institute (YESI), Hull York Medical School and Stockholm Environment Institute at York contributed to the study.

Abstract

Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis

Mental health problems are associated with lower quality of life, increased unscheduled care, high economic and social cost, and increased mortality. Nature-based interventions (NBIs) that support people to engage with nature in a structured way are asset-based solutions to improve mental health for community based adults. However, it is unclear which NBIs are most effective, or what format and dose is most efficacious.

We systematically reviewed the controlled and uncontrolled evidence for outdoor NBIs. The protocol was registered at PROSPERO (CRD42020163103). Studies that included adults (aged ≥18 years) in community-based settings with or without mental and/or physical health problems were eligible for inclusion.

Eligible interventions were structured outdoor activities in green and/or blue space for health and wellbeing. We searched ASSIA, CENTRAL, Embase, Greenfile, MEDLINE, PsycINFO, and Web of Science in October 2019; the search was updated in September 2020. We screened 14,321 records and included 50 studies. Sixteen studies were randomised controlled trials (RCTs); 18 were controlled studies; and 16 were uncontrolled before and after studies.

Risk of bias for RCTs was low to moderate; and moderate to high for controlled and uncontrolled studies. Random effects meta-analysis of RCTs showed that NBIs were effective for improving depressive mood −0.64 (95% CI: 1.05 to −0.23), reducing anxiety −0.94 (95% CI: 0.94 to −0.01), improving positive affect 0.95 (95% CI: 0.59 to 1.31), and reducing negative affect −0.52 (95% CI: 0.77 to −0.26). Results from controlled and uncontrolled studies largely reflected findings from RCTs. There was less evidence that NBIs improved physical health. The most effective interventions were offered for between 8 and 12 weeks, and the optimal dose ranged from 20 to 90 min.

NBIs, specifically gardening, green exercise and nature-based therapy, are effective for improving mental health outcomes in adults, including those with pre-existing mental health problems.