Efficacy of nature-based therapy for individuals with stress-related illnesses: randomised controlled trial

Stigsdotter, Ulrika K.; Corazon, Sus Sola; Sidenius, Ulrik; Nyed, Patrik Karlsson; Larsen, Helmer Bøving; Fjorback, Lone Overby

doi:10.1192/bjp.2018.2

Cited by 44 publications

(41 citation statements)

References 24 publications

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“…Choosing an ecovillage in the countryside as a setting for the intervention was therefore believed to be important. Based on our findings, we also proposed that there is evidence for the positive impact of a nature environment and horticultural or nature-based activity on mental health, which is in line with the findings of other studies [ 61 , 62 , 63 , 64 ]. Due to their poor mental health, some of the participants needed an even more sheltered environment to support their mental restoration such as a sheltered therapeutic garden.…”

Section: Discussionsupporting

confidence: 91%

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Poulsen

Pálsdóttir

Christensen³

et al. 2020

IJERPH

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Background: Globally, the number of refugees is growing. For many refugees, entering the labor market in their new country of residence is challenging. Some remain forever dependent on welfare services, and this not only weakens their chances of integration, but also harms their health and well-being. Methods: This qualitative single case study focused on a group of war-stricken refugees in Denmark. The study investigated the impact of an eight-month horticultural vocational program aimed at improving their ability to complete an education program or to work. A total of 29 interviews were conducted and analyzed using the interpretative phenomenological analysis (IPA) method. Results: The natural environment in the eco-village evoked a feeling of safety as well as positive memories in the participants, in contrast to the traumatic memories they had of their flight. Horticultural activities and the positive and respectful attitude from staff initiated a recovery process. New skills were achieved at an individual pace, and feelings of isolation decreased. These findings can be implicated in future interventions.

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Section: Discussionsupporting

confidence: 91%

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Poulsen

Pálsdóttir

Christensen³

et al. 2020

IJERPH

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“…The results from the background questionnaire showed that the vast majority of participants were women (NBT: 82%, CBT: 82%) with a mean age of 47.9 in NBT and 44.9 in CBT [ 11 ]. The majority had a university bachelor degree or higher education (NBT: 76%, CBT: 68%).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, the participants in the NBT and the CBT still caused greater healthcare costs in regard to this variable when compared to the general population. It was decided to focus only on the variable “number of contacts with a GP” concerning healthcare consumption, because this was stated by the participants as their most common personal re-habilitation initiative prior to treatment [ 11 ]. No participants were hospitalized prior to treatment due to stress-related illness.…”

Section: Discussionmentioning

confidence: 99%

“…The NNBT was compared to a validated cognitive behavioral therapy known as STreSS (Specialized Treatment for Severe Bodily Distress Syndromes) [ 10 ]. The study found that the Nacadia ® NBT was equal in efficacy to the STreSS with regard to improving the subjects’ mental health status, measured from before to immediately after treatment [ 11 ]. Furthermore, the positive effect on mental health was found to be sustained a year after the treatment had ended [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…The study found that the Nacadia ® NBT was equal in efficacy to the STreSS with regard to improving the subjects’ mental health status, measured from before to immediately after treatment [ 11 ]. Furthermore, the positive effect on mental health was found to be sustained a year after the treatment had ended [ 11 ]. Although the participants’ perceived mental health improved, the question remains whether the NNBT also had an effect on sick leave and healthcare consumption, thereby leading to fewer economic consequences for society.…”

Section: Introductionmentioning

confidence: 99%

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A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial

Corazon

Nyed

Sidenius

et al. 2018

IJERPH

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Stress-related illnesses are a growing health problem in the Western world; which also has economic significance for society. As a consequence; there is a growing demand for effective treatments. The study investigates the long-term efficacy of the Nacadia® nature-based therapy (NNBT) by comparing it to the efficacy of a validated cognitive behavioral therapy, called STreSS. The study is designed as a randomized controlled trial in which 84 participants are randomly allocated between the treatments. Long-term efficacy is investigated through data extracts from the national database of Statistics Denmark on the sick leave and the health-care consumption. The results show that both the NNBT and the STreSS lead to a significant decrease in number of contacts with a general practitioner in the period from twelve months prior to treatment to twelve months after treatment; and, a significant decrease in long-term sick leave from the month prior to treatment to twelve months after treatment. The positive long-term effects provide validation for the NNBT as an efficient treatment of stress-related illnesses.

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The effect of environmental change, planned and unplanned life events on the long-term outcome of common mental disorders

Tyrer

Duggan

Yang

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose To examine the nature of positive and negative environmental change on clinical outcome in 210 patients presenting with anxiety and depression and followed up over 30 years. Methods In addition to clinical assessments, major environmental changes, particularly after 12 and 30 years, were recorded in all patients by a combination of self-report and taped interviews. Environmental changes were separated into two major groups, positive or negative, determined by patient opinion. Results In all analyses positive changes were found to be associated with better outcome at 12 years with respect to accommodation (P = 0.009), relationships (P = 007), and substance misuse (P = 0.003), with fewer psychiatric admissions (P = 0.011) and fewer social work contacts at 30 years (P = 0.043). Using a consolidated outcome measure positive changes were more likely than negative ones to be associated with a good outcome at 12 and 30 years (39% v 3.6% and 30.2% v 9.1%, respectively). Those with personality disorder at baseline had fewer positive changes (P = 0.018) than others at 12 years and fewer positive occupational changes at 30 years (P = 0.041). Service use was greatly reduced in those with positive events with 50–80% more time free of all psychotropic drug treatment (P < 0.001). Instrumental positive change had greater effects than imposed changes. Conclusions Positive environmental change has a favourable impact on clinical outcome in common mental disorders. Although studied naturalistically in this study the findings suggest that if harnessed as a therapeutic intervention, as in nidotherapy and social prescribing, it would yield therapeutic dividends.

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Efficacy of nature-based therapy for individuals with stress-related illnesses: randomised controlled trial

Abstract: The study showed no statistical evidence of a difference between NNBT and STreSS for treating patients with stress-related illnesses.Declaration of interestNone.

Cited by 44 publications

References 24 publications

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial

The effect of environmental change, planned and unplanned life events on the long-term outcome of common mental disorders

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