Perceived neighbourhood characteristics and depressive symptoms: Potential mediators and the moderating role of employment status

Roberts, Hannah; Lissa, Caspar van; Helbich, Marco

doi:10.1016/j.socscimed.2020.113533

Cited by 22 publications

(19 citation statements)

References 64 publications

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“…Specifically, previous observational studies reported that greenspace was associated with a lower risk of depression or depressive symptoms [ 9 – 13 , 47 ]. However, the findings from our current study, as well as others [ 17 , 18 ], did not support a relationship between greenspace and risk of depression. These disparities in findings may be due to differences in study design and how a diagnosis of a psychiatric condition was made [ 10 – 13 ].…”

Section: Discussioncontrasting

confidence: 99%

“…In line with previous evidence from observational studies [ 16 , 19 , 48 , 49 ], this study also showed that blue space coverage was statistically associated with decreased risk of any psychiatric disorder consistent with findings from a systematic review [ 50 ]. Although a few studies have reported the benefits of blue space coverage with specific psychiatric disorders, for example depression [ 12 , 13 , 18 ] and anxiety [ 12 , 14 , 19 ], the findings were controversial and had visible heterogeneity. We examined the associations of blue space with five specific psychiatric disorders and only detected significant associations of blue space at 1000 m buffer with incident anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…By contrast, the association between GBN and psychiatric disorders remains less well defined. Previous studies have reported a protective effect of green space on risk of dementia [ 7 , 8 ], depression [ 9 – 13 ], anxiety [ 11 , 14 ], and other mental issues [ 15 ], while other studies reported null associations [ 16 – 18 ]. Inconsistent results have also been shown for the associations of blue space with depression [ 12 , 13 , 18 ] and anxiety [ 12 , 14 , 19 ], respectively.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have reported a protective effect of green space on risk of dementia [ 7 , 8 ], depression [ 9 – 13 ], anxiety [ 11 , 14 ], and other mental issues [ 15 ], while other studies reported null associations [ 16 – 18 ]. Inconsistent results have also been shown for the associations of blue space with depression [ 12 , 13 , 18 ] and anxiety [ 12 , 14 , 19 ], respectively. In addition, a series of meta-analyses suggested that exposure to the natural environment could decrease the risk of depression [ 20 ] and anxiety [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Exposure to residential green and blue space and the natural environment is associated with a lower incidence of psychiatric disorders in middle-aged and older adults: findings from the UK Biobank

Liu,

Huxley,

Schikowski

et al. 2024

BMC Med

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Background There is increasing evidence for the role of environmental factors and exposure to the natural environment on a wide range of health outcomes. Whether exposure to green space, blue space, and the natural environment (GBN) is associated with risk of psychiatric disorders in middle-aged and older adults has not been prospectively examined. Methods Longitudinal data from the UK biobank was used. At the study baseline (2006–2010), 363,047 participants (women: 53.4%; mean age 56.7 ± 8.1 years) who had not been previously diagnosed with any psychiatric disorder were included. Follow-up was achieved by collecting records from hospitals and death registers. Measurements of green and blue space modeled from land use data and natural environment from Land Cover Map were assigned to the residential address for each participant. Cox proportional hazard models with adjustment for potential confounders were used to explore the longitudinal associations between GBN and any psychiatric disorder and then by specific psychiatric disorders (dementia, substance abuse, psychotic disorder, depression, and anxiety) in middle-aged and older adults. Results During an average follow-up of 11.5 ± 2.8 years, 49,865 individuals were diagnosed with psychiatric disorders. Compared with the first tertile (lowest) of exposure, blue space at 300 m buffer [hazard ratio (HR): 0.973, 95% confidence interval (CI): 0.952–0.994] and natural environment at 300 m buffer (HR: 0.970, 95% CI: 0.948–0.992) and at 1000 m buffer (HR: 0.975, 95% CI: 0.952–0.999) in the third tertile (highest) were significantly associated with lower risk of incident psychiatric disorders, respectively. The risk of incident dementia was statistically decreased when exposed to the third tertile (highest) of green space and natural environment at 1000 m buffer. The third tertile (highest) of green space at 300 m and 1000 m buffer and natural environment at 300 m and 1000 m buffer was associated with a reduction of 30.0%, 31.8%, 21.7%, and 30.3% in the risk of developing a psychotic disorder, respectively. Subgroup analysis suggested that the elderly, men, and those living with some comorbid conditions may derive greater benefits associated with exposure to GBN. Conclusions This study suggests that GBN has significant benefits for lowering the risk of psychiatric disorders in middle-aged and older adults. Future studies are warranted to validate these findings and to understand the potential mechanistic pathways underpinning these novel findings.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exposure to residential green and blue space and the natural environment is associated with a lower incidence of psychiatric disorders in middle-aged and older adults: findings from the UK Biobank

Liu,

Huxley,

Schikowski

et al. 2024

BMC Med

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“…Following the evaluation, parallel mediation models linking street network design to the PHQ9 scores via the candidate mediators were tested using structural equation models (SEMs) based the on optimal Model 3 with the smallest AIC. The SEMs were estimated using MPLUS 8.0 and the maximum likelihood estimator, with 10,000 bootstrapped unstandardized coefficients and 95% confidence intervals (CIs) (Dzhambov et al, 2019;Roberts et al, 2021). The goodness of fit of the SEMs was evaluated using the comparative fit index (CFI), with values higher than 0.9, and the root mean square error of approximation (RMSEA), with values<0.05.…”

Section: Discussionmentioning

confidence: 99%

Pathways from street network design to symptoms of depression among emerging adults in China

Cui

Wen

Yang

et al. 2023

Travel Behaviour and Society

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Environmental cognition and subjective well‐being: A study among middle‐aged and elderly residents in Nara Prefecture, Japan

Takamine,

Goto,

Liu

et al. 2023

Japan Architectural Review

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Subjective well‐being has been attracting a considerable amount of attention. Urban planning is expected to play a significant role in improving subjective well‐being. This study focuses on neighborhood environmental cognition as a new intervention target of urban planning and aims to clarify its association with subjective well‐being. We conducted surveys using the element‐recall method to assess neighborhood environmental cognition and the Subjective Well‐being Inventory. Data were collected from 104 respondents over 50 years old living in suburban area of Nara Prefecture, Japan. The results revealed the following: The ability to recall many or diverse elements is positively correlated with subjective well‐being. However, the spatial distribution of the recalled elements was not correlated with subjective well‐being. The components of subjective well‐being, positive affect and negative affect, have different relationships with neighborhood environmental cognition. Further, sex affects the association between negative affect and neighborhood environmental cognition. The ability to recall the elements that are not meant for daily visits is positively correlated with subjective well‐being. These findings suggest that, in addition to making cities walkable, creating places that are easy to be recognized and recalled by residents is also important.

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Perceived neighbourhood characteristics and depressive symptoms: Potential mediators and the moderating role of employment status

Cited by 22 publications

References 64 publications

Exposure to residential green and blue space and the natural environment is associated with a lower incidence of psychiatric disorders in middle-aged and older adults: findings from the UK Biobank

Exposure to residential green and blue space and the natural environment is associated with a lower incidence of psychiatric disorders in middle-aged and older adults: findings from the UK Biobank

Pathways from street network design to symptoms of depression among emerging adults in China

Environmental cognition and subjective well‐being: A study among middle‐aged and elderly residents in Nara Prefecture, Japan

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