Effects of nature-based intervention in the treatment of depression: A multi-center, randomized controlled trial

Hyvönen, Katriina; Salonen, Kirsi; Paakkolanvaara, Jane-Veera; Väkeväinen, Pasi; Korpela, Kalevi

doi:10.1016/j.jenvp.2022.101950

Cited by 6 publications

(9 citation statements)

References 42 publications

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“…Restorative experiences after sessions in nature (but not indoors) mediated increase in positive mental well-being, which, in turn, mediated decrease in depression (Korpela et al, 2016). Furthermore, in a previous study about FWN treatment, we found that an increase in restorative experiences mediated decrease in depression scores (Hyvönen et al, 2023).…”

Section: Discussionsupporting

confidence: 58%

“…Again, no conclusions can be drawn from the benefits of FWN treatment alone, since all our participants also got TAU alongside FWN. It should, however, be noted that the previous study with this data has shown that an added benefit of FWN treatment was observed in reduction of psychological distress, increase in restorative experiences, and improved self-reported work or study ability (only at the end of the group intervention) compared to standard care only (Hyvönen et al, 2023).…”

Section: Discussionmentioning

confidence: 50%

“…Prior to the beginning of RCT, we calculated that 64 participants in both the intervention and control group (128 participants in total) were needed to reach 0.25 effect size with one-way analysis of variance (ANOVA) (alpha = .05; power = 0.80; Faul et al, 2007) (Hyvönen et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…Further developments of the nature-based parts of FWN treatment could include, in particular, 1) more mindfulness-influenced exercises since mindfulness has been proposed to support psychological restoration in nature (Lymeus et al, 2020;Macaulay et al, 2022); 2) stronger support for strengthening nature connectedness, which seems to closely interrelate with restoration (Mayer et al, 2009); and 3) supporting environmental self-regulation by, for instance, encouraging participants to visit their own favourite nature place on a daily basis to enhance restorative experiences (cf., Korpela & Ylén, 2009). In other words, FWN treatment could feature a longer Horizon stage (first stage) to maximise the restorative experiences from nature that mediate the alleviation of depression symptoms (Hyvönen et al, 2023;Korpela et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Our previous study (Hyvönen et al, 2023) indicated that participants with depression attending FWN treatment in addition to receiving TAU benefitted from the FWN treatment. The benefits included a reduction in depression symptoms and psychological distress, and an increase in restorative experiences and self-reported work/study ability.…”

Section: Flow With Nature Treatmentmentioning

confidence: 99%

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Profiles of Depression and Restoration in Nature-Based Group Therapy

et al. 2023

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Objective: This study focuses on a nature-based group treatment (Flow with Nature treatment, FWN) for working-age adults diagnosed with clinical depression. We searched for different subgroups of depression and restoration levels to see who, in particular, benefits from FWN treatment. Method:In total, 108 people participated in the study at various locations in Finland. The participants were 44.8 years old on average (range = 19-64), and most were female (81.5%). We used Latent Profile Analysis (LPA) to identify different profiles of level and change in depression and restoration in the participants of FWN treatment to investigate who particularly benefits from it. Results: We found three different profiles of depression level and observed a significant reduction of depression scores in the group with the lowest depression level. In addition, two different profiles of restoration were identified and depression symptoms were significantly alleviated in the group with higher restoration, whereas no such change was observed in the group with lower restoration. Conclusions: FWN can be especially beneficial as a low-threshold treatment for mild depression in addition to treatment-asusual. Furthermore, the results suggest it is advisable to purposively support restoration by naturebased treatments for depression.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Flow With Nature Treatmentmentioning

confidence: 99%

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Profiles of Depression and Restoration in Nature-Based Group Therapy

et al. 2023

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Designing for Mindfulness and Global Public Health: Where Inner Awareness Meets the External Environment

Altay,

Porter

2024

Mindfulness

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In this paper, we offer a commentary on Oman’s article “Mindfulness for Global Public Health: Critical Analysis and Agenda” from the perspective of external environments, be they natural or built spaces. Utilizing the 14 domains of mindfulness and public health identified by Oman, we examine how spatio-environmental concerns are aligned, or have potential synergies with, these dimensions. We consider spatial and environmental qualities and relationships, for example, the presence of nature or a sense of safety, as supportive for public health and formal mindfulness practice, synthesizing a growing evidence base within environmental psychology and design literature. We highlight particular points of alignment, namely the impact of environments on mental health, stress, and attentional qualities. Potential synergies are evident where these domains seek to increase resilience and the sustainability of our planet, communities, and individuals, and through the increasing emphasis on designing places that offer inclusive access to, and direct involvement in, the creation of belief (spirituality) and culture-specific interventions. Although these domains offer the potential for greater holistic research and practice, more interdisciplinary research is needed to bridge gaps and bring this potential into the mainstream.

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Accumulation of self-reported restorative effects of natural sounds: A seven-day intervention indoors

Suko,

Korpela

2024

Journal of Environmental Psychology

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Effects of nature-based intervention in the treatment of depression: A multi-center, randomized controlled trial

Cited by 6 publications

References 42 publications

Profiles of Depression and Restoration in Nature-Based Group Therapy

Profiles of Depression and Restoration in Nature-Based Group Therapy

Designing for Mindfulness and Global Public Health: Where Inner Awareness Meets the External Environment

Accumulation of self-reported restorative effects of natural sounds: A seven-day intervention indoors

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